21 questions · 9 almanac · 0 findings

HIV/AIDS

The virus, epidemic, and treatment of HIV/AIDS.

Almanac A Page and a Half That Started an Era
  • How many AIDS cases and deaths had been recorded in the United States by the end of 1981?
  • What was still unknown about AIDS at the time of this first report, including its cause and transmission routes?
Almanac Naming What Was Killing Quietly
  • What tissue did Barré-Sinoussi and Montagnier use to isolate the retrovirus that would later be renamed HIV?
  • What was the virus originally named before it became known as HIV?
  • Why did identifying the specific retrovirus behind AIDS matter even though it didn't immediately produce a treatment?
  • How long after the 1983 isolation did Montagnier and Barré-Sinoussi receive the Nobel Prize?
Almanac A Shelved Cancer Drug Bought Time
  • Why was AZT originally synthesized in 1964, and why was it shelved before its use against HIV was discovered?
  • How fast was the FDA's review of AZT in 1987, and why was that speed unusual?
  • How did AZT's launch price shape the patient advocacy movement around pharmaceutical pricing?
  • In what sense did AZT prove that HIV could be pharmacologically attacked, even without curing the disease?
Almanac A Death Sentence Becomes a Managed Condition
  • What does HIV's protease enzyme do, and why does blocking it stop the virus?
  • What is HAART, and why did combining three drug classes work better than any single drug?
Almanac From a Death Sentence to a Life Sentence
  • What combination of drugs was presented at the 1996 Vancouver AIDS conference, and how effective was it at suppressing HIV?
  • Why did the new triple-drug regimen mark a shift from AIDS as a fatal disease to a manageable one?
Almanac Two Viruses, Two Decades of Denial Ended
  • How did Barré-Sinoussi and Montagnier isolate the retrovirus that would be confirmed as HIV?
  • How did the discovery of HIV change AIDS from a fatal diagnosis into a manageable condition?
Almanac Treatment Was Prevention All Along
  • How much did early antiretroviral therapy reduce HIV transmission between serodiscordant couples?
  • Why was the HPTN 052 trial halted early?
  • How did this trial change the strategic logic of HIV prevention programs?