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Index

A

Activism, 310

Addiction. See Intravenous drug use; Intravenous drug users; Substance abuse; names of specific substances

Addicts. See Intravenous drug use; Intravenous drug users; Substance abuse; names of specific substances

Adler, Michael, 115

Africa, 33 , 207 , 208

Africans, 9 , 192 -93, 198 , 212

AIDS:

crisis, 147 ;

education, 264 n151, 304 ;

organizations and policy- making, 312 ;

"widows," 261 n131

AIDS Centers, 332

AIDS Council of New South Wales, 310

AIDS Foundation, 303

AIDS Health Services Projects, 333

AIDS Medical Foundation, 205

AIDS-related complex (ARC), 194 , 286 , 304 , 328

Alcohol, 46 , 74

Alexander VII, 36 -37, 40

Allen, Hilary, 235 n1

Altering behavior, 162 -63.

See also Education; Life-style; Public health; Sex-education

Altman, Dennis, 199

AMA. See American Medical Association

Amebiasis, 273

American Academy of Actuaries, 160

American Association of Physicians for Human Rights, 278

American Foundation for AIDS Research, 330

American Journal of Public Health , 80

American Lung Association, 75

American Medical Association (AMA), 93 , 95 n16, 149

American Museum of Natural History, 172

American Physicians for Human Rights, 309 -10

American Social Hygiene Association, 123 , 140

American Society for Social Hygiene, 131

Amphetamines, 81

Amyl nitrite, 200 , 273 -76, 294 -95nn33-35

Anal:

contact, 271 , 273 ;

douche, 288 ;

intercourse (-receptive-sex), 206 , 288 , 295 n35, 312

Anderson, James, 114

And the Band Played On (Shilts), 199

Animal rights movement, 323

Annals of Internal Medicine , 277

Antibiotics, 16 , 27 , 75 .

See also Penicillin; Streptomycin

Anticontagionists, 71 -73

Antipositivism, 13

Antireductionist tradition, 31 n 16

Antisodomy law, 306

Antitoxin, 21

Anti-Vaccination League, 104

Antivaccination lobby, 105

Antivivisectionist controversy, 323

Anxiety. See Fear; Phobia

"Approved receptacle," 201 (fig. 1).

See also "Natural" receptacle


348

ARC. See AIDS-related complex Ardill, Susan, 231

Armed forces, screening of, 158

Army camp, 186 (fig. 12)

Arsenic, 139

Arsenicals, 125

Artificial insemination, 207

Artistic representation of AIDS, 241 -42n19

Asiatic cholera, 43 , 61 n35, 91

Associated Medical Schools, 94

Atlantic , The , 212

Atmospheric origin of disease, 45 .

See also Miasmas; Vapors

Australia, 10 , 48 , 303 -5, 308

Austria, 48

Authority:

centralization of, 10 , 336 ;

civic and medical, 87 -91;

medical profession, 13 , 23 ;

scientific experts, 164 .

See also Civic leaders and plague; Crisis of authority

Autologous transfusions, 283

Automobile Club of America:

and quarantine, 54

Azidothymidine (AZT), 327 , 334 -35

AZT. See Azidothymidine

B

Babies, 198 , 248 n47

"Back-door homophobia," 227

"Bad blood," 143 n15, 237 n6

Baltimore City Hospitals, 138

Baltimore Criminal Justice Commission, 135

Baltimore Gay Alliance, 141

Baltimore Health News , 130

Baltimore Police Department, 134 -35

Baltimore Retail Druggists Association, 135

Baltimore Sun , 130 , 139

Baltimore Venereal Disease Council, 135

Barbarini, Francesco, 37

Barrett, Wayne, 216

Bathhouses, 247 n45, 273 , 277 , 306

Behavior, 165 -67, 287 , 291 .

See also Life-style

Bejerot, Nils, 81

Bell, Steve, 201

Bellevue almhouse, 42

Benevolent Order of Elks, the, 141

Bentham, Jeremy, 101

Bevan, Aneurin, 98

Beveridge, William, 98

Bills of Mortality, 178 (fig. 4)

"Binary division," 234

"Bioethics movement," 323

Biological experimentation, 202

Biomedical:

approach, 130 -31, 139 ;

discourse, 238 n9;

research, 8 , 203 ;

understanding of AIDS, 196

Birds , The (Hitchcock), 221

Bisexuality, 250 n73

Black:

community, 212 ;

disease (syphilis), 125 ;

patients, 132 ;

population, 125 ;

women, 214 , 261 n132.

See also Blacks

Black Death, 5 , 6 , 58 n3, 71 , 87 -88.

See also Plague

"Black hand" letter, 53

Blacks, 79 , 81 ;

Tuskegee syphilis experiment, 143 n15

"Blaming the victim," 321

Bleeding as therapy, 90

Bleier, Ruth, 204

Blewett, Neal (Labor Health Minister), 312

Blindness, 148 .

See also Gonorrhea

Blood:

donation, 158 ;

screening, 282 , 291 ;

supply, 157 , 283 , 297 n70;

tests, 286 ;

tests for antibodies for HIV, 158 -61, 280 ;

tests for syphilis, 109 , 132 -33;

transfusions, 198 , 281 , 283 ;

vector for AIDS, 281 .

See also Screening

Blood Sister Project of San Diego, 258 -59n120

"Bloody Maggie," 190 -92, 207

Blue Cross, 318 , 320 , 323 , 325 , 334

Blue Cross / Blue Shield, 323

BMA. See British Medical Association

Board of Health, New York, 41 -43, 47 , 56

Board of Liquor License Commissioners, 135

Boccaccio, 91

Boilly, Louis Leopold:

La Vaccine , 180 (fig. 6)

"Border case," 200 , 205 , 245 n33, 250 n73

Boycott of school districts, 154

Boy Scouts, 141

Brandt, Allan M., 220 , 313

Brandt, Edward, 161

Brieux, Eugene:

Damaged Goods , 149

Brigham, Amariah, 74

Brill, Henry, 80 -81

Britain, cholera pandemic in, 41

British Hygiene Council, 112

British Journal of Venereal Diseases , 278

British Medical Association (BMA), 115

British Medical Journal , 116

British Social Hygiene Council, 110

Britt, Harry (San Francisco City Council member), 308

Brown, Lucius P., 80

Browne, Walter (Mayor of New York), 41


349

Bubonic plague. See Black Death; Plague

Buchanan, Patrick, 155

Buckley, William F., 328 -29

Burke, Edmund, 99

Business leaders as authority in health policy, 324 -25

Butler, Josephine, 106

Butler, Samuel, 97

Butyl nitrite, 273 .

See also Amyl nitrite

Byron, Peg, 216

C

California Association of Realtors, 153

"Camp followers," 143 n5

Canada, 41 -42, 61 n35

Cancer, 26 -27, 187 (fig. 13)

Cannabis, 288 .

See also Marijuana

Cardiovascular complications, 128

Caring for patients, 173 -74 (fig. 15)

Carr, C., 216

Casual modes of transmission, 150

Cattin, Carlo, 312

CDC. See Centers for Disease Control

Centers for Disease Control (CDC), 161 -62, 193 , 200 , 206 , 210 (fig. 3), 211 , 214 -15, 268 , 301 , 328 ;

and AIDS task force, 199 ;

in Atlanta, 197 ;

and cost of AIDS treatment, 331 ;

and "reality" of AIDS, 239 n11;

study of AIDS by, 270 -71

Central Intelligence Agency (CIA), 202 , 204

Centralization of authority, 10 , 336

Ceremonies for lepers, 69 -70.

