Cover image for Moving mountains : the race to treat global AIDS
Moving mountains : the race to treat global AIDS
D'Adesky, Anne-Christine.
Personal Author:
Publication Information:
London ; New York : Verso, [2004]

Physical Description:
vi, 487 pages ; 21 cm
Format :


Call Number
Material Type
Home Location
Item Holds
RA644.A25 D33 2004 Adult Non-Fiction Non-Fiction Area

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In dispatches written from around the world, Anne-christine d'Adesky reports on the greatest challenge facing us today: the global effort to provide lifesaving medicines and care to 40 million people living with HIV and AIDS in resource-poor countries, the great majority in sub-Saharan Africa. She analyzes the obstacles to providing universal access to antiretroviral drugs whose cost has been out of reach to millions until now, and she exposes the underlying and often competing agendas of donor and recipient governments, funders, activists and individuals with HIV who are struggling to survive. In lively, in-depth field reports from Cuba, Brazil, Russia, Haiti, Thailand, South Africa, China and Haiti, pilot and national treatment programs are serving as models and provide a litmus test of the feasibility of HIV and AIDS treatment in settings of abject poverty, underdevelopment, economic and political instability. Looking ahead, Moving Mountains discusses the potential of AIDS treatment programs to bolster prevention efforts, and help rebuild shattered nations and economies. It also warns of the consequences that could face individuals, nations and the world if we fail to achieve th

Author Notes

Anne-christine d'Adesky is an award-winning journalist, author and filmmaker who has written about AIDS and global politics for the Washington Post, Los Angeles Times, Nation, Village Voice, and OUT . She received amfAR's Award of Courage for pioneering AIDS journalism and has just completed a global AIDS documentary, Pills, Profits and Protest.

Reviews 2

Publisher's Weekly Review

Twenty-five million dead; 42 million infected; 35 million cases in underdeveloped countries; $10,000 per year cost for antiretroviral drugs; life expectancy falling 36 years-the grim details pile up quickly in d'Adesky's account of the global AIDS crisis. Traveling the world to witness the myriad faces of this gruesome epidemic, journalist and AIDS activist d'Adesky has created a hard-hitting, almost textbook-like recitation of the current state of affairs in the battle to vanquish AIDS. As she examines the trials and tribulations of many nations, organizations and individuals, d'Adesky finds hope where there is hope, progress where there is progress, but remains wary of any notion that the epidemic has reached its zenith or has been turned back. Rather than lapse into simple finger-pointing, like so many AIDS campaigners, d'Adesky lets the situation speak for itself with detailed descriptions of the efforts being made to alleviate the suffering of the afflicted. In Brazil, for example, the government has successfully made AIDS prevention and treatment part of the everyday life of its citizens. By contrast, in Russia, with a rapidly expanding AIDS population, the government has done little to make AIDS a priority. With more than 50 pages of appendixes laying out specific treatment and prevention programs, a more complete overview of this deadly crisis would be hard to find. (July) (c) Copyright PWxyz, LLC. All rights reserved

Choice Review

Journalist D'Adesky offers an excellent treatise documenting the successes and failures in dealing with global AIDS. She believes that providing anti-HIV drugs to the developing world is the major challenge, and illustrates her viewpoint by looking in detail at eight countries. Each chapter outlines the approaches taken by a country and highlights the successes related to prevention and treatment. D'Adesky proposes a bold plan for rethinking AIDS treatment that involves "trickle-up," not trickle-down, approaches. This model suggests that where there is a shortage of trained medical professionals, a country should rely on community and individual-based programs. Thus, in Botswana, nonprofessionals could be trained to deliver drugs. D'Adesky points out that shifting resources involves shifting power, so government leaders and health professionals likely will try to block these tactics. That said, WHO and other global resource groups have been proposing low-tech treatment guidelines that would lay out a plan for those regions where drugs, doctors, and hospitals are in limited supply. In this scenario, patients, their families, and the community would play a critical role. D'Adesky recognizes the challenges in this approach; she also suggests that one must learn from the successes in Haiti and Morocco. Her work includes useful notes, an appendix, a glossary, list of acronyms, and Web site addresses. ^BSumming Up: Recommended. All levels. D. Malamud University of Pennsylvania