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Published in: Globalization and Health 1/2011

Open Access 01-12-2011 | Debate

HIV/AIDS, chronic diseases and globalisation

Author: Christopher J Colvin

Published in: Globalization and Health | Issue 1/2011

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Abstract

HIV/AIDS has always been one of the most thoroughly global of diseases. In the era of widely available anti-retroviral therapy (ART), it is also commonly recognised as a chronic disease that can be successfully managed on a long-term basis. This article examines the chronic character of the HIV/AIDS pandemic and highlights some of the changes we might expect to see at the global level as HIV is increasingly normalised as "just another chronic disease". The article also addresses the use of this language of chronicity to interpret the HIV/AIDS pandemic and calls into question some of the consequences of an uncritical acceptance of concepts of chronicity.
Literature
1.
go back to reference Barnett T, Whiteside A: AIDS in the twenty-first century: disease and globalization. 2006, Basingstoke [England]; New York: Palgrave Macmillan, 2 Barnett T, Whiteside A: AIDS in the twenty-first century: disease and globalization. 2006, Basingstoke [England]; New York: Palgrave Macmillan, 2
2.
go back to reference Follér M-L, Thörn H: The politics of AIDS: globalization, the state and civil society. 2008, Basingstoke [England]; New York: Palgrave MacmillanCrossRef Follér M-L, Thörn H: The politics of AIDS: globalization, the state and civil society. 2008, Basingstoke [England]; New York: Palgrave MacmillanCrossRef
3.
go back to reference Parker R: The Global HIV/AIDS Pandemic, Structural Inequalities, and the Politics of International Health. Am J Public Health. 2002, 92: 343-347. 10.2105/AJPH.92.3.343.CrossRefPubMedPubMedCentral Parker R: The Global HIV/AIDS Pandemic, Structural Inequalities, and the Politics of International Health. Am J Public Health. 2002, 92: 343-347. 10.2105/AJPH.92.3.343.CrossRefPubMedPubMedCentral
4.
go back to reference Fee E, Fox DM: AIDS: the making of a chronic disease. 1992, Berkeley: University of California Press Fee E, Fox DM: AIDS: the making of a chronic disease. 1992, Berkeley: University of California Press
5.
go back to reference Mandell BF: HIV: Just another chronic disease. Cleveland Clinic Journal of Medicine. 77: 489-489. Mandell BF: HIV: Just another chronic disease. Cleveland Clinic Journal of Medicine. 77: 489-489.
6.
go back to reference Bayer R, Jones MM: Public health policy and the AIDS epidemic. An end to HIV exceptionalism?. New England Journal of Medicine. 1991, 324: 1500-1504. 10.1056/NEJM199105233242111.CrossRefPubMed Bayer R, Jones MM: Public health policy and the AIDS epidemic. An end to HIV exceptionalism?. New England Journal of Medicine. 1991, 324: 1500-1504. 10.1056/NEJM199105233242111.CrossRefPubMed
7.
go back to reference Casarett DJ, Lantos JD: Have we treated AIDS too well? Rationing and the future of AIDS exceptionalism. Annals of Internal Medicine. 1998, 128: 756-CrossRefPubMed Casarett DJ, Lantos JD: Have we treated AIDS too well? Rationing and the future of AIDS exceptionalism. Annals of Internal Medicine. 1998, 128: 756-CrossRefPubMed
8.
go back to reference Kalichman SC: Denying AIDS: conspiracy theories, pseudoscience, and human tragedy. 2009, New York: Copernicus BooksCrossRef Kalichman SC: Denying AIDS: conspiracy theories, pseudoscience, and human tragedy. 2009, New York: Copernicus BooksCrossRef
9.
go back to reference Nattrass N: AIDS and the Scientific Governance of Medicine in Post-Apartheid South Africa. African Affairs. 2008, 107: 157-176. 10.1093/afraf/adm087.CrossRef Nattrass N: AIDS and the Scientific Governance of Medicine in Post-Apartheid South Africa. African Affairs. 2008, 107: 157-176. 10.1093/afraf/adm087.CrossRef
10.
