HIV “Cure” Found in Mississippi: Nothing to be proud of
Dubious reports have surfaced that an allegedly HIV positive infant born prematurely in rural Mississippi to an HIV infected mother has been cleared of the virus due to a non-standard administration of HIV drugs. Naturally, I am extremely skeptical.
I wonder if the child ever truly had HIV in the first place. Given that the child was born prematurely, I also wonder how generalizable the strategy would be, assuming that the child did, in fact, have HIV.
The world, however, seems to believe that this is a “cure” for HIV. Optimistically, I would call this a case of prophylaxis.
Most frustrating for me, is the surge of pride from Mississippians. Having grown up there, I don’t think that this is anything to be proud of. The profile of HIV in Mississippi (see my paper draft) is overwhelmingly rural, poor and, most salient, black (See my lit review on HIV in Mississippi).
The simple reason that this so-called “cure” was “found” in Mississippi, as opposed to say, Vermont, is Mississippi’s crushing level of endemic poverty, entrenched racism, and institutionalized marginalization and exclusion. Mississippi’s backward politics and racist history are what caused this epidemic in the first place. Nothing to be proud of.
Equally frustrating are the absurd comments to the effect that “God has come and given us this cure” likely stemming from the heart wrenching involvement of an infant. Assuming that such a deity exists, we should probably fault God with creating the disease in the first place, and allowing babies to be infected through no fault of their own. It seems silly to me to praise a despot for delivering services after he’s made a mess of the place.
Mississippi is sixth in the nation for new cases of HIV. The social dynamics which determine transmission are different in rural and urban areas. Dividing states into clases of rural HIV and urban HIV, Mississippi would come in number 3 just behind Georgia and Louisiana. In fact, though, I would argue that Mississippi’s rate of new HIV cases (25 per 100,000) is actually an underestimate. Health delivery in Mississippi’s HIV hotspots is so inadequate and health care utilization so low, that many new cases are undetected.
I will wait and see if the optimistic reports are true. My feeling is that this is a case of hopeful overstatement. Until then, I will remain skeptical.
About Peter LarsonAssistant Professor of Epidemiology at the Nagasaki University Institute for Tropical Medicine
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