CULTURE AND AIDS (A,D,J)
ANT 317.01 Spring 2004
Tuesdays and Thursdays 3:00-4:30 P.M.
Dr. Douglas A. Feldman
SUNY College at Brockport
Department of Anthropology
Explores the cultural, social, epidemiologic, political, psychological, philosophical, economic, public health, and public policy dimensions of HIV/AIDS on a global level, especially in the United States and sub-Saharan Africa. Focuses upon women and children with AIDS, men who have sex with men and other at-risk populations, HIV prevention strategies, theoretical issues, social stigma and discrimination, the influence of the pandemic on other aspects of society and culture, and the meaning and importance of HIV/AIDS.
Feldman, Douglas A. and Wang Miller, Julia (eds.) (1998) [TAC]
The AIDS Crisis: A Documentary History. Westport, CT: Greenwood Press.
Feldman, Douglas A. (ed.) (1994) [GAP]
Global AIDS Policy. Westport, CT: Bergin and Garvey.
Additional reading packet (to be distributed).
Introduction to AIDS as a cultural and public health issue. The importance of AIDS. The epidemiology of HIV/AIDS in the United States. The AIDS crisis. The origin of HIV/AIDS. An epidemic emerges. The shaping of public opinion. The situation in the United States. The global crisis. The epidemic takes its toll. Teenagers. Women. Children. The gay community. Commercial sex workers. The homeless. Persons with hemophilia. Injecting drug users. Correctional facilities. The African pandemic. The growing crisis in Asia. AIDS in Latin America and the Caribbean. China. Latin America. Traditional medicine. Uganda. Ghana. South Africa. Breast feeding. The many faces of AIDS. Psychosocial needs of persons with AIDS. The role of families, partners, and friends of people with AIDS. The role of health care providers and caregivers. Community responses to the crisis. Political apathy. Political activism. Immigration policy. Political economy. Promoting awareness and education. Producing behavioral change. Barebacking. Gay politics. Patient adherence. Risky and less risky sex. Club drugs. AIDS in the workplace. Legal issues. Ethics and AIDS policy. Mandatory reporting. Mandatory testing. Partner notification. The future of AIDS.
January 27: Welcome and Introduction.
January 29: WebMD with AOL Health. “Understanding AIDS/HIV -- the Basics, Symptoms, Detection & Treatment, Prevention,” http://aolsvc.health.webmd.aol.com, 2004..
The CIA World Factbook, “Rank Order - HIV/AIDS - adult prevalence rate,” www.cia.gov, 2004.
The CIA World Factbook, “Rank Order - HIV/AIDS - people living with AIDS,” www.cia.gov, 2004.
Jeremy Lovell, “WHO Reports on Top 10 Killers,” Reuters, October 30, 2002.
Emma Ross, “Report: Women Make Up Half of HIV Cases,” www.unaids.org, November 26, 2002.
Douglas A. Feldman and Julia Wang Miller, “Introduction,” in The AIDS Crisis: A Documentary History (TAC) (Eds.: D.A. Feldman and J. Wang Miller); pp. xxv-xxxix, Westport, CT: Greenwood Press, 1998.
February 3: Douglas A. Feldman and Julia Wang Miller, Chapter 1, “The History of
HIV/AIDS,” in TAC; pp.1-29.
February 5: Gina Kolata, “The Genesis of an Epidemic: Humans, Chimps and a Virus,” New York Times, September 4, 2001.
Garret, “HIV Subtypes: African, Asian Strains Cropping Up in New York City,” Newsday, January 31, 2001.
Douglas A. Feldman and Julia Wang Miller, Chapter 2, “The Impact of the Epidemic,” in TAC; pp.30-53.
February 10: Jennifer Steinhauer, “AIDS Altered the Fabric of New York in Ways Subtle and Vast,” New York Times, June 4, 2001.
Patricia J. Mays, “Unsafe Sex May Be Increasing,” The Associated Press.
Susan Jordan, “HIV Infection No Longer in Decline,” The Empty Closet (Rochester), pp.1,3,11, September 2001.
“AIDS Carriers Banned From Swimming in Ocean...because they’re killing the sharks!,” Weekly World News, p.6, August 24, 1993.