See also Rituals

Chadwick, Edwin, 98 , 100 -101

Chastity, 136

Chemotherapy, 140 -42

Chest X-ray, 76

Chigi, Fabio. See Alexander VII

Chigi, Mario, 39

Children with AIDS, 283 -84

Chinese, 78 -79, 81

Chloride of lime, 44

Cholera, 5 -6, 13 , 18 -19, 27 , 40 -48;

in Britain, 41 ;

in Canada, 41 -42, 61 n35;

causes of, 71 ;

and civic and medical authority, 91 ;

contagion, 32 n22;

errors in reporting on, 43 ;

and evacuation, 45 ;

fugitives, 61 n36;

laboratory research on, 20 ;

New York pandemic, 41 -48;

victim, 181 (fig. 7)

Cholera Bulletin , 44

"Choleraphobia," 118 n41

Chronic degenerative disease. See Chronic disease

Chronic Disease, 317 -18.

See also Commission on Chronic Illness

Church of Christ, 138

CIA. See Central Intelligence Agency

"Circumcision," female, 211

Civic authorities. See Civic leaders and plague

Civic leaders and plague, 88 -91

Civil liberties, 106 , 152 , 157 , 161 -63.

See also Civil rights

Civil rights, 29 , 33 , 57 , 156 -57

Classification:

of AIDS, 257 n114;

of children with AIDS, 283 -84

Class interests, 13 , 200

Clitoridectomy, 211

"Clot closet," 237 n6

Clustering, 332 -33

CMV. See Cytomegalovirus

Cocaine, 78 -79, 273 .

See also Drug "abusers"; Intravenous drug use; Intravenous drug users; Substance abuse

Cofactors, 290 -92.

See also Multifactorial

Collapsing of lung, 75

Collective responsibility, 335

College of Physicians, 72 , 90

"Colored," 125 .

See also Black; Blacks

Colored Vocational School, 127

Comegy, Duke, 311

Commentary , 155 , 217

Commerce (and yellow fever), 73

Commercialization of sexuality, 313

Commission on Chronic Illness, 319

Commission on Training Camp Activities, 123

Committee on Legislation, 135

Committee on Medicine, Public Health, and Pharmacy, 135

Committee on Rehabilitation, 135

Community-based organization, 302 -3

Competition, 325

Compulsory:

notification, 108 , 110 ;

public health, 100 ;

reporting, 101 ;

testing, 152 , 161 ;

treatment, 138 ;

vaccination, 104 -5, 107

Compulsory Vaccination acts, 104

Condoms, 113 , 114 , 127 ;

and journalism, 227 ;

publicity about, 312 .

See also Prophylactics

Confidentiality, 158 -60, 306 , 328

Conflict between public health and civil liberties, 161 -63

Congregazione della Strada , 36

Congress, 161 -62

Constitution:

and behavior, 22 ;

and disease, 13 , 17 , 39 , 45 -46;

response to therapeutics, 19

Consumption. See Tuberculosis


350

Contagion, 8 , 80 -81.

See also Contamination

Contagionists, 71 -73

Contagious Diseases acts, 100 , 105 -6, 109 -10

Contaminated Other, 217 , 261 n131

Contamination, 6 , 8 , 15 , 29 , 216

Contraceptives, 222 .

See also Condoms; Prophylactics

Conventions of artistic representation, 8 , 172 -73, 183 (fig. 9)

Cost:

benefit ratios, 163 ;

control, 323 -25;

of epidemics, 161 ;

of health care, 318

Costume, leper's, 70 .

See also Robe, physicians'

Course à la Mort , La (Jodalet), 187 (fig. 13)

COYOTE (Call Off Your Old Tired Ethics), 209 , 252 n89

Crackdown on prostitution, 151

Crawford, Thomas, 108

Crimean War, 105

Criminal:

offense, 303 -4;

status, 303

Crisis of authority, 316 -17, 324 -28;

and medical research 330 ;

and patient services, 332 -36;

and surveillance, 328

Crusaders, 69

Cultural:

criticism, 13 ;

imagery, 8 , 244 n27;

relativism, 12 -13

Curran, James W., 197 , 199 , 210 (fig. 3), 211 , 272 ;

and infectious agent, 284 ;

and STD Clinic survey, 273 ;

and viral etiology, 298 n76

Cytomegalovirus (CMV), 274 -75;

hypothesis, 295 n33

D

Daily Mirror , 112

Damaged Goods (Brieux), 149

Damaged Lives , 127

Danish study, 289

Dannemeyer, William E., 201

Davis, Peter, 227

Death rate. See Mortality rates

Death's Dispensary (Pinwell), 182 (fig. 8)

Decriminalization, 307

Dedicating beds, 332 -33

Definition of disease, 14 -15

Defoe, Daniel, 91

Deforestation, 35

Deinstitutionalization, 13

Delinquency, 66 n 112

Demedicalization of homosexuality, 13

Department of Employment, 114

Department of Health, 115 ;

British, 7 ;

Roman, 37 .

See also Board of Health, New York

Deprivation and sickness, 22 -23

Deregulation, 325

Detention, 8

Deviance, 21 -22, 28 ;

labeling of, 12 -13;

and psychiatry, 23

Diagnosis-related groups (DRGs), 12 , 325

Diagnostic categories, 12 -13

Dialysis, 320

Diet, 17

Dildo, 288

Dillon, Tim, 210 (fig. 3)

Diphtheria:

antitoxin, 21 ;

and laboratory research, 20 -21

Dirt, 64 n89, 69 , 100

Discover , 206 , 222

Discrimination:

against AIDS victims, 153 -54;

against gays, 156 ;

and HIV positive test, 158 -59;

and polio, 58 ;

and screening, 160

Disease:

definition of, 14 -15, 23 ;

definition of and health care policy, 17 ;

as rationale for reimbursement, 24 ;

and social criticism, 15

Disease-specific case management, 334 -35

Disposal of dead, 88

Distribution:

of free sterile needles, 264 n 150 (see also Sterile needles for intravenous drug users);

of medical care, 16

Distrust, public, 164

DNA, 203

Donors of infection, 209

Douglas, Colin:

The Intern 's Tale , 190 -92

Dowdle, Walter, 162

DRGs. See Diagnostic-related groups

Drug "abusers." See Intravenous drug users; Substance abuse; names of specific substances

Druid Hill Health Center, 132

Drunkenness, 46 -47, 66 n112.

See also Alcohol; Intemperance; Life-style; Sin; Substance abuse

Duncan, Andrew, 117 n8

Duplicity:

and female body, 236 n4;

and venereal disease, 236 n5

Dutch study, 287 -88

"Duty of the Profession to Womanhood, the," 149

Dynamic psychiatry, 31 n17

"Dynasty," 155

E

East Africa, cholera pandemic in, 41

Easter census, 36

Ecological model, 33

"Ecology" of disease, 33 , 58 n1

Education, 151 , 164 ;

on AIDS preven-


351

tion, 84 , 264 n151, 304 ;

antisexual, 151 ;

and disease prevention, 164 ;

and ethics, 137 ;

and Hispanics, 264 n151;

on polio, 52 -53;

of public, 7 , 10 , 29 ;

and response of gay men, 327

Efficient transmission of HIV, 208

Ehrlich, Paul, 109 , 148

EIS. See Epidemic Intelligence Service

ELISA test (enzyme-linked immunosorbent assay), 157 -58, 160 , 228 , 286

Ellis Island, 52 , 78

Emancipation, 109

Emergency Medical Services for Maryland, 135

Emerson, Haven, 49 -56, 63 nn80-82

Ensor, James:

Le Roi Peste , 185 (fig. 11)

Environmental:

factors in polio, 51 , 55 ;

pollution, 322 .

