Main description:

This book considers the change in rhetoric surrounding the treatment of AIDS from one of crisis to that of 'ending AIDS'. Exploring what it means to 'end AIDS' and how responsibility is framed in this new discourse, the author considers the tensions generated between the individual and the state in terms of notions such as risk, responsibility and prevention. Based on analyses public health promotions in the UK and the US, HIV prevention science and engaging with the work of Foucault, this volume argues that the discourse of 'ending AIDS' implies a tension-filled space in which global principles and values may clash with localised needs, values and concerns; in which evidence-based policies strive for hegemony over local, tacit and communal regimes of knowledge; and in which desires compete with national and international ideas about what is best for the individual in the name of 'ending AIDS' writ large. As such, it will appeal to scholars of sociology and media studies with interests in the sociology of medicine and health, medical communication and health policy.

Contents:

Chapter 1: Introduction

How to have theory at the end of AIDS?

The Problem of HIV and the Problematization of the End of AIDS

On Method

Chapter 2: A Short History towards the End of AIDS

From Treatment and Prevention to Treatment as Prevention: The Second Wave of Pharamasuticalization and the possibility of an 'HIV Free Generation'

Role of Targets and Indicators: The Logic Behind the End of AIDS

90-90-90: Three metrics, one goal, many gaps, and issues?

People and Places: Focusing on the 'Right Places and the Right People'

Synchronizing the End of AIDS

Reviewing the Numbers: What about the 10-10-10?

Chapter 3 - Viral load maps: The entanglements between the individual, the community, and space

Introduction

Epidemiological Maps: Spatializing disease and visualizing cases

Spatializing the End of AIDS: The role of the community viral load

Viral Maps and the Media

Spaces of Risk: Viral Load Maps and the Governmentality of the End of AIDS

Ending (Community) AIDS? Communities at risk, and the governmental logic of surveillance

Chapter 4: Molecular HIV Surveillance: Issues of Consent, Ethics, and Molecular Truth Telling

Introduction

Defining Molecular HIV Surveillance: From Clinical Usage to Epidemiological Surveillance

Molecular Truth-Telling: Uncovering hidden risk groups, networks, and desires

Inferring the Role of Immigration on 'HIV Dynamics': The Figure of the Immigrant

Uncovering 'Risk Groups': Molecular Truth Telling, Non-Disclosed Men Who Have Sex with

Men and Heterosexual Men Who Have Sex with Transgender Women

Molecular Truths, Surveillance, and Subjectivities: Speaking Truthfully About Sex and HIV

The Ethics of it All: Consequences of Translation

Chapter 5: PrEP: The Public Life of an Intimate Drug

Introduction

'Truvada Whores and the Truvada Wars'

Framing the Truvada Whore

Reclaiming the Inner Whore in the Name of Prevention

PrEP: Poison, Cure and the Scapegoating of PrEP Users

Marx on PrEP?

Austerity, Cost, Access and Responsibility: Whose responsibility and whose risk is it anyway?

NHS England versus 'The People': PrEP, Policy, and Uncertainty

Responsibility: Fiscal and Moral?

Ending AIDS Through PrEP: A public controversy over a reluctant object

Chapter 6 - 'HIV both Starts and Stops with Me': Health Promotions, Neoliberalism and Responsibility

Introduction

Responsibility both Starts and Stops with Me: Know Your Status and Access Drugs!

Framing Responsibility through Choice: It Starts with Me

A Note on Neoliberalism at the End of AIDS

Sex, Choice, Prevention and the Individual: Playing Sure to End AIDS

Disciplining for Pleasure: Anticipating, Pre-emption, Planning and Pleasure

Chapter 7: 'The Category is: Suppress! Disclose! Survive!', 'Positive Living' in Health Promotions for People Living With HIV in the Era of the End of AIDS

Suppress! Disclose! Survive!

Heroic Suppression

The Detectables? What undetectable can tell us about new norms for HIV status, and the notion of viral suppression as success criteria

Disclosure: Positive Talk as Care of the Self

The Detectables?

Concluding Remarks

Chapter 8: Conclusion: A tentative end to AIDS?

The Post in Post-AIDS and the End in Ending AIDS

Attending to the Future: Speculation as Method