A I D S B O O K R E V I E W J O U R N A L No. 35


University of Illinois at Chicago

H. Robert Malinowsky


ISSN 1068-4174

Number 35-May, 1997

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676. AIDS: Understanding Molecular Biology: Characterization of HIV Genome, by P. Z. Taussig.
677. Reducing the Risk: Building Skills to Prevent Pregnancy, STD, and HIV, 3rd edition by Richard P. Barth, includes a student workbook.
678. Patient Education: A Practical Approach, edited by Richard D. Muma, Barbara Ann Lyons, Teresa A. Newman, Barbara A. Carnes.
679. Counselling in HIV Infection and AIDS, 2nd edition edited by John Green, Alana McCreaner.
680. Management of the HIV-Infected Patient, edited by Suzanne Crowe, Jennifer Hoy, John Mills.
681. Living Well with HIV and AIDS, by Allen L. Gifford, Kate Lorig, Diana Laurent, Virginia Gonzalez.
682. Powerless: Selected Poems 1973-1990, by Tim Dlugos, edited by David Trinidad.
683. HIV Manual: A Guide to Diagnosis and Treatment, edited by David H. Spach, Thomas M. Hooton.
684. Crossing Borders: Migration, Ethnicity and AIDS, edited by Mary Haour-Knipe, Richard Rector.
685. AIDS in the UK: The Making of Policy, 1981-1994, by Virginia Berridge.
686. AIDS and HIV-Related Diseases: An Educational Guide for Professionals and the Public, by Josh Powell.
687. Questions and Answers on AIDS, 3rd edition by Lyn Robert Frumkin, John Martin Leonard.

Briefly noted books published before 1996.

688. Prescription for Preventing AIDS: Cure the Body Politic of Prejudice, by Neal Arthur Dickerson.
689. Protocol for a Plague: AIDS Research, Access to Life-Saving Therapies and Drug Approval, by Neal Arthur Dickerson.
690. Last Served?: Gendering the HIV Pandemic, by Cindy Patton.
691. What Do you Say to a Man Who is Dying..., by Anne B. Rodier.
692. And Then There Were Nine, by Ann E. Weeks.

676. AIDS: Understanding Molecular Biology: Characterization of HIV Genome, by P.Z. Taussig. 1997. Doctor's Press, PO Box 2200, Angleton, TX 77516. 51p., 28p. glossary, illus. ISBN 1-889167-01-0. write for price. (Descriptors: Popular, Juvenile, Glossary)

It is sometimes difficult to describe a concept to a young person or layperson in terms that they can understand. The scientific terms can be difficult to comprehend, resulting in the person not retaining any of what has been read or heard. Taussig has written this excellent book along with three others--The Invasion of King George: A Children's Book, George and Eddy: A Book for Teens, and The Invaders Are Here!: A Unique Story, providing a good explanation of what AIDS is and how it attacks the body. The title reviewed here, Characterization of HIV Genome, describes what a virus is and how it appears in the body as DNA or RNA. By giving the RNA form of HIV the names of George and Eddy, Taussig proceeds to show how the virus attacks the cells in the body. The excellent illustrations provide the reader a visual description of how the HIV virus destroys the cells in the body through their unique way of replication. For the more advanced reader, there is a 28-page glossary that defines all of the technical terms that are needed to describe the complex make-up of cells, viruses, and HIV/AIDS. This is a highly recommended book for all libraries. Educators should use this book in all of their AIDS-education classes. There are two additional titles by Taussig that are related to these four: AIDS: Understanding Molecular Biology: A Book for Physicians and Health Professionals and The Language of AIDS: Illustrated Dictionary.

677. Reducing the Risk: Building Skills to Prevent Pregnancy, STD, and HIV, 3rd edition by Richard P. Barth. 1996. ETR Associates, PO Box 1830, Santa Cruz, CA 95061-1830. 240p., illus. ISBN 1-56071-398-4. $42.95. Student Workbook, ISBN 1-56071-399-2. 60p. (Descriptors: Sex Instruction, Curricula, Birth Control, Study and Teaching, Sexual Abstinence)

The risks of pregnancy, STD, and HIV are a threat that will not go away. Adolescents are sexually active and need to be constantly reminded of the dangers that lurk with unprotected sex. Unfortunately, there are those who believe that sex education is the responsibility of the family and not of the schools. This has resulted in many myths and misconceptions that ultimately result in a teen taking a risk that may have catastrophic consequences. This excellent guide was first published in 1989 and has been extensively revised in this third edition, providing new information about birth control, sexually transmitted disease, and HIV. Since some of the material is controversial, those who use this guide should be aware of the various district policies and state mandates. They must, also, obtain parent, school board and administrative support before using the guide.