See also Miasmas; Vapors

Enzyme-linked immunosorbent assay test. See ELISA test

Epidemic, 5 ;

cost of, 161 ;

of drug abuse, 81

Epidemic Intelligence Service (EIS), 268

"Epidemic toxicomania," 81

Epidemiological:

categories, 8 ;

model, 10

Epidemiologists, 9

Epidemiology, 254 n95, 267 -300

Erewhon (Butler), 97

Erotophobia, 216

Ethics, 89 , 93 , 98 -99, 137 ;

responsibility of physicians, 86 -94

Eugenics, 15 , 77

Evacuation, 45

Evangelicalism, 101

Evans, Linda, 155

Examining a Leper, 177 (fig. 3)

Execution, 39 , 60 n20

Extermination, 70

Extinction, 233

F

"Facing AIDS," 228

Factor VIII, 281

Fain, Nathan, 205

False positive, 305

Falwell, Jerry, 141

Fatal Attraction , 221 , 233 , 262 n138, 266 n158

Fauci, Anthony, 284

FBI. See Federal Bureau of Investigation

Fear:

of AIDS, 154 , 156 ;

of contagion, 68 , 73 ;

of contamination, 29 ;

and control of sexual morality, 140 -42;

of infection, 153 ;

of loss of status, 89 ;

of sex, 151 ;

of venereal disease, 152 .

See also Feared minorities; Phobia

Feared minorities, 78 -82

Federal AIDS Task Force, 308

Federal Bureau of Investigation (FBI), 8 , 130 , 133 , 202

Federal government, response to AIDS of, 161 -63

Federal Health Resources and Services Administration, 333

Feldman, Douglas A., 211 , 212

Female:

"circumcision," 211 ;

genital mutilation, 211 ;

"promiscuity," 262 n138;

-to-female transmission of HIV, 258 n119

Feminine personifications, 235 n2

Feminist:

analysis, 233 ;

community, 232

Fettner, Ann Guidici, 206 , 216

Financing health care, 160 -61

Fineberg, Harvey V., 162

Fire-and-brimstone, 307

"Fisting," 295 -96n35

FitzGerald, Frances, 201 -2

Five Points area, 42 , 44 , 45 , 48

Fleck, Ludvik, 203 -4

Flies. See Polio; Stable-fly

Fly-bites. See Polio; Stable-fly

Food, contamination of, 6

Foucault, Michel, 13

4-H "risk groups," 194 , 198 , 206 , 238 n10, 281

Fox, George Henry:

Photographic Illustration of Cutaneous Syphilis , 183 (fig. 9)

France:

cholera in, 41 ;

plague in, 89

Frank, Barney (Congressman), 308

Frank Leslie 's Illustrated Newspaper , 184 (fig. 10)

Frederick Douglass High School, 127

Freedom, individual, 98 -99

Free sterile needles, 164 , 253 n94;

New York City Department of Public Health distribution experiment, 264 n150.

See also Sterile needles for intravenous drug users

Friedan, Betty, 262 n138

Fumigation, 38 , 44 , 50

Functionalism, 18

Fundamentalists, 304 -5, 307

G

Galen, 86

Galileo, 99

Galle, Theodor, 173 ;

Hyacum et Lues Venera , 176 (fig. 2)

Gallo, Robert C., 203 , 267 , 284 -85

Garbage, 64 n85

Gatekeeping, 246 n36

Gay:

-related immunodeficiency, 198 ;

participation in policy making, 308 ;

politicians, 308 -9;

subculture, 154 -55.

See also Gay movement; Gay-rights movement


352

Gay and Lesbian March on Washington, 228

"Gay blood ban," 237 n6

"Gay cancer," 198 .

See also Kaposi's sarcoma

"Gay disease," 199 , 202 , 204 , 206 -7, 238 n10

Gay-liberation movement, 166

"Gay life-style," 200 ;

thesis, 273

Gay men:

and AIDS, 198 ;

and military service, 158 ;

population of, 141

Gay Men's Community Health Centre, 302 -3

Gay movement:

in Australia, 10 ;

contributions to health policy of, 10 ;

history of, 302 , 309 ;

leadership of, 309 -10;

political impact of AIDS on, 10

"Gay pneumonia," 198 .

See also Pneumocystis carinii pneumonia; Pneumocystis pneumonia

Gay-rights movement, 156 , 305

Gay women, 222

Gaze, 71

Gender:

and AIDS, 196 -97;

discourse on, 192 ;

and imperialism, 192 ;

and meaning, 9

General Board of Health, 100

Genetic factors, 290

Genital mutilation, 211

Genitourinary infections, 211

Germany, 41 , 208 , 209

Germ theory, 9 , 19 , 29 , 121 , 142 , 269 , 298 n78

Girard, Steven, 90

Global conspiracy theories, 202

God's wrath, 198 , 307

Godwin, William, 99

Goedert, James, 275 , 276 , 289

Goffman, Erving, 156

Gonococcus bacterium, 148

Gonorrhea, 138 -41, 148 ;

blindness, 148 .

See also Gonococcus bacterium

"Good News (for Women) about AIDS," 224 -25

Gottlieb, Michael, 197 , 270 -71, 274 , 283 .

See also T4 helper cells

Gramm-Rudman-Hollings Act, 328

Grant, Madison, 78

Greenwich Village, 42

Gregory, T. W. (U.S. Attorney General), 152

GRID, 202 , 283

"Grim Reaper, the," 305

Grover, J. Z., 214 , 216

"Growing Up in the World Today," 137

Guardian , 201

"Guardians" (military guards), 39

Guilt, 165 , 210 (fig. 3), 217 , 260 n128.

See also Sin

Guinan, Mary, 197 , 214

H

Haitians, 9 , 192 , 297 -98 nn68, 70

Haraway, Donna, 203

Hardy, Ann, 214

Harrison, L. W. (Colonel), 112

Harvard School of Public Health, 162

Haseltine, William, 209 , 215

HCFA. See Health Care Financing Administration

Health:

certificates, 53 ;

education, 193 , 291 ;

insurance, 24 , 318 ;

polity, 316 -19;

and related behavior, 166

Health Care Financing Administration (HCFA), 331 , 334 , 335

Health Maintenance and Preferred Provider organizations, 331

Health Maintenance Organizations (HMOs), 325

Health Ministry, 111

Health polity, 316 -19

Heavy metals, 125 , 139 .

See also Syphilis

Heckler, Margaret, 203

Hefner, Maria, 218 (fig. 4)

Helms, Jesse (Senator), 160

Hemophilia, 237 n6, 243 -44n27, 281

Hemophiliacs, 9 , 165 , 192 , 198 , 299

"Hemophobia," 298 n70

Henry II (king of England), 70

Hepatitis B, 190 -92;

as analogy for AIDS, 281 -82;

and immunosuppression, 275 ;

metaphor of, 284 ;

model of, 267 , 282 ;

research on, 200

Herald , 100

Heredity, 13 , 75

Heresy, 70

Heroin, 192

Herpes, 28

Heterosexual:

transmission, 192 -93, 195 , 212 , 215 , 239 n10;

vulnerability, 196

Heterosexual White Male's commentary on AIDS, 227

"High promiscuity populations," 278

High risk groups, 155 , 158 -59, 282 -83, 297 nn68 and 70, 306 .

See also 4-H "risk groups"

Hill-Burton Act, 319 , 324

Hispanic:

community, 212 ;

women, 214 , 261 n132

Historical method, 1 -4

Hitchcock, Alfred, 221

HIV, 9 ;

infection, 192 -93, 205 , 248 n53;

origin, 263 n141;

screening, 158 -61;

transmission, 222 .