February 12: Douglas A. Feldman and Julia Wang Miller, Chapter 3, “HIV/AIDS Within Communities and Populations,” in TAC; pp. 54-116.
February 17: Daniel Q. Haney. “Chat Rooms a Meeting Place for Risky Sex,” www.retroconference.org/2003/, February 11, 2003.
Kaiser Daily HIV/AIDS Report. “Public Health Officials Consider Legal Action to Force AOL, Web Sites to Warn MSM About Syphilis Outbreaks,” January 23, 2004.
Kaiser Daily HIV/AIDS Report. New York City Health Workers Say Crystal Meth Use Helping to Spread HIV Among Men Who Have Sex with Men,” January 12, 2004.
Kaiser Daily HIV/AIDS Report. “Canadian AIDS Groups Ask Human Rights Commission to Investigate Catholic Church Policy Requiring HIV Testing,” January 16, 2004.
IRIN Plus News, “Stigmatised Men who have Sex [with] Men (MSM) Receive Little Support,” March 14, 2002.
February 19: Robert G. Carlson, et al., “Ethnography, Epidemiology, and Public Policy: Needle-Use Practices and HIV-1 Risk Reduction Among Injecting Drug Users in the Midwest,” in GAP; pp. 185-214.
Michael C. Clatts, et al., “AIDS Risk Behavior among Drug Injectors in New York City: Critical Gaps in Prevention Policy,” in GAP; pp. 215-235.
Kaiser Daily HIV/AIDS Report. “New York Times Examines Debate Over Access to Clean Needles, AIDS Epidemic in New Jersey,” January 13, 2004.
February 24: Douglas A. Feldman and Julia Wang Miller, Chapter 4, “AIDS in the
Developing World,” in TAC; pp. 117-134.
February 26: Douglas A. Feldman, “Introduction,” in Global AIDS Policy (GAP)
(ed.: D.A. Feldman); pp. 1-6, Westport, CT: Bergin & Garvey, 1994.
Kaiser Daily HIV/AIDS Report. “U.N. Secretary-General Annan Launches Global Media AIDS Initiative to Educate Public About HIV/AIDS,” January 16, 2004.
Jim Abrams, “House Panel Approves $15B to Combat AIDS,” Associated Press, April 2, 2003.
Naomi Klein, “Bush’s AIDS Test,” The Nation, p.12, October 27, 2003.
Kaiser Daily HIV/AIDS Report. “Clinton Foundation Deal Will Reduce Price of Viral Load, CD4+ Tests for Developing Countries by as Much as 80%,” January 15, 2004.
March 2: Video.
March 4: Vincent E. Gil, “Behind the Wall of China: AIDS Profile, AIDS Policy,” in GAP; pp. 7-27.
Pomfret, “Washington Post Examines Blood Trade in China,” “Sex Trade,” Washington Post, January 11, 2001.
Lakhan, “Pacific Rim: Sees Growing HIV/AIDS Epidemic,” Agence France Presse, February 23, 1999.
John J. Lumpkin, “Russia, China, India Face HIV Crisis,” Associated Press, October 1, 2002.
Mort Rosenblum, “Dying Young: As AIDS rages in Asia, experts fear funds may be too little, too late,” Democrat and Chronicle, 21A, 23A, September 21, 2003.
Kaiser Daily HIV/AIDS Report. “China’s HIV/AIDS Response Should be Similar to SARS Response, Experts Say,” January 15, 2004.
March 9: Richard G. Parker, “Public Policy, Political Activism, and AIDS in Brazil,” in GAP; pp.28-46.
Pamela Hartigan, “The Response of Nongovernmental Organizations in
Latin America to HIV Infection and AIDS: A Vehicle for Grasping the Contribution NGOs Make to Health and Development,” in GAP; pp.47-60.
Deibert, “Political Quagmire Holds Up Foreign Aid Needed to Fight HIV/AIDS in Haiti,” Reuters/South Florida Sun-Sentinel, January 23, 2002.
March 11: Midterm exam.
March 16: No class, Spring break.
March 18: No class, Spring break.
March 23: Review of midterm exam.
Charles B. Rwabukwali, et al. “Culture, Sexual Behavior, and Attitudes toward Condom Use among Baganda Women,” in GAP; pp. 70-89.