With the workbook, which is also available in Spanish, students can learn how to reduce the risk of becoming pregnant, acquiring an STD, or becoming infected with the HIV virus. Topics that are covered include: abstinence, protection, prevention, and high risk behavior. Each chapter provides information in the form of a synopsis, preparation needed to present the information included in that chapter, outline of activities, notes to the teacher, activities, role playing, worksheets, handouts, and homework. The emphasis is on classroom participation, homework, and personal evaluation. The major concepts that are presented include: "abstaining from sexual activity or refusing unprotected sexual intercourse," "correct information about pregnancy, protection, and sexually transmitted disease (STD), including transmission of the human immunodeficiency virus (HIV)," and "effective communication skills about abstinence and refusal skills related to unprotected sexual intercourse."

Giving teens up-to-date sex education should be high on the list of any school district. Providing information on sexual intercourse, STDs, and AIDS should not be challenged by anyone. Any information that can save a life should be available. Pregnancy and HIV infection are ever present for the teenager. This book with its workbook is highly recommended for all schools. It should be required reading for all parents. ETR is to be commended for its efforts in providing guides such as this one that are accurate and up-to-date.

678. Patient Education: A Practical Approach, edited by Richard D. Muma, Barbara Ann Lyons, Teresa A. Newman, Barbara A. Carnes. 1996. Appleton & Lange, 25 Van Zant St., East Norwalk, CT 06855. 381p., illus., bibliog., index. ISBN 0-8385-2039-1. $34.95. (Descriptors: Patient Education, Primary Care Disorders, Infectious Diseases, Cancers, Musculoskeletal Disorders, Psychiatric Disorders, Pediatric Disorders, Neurologic Disorders, Renal Disorders, Gastrointestinal Disorders, Endocrine Disorders, Rheumatologic Disorders. Cardiovascular Disorders, Pulmonary Disorders) (Contributors: Tammy Becker, J. Dennis Blessing, Patricia A. Bunton, Roberto Canales, Barbara A. Carnes, Collier M. Cole, Janice G. Curry, Debra D. Davis, Jeffrey W. East, John Fuchs, Jr., Joey D. Hobbs, Heather Walters Hull, Marvis J. Lary, Barbara Ann Lyons, Catherine S. Marsh, Bernadette M. Montgomerie, Richard D. Muma, Teresa A. Newman, Stephen D. Newman, David P. Paar, Sandee Roquemore, Doris J. Rosenow, Albert F. Simon, Karen S. Stephenson, Angela Wegmann)

An important role for any student clinician is to be able to discuss with the patient the pathophysiology of disease states, symptoms and progression of disease, treatment modalities including drugs, nutrition, and exercise. They also must be able to counsel the patient who is experiencing emotional reactions. Preventive care is high on the list in health care today so that the patient can understand the disease, its medical regimens, and any early recognition of problems by the patient. One of the major strengths of this well written book is its practical step-by-step approach to giving the patient the necessary information. "The overall goal of this book is to provide the health care student or clinician with concise, up-to-date information on patient education and various primary care disease to enable the optimal care of patients."

For each of the disorders that are discussed the general characteristics are given, followed by the signs, symptoms, and diagnosis. Finally, the management of the disorder is outlined with medication recommendations and a brief discussion on life-style changes. The first part of the book outlines what is necessary to give the proper patient education, discussing such topics as influencing factors, behavior modification, published materials, medication, and incorporating patient education into clinical practice. The second part of the book is the largest covering all of the major primary care disorders that are commonly seen by practicing clinicians.

The disorders that are specifically covered include: chronic obstructive pulmonary disease, asthma, pneumonia, tuberculosis, pulmonary embolism, upper respiratory infections, hypertension, pericarditis, murmurs and valvular heart disease, congestive heart failure, endocarditis, angina, myocardial infarction, osteoarthritis, rheumatoid arthritis, systemic pupus erythematosus, diabetes mellitus, hyperthyroidism, hypothyroidism, Addison's disease, Cushing's syndrome, hepatitis, pancreatitis, irritable bowel syndrome, diverticulosis, peptic ulcer disease, hiatal hernia, renal calculi, acute glomerulonephritis, pyelonephritis, cystitis, urinary incontinence, seizures, stroke, headaches, Alzheimer's disease, lung cancer, breast cander, colorectal cancer, testicular cancer, prostate cancer, skin cancer, pregnancy, vaginitis, menopause, gonorrhea, chlamydia, syphilis, genital herpes, condyloma Acuminata, HIV and AIDS, bone fracture, sprains and strains, hernias, osteoporosis, depression, anxiety, and psychoactive substance use and abuse. For children the disorders that are covered include: anemia, asthma, cardiovascular risk factors, neonatal jaundice, otitis media and sinusitis, allergic rhinitis, seizures, tonsillitis and pharyngitis, gastroenteritis, and group syndromes.