See also Blood;


353

Confidentiality; Mandatory: screening; Military screening program; Universal screening; Voluntary: screening

Hobson, Richmond Pearson (Captain), 80

HMOs. See Health Maintenance Organizations

Home Defense League, 52

Home health care agencies, 334

Homeopaths, 98

Homophobia, 156 , 198 -99, 216 , 227 ;

epidemiologists and, 291 ;

and fear of AIDS, 306 -7;

medical, 201

Homosexuality, 142 , 155 , 162 , 246 n36

Homosexualization of AIDS, 204

Homosexuals, 154 . See also Gay

Hoover, J. Edgar, 8 , 130 -31

Horder, Thomas (Lord), 204

Hormones, 290

Hosken, Fran P., 211

Hospice, 334 , 335

Hospital, 175

Host-agent relationship, 275

Howard, William Travis, 143 n6

Howard Association, 92

HTLV/LAV, 285 -86

Hudson, Rock, 154 -55, 196 , 205 -13, 210 (fig. 3), 249 -50nn64 and 65, 330

Human body, as image of society, 236 n2

Human immunodeficiency virus (HIV). See HIV

Human Rights Campaign Fund, 311

Humoral balance, 39

Hyacum, 174

Hyacum et Lues Venera (Galle), 174 , 176 (fig. 2)

Hygiene, 292

I

Illicit drugs. See Substance abuse; names of specific substances

Illness as Metaphor (Sontag), 168 n1, 242 n20

"Images of Plague," 8

Immigrants:

and cholera 48 ;

and polio, 49 , 52 -53, 57 , 58 , 64 n91;

and yellow fever, 184 (fig. 10).

See also specific nationalities

Immigration, 77 -78, 149 , 306

Immigration Act, 78

Immune system, 28 , 274

Immunity, 48

Immunization, 21

Immunologists, 203 , 248 n49

Immunology, 13 , 28 , 213

Immunosuppression, 272 -74

Immunosuppressive illness, 272

Imperialism:

medical, 104 ;

semantic, 192 , 197 ;

State-medical, 98

Incarceration, 131

Incubation period, 290

Indigent. See Poor

Individual:

liberties, 98 -99;

responsibility, 321 -22

Individualization of public health services, 321 -22

Industrial revolution, 41

Inequities in health care, 256 n108

Infantile paralysis. See Polio

Infection, 29 ;

genitourinary, 211 .

See also HIV

Infectious:

agent, 202 -3;

disease, 172 , 317 -19, 326

Infectious Diseases acts, 108

Infibulation, 211

Influenza, 186 (fig. 12)

"Injection" of virus, 222

Innocent:

agents of disease, 217 ;

"receivers," 209 ;

victims, 252 n89;

of AIDS, 199 , 260 n128;

of syphilis, 155 , 183 (fig. 9).

See also Insontium , venereal

Insane, 102 -3

Insertive-anal sex, 288 .

See also Anal contact; Anal intercourse

Insontium , venereal, 148 , 150 , 155 , 165

Institute of Medicine, 285

Insurance, 24 , 29 , 76 , 82 -83, 318 ;

and access to health care, 327 ;

and chronic illness, 320 ;

commercial, 320 , 322 , 325 , 334 ;

community and "experience" rating, 324 ;

discrimination, 160 ;

individualizing risks, 338 ;

linked to employment, 338 ;

private, 334 ;

and syphilis, 132 ;

and testing, 160 -61

Intemperance, 46 , 62 n39, 74 .

See also Alcohol; Drunkenness

International trade, 87 -88

Internment, 8

Intern 's Tale , The (Douglas), 190 -92, 233

Interventionist:

medicine, 24 ;

social agenda, 22 -23

Intimacy, 173 -74

Intragovernmental Task Force on AIDS Health Care Delivery, 335

Intravenous drug use, 9 , 209 , 252 n87.

See also Intravenous drug users; Substance abuse; names of specific substances

Intravenous drug users, 160 -61, 204 , 207 ;

and activism, 264 n150;

and AIDS, 192 , 198 ;

children of, 9 ;

female, 209 ;

heterosexual, 279 ;

moth-


354

Intravenous drug users (continued )

ers, 9 ;

partners of, 9 .

See also Intravenous drug use; Substance abuse; names of specific substances

"Invidious transmission," 211

Invisibility:

of women, 194 -95;

of risk groups, 261 n132

Involuntary:

isolation, 82 -83;

treatment laws, 76

Irish, 41 -42, 46 .

See also Cholera; Immigrants

Isolation, 6 ;

of drug users, 80 -81;

in hospitals, 108 ;

of physicians, 89 ;

of plague victims, 88 ;

and polio, 55 ;

for tuberculosis, 75

Italians:

and polio, 49 , 52 , 58 , 64 n91;

and yellow fever, 184 (fig. 10).

See also Polio; Yellow fever

Itzel, Joseph, 133 -34

J

Jackson, Howard (Mayor), 131 -32

Jaffe, Harold W., 282 , 288 -89.

See also San Francisco City Clinic: study

JAMA , 280 , 284 , 285

Japan, 260 n128

Jews:

and blood donation, 258 n120;

and plague, 37 , 40 , 59 n13, 71 ;

and polio, 52 , 57

Jodalet:

La Course à la Mort , 187 (fig. 13)

Johns Hopkins School of Medicine, 149

Johns Hopkins University, 135

Jones, James H.:

Bad Blood : The Tuskegee Syphilis Experiment , 143 n15

Jong, Erica, 222 -24, 225

Journalism, 228 ;

condom-, 227 ;

genres, 227

Journalistic gatekeeping, 246 n36

Journal of the American Medical Association (JAMA ), 208 , 213 , 214

Journal of the American Medical Woman 's Association , 278

Judicial system, 308

Justice, 164

Justice Department, 156

K

Kameralwissenschaft , 99

Kaplan, Helen Singer, 227 -28, 233

Kaposi's sarcoma, 173 (fig. 15), 272 -76.

See also "Gay cancer"

Kelly, Howard, 149

Kennedy, Raymond E. (state senator), 131

KGB, 204

Kidney transplant, 320

"Killer sperm," 201

Kingston Avenue Hospital, 50

Kinsey, Alfred, 278

Kissing, 137 , 155 ;

games, 129

Koch, Robert, 75

Koop, C. Everett (U.S. Surgeon General), 75 , 193 , 304 -5, 307

Kozup, Matthew, 210 (fig. 3)

Kramer, Larry, 216 , 217

Krauthammer, Charles, 157

Krieger, Nancy, 216

Krim, Mathilde, 205 , 215

L

Labeling, 12 , 13

Labor, 324

Laboratory research, 14 , 20 -21, 29

Ladies National Association, 106

Laird, M.J., 111

Laissez-faire, 103 , 136

Lancet , The , 111 , 112 , 274 , 276

Langone, John, 206 , 217 , 224

La Rouche, Lyndon, 307 , 329

LAV, 285

La Vaccine (Boilly), 180 (fig. 6)

La VACCINE aux prises avec la FACULTÉ , 179 (fig. 5)

Law, 235 n1

Lazzarettos , 37 , 38 , 88

League of Women Voters, 141

"Leap-frog war," 167

Legionnaires' disease, 272 , 326

Leibowitch, Jacques, 200 , 205

Leishman, Katie, 216

Leper, 81 ;

costume, 70

Leprosaria , 68 -69

Leprosy, 6 , 68 -71

Leprosy (Smith), 188 (fig. 14)

