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Change Your Day

A revitalized blog with one mission: to present a moment that jolts your day, triggers new thinking, gets you through traffic tangles, and relieves job stress. Or, more prosaically, accompanies you through the early miles of bike touring through France and Italy. Wherever you are, I aim to change your day.

Credit to @illuminatethearts for lighting the skies from the Ferry Building down Market Street. 

Installment  #2: ​Let the AIDS Conference Begin – Atlanta, 1985

7/5/2020

 
San Francisco and Oakland are set to co-host the 23rd global AIDS conference beginning tomorrow July 6, 2020. Reports about the still-destructive AIDS pandemic will compete with the daily slog of frustrating, frightening, and maddening COVID-19 updates.  While we wait for the latest iteration of the global gathering to begin, let’s take a look at the very First International Conference on AIDS, convened 35 years earlier in Atlanta, GA.
 
I arrived in Atlanta a day early to get oriented to what would become the pre-eminent annual convention of scientists, behavioral researchers, health education specialists, activists, and the media. Sponsored by the Department of Health and Human Services and the World Health Organization, more than 2,000 participants had registered for the four-day event. Although the conference was a prestigious affair, President Ronald Reagan did not attend, as became the rule for heads of state at future international AIDS conferences. But then, four years had passed and 10,000 Americans were AIDS-infected and Reagan had still not voiced the word “AIDS.”
 
No one warned me about Atlanta at that time of the year. San Francisco has its shape-obliterating fog, but the Georgia city was thickly layered with pollen from surrounding pine, oak, and mulberry trees, and various grasses as well. I hadn’t suffered like this with the barrage of explosive sneezing, sniffling, soaked tissues, poor sleep and fatigue as I did with the Atlanta pollen.
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​Familiar Territory
I covered the Atlanta AIDS conference as a reporter for the LGBTQ newspaper Coming Up! in San Francisco. Afterwards I stitched together a national readership by syndicalizing my articles in other media that served New York, Boston, Philadelphia, Chicago, Seattle, Phoenix, Portland, and Oakland. I had worked the “AIDS beat” for nearly three years before I registered for the Atlanta conference. More importantly, I began collaborating in mid-1982 with Mark Feldman, one of the first 50 men in San Francisco diagnosed with AIDS. We began writing about his experience of having “the condition.” The stigma and pain, depression and defiance, the horrors, and the treasured calm periods of relief and joy. Mark Feldman was the first to coin the term “People with AIDS (PWA).”  This became a fundamental aspect of his message; he wanted to counter the notion that those with the disease were “victims,” “helpless,” and to be pitied. Mark went on to become one of the best known PWA speakers in that early wave of AIDS in 1981-1985. He died of AIDS at age 31 on June 2, 1983. The experience of being present with Mark and loving him changed me in ways I try to understand fully even today.
 
Why Atlanta?
I don’t know the backstory on why Atlanta was selected to host this stand-out AIDS conference, but the city had the Centers for Disease Control within its boundaries. The CDC connection was likely enough. The U.S. bid for sponsorship easily drew upon the prestige of the vast federal bureaucracy; including the CDC, the National Cancer Institute, the National Institutes of Health, and the National Institute of Allergy and Infectious Diseases. Those realms of scientific expertise included Robert Gallo, MD, the prominent virologist who misappropriated credit for being the first to identify the AIDS virus.
 
U.S. Scientist Takes Credit for French Discovery of AIDS Virus
For those unfamiliar with the scandal triggered by Robert Gallo’s lab, the episode was a dark period in the history of AIDS science. Gallo and his colleagues, purposefully or not, misidentified the virus sample shared with him by researchers at the Pasteur Institute in Paris and called it their own. Drs. Francoise Barre-Sinoussi and Luc Montagnier had already announced in May 1983 that they identified the AIDS virus which they named “Lymphadenopathy-Associated Virus, LAV.” But wait, Gallo declared that he was the first in the world to identify the AIDS virus. He named it HTLV-3.
 