The last part of the book provides information for the patient: definition of the disorder, causes, how to tell if you suspect having the disorder, how it is diagnosed, how it is treated, special information, and where to get additional information. All in all this is an extremely useful guide for the practicing clinician. Much of the information is basic, but its conciseness helps the user to quickly review facts that may have been overlooked. A recommended book for all students and a good reference source for any medical library. Public and academic libraries would find it a useful book for their general collections. A disk of the text is included.

679. Counselling in HIV Infection and AIDS, 2nd edition edited by John Green, Alana McCreaner. 1996. Blackwell Science, 238 Main St., Cambridge MA 02142. 325p., bibliog., index. ISBN 0-632-03605-2. $36.95. (Descriptors: Counseling, Patients) (Contributors: Barry Peters, D.J. Jeffries, Alana McCreaner, John Green, Barbara Hedge, Agnes Kocsis, Peter Jones, Brian Whitehead, Diane Melvin, Lorraine Sherr, Christine Ford, Diana Kloss, David Miller, Riva Miller, Una McDermott)

The first edition of this book was published six years ago. Since then, there have been many changes in how to counsel those who are HIV positive or have AIDS. The disease is still spreading at an alarming rate, especially in the underdeveloped countries. There is no vaccine but there are some promising drugs that help control the infection. One of the key areas in helping to control this disease is proper education and counseling. "HIV counselling should, we believe, be a key part of the global and national control of HIV infection. We badly need more research in the area; there are so many gaps in what we know. Nonetheless, in this book we have tried to outline what we believe is good practice in HIV counselling." All of the chapters have been updated. It should be pointed out that counseling as it is discussed in this book is not only for professional counselors but also for those who work with HIV infected individuals either directly or indirectly. Therefore, this book is for everyone who is touched by HIV and AIDS.

The 22 brief chapters cover: "HIV and AIDS--an Introduction to the Virus and the Disease," "Laboratory Tests for HIV," "Pre-test Counselling," "Counselling People Infected with HIV," "Counselling People with AIDS, their Partners, Family and Friends," "AIDS Dementia--Counselling Issues," "Counselling of HIV Antibody Positive Haemophiliacs," "Drug Users and HIV Infection," "Counselling in Pregnancy," "Counselling Issues for Children and Families Living with HIV Infections," "The Worried Well," "Dealing with Anxiety and Depression," "Problem Solving," "Dying, Bereavement and Loss," "Changing Sexual Behaviour," "The Role of General Practitioners in HIV and AIDS," "Legal Aspects," "Counselling in Developing Countries," "Relaxation," "Staff Stress, Occupational Morbidity and Burnout," "Making Choices about Diagnosis, Treatment and Care," and "HIV, Mental Health and Community Care."

A very well written book that is easy to read with as little technical jargon as possible. It is an excellent book for anyone working with HIV positive and AIDS patients. Highly recommended for all libraries.

680. Management of the HIV-Infected Patient, edited by Suzanne Crowe, Jennifer Hoy, John Mills; foreword by Jonathan Mann. 1996. Cambridge University Press, 40 West 20th St., New York, NY 10011-4211. 432p., illus., bibliog., index. ISBN 0-521-45269-4. $85.00. (Descriptors: HIV Infections, Therapy) (Contributors: Constance A. Benson, Tim Berger, Bruce James Brew, Richard E. Chaisson, Melvin D. Cheitlin, Nathan Clumeck, David A. Cooper, Suzanne Crowe, Stefan DeWit, Peter T. Frame, Martyn French, Julie Louise Gerberding, Deborah Greenspan, John S. Greenspan, Marc K. Hellerstein, Martin S. Hirsch, Jennifer Hoy, Fiona K. Judd, Lawrence Kaplan, Christine Katlama, Brian R. Kaye, Alison Kesson, Belle L. Lee, Anne Mijch, Sam Milliken, John Mills, Donald Northfelt, Carolyn Petersen, Tilman A. Ruff, Sharon Safrin, Hanneke Schuitemaker, William Sievert, Gail Skowron, Tania Sorrell, Alan C. Street, Allison Street, Matthijs Tersmette, Brett Tindall, Charles M. van der Horst, Paul A. Volberding, Ian V. D. Weller, Joseph Wheat, Edwina Wright)

The diagnostic and treatment strategies for patients with HIV infection continue to evolve. However, the basic approaches that have been developed over the past 10 or 15 years probably will not change that much over the next ten years. It is for this reason that the editors have produced this book dealing with the clinical management of patients who are HIV positive. It emphasizes the practical approach. Detailed material on the pathogenesis of HIV infection and the opportunistic infections and cancers are included only when the information was felt to be clinically relevant. This is a book for the medical profession and not for the uneducated layperson. The medical clinician will find this to be an extremely well written and documented book providing a great deal of information that can be used in the day-to-day clinical environment.