U.S. Agency for International Development. “The ABCs of HIV Prevention,” www.usaid.gov, June 2003.
Henry Wasswa, “Group: Violence Spreads AIDS in Uganda,” Associated Press, August 13, 2003.
Robert W. Porter, “AIDS in Ghana: Priorities and Policies,” in GAP; pp.90-
March 25: Harry Dunphy, “Study: AIDS Devastating Africa,” The Associated Press, October 31, 2000.
Mark Schoofs, “AIDS: the Agony of Africa - Part One: The Virus Creates a Generation of Orphans,” The Village Voice, November 3-9, 1999.
Edward C. Green, “The Male Circumcision and AIDS Issue,” Lancet, 35 (9207), p. 927, March 11, 2000.
“Radio, Sporting Events and Adult Cinemas Used for AIDS Education Efforts in Africa,” Kaiser Daily HIV/AIDS Report, January 24, 2002.
March 30: Virginia van der Vliet, “Apartheid and the Politics of AIDS,” in GAP; pp.107-129.
Sohail Agha and Mwaba Chulu Nchima, “HIV Risk Behaviour among Zambian Sex Workers,” Population Services International, www.id21.org/health/h5psi1g9, September 10, 2002.
Dominque de Santis, “Expert Group Stresses that Unsafe Sex is Primary Mode of HIV Transmission in Africa,” UNAIDS, www.unaids.org, March 14, 2003.
Donald G. McNeil, Jr., “Africans Outdo Americans in Following AIDS Therapy,” www.nytimes.com/2003/09/03/health/03IMMU, September 3, 2003.
Festud A. Ukwuani, Amy O. Tsui, and Chirayath M. Suchindran, “Condom Use for Preventing HIV Infection/AIDS in sub-Saharan Africa: A Comparative Multilevel Analysis of Uganda and Tanzania,” Journal of Acquired Immune Deficiency Syndromes, 34(2):203-213, October 1, 2003; abstract only from www.aegis.com, January 7, 2004.
April 1: Video.
April 6: Helen Epstein, “Why is AIDS Worse in Africa?,” Discover Magazine, 25(2), February 2004 (from AIDS and Anthropology Research Group listserv).
Dana Raphael, “The Politics of International Health: Breastfeeding and HIV,” in GAP; pp.129-141.
Douglas A. Feldman and Julia Wang Miller, Chapter 5, “The Human Side of AIDS,” in TAC, pp. 135-158.
Douglas A. Feldman and Julia Wang Miller, Chapter 6, “The Politics of
AIDS,” in TAC, pp. 159-182.
Norris G. Lang, “HIV, Immigration Policy, and Latinos/as: Public Health Safety versus Hidden Agendas,” in GAP, pp. 61-69.
Kaiser Daily HIV/AIDS Report. “United States Should Not Deport HIV-Positive Immigrants, Opinion Piece Says,” January 12, 2004.
Michael D. Quam, “AIDS Policy and the United State Political Economy,” in GAP, pp. 142-159.
M.E. Melody, “Acting Up Academically: AIDS and the Politics of Disempowerment,” in GAP, pp. 160-184.
Kaiser Daily HIV/AIDS Report. “NIH Director Zerhuni to Send Letter to Lawmakers Defending Agency’s Funding of AIDS, Sexual Health Research,” January 13, 2004.
April 8: Douglas A. Feldman and Julia Wang Miller, Chapter 7, “Education and Behavioral Change,” in TAC, pp. 183-200.
Kaiser Daily HIV/AIDS Report. “Texas County With Abstinence-Only Sex Education Curriculum Shows Increases in Teen Pregnancy, STDs,” January 21, 2003.
Robinson, “Jesse Jackson Implores Black Church Leaders to Fight AIDS,” Miami Herald, March 16, 1999.
Brenda C. Coleman, “Some AIDS Patients Withhold Info,” The Associated Press, February 8, 1998.
April 13: Michael James, “Condoms No Longer Available in Many Bars,” The Express (Fort Lauderdale), p.3, April 23, 2001.
“Possible Barebacking Harm Minimization Strategies,” cruisingforsex.com, November 6, 1998.
