hese are the opening words of one of George Gershwins most
rousing songs - "Strike Up The Band". They were invariably omitted as being too
bitter, too cynical. I cant get them out of my head as I write about the war against
AIDS
I was nearly two years old when the first Phoney War began. The term
'phoney war' was coined by historians to describe the six month lull, between the
declaration of war by the British government against Nazi Germany on September 3 1939, and
the start of the real fighting. During that period, the British busily dug defences,
stripped out iron railings to make munitions, filled sandbags, distributed gasmasks,
dispatched the first infant evacuees to safer areas, and generally got ready for the
serious business of repelling the invading hordes. The Americans stood on the sidelines,
apparently justifying their nickname of Doughboys - kneaded at the beginning
of World War 1, but not rising until halfway through. Still, it wasnt a fight most
Americans understood, as Ira Gershwins lyric shows, and a sizable portion of the US
population were of German origin, with understandably torn loyalties.
Forty-odd years later, the world was stampeded, this time largely by America, into
another phoney war, this time against HIV, "the probable cause of
AIDS". A principal difference between the two wars is that the first phoney
war was the overture to one of the bloodiest conflicts the world has seen,
culminating in the revelation in 1944 of the horrors of the concentration camps and the
obscenities of Hiroshima and Nagasaki in 1945 before final victory. The AIDS war, by
contrast, is still, some 14 years later, a phoney war, a looking glass war directed
against a non-existent enemy retrovirus, HIV. It has already cost tens of
billions of dollars, and shows no sign of being won. AIDS stands for Acquired (as opposed
to congenital) Immunodeficiency (as judged by failure to combat normally harmless
pathogens) Syndrome (a collection of diseases with a linking factor), and affects
different groups of people for group specific reasons.
Who contrived this phoney AIDS war? By 1981, the US Centres for Disease Control (CDC)
had not had a major epidemic to deal with since its inception following the polio epidemic
in the late 40s, and by the late 70s, their track record stank. After the 1976
twin debacles of the wrongly predicted swine flu epidemic which left hundreds paralysed
after the use of an inappropriate vaccine, and legionnaires disease, which was
blamed on an ubiquitous bacterium found in soil and air condi-tioning units, for political
reasons the CDC needed a genuine epidemic fast - by the late 70s, there was talk of
closing down the inefficient facility. Meanwhile, the National Institutes of Health (NIH)
were under pressure to find the cause of an apparently new aggregation of previously
barely noticed illnesses proving fatal amongst gay men and drug addicts. The National
Cancer Institute, a tentacle of the NIH, also needed a boost to its flagging reputation.
Very expensive labs had been set up as part of Nixons War on Cancer, but with the
exception of claims by Dr. Robert Gallo to have found a viral cause of leukaemia,
(subsequently completely debunked by Prof. Peter Duesberg), the National Cancer Institute
was deemed by the early 80s to have lost the war against cancer, and there was talk
of closing, or at least mothballing some of those labs. In an uneasy alliance, the CDC and
NIH, joined forces to combat a proposed AIDS epidemic, initially called GRID
(Gay Related Immune Deficiency). Can anyone seriously believe that the largely homophobic
staff at both agencies really cared that some gay men or drug addicts were dying of a rare
pneumonia, and a form of blood vessel cancer usually associated with elderly men - the two
original AIDS-defining diseases? The NIHs interest in sick gays and drug addicts
secured funding, keeping the labs working.
The first casualty in any war is truth, closely followed by common sense and
rationality. The CDC-led propaganda machine was not helped by the fact that the two
principal risk groups, gay men and drug addicts, were marginalised by society, and nobody
cared very much what happened to them. The risk groups were rather like the
Czechs whom Hitler invaded at the start of his quest for lebensraum - the rest of Europe
didn't care much, and Czechoslovakia was thought of as merely a small far away country,
about which people knew little, and cared even less. How do you whip up enthusiasm and
funding for a war which seemed to most middle-Americans to be fought solely on behalf of
faggots and junkies, whose illness was perceived by many to be selfinflicted?
The first task was to make the public aware of AIDS as a general threat to the
population at large. When haemophiliacs started to show signs of immune suppression, as
well as recipients of blood transfusions, the CDC stressed that here were cases of the
mysterious plague outside the original risk groups; some people may remember the clumsy
description by Princess Anne of the innocent victims of AIDS. The impression
was fostered that gay men and drug addicts had donated their blood and plasma to hospitals
and the manufacturers of haemophiliac clotting factors, and infected innocent bystanders.