The chapter titles speak for themselves as to the broadness of coverage: "Primary HIV-1 Infection," "Natural History and Laboratory Markers of HIV Infection," "Clinical Relevance of HIV-1 Biological Variability," "General Approach to the HIV-Infected Patient," "Antiretroviral Drugs," "The Patient with Asymptomatic HIV Infection," "Combination Therapy for HIV Infection," "The HIV-Infected Woman," "Neurologic Manifestations of HIV Infection," "Psychiatric Disturbances and HIV Infection," "Oral Manifestations of HIV Infection," "Rheumatologic Manifestations of HIV Infections," "Cardiovascular Disease and HIV Infection," "Hepatobiliary Disease and HIV Infection," "Hematologic Manifestations of HIV Infection," "Nutritional and Endocrine Consequences of HIV Infection," "Cutaneous Complications of HIV Infection," "Herpes Simplex and Varicella Zoster Virus Infections and HIV Infection," "Cytomegalovirus Infection and HIV Infection," "Bacterial Infection and HIV Infection," "Tuberculosis and HIV Infection," "Disseminated Mycobacterium Avium Complex Infections and AIDS," "Pneumocystis Carinii Infection and AIDS," "Toxoplasma Gondii Infection and AIDS," "Cryptococcal Infections and AIDS," "Candidiasis, Histoplasmosis, Aspergillosis, and Miscellaneous Mycoses and AIDS," "Cryptosporidium, Isopora, and Microsporidial Infections and AIDS," "Neoplasia and HIV Infection," "Adverse Drug Reactions and Interactions in AIDS Management," "Advice to the HIV-Infected Traveler," "The Health Care Provider and HIV," and "Late-Breaking Developments."

The only thing to keep in mind is that the information in this book is as current as 1995. A great deal of progress has been made in 1996 and 1997 with the new drug therapies that have been given clinical tests. Nevertheless, this is an excellent book for any practicing clinician that has HIV positive patients or those with full blown AIDS. Highly recommended for all medical libraries.

681. Living Well with HIV and AIDS, by Allen L. Gifford, Kate Lorig, Diana Laurent, Virginia Gonzalez. 1997. Bull Publishing Co., PO Box 208, Palo Alto, CA 94302-0208. 270p., bibliog., index. ISBN 0-923521-35-6. $16.95. (Descriptors: Popular Works, Self-Care, Health Wellbeing)

This book for the layperson has been written for those who are HIV positive or have AIDS to help them learn how to live a healthy life even though they have a life threatening illness. It has been proven that having a healthy outlook about your body and mind can actually help combat any disease and make your life much fuller. "Therefore, a healthy way to live with any illness is to work at overcoming the physical and emotional problems caused by the illness. The goal is to achieve the greatest possible physical capability and pleasure from life." There are no miracles of cure in this book; only good practical tips, ideas and resources that have been provided by physicians, health professionals, psychologists, and most importantly from others who have overcome the emotional stress of dealing with being HIV positive or having AIDS.

The first part of the book covers self-management, while the second part goes into detail in how to manage symptoms such as coughs, diarrhea, fever, nausea, depression, stress, and pain. The next part delves in exercise and diet followed by a section that covers health care management. The final section covers such details as managing for the future, resources, and helpful hints. This is a very easy to read book where you can skip around, not reading each chapter in succession. There is a great deal of very practical information in this book. Although the sections on medications may be a little behind the times not covering the new proteases, the rest of the book should help anyone who is having difficulty coping. A recommended book for all libraries, especially personal libraries of those who are HIV positive or have AIDS.

682. Powerless: Selected Poems 1973-1990, by Tim Dlugos, edited by David Trinidad, introduction by Dennis Cooper. 1996. Serpent's Tail/High Risk Books, 180 Varick St., 10th Fl, New York, NY 10014. 115p. ISBN 1-85242-407-9. $12.99. (Descriptors: Poems)

Tim Dlugos is one of the post-New York school poets. This small book is a retrospective selection of his works, including those poems he wrote about AIDS. Unfortunately he died of AIDS while writing these poems and his friend David Trinidad edited the manuscripts for publication. There are 23 poems from 1973-1981, 14 from 1982-1986, and 14 from 1988-1990. Dlugos died in 1990 after living a very active, fast, and full life. "To be his friend was to be guided through otherwise inaccessible, and in some cases seemingly conflicting worlds. One was always trailing after Tim as he flew between cocktail parties, poetry readings, art openings, baths, services at his local church, and elsewhere, often over the course of a single evening." His poems cover four phases: early years were gentle, clever, and melancholic; the second phase was more physically enigmatic and complicatedly lyrical; the third was during a period of heavy drinking and on and off depression; and the last was a period when he tested positive for HIV and found his first stable love.

