Disparities & Inequalities in Ending the HIV Epidemic: Treatment of HIV

Editor’s NoteMaeleigh Tidd delivers another thought-provoking post in our Pharmaceutical Inequalities series. She reaches back to the 1980s to consider how ACT UP protests led to greater affordability of HIV drugs, and argues that the persisting structural inequalities must be addressed by EHEI.


In 1987, six-years into the rampant spread of the human immunodeficiency virus (HIV) and progression of acquired immunodeficiency syndrome (AIDS) leading to 40,000 deaths in the U.S., the FDA approved the first known antiviral drug for the treatment of AIDS. The approval of AZT (zidovudine) was the first scientific breakthrough in treating, and potentially ending, this “death sentence” of a disease. Yet, as the only treatment option available to the growing number of vulnerable and dying individuals with HIV/AIDS, it was outrageously unaffordable with a price tag of over $10,000 per year. 

This drug profiting and the overall poor response to the epidemic at hand, led to the formation of the non-partisan group Aids Coalition to Unleash Power (ACT UP), a group of LGBTQ+ activists ‘united in anger and committed to direct action to end the AIDS crisis’.

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Disparities & Inequalities in Ending the HIV Epidemic: Pre-exposure Prophylaxis (PrEP)

Editor’s Note: This post by Maeleigh Tidd is the second in our Pharmaceutical Inequalities series. She explores the recent Ending the HIV Epidemic Initiative in the US, with a particular focus on prevention strategies, specifically PrEP, that are being implemented to assist in ending the epidemic.

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Witness Seminar: HIV/AIDS Prison Policy in England and Wales, 1980s-1990s

Editor’s Note: Recently Drs. Janet Weston and (current ADHS president) Virginia Berridge hosted a witness seminar, a method of oral history collection through group recollections, on the development of prison policy regarding HIV/AIDS since the early 1980s at LSHTM’S Centre for History in Public Health. Below is a more thorough description of the event that may be of interest Points readers. Contact Dr. Weston for more information at janet.weston@lshtm.ac.uk.

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The seminar in progress

As part of the Prisoners, Medical Care, and Entitlement to Health project, we organised a witness seminar in May 2017 as an opportunity for key individuals to discuss their experiences and memories of the development of prison policy around HIV/AIDS.

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