No-one mentioned that the blood products were made from commercially acquired plasma,
including imports from countries like Haiti, Senegal, Brazil, Belize and Zaire, as well as
from drug addicts in America. I couldn't find any evidence that gays were in the habit of
selling their blood or plasma, but the propaganda machine made no mention of that. The CDC
played on popular fears and terror, and soon the world was convinced we were in for a
deadly plague which would wipe out millions by the end of the century.
Gallo and his colleagues claimed a transmissible agent, probably a virus, was involved,
and started to rummage in the 'retroviral' ragbag established in 1970 when Temin and his
team revealed the phenomenon of reverse transcription. Virologists in other countries were
also fashionably hunting for a viral cause of the new immune suppression syndrome, and
very soon laboratories in France, Britain, America, Sweden, and Germany claimed to have
come up with variants of the indirect markers that would come to be known as
HIV in co-cultures of cells from the tissues of patients, mostly gay men
suffering from lymphadenopathy and irregularities in their T-cell subsets.
The Oxford English Dictionary defines the word epiphenomenon thus:
"Secondary symptom, mere concomitant of something else not regarded as its cause or
result" - a perfect description of HIV, as the last fourteen years have
shown. That claims of detection of variants of HIV should be made almost
simultaneously in several labs world-wide seemed like confirmation that scientists were on
the right track. However, this was not the first time that different experts came to the
same wrong conclusion, as the history of diseases like beri beri, pellagra and smon shows.
I try to put myself in their place, given a first class ticket to ride the AIDS War gravy
train. If I were the first to realise that train was steaming in the wrong direction,
would I have had the guts to pull the communication cord? When Margaret Hecklers
announcement in 1984 that the probable cause of AIDS had been found was
welcomed unquestioningly by an anxious world, the enemy had been identified, and war could
be declared. No-one asked why human retroviruses had waited for thousands of years until
some seven years after Temins discovery of reverse transcription to start to cause
diseases.
After an assay to detect alleged HIV antibodies was patented, the CDC and
NIH cast their net wider, and started to test blood samples in the Third World, Africa,
South America etc. and sure enough they struck gold. The non-specific tests reacted in
some members of all these populations, and AIDS went global. The discovery that HIV
antibody positivity was distributed world-wide finally guaranteed enormous funding
for a global anti-HIV war. The World Health Organisation joined the fray, and
by the late 80s, was predicting 20 million people infected with 'HIV' by the year
2000, and 6 million AIDS cases. AIDS was being touted as an even bigger threat to
the world than the Black Death which had wiped out a third of Europe's population in the
middle ages. By comparison with AIDS, we were assured, the Black Death would seem a minor
blip in health history.
From the outset, not everyone was happy about the proposal of an HIV=AIDS=death
scenario. Dr. Joe Sonnabend had been treating immune suppressed gay men in New York for a
plethora of STDs all through the 70s, and he was convinced that AIDS was the
result of an antigenic overload. The same patients who had continually come back to him
for antibiotic and other treatments for a whole raft of herpes, hepatitis, syphilis and
other STDs then were among those who first came down with AIDS-defining conditions
in the early 80s. They had ignored his warnings that they were permanently
undermining their health. The complacent belief in the efficacy and low-to-no risk of
antibiotics had led most gay men to regard STDs and their treatment as a mere
recreational hazard. Today, however, we are continually being told that antibiotics
are losing the fight against such diseases as tuberculosis, and even in the 70s
there was a known strain of gonorrhoea allegedly brought back from Vietnam, and known as
Saigon Rose, which was highly resistant to treatment. Sonnabend founded a journal called
AIDS Research, to publish original research into feasible causes of AIDS that could not
find publication in orthodox scientific journals. The magazine was soon taken out of his
hands, re-funded by Burroughs Wellcome, and retitled AIDS Research and Human Retroviruses.
Such is the neurosis of the propaganda machine during a war that even one small enquiring
journal had to be silenced, and converted to yet another cog in the disinformation
machine. One of the most powerful weapons in any war is censorship.