His poems have feeling, life, joy, sadness, and everything else in between. From "Parachute" he writes: "....But when I think of how AIDS kills my friends, especially the ones whose paths through life have least prepared them to resist the monster, I think of an insatiable and prowling beast with razor teeth and a persistent stink that sticks to every living branch or flower its rank fur brushes as it stalks its prey...Dwight the dancer, Dwight the fashion illustrator and the fashion plate, Dwight the child, the borderline transvestite, Dwight the frightened, infuriating me because an anti-AZT diatribe by some eccentric in a rag convinced him not to take the pills with which he might still be alive...But when I see Dwight smile and hear his fey delighted voice inside my head, I know AIDS is no chess game but a hunt, and there is no way of escaping the bloody horror of the kill, no way to bail out, no bright parachute beside my bed." This is a must book for all public and academic libraries. How vicious this disease is to take such talent away from us.

683. HIV Manual: A Guide to Diagnosis and Treatment, edited by David H. Spach, Thomas M. Hooton. 1996. Oxford University Press, 198 Madison Ave., New York, NY 10016. 458p., bibliog., index. ISBN 0-19-510036-0. $55.00. (Descriptors: Handbook, Diagnosis, HIV Infections, Therapy, Complications) (Contributors: David M. Aboulafia, Douglas E. Arditti, John P. Bramante, Cynthia Brennan, J. Mark Bray, Winston Cavert, Connie L. Celum, Frank Chaffee, Ann C. Collier, Robert W. Coombs, Mindy A. Cooper, Lawrence Corey, J. Randall Curtis, Michael Emerman, Gary M. Goldbaum, Thomas M. Hooton, Sharon G. Hopkins, Carrie A. Horwitch, Mari M. Kitahata, Nancy B. Kiviat, David M. Koelle, Laura A. Koutsky, Nicholas L. Kovach, William E. Lafferty, W. Conrad Liles, Sheila A. Lukehart, James A. Lund, Christina M. Marra, Joanne E. Maurice, Laury McKean, Richard A. Miller, Gregory B. Moss, John R. Nienow, Charles M. Nolan, Marquam R. Oliver, Douglas S. Paauw, Lori A. Panther, Michael N. Robertson, Richard K. Root, Henry Rosen, Caroline A. Ryan, Lili A. Sacks, Timothy W. Schacker, Mark M. Schubert, Margaret C. Shuhart, John V. L. Sheffield, Sahwn J. Skerrett, David H. Spach, Walter E. Stamm, Karina K. Uldall, Jo-Anne Van Burik, Karen M. Van de Velde, D. Heather Watts, D. Scott Weigle, Richard A. Willson, Jane A. Woodward, Joseph R. Zunt)

The aim of this book is "to condense clinically-relevant information regarding HIV-infected adults into a book that is up to date, easy to use, and practical." The diagnostic guidelines and treatment recommendations are practical and easy to follow. "Two features in the design of this manual will help the user find information rapidly: (1) broad subheadings clearly outline the major elements within each chapter; and (2) treatment regimens are enclosed in boxes and thus easy to find." The many contributors have definitely provided a book that follows the above stated aim. It is a book for the practicing clinician who needs quick access to the latest information. True, much has happened since 1996, but much of the basic information about HIV infection and AIDS has not changed. Also, some of the basic treatments have not changed that much. What the book does not cover, of course, are all the new protease drugs that are now becoming available.

The well-organized chapters cover: "Pathogenesis," "Epidemiology," "Counseling, Testing, and Risk Reduction," "Laboratory Diagnosis of HIV," "Primary HIV Infection," "Natural History," "Initial Evaluation and Follow-Up," "Laboratory Markers of HIV Infection," "Antiretroviral Therapy," "Future Anti-HIV Therapy," "Alternative Therapy," "HIV and Women," "Occupational Risk," "Altered Mental Status," "Diarrhea," "Esophageal Symptoms," "Fever," "Headache," "Lower Respiratory Tract Symptoms," "Bartonella-Associated Infections," "Mycobacterium avium Complex," "Syphilis," "Tuberculosis," "Aspergillosis," "Blastomycosis," "Candidiasis," "Coccidioidomycosis," "Cryptococcosis," "Histoplasmosis," "Pneumocystis Carinii," "Cryptosporidiosis," "Isosporiasis," "Microsporidiosis," "Toxoplasmosis," "Cytomegalovirus," "Hepatitis B," "Hepatitis C," " Herpes Simplex Virus," "Varicella-Zoster Virus," "Myocarditis and Cardiomyopathy," "Dermatophytosis," "Folliculitis," "Molluscum Contagiosum," "Psoriasis and Reiter's Syndrome," "Scabies," "Seborrheic Dermatitis," "Warts," "Xerosis and Xerotic Dermatitis," "Adrenal Function," "Nutrition," "Wasting Syndrome," "Anemia," "Immune Thrombocytopenia," "Leukopenia," "Nephropathy," "HIV-Associated Dementia," "Peripheral Neuropathy," "Progressive Multifocal Leukoencephalopathy," "Anal Neoplasia," "Hodgkin's Disease." "Kaposi's Sarcoma," "Non-Hodgkin's Lymphoma," "Aphtae," "Oral Hairy Leukoplakia," "Perodontal Disease," and "Drug Therapy."