go back to reference Greeff M, Uys LR, Wantland D, Makoae L, Chirwa M, Dlamini P, Kohi TW, Mullan J, Naidoo JR, Cuca Y, Holzemer WL: Perceived HIV stigma and life satisfaction among persons living with HIV infection in five African countries: a longitudinal study. Int J Nurs Stud. 47: 475-486. Greeff M, Uys LR, Wantland D, Makoae L, Chirwa M, Dlamini P, Kohi TW, Mullan J, Naidoo JR, Cuca Y, Holzemer WL: Perceived HIV stigma and life satisfaction among persons living with HIV infection in five African countries: a longitudinal study. Int J Nurs Stud. 47: 475-486.
11.
go back to reference Deacon H: Towards a Sustainable Theory of Health-Related Stigma: Lessons from the HIV/AIDS Literature. Journal of Community and Applied Social Psychology. 2006, 16: 418-425. 10.1002/casp.900.CrossRef Deacon H: Towards a Sustainable Theory of Health-Related Stigma: Lessons from the HIV/AIDS Literature. Journal of Community and Applied Social Psychology. 2006, 16: 418-425. 10.1002/casp.900.CrossRef
12.
go back to reference International Centre for Research on Women: Scaling Up the Response to HIV Stigma and Discrimination. Book Scaling Up the Response to HIV Stigma and Discrimination. 2010, City: International Centre for Research on Women, (Editor ed.^eds.) International Centre for Research on Women: Scaling Up the Response to HIV Stigma and Discrimination. Book Scaling Up the Response to HIV Stigma and Discrimination. 2010, City: International Centre for Research on Women, (Editor ed.^eds.)
13.
go back to reference Deacon H, Stephney I: HIV/AIDS, Stigma and Children: A Literature Review. Pretoria: Human Sciences Research Council. 2007 Deacon H, Stephney I: HIV/AIDS, Stigma and Children: A Literature Review. Pretoria: Human Sciences Research Council. 2007
14.
go back to reference Pulerwitz J, Michaelis A, Weiss E, Brown L, Mahendra V: Reducing HIV-Related Stigma: Lessons Learned from Horizons Research and Programs. Public Health Reports. 2010, 272-281. Pulerwitz J, Michaelis A, Weiss E, Brown L, Mahendra V: Reducing HIV-Related Stigma: Lessons Learned from Horizons Research and Programs. Public Health Reports. 2010, 272-281.
15.
go back to reference Gilks CF, Crowley S, Ekpini R, Gove S, Perriens J, Souteyrand Y, Sutherland D, Vitoria M, Guerma T, De Cock K: The WHO public-health approach to antiretroviral treatment against HIV in resource-limited settings. Lancet. 2006, 368: 505-510. 10.1016/S0140-6736(06)69158-7.CrossRefPubMed Gilks CF, Crowley S, Ekpini R, Gove S, Perriens J, Souteyrand Y, Sutherland D, Vitoria M, Guerma T, De Cock K: The WHO public-health approach to antiretroviral treatment against HIV in resource-limited settings. Lancet. 2006, 368: 505-510. 10.1016/S0140-6736(06)69158-7.CrossRefPubMed
16.
go back to reference International Treatment Preparedness Coalition: The HIV/AIDS Response and Health Systems: Building on Success to Achieve Health Care for All. Book The HIV/AIDS Response and Health Systems: Building on Success to Achieve Health Care for All. 2008, City: International Treatment Preparedness Coalition, (Editor ed.^eds.) International Treatment Preparedness Coalition: The HIV/AIDS Response and Health Systems: Building on Success to Achieve Health Care for All. Book The HIV/AIDS Response and Health Systems: Building on Success to Achieve Health Care for All. 2008, City: International Treatment Preparedness Coalition, (Editor ed.^eds.)
