The place is San Francisco, the year 1981. The newly minted young doctor, all shiny confidence, sits at his desk. Suddenly, he stares down at a lab result, startled. This opening scene can mean only one thing in a medical memoir: the mysterious disease not yet known as AIDS has come to town. As the generation who first encountered AIDS ages into its memoir-writing years, we will be seeing more of these first chapters, and despite their inevitable redundancies, each may (...) well bring something unique to the table. Every illness subsumes many worlds, but the AIDS epidemic in particular has contained multitudes, each smaller epidemic whirling at a different speed and spinning out a different set of urgencies. In Lethal Decisions: The Unnecessary Deaths of Women and Children from HIV/AIDS, Arthur Ammann offers a comprehensive if problematic account from the world of pediatric AIDS. (shrink)

Home diagnostic testing is becoming part of the modern medical landscape, but many ethical and policy questions remain unresolved. Most of them first surfaced during the long regulatory deliberations over the home HIV test, the first home test for a contagious illness sold in the United States. Between 1989 and 2012, federal regulators and their consultants debated the ideal metrics for such a test, its benefits, and its potential harms for both individuals and communities. Ultimately, two iterations of the home (...) HIV test were marketed in the United States; neither one of them changed the course of the national HIV epidemic, as hoped. This failure has powerful implications for home testing for other contagious diseases. (shrink)