This is a highly recommended book for all medical doctors and a must have book for medical libraries. It could serve as a reference source in large public and academic libraries.

684. Crossing Borders: Migration, Ethnicity and AIDS, edited by Mary Haour-Knipe, Richard Rector. 1996. Taylor & Francis, 1900 Frost Road, Ste. 101, Bristol, PA 19007. 257p., bibliog., index. (Social Aspects of AIDS) ISBN 0-7484-0377-9, 0-7484-0378-7pbk. $69.95, $24.95pbk. (Descriptors: Social Aspects, Ethnicity, Migrants) (Contributors: Licia Brussa, Didier Burgi, Manuel Carballo, Issa El-Hamad, Calliope C. S. Farsides, Francois Fleury, Felix Galle, Guy S. Goodwin Gill, Mary Haour-Knipe, Steffen Johncke, Shivananda Khan, Maureen Louhenapessy, Alberto Matteelli, Petra Narimani, Oonagh O'Brien, Richard Rector, Renee Sabatier, Lorraine Sherr, Harald Siem, Jaime Tovar, Rinske van Duifhuizen, Charles Westin)

"The focus of this book is on the public health response in western societies to the AIDS pandemic, and its implications for social development, including migration and policies concerning migration." It is not a book about migrants as a carrier of disease. Too often society is quick to label migrants as disease carriers, resulting in discrimination, hardship, and violence. This book focuses on the challenge of AIDS as a public health threat in Europe. It examines the "issues of AIDS prevention and care from the point of view of the migrant." In discussing any issues that surround migrants, one must recognize that there are several categories of migrants: legally admitted permanent residents/immigrants, legally admitted temporary migrants, short-term visitors, illegal migrants, returning nationals, refugees, asylum-seekers, students, migrant workers, and diplomats.

Keeping in mind these various migrant categories the book proceeds to discuss the various health and social problems that surround them. The chapter titles point out the many problems that society is facing: "Migration Patterns," "Migration, Migration Policy and AIDS," "AIDS and HIV, Migrants and Refugees: International Legal and Human Rights Dimensions," "The Person Behind the Virus: Migration, Human Factors and Some Moral and Ethical Questions," "Migrants and AIDS" Themes of Vulnerability and Resitance," "Stigma and Racism as they Affect Minority Ethnic Communities," "HIV/AIDS Prevention Programmes for Migrants and Ethnic Minorities in Europe," "A National AIDS Prevention Programme for Migrants," "Care Issues and Migrants," "Culture in the Clinic: Danish Service Providers' View of Immigrants with HIV," "Asylum Seekers and Clandestine Populations," "Transnational AIDS/STD Prevention among Migrant Prostitutes in Europe," "International Networking: Building Migrants' Networks across Europe," "Programme Evaluation," and "Conclusion: Shaping a Response."

This book highlights many very interesting issues that are confronting countries throughout the world. With traveling between countries so much easier than it has ever been, it is only natural to become concerned about the health and welfare of everyone, including migrants who move from country to country. Thus issues of human rights, screening and border control emerge as threats to having a peaceful society that looks at everyone equally, whether they are infected with a virus or not. "A common theme throughout this book on migration and HIV/AIDS is that both present major challenges for migrant health, public health, legal and human rights, ethics, social sciences and economics. The nature and the extent of the challenges posed, in addition, to governments and communities, is yet to be fully charted." This is a very thought provoking book and one that should create further studies in other parts of the world. Science can conquer these diseases but will have great difficulty if governments keep creating policies and standards that make it difficult to treat all populations. A recommended book for all academic libraries.

