AIDS Fighters Face a Resistant Form of Apathy
By ANDREW JACOBS
Published: April 3, 2005
....As part of his graduate course work at New York University, Michael Marino set out last winter to compare the AIDS prevention efforts of New York and London. He was troubled by what he found. At most New York bars, and even at some bedrock gay and AIDS service institutions, educational pamphlets and free condoms were hard to find, if not impossible. In London, Mr. Marino found them easily....
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Condoms, which still can be found in vending machines at a handful of places, were once given away by the bucketful. While no one believes free condoms will completely halt the spread of H.I.V., their disappearance from bars, the equivalent of a town hall for some gay men, is a telling indicator of how much steam has been lost in the fight against AIDS.
Although the city health department's recent warning about a rare, possibly more virulent strain of H.I.V. has caused a stir among gay men, many AIDS activists hold out little hope the news will prompt substantial or lasting changes in behavior. They point to the continued popularity of methamphetamine, which has contributed to a rise in condomless intercourse, known as barebacking, and the widespread apathy in which H.I.V. is seen as a nuisance, not a potential killer.
Compounding this laissez-faire attitude, they complain, are drug company advertisements that gloss over the disease's effects by portraying patients as the picture of perfect health.
Locally, at least, the statistics paint a mixed picture. The number of new H.I.V. infections among men who have sex with men declined slightly from 2001 to 2003, according to the most recent figures available, although in much of the country that number has been rising. But AIDS service providers, pointing to a recent spike in syphilis cases and the rise of methamphetamine abuse among gay men, fear it is only a matter of time before New York faces a new surge in infections....
http://www.nytimes.com/2005/04/03/health/03aids.html?pagewanted=all&position=