One of the the first scientists to stick his head above the parapet and state his
disbelief in what was by then officially called HIV as the cause of AIDS was Dr. Peter
Duesberg, the worlds foremost retrovirologist. He was commissioned to write a paper
for Cancer Research about the role of human retroviruses in disease, the
expectation and the reality, and in an elegant work published on March 1 1987, he
demolished not only the Gallo theory that HTLV1 was the cause of Adult T-Cell Leukaemia,
but stated in the last third of the paper that from the available evidence HIV
could not be the cause of AIDS. His paper was a bombshell, and swiftly earned him the
condemnation of the fat cats in the AIDS War - he was treated as a fifth columnist or
saboteur because he had dared to break ranks and tell the truth as he saw it. The
subsequent list of such saboteurs reads like an Honour Roll -Kary Mullis,
Nobel prizewinner for the invention of polymerase chain reaction; Prof. Walter Gilbert,
Nobel prizewinner for his work on bacteriophages; Prof. Harry Rubin, winner of the p r e s
t i g i o u s Lasker Award for his work in virology; Prof. Serge Lange, the greatest
mathematician in the USA; and Britains Prof. Gordon Stewart, who has repeatedly been
refused publication of letters to leading medical journals, despite the fact that
his predictions of the numbers of AIDS cases have been consistently and uncannily
accurate. All these prominent scientists and doctors, and numerous others, expressed their
unease about the premature consensus which labelled HIV the sole cause of
AIDS.
The fact is that once the HIV-AIDS war machine was rolling, no-one on board
wanted to dismantle it and lose not only credibility but all the money and prestige that
being an AIDS expert generate. For example, The Boston Globe reported
as recently as April 18 1998:
"Two scientists who have fought bitterly over discovery rights to the virus that
causes AIDS will share a $ 100,000 prize for their joint achievements. Dr. Robert Gallo of
the University of Maryland and Dr. Luc Montagnier of the Pasteur Institute in Paris and
Queens College in New York are scheduled to share a podium at Bostons Four Seasons
hotel on April 30 to accept the 10th annual Warren Alpert Foundation Award."
The booty may console Gallo for the fact that even now, the US Government is thinking
seriously whether or not to extend funding to his posh new institute in Baltimore, due to
end officially on June 30th. (Nature Medicine, p.541, May 1998).
For some time, evidence has been growing that there are efforts afoot to
downsize or even call off the AIDS War. By the end of the 80s, the
propaganda department at the CDC were having to duck and dive to maintain the AIDS panic.
Even by finagling the estimated HIV positivity figures, which see-sawed up and
down from 1 million constant for several years, to a low of 600,000, and adding new
diseases into the syndrome, the US AIDS cases failed to live up to their inflated
predictions. Still it dawned on no-one that if the estimated, or even real, numbers of
'HIV'-positives never reflect the actual numbers of AIDS cases, they had the wrong
presumed bug in their gunsights. AIDS was the first recorded example of a virgin-soil
epidemic in which the numbers of people supposed to be infected by an exponentially
spreading pathogen were remaining stable or even diminishing.
I remember being puzzled when Margaret Thatcher cut off £350,000 funding for the
projected Medical Research Council HIV positivity survey planned for 1993. This was
designed to try to estimate the number of HIV infectees in Britain. Had she
been told by one of those secret, black and midnight Think Tanks who advise governments,
that there was no heterosexual AIDS epidemic, and that the money would be wasted? Many
people had been pointing out since the late 80s that the t h r e a t e n e d h
e t e r o s e x u a l epidemic had not materialised, and that all the g o v e r n m e n t
advisers had been totally wrong about projected AIDS figures. They were roundly denounced
as homophobes, out of touch with reality. As it transpired, the AIDS War free loaders,
speculators, profiteers, spivs, hangers on and camp followers in 1993 neednt have
worried. Wellcome came to the rescue with a sack of gold to fund the study - when you make
anti-HIV drugs, you need punters, so they paid for the MRC to find them. There
weren't many.
By the mid 90s, it seemed most people were beginning to treat the AIDS War rather
like one of those desultory, incomprehensible little civil wars rumbling on in the Balkans
or the former satellite states of the dead USSR - self-absorbed and self-inflicted, hardly
worth a glance as you turn the pages of the newspaper to find the footie results. The WHO,
realising that AIDS had passed its panic-by date in Europe, but still trumpeting a
worst-case scenario for AIDS in the 3rd World, nevertheless gave the boot to 750 workers
in the Global AIDS Programme in April 1995. After all, if AIDS cases in the West are
falling, even in the absence of a cure or a vaccine, then AIDS cannot be an infectious
epidemic at all.