685. AIDS in the UK: The Making of Policy, 1981-1994, by Virginia Berridge. 1996. Oxford University Press, 198 Madison Ave., New York, NY 10016. 389p., bibliog., index. ISBN 0-19-820472-8, 0-19-820473-6pbk. $80.00. $23.00pbk. (Descriptors: Government Policy, Great Britain, Political Aspects, Social Aspects, History)

This well-documented book provides a history of AIDS policy making in Great Britain from 1981-1994. To embark on such an undertaking, necessitated the use of countless numbers of published and unpublished material, reports, guidelines, and working papers. The result is a very readable account of a complex of events that have shaped the AIDS policy for Great Britain. The book focuses "on issues which have influenced governmental policy-making, on policy rather than the wider cultural ramifications of AIDS." Berridge has presented the history in chronological form. She very carefully points out that the relationship between science and health policy has been very crucial from the beginning. As new developments appeared in science, there were resulting changes in policy.

The 12 chapters are presented under 4 parts: Part 1--"1981-1985: Policy from Below," Part 2--1986-1987: The Wartime Response," Part 3--"1987-1989: Normalization and Chronic Disease: The Power of Epidemiology," and "art 4--"1990-1994: The Repoliticization of AIDS." In these 4 parts many topics are touched upon that helped in shaping government policy: the self-help issue, AIDS and the blood, the Liberal response, drugs, internationalism and bureaucratization, the idea that AIDS is a chronic disease, screening and testing, Anti-AIDS Alliance, and the repoliticization of AIDS. Although the number of AIDS cases in Great Britain are not as dramatic as in some other parts of the worked, the issues that surround AIDS are much the same. Certain minorities are targeted, resulting in what appears to be very harsh reactions on how to deal with AIDS. Nevertheless, the book should be an excellent starting point for anyone doing research on the history of the epidemic in any other country. Recommended for all academic libraries.

686. AIDS and HIV-Related Diseases: An Educational Guide for Professionals and the Public, by Josh Powell. 1996. Insight Book/Plenum Press, 233 Spring St., New York, NY 10013-1578. 246p., bibliog., index. ISBN 0-306-45085-2. $24.95. (Descriptors: HIV Infections, Health Education, Complications, Related Opportunistic Infections)

"This book attempts to summarize, describe, and illustrate many of the clinical manifestations of diseases that are attributable to HIV and cause a diagnosis of AIDS." There are a large number of disorders that can be associated with AIDS, resulting in social disdain for those who may have one of these disorders. Powell has provided a good discussion of these disorders that is understandable for the clinician as well as the layperson. The descriptions that are presented will provide information for anyone who has to work with those who are diagnosed as HIV positive. The book "offers ideas and commentary on useful ways to educate and inform people of all ages about HIV/AIDS." It thus becomes a basic tool for understanding and explaining the disease to children, teens, and adults. The 8 chapters cover: "Understanding HIV and Its Effect on the Immune System," "HIV Transmission: An Explanation of How HIV Moves from Person to Person," "The History of AIDS and the Human Immunodeficiency Virus," "HIV Testing: Understanding the Science of Testing," "The Natural Course of an HIV Infection," "Medical Treatments and Those Who Administer Them," "The People Who Have AIDS," and "AIDS Education."

This is a straight forward educational guide that talks about all aspects of HIV and AIDS. It presents the information in brief text that is easy to read. For those who are giving AIDS education, this would be an excellent book to consult. Powell does not skirt around the issues and emphasizes his points with personal interviews that he conducted. He provides accurate, timely information that "presents this important resource as a viable way to explain the system of disease progression and control and the complicated terms and protocols that dictate AIDS and HIV treatment, education, and social policy." A recommended book for all libraries and especially for the personal libraries of counsellors and clinicians.

687. Questions and Answers on AIDS, 3rd edition by Lyn Robert Frumkin, John Martin Leonard. 1997. Health Information Press, 4727 Wilshire Blvd., Ste. 300, Los Angeles, CA 90010. 267p., index. ISBN 1-885987-07-2. $12.95. (Descriptors: Education, HIV Infection, Opportunistic Infections, Transmission, Epidemiology, Treatment, Social Aspects)

As with previous editions, this book continues to present the issues that AIDS has brought upon society. It provides the information in the form of 143 questions with detailed but understandable answers that anyone can comprehend. The questions are arranged within 8 chapters: "The Cause of AIDS," "The Manifestations of HIV Infection," "Opportunistic Infections," "Transmission of HIV," "Diagnosis of HIV Infection," "Epidemiology of AIDS," "Treatment of HIV Infection," and "HIV and Public Policy." Questions that are asked include many that a layperson may ask, especially someone who knows very little about the disease: "What is an opportunistic infection?," "What is Kaposi's sarcoma?," "How does HIV affect children?," "Can HIV be transmitted via oral sex?," "Do insects transmit HIV?," "What are the risks of HIV transmission in athletics?," "Where does AIDS occur in the world?," "Is it possible to regenerate the immune system?," and "Can HIV antibody testing be used to deny employment?" This is an excellent book for anyone to consult and read from cover to cover. It will help to counter the myths that surround AIDS. Highly recommended for any library, especially school and public.