In reality he had “identified” the already discovered French LAV that had been shared with him. That was a mistake from the start; it risked cross-contamination. Almost a full year after the French announced in a medical journal their discovery of LAV, Gallo reported his own “discovery” of HTLV-3 in Science in May 1984. He failed to mention the earlier French finding. With high stakes of the Nobel Prize, worldwide fame, millions of dollars in revenue from sales of the eventual antibody test, and national pride, the U.S. government initially attributed sole discover to Gallo and, later at the Atlanta conference, to the “discoverers in France and the U.S.”  
 
At the conference, Gallo advised his colleagues, “Science becomes debased when nationalism and chauvinism come with competition.”    
 
First American to Independently Identify the AIDS Virus
Jay A. Levy, MD, University of California San Francisco Professor of Medicine and Director of the Laboratory for Tumor and AIDS Virus Research, deserves the honor and accolades for being the first American to independently identify the AIDS virus ((meaning he did so without having the French drop it on his laboratory bench). In early May 1984 Levy isolated what he named AIDS Associated Retrovirus, or ARV. Levy’s discovery ranks him as the second worldwide and the first American to discover the virus that caused the worst epidemic of illness and death in the 21st century. Granted that COVID-19 may soon claim that distinction).   
 
Jay Levy’s ARV discovery was recognized at the 1985 Atlanta conference only in presentations and papers by himself or his team. He is among the most under-reported and under-appreciated of medical science pioneers. Jay Levy continues his lab work at UCSF today.
 
Quick Notes from the Atlanta Conference
· The lag time between AIDS infection and development of symptoms may be more like seven to ten years rather than the five years earlier believed.
· AIDS-infected individuals may remain capable of infecting others for several years after their initial exposure.
· One study suggested that closure of gay bathhouses may have little impact on the spread of AIDS.  (San Francisco had ordered 14 such establishments to close in October 1984).
 
Viewing Note: These articles appear on my website, michaelhelquist.com, as part of my “Politics and Passions Blog” on the left side of the Home page. 

AIDS2020 swift to adapt to Covid-19

7/2/2020

 
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The 23rd International AIDS Conference will be like none before. San Francisco and Oakland expected to physically host the tens of thousands of health officials, scientists, activists, and Big Pharma representatives gathering at the pre-eminent scientific gathering of the year.
 
The 2020 conference was poised to welcome more than 20,000 participants for four full days, July 6-10. Travelers from 170 countries around the globe expected to meet top researchers who would discuss in convention halls the newest HIV prevention strategies, the still-elusive HIV vaccine, and the long-term efficacy of medical treatments. They hoped to visit labs and HIV testing sites. They wanted to compare strategies for reaching sex workers and minority communities. In the midst of what would become an overload of information, attendees eagerly anticipated the Bay Area’s renowned restaurants, bars, clubs, and the tourist sites.
 
Then, COVID-19 appeared and everything changed.
 
For the first time since the first international AIDS conference was convened in Atlanta in 1985, the thousands of conference participants will forego face-to-face plenary sessions, lectures and poster talks. They won’t attend an elaborate reception in a city landmark. They won’t be gathering with San Francisco and Oakland mayors under the dome of San Francisco City Hall. Nor will they benefit from face-to-face interactions with peers. They won’t experience the same kind of camaraderie and support that has been one of the most important aspects of these conferences.     
 
Early this year the organizers of “AIDS2020,” as this year’s gathering is known, hoped that the disturbing clouds of COVID19 would not disrupt their plans. Once the threat of the corona virus forced the Tokyo Olympics off the calendar this year, the risk of infection for thousands of people gathered in packed halls was far too great. The only options were to cancel AIDS2020 outright, postpone a year, or to live stream.
 
Live-streaming isn’t new anymore, to the point that the platform Zoom has entered English as a verb. Ever since most countries adopted some form of “sheltering in place,” millions of people have zoomed for business, chats with friends, and celebrations with family. Next up is the largest scientific gathering of the year, all live streamed. Stay tuned as AIDS2020 tests the final logistics to reach a worldwide audience with 12 plenary sessions, 27 workshops, 50 symposia, 62 abstract/poster talks, and 70 satellite session, beginning July 6. Learn more at aids2020.org
 
#AIDS2020  #AIDShistory  #Covid19 

    Michael Helquist

    Author Historian Activist 

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