Lesbians, 216 ;

with AIDS, 198 ;

discrimination against, 302 ;

and perception of AIDS, 217 ;

and risk, 207 ;

and solidarity with gay men, 258 -59nn120-121

Leviticus, 68

Liberalism, 103

Libertarianism, 102 , 106

Liberties, individual, 98 -99

Lieberson, Jonathan, 205

Life , 155 , 188 (fig. 14)

Life-style, 250 -51n73, 282 , 321 ;

and chronic disease, 290 ;

homosexual, 198 , 200 , 271 ;

hypothesis, 9 , 272 , 274 , 275 -80;

model, 267 , 279 ;

voluntary, 166

Lindgren, Olga, 219 (fig. 5)

Linguistic:

activism, 214 ;

analysis, 8 ;

construction of AIDS, 195 -96;

construction of scientific reality, 242 n20

Local Government Act, 107

Local Government Board, 110


355

Long-term-care facilities, 335

Lumbar puncture, 50 , 55

Lunacy. See Mental illness

Lunacy Commission, 103 , 104

Lung, collapse, 75

Lust and leprosy, 71

M

MacDonald, 204

McKeldin, Theodore (Mayor), 138

McKeown, Thomas, 292

McKinlay, John and Sonia, 292

"Magic bullet," 162 , 167 , 220

"Malign neglect," 311 -12

Manchee, Dorothy, 112

Mandatory:

reporting, 75 ;

screening, 158 , 160 ;

testing, 215 , 266 n157

Marijuana, 83 , 273

Martin, Emily, 220 , 235 n2

Marx, Jean L., 204 , 215

Maryland Medical Association, 135

Maryland State Department of Health, 135 , 139 -40

Masturbation, 137

Maternal immunity to polio, 48

May Act, 133

Meacher, Michael, 115

Meaning of disease, 12 , 26 -27

Mechanistic reductionism, 20

Medicaid, 323 , 331 , 335

Medical:

authority, 23 ;

imperialism, 104 ;

knowledge and social intervention, 15 ;

police, 117 n8;

security, 153 .

See also Authority

Medical Act of 1848, 100

Medical and Chirurgical Faculty of Maryland, 135

Medical Council of New York, 45

"Medical counsel," 91

"Medical homophobia," 201

Medical officer of health (MOH), 108

"Medical secret," 251 n78

Medical Society of New York, 42

Medicare, 320 , 323 , 334 -35

Meeks, Ken, 173 (fig. 15)

Meese Commission for the Study of Pornography, 201

Memento mori , 178 (fig. 4), 187 (fig. 13)

Mencken, H. L., 127 , 128

Mendelian genetics, 77

Menstruation, 190 -92, 236 n2, 261 -62n134

Mental health community and neighborhood centers, 324

Mental illness, 7 , 102 -3;

classification, 13 ;

as consequence of habits, 27 ;

and deviance, 23 ;

somaticism, 13

Mentor contraceptives, 222

Merchants, 87 -88, 90

Metaphors:

in AIDS discourse, 204 ;

body as, 236 n2;

and females, 208 , 237 n8;

illness as, 168 n1, 242 n20;

military, 137 , 249 n55;

leprosy as, 70 ;

liquid, 262 n136;

regarding prostitutes, 262 n136;

sexuality, 235 n1;

venereal disease as, 151 ;

water, 220

Metropolitan Asylum Board, 108

Mexicans, as drug "abusers," 81

Miasmas, 89 .

See also Environmental; Vapors

Middlesex Hospital, 115

Milbank Quarterly , The , 317

Military metaphors. See Metaphors: military

Military screening program, 158 .

See also Blood: tests; HIV: screening

Mill, John Stuart, 99 -104, 118 n40

Ministry for Information, 112

"Miracle":

cures, 138 ;

drugs, 140

Misogyny, 106

Mitchell, John P. (Mayor), 49 , 52

MMWR . See Morbidity and Mortality Weekly Report

Mobilizing Against AIDS : The Unfinished Story of a Virus (Institute of Medicine and the National Academy of Sciences), 285

Model of Disease, in the nineteenth century, 19 -20

Montagnier, Luc, 284 -85.

See also HTLV / LAV; Pasteur Institut

Moral:

absolutism, 136 ;

code, disease and violation of, 167 ;

crusade, 141 ;

dimensions of promiscuity, 278 ;

failings as cause of cholera, 48 ;

judgment and "life-style" model, 277 ;

obligation to treat plague victims, 89 ;

order, violators of, 155 ;

paternalism, 101 ;

puritanism, 166 ;

training, 140 ;

turpitude, 70

See also Sin

Moralism, 304

Morality:

and disease causation, 18 ;

in health care policy, 16 ;

as medical issue, 22

Morbidity and Mortality Weekly Report (MMWR ), 197 , 198 , 270 , 271 , 275 , 281 -82

Mortality rates:

for infectious diseases, 292 ;

for tuberculosis, 76

Moses, 68

Mosquitoes, 6 , 71 -73.

See also Yellow fever

Ms ., 226 (fig. 7), 216 , 225 , 228 , 230 (fig. 8)

Multicenter AIDS Cohort Study 299 n95


356

Multifactorial:

conception of AIDS, 202 , 287 ;

model of disease, 269 , 275 , 291 -92

Murray, Marea, 216 -17

Mutations, 56

N

Narcotic Addict Rehabilitation Act, 79

National Academy of Sciences, 285

National Advisory Committee on AIDS (NACAIDS), 303

National Anti-Contagious Diseases acts, 106

National Association of Teachers in Colored Schools, 127

National Cancer Institute (NCI), 202 , 284

National Center for Health Services Research and Technology Assessment, 336

National Commission on Marijuana and Drug Abuse, 80 -81

National Consciousness of AIDS, 196

National Foundation for Infantile Paralysis, 330

National French League Against Venereal Disease, 187 (fig. 13)

National Gay and Lesbian Task Force (NGLTF), 305

National Geographic , 202 -3

National health insurance, 325

National Health Service, 98

National Hemophilia Foundation, 237 n6

National Institute of Allergy and Infectious Diseases, 284

National Institute of Drug Abuse (NIDA), 279 -80

National Institute of Medicine, 193

National Institutes of Health, 28 , 161 , 275 , 322 , 329 -30

National Office of Social Hygiene, 187 (fig. 13)

National Organization for Women, 141

National Tuberculosis Association, 75 , 330

National Vigilance Movement, 106

"Natural" receptacle, 201 , 247 n39.

See also "Approved receptacle"

Needles, free sterile. See Sterile needles for intravenous drug users

Negro Health Week, 127 , 128

Nelson, Nels, 134 , 135 , 136

Némésis médicale illustrée , recueil de satires (Fabre, after Daumier), 181 (fig. 7)

Neoarsphenamine, 126

Neonatal intensive care, 25

New Deal, 326

New England Journal of Medicine , 274 , 283

Newsweek , 208 (fig. 2), 210 (fig. 3), 212 , 217 , 227

New Woman , 216 , 222 , 227

New York Blood Center, 287

New York City:

cholera pandemic in, 41 -48;

and polio, 48 -53, 55

New York City Board of Health, 74

New York City Department of Public Health free needle distribution experiment, 264 n150

New York City Health Department:

and tuberculosis, 75 ;

and polio, 55

New York City's Gay Men's Health Crisis, 224 , 302

New York City's Special Medical Council, 73

New York Equitable Insurance Company, 45

New York Evening Post , 74

New York Health Department, 49 -53

New York Medical Society, 91

New York State Health Department, 332 -33

New York Times , 156 , 211 , 227 , 329

New York Times / CBS poll, 153

New York Times Magazine , 194 -95, 227

New York University Medical Center, 276

Nichols, Eve K., 214

Nitrite:

inhalant, 273 , 288 ;

and CMV, 295 -96

Nixon administration, 320

Nobel laureate, 148 .

