Doctors and activists who worked through the early years of AIDS say there are similarities between those days and the current pandemic — and insights that could help shape strategy.
Volberding was suddenly on the frontlines of AIDS, watching as medicine, public health, and sexual politics collided head on.Volberding says those early, uncertain years stand in stark contrast to the recent outbreak of a novel coronavirus:"Today, we know exactly what COVID-19 is, right down to its gene sequencing. The virus is already being studied for possible clues to effective treatments.
I remember that it felt threateningly close. I had moved to San Francisco in 1981, ready to start an exciting life in a big city. I was just out of college — and had recently come out of the closet as gay. The last thing I expected was to start hearing news reports of a new cancer afflicting"male homosexuals" being discussed on national broadcast television — and being attributed to their"lifestyle.
"They would have to beg over and over and over again to get a test after the test was discovered, or to be really examined and determined that they had AIDS. Why was that? Because they weren't perceived to be at risk," Jones says. Dr. Mervyn Silverman was director of San Francisco's Department of Public Health when the first AIDS cases were reported and later became director of American Foundation for AIDS Research.Silverman recalls that before AIDS, public health departments focused on more mundane tasks, such as restaurant inspections or testing and treating non-fatal sexually transmitted diseases such as gonorrhea.
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