17.
go back to reference Callaghan M, Ford N, Schneider H: A systematic review of task- shifting for HIV treatment and care in Africa. Hum Resour Health. 8: 8- Callaghan M, Ford N, Schneider H: A systematic review of task- shifting for HIV treatment and care in Africa. Hum Resour Health. 8: 8-
18.
go back to reference Zachariah R, Ford N, Philips M, Lynch S, Massaquoi M, Janssens V, Harries AD: Task shifting in HIV/AIDS: opportunities, challenges and proposed actions for sub-Saharan Africa. Trans R Soc Trop Med Hyg. 2009, 103: 549-558. 10.1016/j.trstmh.2008.09.019.CrossRefPubMed Zachariah R, Ford N, Philips M, Lynch S, Massaquoi M, Janssens V, Harries AD: Task shifting in HIV/AIDS: opportunities, challenges and proposed actions for sub-Saharan Africa. Trans R Soc Trop Med Hyg. 2009, 103: 549-558. 10.1016/j.trstmh.2008.09.019.CrossRefPubMed
19.
go back to reference UNAIDS: Towards Universal Access: Scaling Up Priority HIV/AIDS Interventions in the Health Sector. Book Towards Universal Access: Scaling Up Priority HIV/AIDS Interventions in the Health Sector. 2007, City: UNAIDS, (Editor ed.^eds.) UNAIDS: Towards Universal Access: Scaling Up Priority HIV/AIDS Interventions in the Health Sector. Book Towards Universal Access: Scaling Up Priority HIV/AIDS Interventions in the Health Sector. 2007, City: UNAIDS, (Editor ed.^eds.)
20.
go back to reference Cornell M, Technau K, Fairall L, Wood R, Moultrie H, van Cutsem G, Giddy J, Mohapi L, Eley B, MacPhail P, et al: Monitoring the South African National Antiretroviral Treatment Programme, 2003-2007: the IeDEA Southern Africa collaboration. S Afr Med J. 2009, 99: 653-660.PubMedPubMedCentral Cornell M, Technau K, Fairall L, Wood R, Moultrie H, van Cutsem G, Giddy J, Mohapi L, Eley B, MacPhail P, et al: Monitoring the South African National Antiretroviral Treatment Programme, 2003-2007: the IeDEA Southern Africa collaboration. S Afr Med J. 2009, 99: 653-660.PubMedPubMedCentral
21.
go back to reference Gow JA: The adequacy of policy responses to the treatment needs of South Africans living with HIV (1999-2008): a case study. J Int AIDS Soc. 2009, 12: 37-10.1186/1758-2652-12-37.CrossRefPubMedPubMedCentral Gow JA: The adequacy of policy responses to the treatment needs of South Africans living with HIV (1999-2008): a case study. J Int AIDS Soc. 2009, 12: 37-10.1186/1758-2652-12-37.CrossRefPubMedPubMedCentral
22.
go back to reference Steyn F, Schneider H, Engelbrecht MC, van Rensburg-Bonthuyzen EJ, Jacobs N, van Rensburg DH: Scaling up access to antiretroviral drugs in a middle-income country: public sector drug delivery in the Free State, South Africa. AIDS Care. 2009, 21: 1-6.CrossRefPubMed Steyn F, Schneider H, Engelbrecht MC, van Rensburg-Bonthuyzen EJ, Jacobs N, van Rensburg DH: Scaling up access to antiretroviral drugs in a middle-income country: public sector drug delivery in the Free State, South Africa. AIDS Care. 2009, 21: 1-6.CrossRefPubMed
23.
go back to reference Kumarasamy N, Venkatesh KK, Mayer KH, Freedberg K: Financial burden of health services for people with HIV/AIDS in India. Indian J Med Res. 2007, 126: 509-517.PubMedPubMedCentral Kumarasamy N, Venkatesh KK, Mayer KH, Freedberg K: Financial burden of health services for people with HIV/AIDS in India. Indian J Med Res. 2007, 126: 509-517.PubMedPubMedCentral
24.
go back to reference Booysen F: Social grants as safety net for HIV/AIDS-affected households in South Africa. SAHARA J. 2004, 1: 45-56.CrossRefPubMed Booysen F: Social grants as safety net for HIV/AIDS-affected households in South Africa. SAHARA J. 2004, 1: 45-56.CrossRefPubMed
25.