See also Ehrlich, Paul

Nonvenereal syphilis, 123

Norwegian rat, 35

Notification laws, 113

Notification of Disease acts, 100 , 108 , 109

Novey, Alexander, 136

Nuisance Removal acts, 100

Nutrition, 292 .

See also Regimen

O

Obligation to treat lepers, 177 (fig. 3)

Obligatory notification, 108

Obscenity, 247 n39

Occupational hazards, 322

Office of Technology Assessment (OTA), 161 -62

On Liberty (Mill), 99 , 101

Open-air regimen, 75

Opiates, 78 -79;

addiction to, 274

Opportunistic infection, 272 , 274 -75;

in transfused infants, 281


357

Opthalmia neonatorum , 148

Organs, procurement and distribution for transplantation, 334 .

See also Transplants

O'Sullivan, Sue, 231

Otherness, 240 -41n17

Oyster Bay, 55 -56

P

Paleo, Lyn, 207 , 233

Pally, Marcia, 216

Panem, Sandra, 199

Pankhurst, Christabel, 106

Paris:

clinical school in, 19 ;

International AIDS Conference in, 217

Parran, Thomas, 129 , 130 -31

Pasteur Institut, 202 , 284

Paternalism, 100 -103, 107

Patient with AIDS (Reininger), 189 (fig. 15)

"Patient Zero," 217 , 260 n130

Patton, Cindy, 216

Pavia, 89

PCP, 197 -98, 270 , 271 , 272 -73, 276

Pellagra, 15 , 16

Penicillin, 8 , 138 -39;

therapy, 141 ;

and Tuskegee syphilis experiment, 143 n15

Pentamidine, 272 -73

Perinatal AIDS, 258 n115, 260 n128

Personal behavior. See Life-style

Personal-support networks, 339

Pesthouses, 37 -38

Pets, in artistic representations of AIDS patients, 250 n65

Philadelphia:

yellow fever, 72

Philip V (king of France), 70

Phobia:

about contamination, 216 ;

erotophobia, 216 ;

homophobia, 298 n70

Photojournalism, 227 , 228 ;

conventions of, 173 ;

Eugene W. Smith, 188

Physicians:

oversupply of, 324

Pigtown, 52 , 53

Pitch, 44

Plague, 34 -40, 88 -89;

doctors and, 95 n9, 96 n18;

images of, 8 ;

international trade and, 87 -88;

Jews and, 58 n13;

in London, 36 ;

in Naples, 35 -36;

in North Africa, Spain, and France, 35 ;

and physicians' behavior, 86 -87;

in Rome, 34 -37.

See also Black Death

Plague Hospital (Wolff), 175 (fig. 1)

Plain Words About Venereal Disease (Parran), 129

Pneumocystis carinii pneumonia (PCP), 197 -98, 270 , 271 , 272 -73, 276

Podhoretz, Norman, 155 -56

Poe, Edgar Allan:

"King Pest," 185 (fig. 11)

Poles, 52

Police Department of Baltimore, 134 -35

Policy-making and AIDS organization, 312

Polio (poliomyelitis), 5 , 6 , 48 -56, 64 n85;

and New York Health Department, 49 -53

Political Justice (Godwin), 99

Politics:

of diagnosis, 13 ;

of health, 98 ;

of physicians' responsibility, 86 -94

Polity. See Health polity

Polk, B. Frank, 289

Pollution, environmental, 322

Poor:

and cholera, 45 -46, 48 ;

evacuation of, 45 ;

and plague, 36 ;

and polio, 52 , 58 ;

responsibility for treating, 92 ;

as scapegoats, 40 ;

and syphilis, 125 -26

Poovey, Maru, 200 , 205

Poppers (amyl nitrite), 200

Pornography, 201 ;

"safer sex" instruction as, 246 n36

"Portals," 214 ;

postrelativism, 14

Potter's Field, 45

Poverty:

and sickness, 22 -23.

See also Poor

Power:

balance of, between preventive and curative medicine, 114 ;

knowledge and, 12 -13;

of the medical profession, 13 ;

and medico-scientific knowledge, 97 ;

of the state versus the individual, 98 -99

Predictors of AIDS, 288 -89

Predisposition:

to AIDS, 28 ;

to disease, 19

Preferred Provider organizations, 331

Pregnancy and suppression of immunity, 258 nn116 and 117

Prejudices, 157 ;

and polio, 57

Premarital:

continence, 151 ;

testing, 109 , 158 , 159 ;

screening, 151

Premenstrual tension, 235 n1

Prenatal screening, 151

Prepaid group practices, 325

Presentism, 3 -4

Prestige, physicians', 320

Prevention:

of AIDS, 264 n151;

methods, 296 n35;

of polio, 65 n106;

of tuberculosis, 75

Primary prevention, 290 -92, 302 -303, 305

Prisons, screening programs of, 158

Progressive:

era, 128 -152;

reform, 23


358

Promiscuity:

of homosexuals, 278 ;

and "life-style" model, 277 ;

metaphorical, 237 n8;

moral dimension of, 278 ;

use of term in scientific journals, 9 ;

and venereal disease, 112 , 122 , 278

Prophylactic:

kits, 123 , 136 ;

measures, 127 ;

treatment of gonorrheal blindness, 148

Prophylactics, 110 , 113 , 136 .

See also Condoms

Prophylaxis, 137

Prostitutes. See Prostitution

Prostitution, 7 , 100 , 106 -7, 208 (fig. 2);

and Baltimore police, 134 ;

and cholera, 46 ;

and class, 200 ;

contaminated prostitutes, 207 ;

and disease discourse, 251 n79;

as federal offense, 133 ;

as free-market activity, 105 ;

in Germany, 208 -9;

incarceration of prostitutes, 131 ;

prostitutes as immigrants, 149 -50;

prostitutes as intravenous drug users, 209 , 215 ;

law enforcement against, 8 ;

as metaphor, 262 n136;

in Nairobi, 228 , 252 nn86 and 87 ;

organizations, 216 ;

and plague, 37 ;

quarantined prostitutes, 152 ;

and "safer sex," 228 ;

prostitutes as sources of infection, 9 , 151 ;

prostitutes as sources of information regarding sexual practices, 260 n124;

stigmatization of prostitutes, 110 ;

types of, 135 ;

and venereal disease, 109 , 123

Protozoan-produced condition, 270

Psychiatry, 23 -24, 31 n17

"Psychic contagion," 81

Psychodynamic models, 31 n17

Psychoses, biological basis of, 13

Public health:

agencies, 321 ;

AIDS as an issue of, 33 ;

and expansion of medical responsibility, 22 -23;

education, 7 , 127 , 291 ;

measures as punishment, 38 ;

nurses and polio, 52 -53;

and plague, 37 ;

and polio, 52 -53, 55 ;

policies, 163 -64;

services, 322 ;

and tuberculosis, 76 .