What I interpret as the winding down of the AIDS war, much akin to Americas
slinking out of Vietnam, is reflected in an article in The National Journal, May 9,
1998, Pg. 1062; Vol. 30, No. 19. Entitled The AIDS Initiative, One Year Later, by
Garance Franke Ruta, it is worth quoting at length:
"Last May 18, in a commencement speech at Morgan State University, President
Clinton declared the development of an AIDS vaccine a national priority, saying, "I
am prepared to do all I can do to make it happen." He called for the development of a
vaccine within a decade, likening the endeavour to the race to land on the moon. One year
later, the National Institutes of Health (NIH) has yet to name a director to set up the
new Vaccine Research Center Clinton announced. The search process had to be reopened after
everyone in the first crop of candidates was deemed inadequate or withdrew from
consideration. And thats not the only important vacancy at NIH: The Office of AIDS
Research (OAR) has not had a permanent director since November, when the former head,
William E. Paul, decided to return to his immunology lab. And the directorship of the
vaccine and prevention research program at the National Institute of Allergy and
Infectious Diseases (NIAID) has been empty ever since Patricia Fast left last November to
join Aviron, a California-based biotech firm. The Administration has been slow to fill
positions throughout the government, and this is just another example of that," said
Jeff Jacobs, director of government affairs at AIDS Action, a Washington-based advocacy
group. "If the Administration has an intent to have this vaccine on line, they need
to move as quickly as possible to make sure the director of the vaccine center is on line
at the NIH."
This smacks of rats, sinking ships, and dodging the poisoned chalice. To head the
department which doesnt come up with a vaccine against HIV wont
look good on anyones CV.
The growing dissatisfaction amongst gay men in particular with the way in which AIDS
funding is administered by AIDS charities has become even more marked since this article
by Erin McCormick appeared last year in the San Francisco Examiner (26.4.97).
British AIDS charities should take note:
"Michael Petrelis wants to know what happened to the $1.5 billion the United
States spent on AIDS last year. The 39- year-old AIDS patient, and a growing number of
activists like him, have been willing to bang on locked boardroom doors, rifle through
file cabinets and generally raise hell to make sure money raised for AIDS goes to fight
the deadly disease and not to overhead expenses and high salaries for charity executives.
Now they are taking their crusade public with an Internet Web site that will allow donors
and people with AIDS to follow the money that goes to the dozens of charity relief efforts
around the country. "Theres a new phenomenon of people with AIDS living longer,
which means we're asking more questions about services," said Petrelis, who said
since he started prodding organisations for financial information he has been banned from
receiving full services at three Bay Area AIDS charities. "Were now questioning
where the money goes from the AIDS Walk, the AIDS Redound the AIDS Dance-a-thon because we
would like to have services like hot meals and housing," he said. The Accountability
Project Web site(www.accountability project.com), which reveals IRS tax filings and other
financial information about major U.S. AIDS charities and other nonprofit (organisations),
makes it possible for Internet surfers to get instant information about how they spend
their money. The project, an offshoot of the in-your-face AIDS activist group, ACT UP
Golden Gate, is also pushing for laws to require open board meetings, democratic
management and greater financial scrutiny for the nation's rapidly growing nonprofit
sector."
A more recent piece posted on the Rethinking AIDS website (16.4.98) from Tom
Hudson concerns the huge funding for Gay Mens Health Crisis, the original AIDS
self-help group in New York.
"I just received in yesterdays mail a reply from the New York State
Department of Charities. I had requested a copy of the financial status of the Gay Men's
Health Crisis of West 20th street here in New York. For the last fiscal year available -
ending June 30, 1996 the GMHC had received $28.3 million dollars in contributions,
including $5.2 million in government grants. GMHC spent that year $5.1 million in
FUNDRAISING expenses, which is $21.4% of their budget. They have a full time public
relations and media research staff. My dear friends, what could we do with $28.3 million a
year? Think of it. I also have before me an article in a local newspaper written by
several people including former GMHC employees who say that the place is a joke. If they
hand out a leaflet they call it patient counselling on their reports. Case after case of
clients asking for the help promised in the leaflets and posters are turned away and phone
calls are not answered whilst within the organisation they live like royalty. GMHC owns
two office buildings and occupies three others as well. They have a huge staff of
hundreds. Can you just imagine what could be done with this huge amount of money for truly
honest and health producing information? Gary Null once said that it sure pays to sell out
your integrity. Shocking as his statement was, it is proven over and over again. Now the
GMHC leaders are weeping that the CDC is reporting large decreases in AIDS deaths. They
are lamenting the news. I wont say why, but could it be because their funding is
based upon AIDS deaths?"