go back to reference Wilson LS, Moskowitz JT, Acree M, Heyman MB, Harmatz P, Ferrando SJ, Folkman S: The economic burden of home care for children with HIV and other chronic illnesses. Am J Public Health. 2005, 95: 1445-1452. 10.2105/AJPH.2004.044248.CrossRefPubMedPubMedCentral Wilson LS, Moskowitz JT, Acree M, Heyman MB, Harmatz P, Ferrando SJ, Folkman S: The economic burden of home care for children with HIV and other chronic illnesses. Am J Public Health. 2005, 95: 1445-1452. 10.2105/AJPH.2004.044248.CrossRefPubMedPubMedCentral
26.
go back to reference Dyer C: Funding for HIV/AIDS needs to double to ensure universal access to drugs. BMJ. 2009, 338: b583-10.1136/bmj.b583.CrossRefPubMed Dyer C: Funding for HIV/AIDS needs to double to ensure universal access to drugs. BMJ. 2009, 338: b583-10.1136/bmj.b583.CrossRefPubMed
27.
go back to reference Levine R, Oomman N: Global HIV/AIDS funding and health systems: Searching for the win-win. J Acquir Immune Defic Syndr. 2009, 52 (Suppl 1): S3-5.CrossRefPubMed Levine R, Oomman N: Global HIV/AIDS funding and health systems: Searching for the win-win. J Acquir Immune Defic Syndr. 2009, 52 (Suppl 1): S3-5.CrossRefPubMed
28.
go back to reference Brock DW, Wikler D: Ethical challenges in long-term funding for HIV/AIDS. Health Aff (Millwood). 2009, 28: 1666-1676. 10.1377/hlthaff.28.6.1666.CrossRef Brock DW, Wikler D: Ethical challenges in long-term funding for HIV/AIDS. Health Aff (Millwood). 2009, 28: 1666-1676. 10.1377/hlthaff.28.6.1666.CrossRef
29.
go back to reference UNAIDS: What Countries Need: Investments Needed for 2010 Targets. Book What Countries Need: Investments Needed for 2010 Targets. 2009, City: UNAIDS, (Editor ed.^eds.) UNAIDS: What Countries Need: Investments Needed for 2010 Targets. Book What Countries Need: Investments Needed for 2010 Targets. 2009, City: UNAIDS, (Editor ed.^eds.)
30.
go back to reference Henry J, Kaiser Family Foundation: Donor Funding for Health in Low and Middle-Income Countries, 2001-2008. Book Donor Funding for Health in Low and Middle-Income Countries, 2001-2008. 2010, City: Henry J. Kaiser Family Foundation, (Editor ed.^eds.) Henry J, Kaiser Family Foundation: Donor Funding for Health in Low and Middle-Income Countries, 2001-2008. Book Donor Funding for Health in Low and Middle-Income Countries, 2001-2008. 2010, City: Henry J. Kaiser Family Foundation, (Editor ed.^eds.)
31.
go back to reference Nugent RA, Feigl AB: Where Have All the Donors Gone?: Scarce Donor Funding for Non-Commnicable Diseases. Book Where Have All the Donors Gone?: Scarce Donor Funding for Non-Commnicable Diseases. 2010, City: Center for Global DevelopmentA, (Editor ed.^eds.) Nugent RA, Feigl AB: Where Have All the Donors Gone?: Scarce Donor Funding for Non-Commnicable Diseases. Book Where Have All the Donors Gone?: Scarce Donor Funding for Non-Commnicable Diseases. 2010, City: Center for Global DevelopmentA, (Editor ed.^eds.)
32.
go back to reference Ooms G, Van Damme W, Baker BK, Zeitz P, Schrecker T: The 'diagonal' approach to Global Fund financing: a cure for the broader malaise of health systems?. Global Health. 2008, 4: 6-10.1186/1744-8603-4-6.CrossRefPubMedPubMedCentral Ooms G, Van Damme W, Baker BK, Zeitz P, Schrecker T: The 'diagonal' approach to Global Fund financing: a cure for the broader malaise of health systems?. Global Health. 2008, 4: 6-10.1186/1744-8603-4-6.CrossRefPubMedPubMedCentral
33.
go back to reference UNAIDS: Chronic Care of HIV and Noncommunicable Diseases: How to Leverage the HIV Experience. Book Chronic Care of HIV and Noncommunicable Diseases: How to Leverage the HIV Experience. 2011, City: UNAIDS, (Editor ed.^eds.) UNAIDS: Chronic Care of HIV and Noncommunicable Diseases: How to Leverage the HIV Experience. Book Chronic Care of HIV and Noncommunicable Diseases: How to Leverage the HIV Experience. 2011, City: UNAIDS, (Editor ed.^eds.)