Michael Alvear, “Testing Positive: What are the Chances? What are the Odds?,” The Express (Fort Lauderdale), May 7, 2001.
Kaiser Daily HIV/AIDS Report. “Condoms Fail to Protect Against HIV 10% of Time Due to Human Error, UNAIDS Draft Report Says,” June 23, 2003.
Kaiser Daily HIV/AIDS Report. “Catholic Cardinal Backs Use of Condoms in Preventing HIV Transmission,” January 14, 2004.
Kaiser Daily HIV/AIDS Report. “Only 10% of Patients Referred for HIV Testing by Emergency Rooms Undergo Test, Study Says,” January 23, 2004.
April 18: Douglas A. Feldman and Julia Wang Miller, Chapter 8, “Legal and Ethical Issues,” in TAC; pp. 201-233.
Douglas A. Feldman, “Conclusion,” in GAP; pp. 236-240.
April 20: Douglas A. Feldman and Julia Wang Miller, Chapter 9, “The Future of AIDS,” in TAC; pp. 234-251.
Adams, “Scientist Accuses Government Agencies of Competing, Conducting Duplicative AIDS Vaccine Research,” Wall Street Journal, January 24, 2002.
Uamdao Noikorn, “Thailand Rejects AIDS Vaccine Criticism,” Associated Press, January 16, 2004.
Kaiser Daily HIV/AIDS Report. “Increased Number of Low-Income HIV-Positive People, High Price of Fuzeon Creating Care ‘Rationing,’” January 13, 2004.
April 22: Class presentations.
April 27: Class presentations.
April 29: Class presentations.
May 4: Class presentations.
May 6: Class presentations.
May 10-14: Final exam week. All papers due on day of exam.
About four videos will be shown. It is possible that we may have one or more guest
Course Requirements and Grade:
Research Paper: 25%
Midterm Exam: 25%
Final Exam: 25%
Class participation and presentation: 25%
Students will prepare a 7-9 page research paper. See attached guidelines. Students will give an oral presentation in front of the class of five minutes, with 5-10 minutes for discussion, about their paper topic.
Class participation includes constructive participation in which the student demonstrates having read the assigned readings and has thought deeply about the content. Students are expected to spend at least six hours per week preparing for the class sessions. The professor may call upon students to discuss the assigned readings.
The midterm exam and the final exam will be essay questions. The final exam is not cumulative.
I would appreciate hearing from anyone in this class who has a special need that may be the result of a disability. I am reasonably sure we can work out whatever arrangement is necessary, be it special seating, testing, or other accommodation. See me after class, or during my office hours, as soon as possible.
Attendance will be taken at the beginning of each session, and it is important that you not be late for class. Students who have seven unexcused absences will receive a lowered grade (e.g., A = A-). Each additional two unexcused absences will receive a further lowered grade (e.g., A = B+). Absences will be excused for a) written documented illnesses of the student, b) official representation of the College, c) death of a close relative, d) religious holiday, and e) other circumstances beyond the control of the student as determined by the professor. If you are not requesting to be excused, students do not need to notify the professor of their absence or lateness by either phone or e-mail, except for an exam or for the oral presentation. Students who arrive late to class must inform the professor at the end of the session to make sure they are not marked absent that day. Students who must leave early on a particular day need to notify the professor before the class. If the reason is not excusable, the student will be marked with a half absence that day. Students are asked to refrain from leaving the classroom until the end of the session, except for a medical or similar emergency.
Academic Integrity and Student Behavior:
Students are expected to maintain the highest level of academic integrity. Academic dishonesty (papers and exams) will not be tolerated. Any student engaging in academic dishonesty during this course may receive an immediate grade of “E” and could possibly be referred to the administration for further disciplinary action.
Students who are in any way disruptive in class (including carrying on unrelated conversations during class, not paying attention, or being discourteous) should expect to receive at least one whole letter grade less for the final grade (e.g., A=B, D=E). If the professor solely determines that the breach in conduct is severe, an automatic E will be given for the final grade.
Cell phones and pagers must be turned off while attending class.
Office Location and Hours:
Dr. Feldman’s office is located at B-4 Cooper Hall. Office hours are Tuesdays 4:30-6 PM and Thursdays 10:30 AM - 1 PM, or by appointment.