‘Ending AIDS’ in the Age of Biopharmaceuticals

Tony Sandset is Research Fellow in the Faculty of Medicine at the University of Oslo, Norway, and the author of Color that Matters: A Comparative Approach to Mixed Race Identity and Nordic Exceptionalism.

Chapter 1: Introduction






How to have theory at the end of AIDS?






The Problem of HIV and the Problematization of the End of AIDS






On Method

Chapter 2: A Short History towards the End of AIDS






From Treatment and Prevention to Treatment as Prevention: The Second Wave of Pharamasuticalization and the possibility of an ‘HIV Free Generation’






Role of Targets and Indicators: The Logic Behind the End of AIDS



90-90-90: Three metrics, one goal, many gaps, and issues?






People and Places: Focusing on the ‘Right Places and the Right People’






Synchronizing the End of AIDS






Reviewing the Numbers: What about the 10-10-10?

Chapter 3 – Viral load maps: The entanglements between the individual, the community, and space






Introduction






Epidemiological Maps: Spatializing disease and visualizing cases






Spatializing the End of AIDS: The role of the community viral load






Viral Maps and the Media






Spaces of Risk: Viral Load Maps and the Governmentality of the End of AIDS






Ending (Community) AIDS? Communities at risk, and the governmental logic of surveillance

Chapter 4: Molecular HIV Surveillance: Issues of Consent, Ethics, and Molecular Truth Telling






Introduction






Defining Molecular HIV Surveillance: From Clinical Usage to Epidemiological Surveillance






Molecular Truth-Telling: Uncovering hidden risk groups, networks, and desires






Inferring the Role of Immigration on ‘HIV Dynamics’: The Figure of the Immigrant






Uncovering 'Risk Groups': Molecular Truth Telling, Non-Disclosed Men Who Have Sex with






Men and Heterosexual Men Who Have Sex with Transgender Women






Molecular Truths, Surveillance, and Subjectivities: Speaking Truthfully About Sex and HIV






The Ethics of it All: Consequences of Translation

Chapter 5: PrEP: The Public Life of an Intimate Drug






Introduction



‘Truvada Whores and the Truvada Wars’



Framing the Truvada Whore



Reclaiming the Inner Whore in the Name of Prevention



PrEP: Poison, Cure and the Scapegoating of PrEP Users



Marx on PrEP?



Austerity, Cost, Access and Responsibility: Whose responsibility and whose risk is it anyway?



NHS England versus 'The People': PrEP, Policy, and Uncertainty



Responsibility: Fiscal and Moral?



Ending AIDS Through PrEP: A public controversy over a reluctant object

Chapter 6 – ‘HIV both Starts and Stops with Me’: Health Promotions, Neoliberalism and Responsibility






Introduction



Responsibility both Starts and Stops with Me: Know Your Status and Access Drugs!



Framing Responsibility through Choice: It Starts with Me



A Note on Neoliberalism at the End of AIDS



Sex, Choice, Prevention and the Individual: Playing Sure to End AIDS



Disciplining for Pleasure: Anticipating, Pre-emption, Planning and Pleasure

Chapter 7: ‘The Category is: Suppress! Disclose! Survive!’, ‘Positive Living’ in Health Promotions for People Living With HIV in the Era of the End of AIDS






Suppress! Disclose! Survive!



Heroic Suppression



The Detectables? What undetectable can tell us about new norms for HIV status, and the notion of viral suppression as success criteria



Disclosure: Positive Talk as Care of the Self



The Detectables?



Concluding Remarks

Chapter 8: Conclusion: A tentative end to AIDS?






The Post in Post-AIDS and the End in Ending AIDS



Attending to the Future: Speculation as Method