See also names of specific agencies and services

Public Health Act of 1848, 100

Public Health Service, 8 , 125 , 129 ;

and blood screening, 282 ;

and conceptualization of AIDS, 280

Punishment, 125 ;

AIDS as, 28 , 244 n28;

cholera as, 47 ;

leprosy as, 69 ;

public health measures as, 165

Purgatory, 69

"Purged" buildings, 38

Putrefaction, 72

Q

"Quality of life," 25

Quarantine, 6 ;

for AIDS, 82 -84;

for cholera, 41 , 45 ;

definition of, 67 ;

of drug abusers, 80 -81;

for individuals testing positive for HIV antibody, 158 ;

laws, 39 , 73 ;

and leprosy, 70 -71;

organized by health boards, 88 ;

for plague, 35 , 37 -40;

for polio, 50 , 52 -55, 57 , 65 n100;

of prostitutes, 152 ;

for refusing treatment, 138 ;

separate facilities as, 327 ;

of ships, 67 ;

for tuberculosis, 75 -77;

for yellow fever, 72 -74

Queens AIDS Center, 211

Queensboro Hospital, 50

Queensland AIDS Council (QAC), 304

Quicklime, 44

R

Rabies, immunization against, 21

Racial:

discrimination, 81 ;

purity, 68 , 77 ;

superiority, 77

RAND corporation report, 335

Rapid Treatment Center, 138 -39

Rask, Grethe, 238 n10, 260 -61n130

Reader 's Digest , 129 , 130

Reagan, Ronald (president of the United States), 154 , 307

Reagan administration, 10 , 162 , 203 ;

and AIDS, 305 -6;

and contact with gay groups, 302 -3;

devolution of, 326 ;

and erosion of civil rights and affirmative action, 262 n138;

and health care policy, 304 , 329 ;

and state governments' responsibility for health care, 334

Reaganite volunteerism, 312

Reaganomics, 201

Reallocation of resources, 324 -25

Real Truth About Women and AIDS , The , (Kaplan), 227

Received View on AIDS, 238 n9

Reckord, Milton (major general of the U.S. Army), 113

Recreational drugs, 275

Red Cross, 53

Redfield, R. R., 208 , 209

Red-light district, 74 , 151 -52, 262 n136

Reform, 13 ;

progressive, 23 ;

of state hospitals, 31 n10;

policy guidelines for, 22 -23

Reform, medical, 16 .

See also Sigerist, Henry

Regimen:

concern with, 27 ;

open-air, 75

Regional Medical Program, 322

Reimbursement systems, 24 -25

Reinhard, Ferdinand, 127 -29


359

Reininger, Alon, 173 (fig. 15)

Relativism, cultural, 13

Renal disease, 320

Reporting:

compulsory, 101 ;

errors in, 43

"Repression of sexual promiscuity," 134

Requiem mass, 69

Research. See Laboratory research; names of specific agencies , researchers , and projects

Resectioning rib, 75

Reservoir of AIDS virus, 208 -10, 252 n86

Responsibility:

for costs of health care, 161 ;

of physicians, 86 -94

Restrictive legislation, 305

"Retrovir." See Azidothymidine

Retrovirus, 203

Rickets, 16

Riley, Robert, 134

Risk-groups, 216 , 261 n132.

See also 4-H "risk groups"

Rituals, 84 ;

for lepers, 69 , 70

RNA, 203

Robe, physicians', 89

Robert Wood Johnson Foundation, 333

Roi Peste , Le (Ensor), 185 (fig. 11)

Rosenau, Milton, 51

Royal Collges of Physicians and Surgeons, 107

Royal Commission on Venereal Diseases, 109

Rumsey, Henry, 104

Rush, Benjamin, 72 -73, 90 -91

Russia, 41

Ryle, John, 113

S

Sacchetti, Giulio, 37

"Safer sex," 228 , 233 , 246 n36, 327

"Safe sex," 114 , 162 , 224 , 226 -27

Saint Paolo's churchyard, 38

Salvarsan, 109 , 126 , 148

San Francisco:

as pacesetter, 303

San Francisco AIDS Foundation, 224 , 310

San Francisco City Clinic, 289 ;

study by, 288 -89

San Francisco City Office of Lesbian and Gay Health, 311

San Francisco General Hospital AIDS Center, 332

"SANITA" (sanitary service), 38

Sanitarian's method, 105

Sanitary Code, 51 ;

and polio, 56

Sanitary Committee of New York, 91 -92

Sanitary Institute, 108

Sanitary laws and polio, 57

Sanitation:

and polio, 51 -52, 55 , 57 ;

and tuberculosis, 75

Santayana, George, 147

Sanzio, Alain, 312

Scandinavia, 48

Scapegoating, 39 , 57 , 123

Scaremongering, 118 n41

Schweitzer, Albert, 188 (fig. 14)

Science , 202 , 213 , 284 -86

Scientific:

conservatism, 198 ;

writing about AIDS, 256 n108

Scientific American , 212

Screening:

in armed forces, 158 ;

of blood, 157 -68;

compulsory, 115 ;

discrimination resulting from, 160 ;

for HIV, 157 -58;

premarital and prenatal, 151

(see also Wasserman test);

in prisons, 246 n36.

See also Blood: tests

Segregation, 133 , 154 , 332 -33

Selective service examinations, 133

Self-extinction, 233

Self Help (Smiles), 101

"Self-inflicted" disease, 164

Semantic imperialism, 192 , 197 , 214

Serum hepatitis, 277 .

See also Hepatitis B

Servicemen in Germany, 209

Sex:

hygiene, 127 , 136 -37;

and yellow fever, 74

Sex and Germs (Patton), 21

Sex-education, 137 -38, 151 , 162 .

See also Safer sex; Safe sex; Unsafe sex

Sexual:

continence, 136 ;

germs, 137 ;

intercourse, 137 ;

promiscuity, 69 , 140 ;

revolution, 166 ;

transmission of disease, 28 , 109 , 318 -19;

"underworld," 155

Sexual Behavior in the Human Male (Kinsey), 278

Sexuality:

anxiety about, 8 ;

as source of pathology, 190 -92

Sexually transmitted diseases (STDs), 148 , 198 ;

and clinics, 273 ;

prostitutes and, 209

Shadow on the Land (Parran), 129

Shaftesbury (Lord), 102 -3

Shandera, Wayne, 197

Shanti Project, 303

Shaw, Nancy, 207 , 211 , 215 -16, 233 ;

and Paleo, 209

Shilts, Randy, 213 , 214 , 216 , 217 ;

And the Band Played On , 199

"Shooting galleries," 327

Sigerist, Henry, 14 -17

Sikes, Ralph, 136

Silverman, Mervyn, 227

Silver nitrate, 148


360

Simon, John (Sir), 100 -104, 106

Sin, 7 ;

as cause of disease, 166 -67;

and cholera, 46 ;

and leprosy, 69 ;

and sexually transmitted diseases, 244 n30;

and venereal diseases, 121 -42, 150 .

See also Intemperance; Moral: turpitude

Sixth Ward, 42

Smallpox, 7 , 17 , 104 ;

vaccination for, 100 , 107

Smiles, Samuel, 101

Smith, W. Eugene:

Leprosy, "A Man of Mercy," 188 (fig. 14)

Smithsonian Institution Travelling Exhibition Service, 172

Smoking, 321

Social:

constructionism, 3 , 5 ;

control, 161 ;

"diseases," 131 ;

intervention and medical knowledge, 15 ;

medicine, 15 -16;

prejudice, 114 ;

programs for AIDS, 10 ;

purity, 106 ;

values of science, 269 ;

stigma, 156

Social hygiene, 36 , 133 ;

movement, 141 , 148 ;

reformers, 139

Social Hygiene Association, 8 , 128

Social Security Act:

amendment to, 320 ;

and disability insurance, 320 ;

Income Program of, 331

Society for the Prevention of Venereal Disease, 110

Socrates, 99

Sodomy law, 157

Sojourner , 217

Solidarity of lesbians with gay men, 258 -59n120

Somaticism, 13

Sontag, Susan:

Illness as Metaphor , 168 n1, 242 n20

Spare Rib , 216 , 227 , 228 , 231 (fig. 9)

Specialism, 21

Special Medical Council of New York, 47 , 74

Sperm, and the immune system, 200 -201

Spinal fluid examination, 50 , 55

Stable-fly, 51 , 54 , 64 n83, 65 n105

Standard Metropolitan Statistical Areas, 333

Stanton (Police Commissioner), 134

State health departments, 325

State intervention, 103

State Supreme Court of Maryland, 135

Statistics of HIV infection in the U.S., 255 -56n103

Stephens, Alexander H., 73

Sterile needles for intravenous drug users, 164 , 253 n94, 264 n150, 327

Stevens, Cladd, 287

Stigma : Notes on the Management of Spoiled Identity (Goffman), 156

Stigmatization:

of AIDS victims, 153 -54;

of high-risk groups, 165 ;

and HIV infection and testing, 158 -61;

and homosexuality, 301

Streptomycin, 319

Strickland, Paula, 207

Studds, Gerry E. (Congressman), 308

Substance abuse, 321 ;

and addiction, 6 , 29 , 80 -81, 209 ;

and illicit drugs, 277 , 321 .