35.
go back to reference Rabkin M, El-Sadr WM: Why reinvent the wheel? Leveraging the lessons of HIV scale-up to confront non-communicable diseases. Global Public Health. 2011, 6: 247-256. 10.1080/17441692.2011.552068.CrossRefPubMed Rabkin M, El-Sadr WM: Why reinvent the wheel? Leveraging the lessons of HIV scale-up to confront non-communicable diseases. Global Public Health. 2011, 6: 247-256. 10.1080/17441692.2011.552068.CrossRefPubMed
36.
go back to reference Colvin CJ, Robins S: Social Movements and HIV/AIDS in South Africa. HIV/AIDS in South Africa 25 Years On: Psychosocial Perspectives. Edited by: Rohleder P, Swartz L, Kalichman S, Simbayi L. 2009, New York City: Springer Colvin CJ, Robins S: Social Movements and HIV/AIDS in South Africa. HIV/AIDS in South Africa 25 Years On: Psychosocial Perspectives. Edited by: Rohleder P, Swartz L, Kalichman S, Simbayi L. 2009, New York City: Springer
37.
go back to reference Young F, Critchley JA, Johnstone LK, Unwin NC: A review of co-morbidity between infectious and chronic disease in Sub Saharan Africa: TB and diabetes mellitus, HIV and metabolic syndrome, and the impact of globalization. Global Health. 2009, 5: 9-10.1186/1744-8603-5-9.CrossRefPubMedPubMedCentral Young F, Critchley JA, Johnstone LK, Unwin NC: A review of co-morbidity between infectious and chronic disease in Sub Saharan Africa: TB and diabetes mellitus, HIV and metabolic syndrome, and the impact of globalization. Global Health. 2009, 5: 9-10.1186/1744-8603-5-9.CrossRefPubMedPubMedCentral
38.
39.
go back to reference Strauss A: Qualitative Research on Chronic Illness-Preface. Social Science and Medicine. 1990, 30: R5-R6.CrossRef Strauss A: Qualitative Research on Chronic Illness-Preface. Social Science and Medicine. 1990, 30: R5-R6.CrossRef
40.
go back to reference Robins S: 'From Rights to 'Ritual': AIDS activism and treatment testimonies in South Africa. American Anthropologist. 2006, 108: 312-323. 10.1525/aa.2006.108.2.312.CrossRef Robins S: 'From Rights to 'Ritual': AIDS activism and treatment testimonies in South Africa. American Anthropologist. 2006, 108: 312-323. 10.1525/aa.2006.108.2.312.CrossRef
41.
go back to reference Kendall C, Hill Z: Chronicity and AIDS in Three South African Communities. Chronic Conditions, Fluid States: Chronicity and the Anthropology of Illness. Edited by: Manderson L, Smith-Morris C. 2010, New Brunswick: Rutgers University Press, 175-194. Kendall C, Hill Z: Chronicity and AIDS in Three South African Communities. Chronic Conditions, Fluid States: Chronicity and the Anthropology of Illness. Edited by: Manderson L, Smith-Morris C. 2010, New Brunswick: Rutgers University Press, 175-194.
42.
go back to reference Hay MC: Suffering in a productive world: Chronic illness, visibility, and the space beyond agency. American Ethnologist. 37: 259-274. Hay MC: Suffering in a productive world: Chronic illness, visibility, and the space beyond agency. American Ethnologist. 37: 259-274.
Metadata
Title
HIV/AIDS, chronic diseases and globalisation
Author
Christopher J Colvin
Publication date
01-12-2011
Publisher
BioMed Central
Published in
Globalization and Health / Issue 1/2011
Electronic ISSN: 1744-8603
DOI
https://doi.org/10.1186/1744-8603-7-31

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