Vance Michael A
1 College of Pharmacy and Health Sciences, Butler University, Indianapolis, IN, USA.
J Int Assoc Provid AIDS Care. 2019 Jan-Dec;18:2325958218821961. doi: 10.1177/2325958218821961.
Molecular studies suggest that HIV arose in Africa between 1880 and 1940. During this period, there were campaigns by European colonial governments that involved unsterile injections of large numbers of Africans. That, along with other unsafe therapeutic interventions, may have propelled the evolution of HIV from SIV. Since subtype B in Africa may have been concentrated in white African homosexuals, it is possible that Westerners rather than Haitians introduced the virus to the New World. Amplification of HIV subtype B took place in Haiti, where transmission was facilitated by hazardous medical procedures including plasmapheresis. Representations in the media, however, largely ignore Western contributions to the spread of AIDS. This article focuses on the value of alternative narratives in fostering a balanced view that is less stigmatizing on developing nations.
分子研究表明，艾滋病毒于1880年至1940年间在非洲出现。在此期间，欧洲殖民政府开展了一些活动，对大量非洲人进行了不安全的注射。这与其他不安全的治疗干预措施一起，可能推动了艾滋病毒从猴免疫缺陷病毒的进化。由于非洲的B亚型可能集中在非洲白人同性恋者中，所以有可能是西方人而非海地人将该病毒引入了新大陆。艾滋病毒B亚型在海地出现了传播扩大，在那里，包括血浆置换术在内的危险医疗程序促进了病毒传播。然而，媒体的报道在很大程度上忽略了西方对艾滋病传播的影响。本文着重探讨了另类叙事在形成一种更平衡的观点方面的价值，这种观点对发展中国家的污名化程度较低。