688. Prescription for Preventing AIDS: Cure the Body Politic of Prejudice, by Neal Arthur Dickerson. 1994, Monument Press, PO Box 140361, Las Colinas, TX 75014-0361. 174p., illus. (The Politics of AIDS, v.3) ISBN 0-930383-35-4. $12.00. (Descriptors: Government Policy, Social Aspects)

Dickerson is an activist that "scrutinizes public policy on AIDS, homophobia and HIV, the religious right's campaign of hate against HIV sufferers and their agenda for an HIV holocaust by denying rational safe sex education and compassionate preventive measures, and more." This is part of a six-volume set that discusses the politics of prevention, sex-positive prevention programs, condoms, education, women and AIDS, drug users and AIDS, and people of color and AIDS. A good documented account written by an activist who is doing all he can to educate everyone. Recommended for all public and academic libraries.

689. Protocol for a Plague: AIDS Research, Access to Life-Saving Therapies and Drug Approval, by Neal Arthur Dickerson. 1994. Monument Press, PO Box 140361, Las Colinas, TX 75014-0361. 157p. (The Politics of AIDS, v.5) ISBN 0-930383-37-0. $12.00. (Descriptors: Research, Moral and Ethical Aspects< Chemotherapy, Social Aspects)

As with the previous book this is another title in a six-volume set. This one continues to provide the thoughts of Dickerson on clinical trial groups, obstacles in drug development, and the need for expedited approval and expanded access to new drugs to fight HIV. Dickerson has been successful in his campaigns as can be seen by the new drugs that are coming on the market faster than ever before. Although some of his comments may be controversial, Dickerson believes strongly in what he writes about. As a result, his books are very much worth reading to hear an activist's point of view. Recommended for all public and academic libraries.

690. Last Served?: Gendering the HIV Pandemic, Cindy Patton. 1994. Taylor & Francis, 1900 Frost Road, Ste. 101, Bristol, PA 19007. 163p., bibliog., index. (Social Aspects of AIDS) ISBN 0-7484-0189-X, 0-7484-0190-3pbk. $55.00, $17.95pbk. (Descriptors: Gender, Geopolitics, Social Aspects, Women)

This is an important contribution to the literature on women and AIDS. It is one of the first books to discuss the global situation of women in relation to the epidemic. Women have always been the last served in any epidemic that is the result of sexual relationships. The 7 chapters cover: "Setting the Terms for an Epidemic," "The Gendered Geopolitics of Space," "Identity, Community, and Risk," "Women's Health in a Global Perspective," "Women at Risk," "Planning for Women," and "Epilogue." The problem is summed up very well in the epilogue: "The failure to take heterosexual patterns and heterosexual safer sex seriously has weighed most heavily on women, who are already socially, culturally, politically, and economically disadvantaged by the institutions designed to support and enforce heterosexuality. Women have long been disenfranchised by social and medical systems; because AIDS is still understood through the lens of deviance, women living with HIV will continue to be the last served." Recommended for all public and academic libraries.

691. What Do You Say to a Man Who is Dying..., by Anne B. Rodier. 1995. Passages Publishing, PO Box 5093, Louisville, KY 40205. 144p. ISBN 1-887036-06-3. $13.95. (Descriptors: Personal Account)

This is a moving account of how a young woman coped with a dear friend who was dying of AIDS. It is a book that is easy to read but will bring a tear to your eyes. Rodier wrote this account so that others who are affected by HIV know that many people are involved with the death of a person that they love and admire. Caregivers, friends, family, and physicians will all discover what it truly means to be involved in caring for someone who is dying of AIDS or any other life threatening disease. Val Smith of the Actors Theatre of Louisville says it all: "Ms. Rodier takes us on a journey of anxiety, heartbreak, grief and reward that only AIDS survivors can know." Recommended for all public and academic libraries.

692. '...And Then There Were Nine', by Ann E. Weeks. 1994. Passages Publishing, PO Box 5093, Louisville, KY 40205. 186p. $12.95. (Descriptors: Personal Accounts)

Ann has provided the reader with the stories of ten gay men who are HIV positive. These are human stories of individuals who have an uncertain future that may involve pain and suffering. There is joy and sadness as well as hope and optimism. Her accounts are inspiring and moving. This is a must book to read for all HIV positive individuals as well as everyone else who is touched by the AIDS epidemic. "The stories are loving and caring and in many ways represent hope rather than despair." Highly recommended for all libraries, including school libraries.

[ AIDS BOOK REVIEW JOURNAL | UIC University Library ]

Last updated: 06/18/97
URL: http://www.uic.edu/depts/lib/aidsbkrv/