See also Intravenous drug use; Intravenous drug users; names of specific substances

Sulpharsphenamine, 126

Sulphuric acid, 44

Summerskill, Edith, 111

Suppression of prostitution, 136 , 140

Supreme Court, 306

Surgeons, and plague, 88

Surgery, unnecessary, 324

Survey Graphic , 129

Swedish model of disease control, 131

Syphilis, 7 , 20 , 122 , 187 (fig. 13);

as disease of blacks, 125 ;

engraving of treatment of, 173 -74;

history of, 277 ;

nonvenereal, 123 ;

and penicillin, 140 ;

photographic portraits of, 183 (fig. 9);

"Sympathetic victims" of, 210 ;

Tuskegee experiment on, 143 n15;

Wasserman test for, 109 .

See also Treponema pallidum

"Syphilis Control Day," 131

T

Tar, 44 , 60 n17

T-cell, 203 ;

ratios, 238 n10

Technology, 322 -23

Temperance, 41 ;

movement, 74

Terence Higgins Trust, 302 -3, 310

Testing:

anti-, 305 ;

for HIV, 305 ;

tuberculin skin test, 76 .

See also Screening

T4 helper cells, 274

Thatcher government, 302 -3

Third Lateran Council, 69

Third party payors, 323 -25, 327

Third Ward (police) Station, 91 -92

Third World, women of, 207

Time , 212

Tocqueville, Alexis de, 312

Transfusion-related AIDS, 210

Transmission of AIDS:

casual, 150 ;

as criminal offense, 303 -4;

female-to-female, 222 , 258 n 19 ;

heterosexual, 10 ;

homosexual, 301 ;

invidious, 211 ;

mechanisms of, 206 ;

nonsexual, 10 ;

perinatal, 258 n115;

by women, 9


361

Transplants, 320

Trastevere, 35 , 37 , 39 -40

Treponema pallidum , 122 , 123 .

See also Syphilis

Trevethin Committee, 110

Trudeau, Edward, 75

Tubercle bacillus, 75

Tuberculin skin test, 76

Tuberculosis, 6 , 74 -77, 187 (fig. 13);

Association, 75 ;

and laboratory research, 20 ;

sanatariums for, 75

Turner, Thomas B., 140 -41

Tuskegee syphilis experiment, 143 n15

"Toxic-cock syndrome," 201

"Toxic-shock syndrome," 326

Typhoid, 20 , 48

Typhus, 15

U

Unemployment, 126

Uniformed Services University of the Health Sciences, 275

United States, immigration laws of, 77

United States Department of Defense, 158

United States Department of Health and Human Services, 268

United States Justice Department, 159 , 306

United States Public Health Service, 8 , 53 , 129 ;

Tuskegee syphilis experiment of, 143 n15

USA Today , 205 , 210 (fig. 3)

U .S . News and World Report , 193 , 212

Universal screening, 158 , 161

"Unsafe sex," 301

Urbanization:

and cholera, 41 ;

and plague, 34

Urban VII, 37

Uroscopy, 177 (fig. 3)

Utilitarianism, 102

V

Vaccination, 7 , 101 ;

compulsory, 104 -5, 107 ;

smallpox, 179 (fig. 5);

voluntary, 321

Vaccination Inquirer , 104

Vaccine, 292

Van Gelder, Lindsy, 225

Vapors:

and cholera, 45 ;

poisonous, 39 .

See also Miasmas

"Vectors of infection," 208 , 252 n86

Venereal disease (VD), 7 , 32 n20, 77 , 106 -7, 109 ;

compulsory treatment of, 138 ;

in Crimean War, 105 ;

feminine personifications of, 235 n2;

social history of, 163 ;

"insontium " (innocent), 148 , 150 , 155

Venereal Disease Control Office of the Third Service Command, 135

Vermont, polio in, 48

"Vertical Transmission" of AIDS, 211

Victim-blaming, 165

Victimization of patients, 167

Victorian:

anxieties, 151 ;

social and sexual systems, 150

Village Voice , The , 212 , 227

Viral:

hypothesis, 285 ;

infection, 6 ;

theory, 284 -91

Virologists, 9 , 203 , 209 , 248 n49.

See also names of specific virologists

Virology, 13 , 28 ;

and AIDS research, 9 ;

and polio research, 51 ;

success of, 10

Virus, 202 -3

Visiting nurses, 49 , 52 -53

Vogue , 216

Volition, and susceptibility to disease, 18 , 22 , 27

Voluntary:

clinics, 110 , 112 ;

screening, 160

Volunteerism, 312

Volunteer workforce on AIDS, 217 -18

W

"Wages of sin," 141 .

See also Sin

Wallace, Joyce, 278

Wall Street Journal , 199

War:

on cancer, 320 ;

on polio, 52 ;

sex education during, 136 -38;

and visibility of venereal disease, 123 .

See also Metaphors: military

Wasserman test, 109

Water, contamination of, 6 , 15 ;

as public health issue, 23

Watney, Simon, 213 , 214 , 216 , 217

Waxman, Henry A. (Representative), 308

Wechtlin, Johannes:

Examining a Leper , 177 (fig. 3)

Weekly World News , 218 (fig. 4), 219 (fig. 5), 220

Weeks, Jeffrey, 206

Weiss, Ted (Representative), 308

West Bengal, cholera pandemic in, 41

Western blot technique, 286

White, Ryan, 154 , 210 (fig. 3)

"Why Don't We Stamp Out Syphilis?" (Parran), 129

Williams, Huntington, 130

Winter, Max, 210 (fig. 3)

Wives of AIDS victims, 218 -19 (figs. 4 , 5)

Wockner, Rex, 227

Wofsy, Constance, 215

Wolff, Jeremiah:

Plague Hospital , 175 (fig. 1)

Wolkoff, Claire, 160

Woman in the Body : A Cultural Analysis of Reproduction , The (Martin), 235


362

Woman-to-woman transmission of HIV, 215 -16

Women:

in the Third World, 207 ;

as victims and transmitters of AIDS, 192 -93

Women and AIDS, 192 -93, 196 -97;

African, 192 -93, 212 ;

in New York City, 210

Womens' bodies as sources of pathology, 190 -92

Workmen's compensation, 132

World Health Organization (WHO), 193

Wrath of God syndrome (WOGS), 198 .

See also Sin

X

X-ray, 76

Y

Yellow fever, 6 , 71 -73;

Benjamin Rush and, 90 ;

Italians as source of, 184 (fig. 10);

in Natchez, Mississippi, 91 ;

in New Orleans, 92

Yellow Jack, 184 (fig. 10)

Yellow signs, 50


363

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