Nearer home, a letter to Pink Paper from Pete Forest (May 15,1998) commented
on the 3 directors of the Terrence Higgins Trust (THT) on £43,000 a year and the secret
salary of the Chief Executive Nick Partridge. On May 19, a very concerned Susie Parsons,
Chief Executive of the London Lighthouse, was inter-viewed on BBC TV news about the threat
to close the flagship hospice She was obviously deeply distressed and who
wouldnt be at the thought of losing her Directors salary reported to be
£60,000. Thats a lot of moolah for dispensing tea and sympathy. If nothing else,
the AIDS war has certainly inflated the price of altruism. For as long as diamond studded
vivandieres like Liz Taylor, Elton John and the late Princess Diana could guarantee that
the donations rolled in, the AIDS charities were awash with money and could fulfil their
function as the AIDS Wars deluxe equivalent of the Womens Voluntary Service
(WVS) but when the phoney war finally peters out, once the partys over, wholl
take care of these overpaid caterers? All the hands-on work with PWAs is done by
dedicated, unpaid volunteers or low paid workers, so we need feel no sympathy for the
executive greedies. Partridge worked hard for the Troops Out of Ireland movement before
cashing in at the THT, so perhaps hell be quite philosophical about being demobbed.
The world is getting ready for the biennial AIDS conference in Geneva, where the
nostrum floggers will be out in force, glossy brochures at the ready. I wonder if they
will spare a thought for the ultimate fate of the 1500 chimpanzees, bred specifically for
AIDS research, and now regarded as surplus to requirement, but costing the US Government
$7.3 million a year to house and feed. All those people currently earning unjustifiably
fat salaries on the backs of PWAs would do well to monitor just what happens to
their primate cousins. Perhaps they could get jobs looking after the chimps in the
sanctuaries proposed by Newt Gingrich to the US House of Representatives on May 5th.
It would be nice to think the real war against the AIDS phenomena could begin once the
phoney war against HIV has been exposed for the grotesque con trick it is, but
Im not hopeful: Phil Johnson of Rethinking AIDS posted an article from the San
Francisco Weekly (May 13 1998) by Tara Shioya dealing with the wave of Circuit
Parties sweeping the gay scene in the USA. She describes the parties on a circuit
which takes in Palm Springs, Fire Island, Miami, Atlanta, New Orleans and Montreal, where
up to 7000 gorgeous young men party non stop for three days :
"During a circuit party weekend, the dancing usually begins around 9 p.m. and
goes until 3 a.m., followed by various after-parties that run till midmorning. Most
Circuit-goers will rely on drugs - poppers (a gold-coloured liquid sold legally as
"liquid incense," which causes a high when the fumes are inhaled); crystal
methamphetamine, popularly known as crystal, "Tina," or "Crissy"; and
to a lesser extent, cocaine - to stay awake for the parties. Then there's an alphabet soup
of other illegal drugs that heighten the emotions and senses. Ecstasy ("X"), or
MDMA, is at the heart of the scene because of its relaxing and, some say, aphrodisiac
effects; it's usually taken in combination with one or more other drugs. Ketamine
("Special K" or just "K") is an anaesthetic veterinarians use on cats
and "subhuman primates"; partygoers usually dry or bake it into crystal form,
and then crush it into a fine white powder that's inhaled in "bumps" from a
small glass vial with a rounded plastic cap, called a "bullet." Users feel happy
and relaxed - unless they overdose and fall into a "K-hole," a temporary
trance-like state. GHB ("G"), Gamma hydroxybutyric acid, a liquid anaesthetic
with effects similar to Special K, is taken orally: While some users report a better high
from G, its effects are unpredictable. (Health food stores once sold GHB as a growth
hormone supplement, but the FDA took it off the market.) Too much G can induce any number
of effects, including violent vomiting or a "G-coma," which lasts hours.
Combined with alcohol, the drug can be lethal."
This list of drugs is highly reminiscent of that described by Larry Kramer in his
novel Faggots in the late 70s, just before the appearance of the first gay
AIDS cases, as well as the list given by John Lauritsen in the Meditel/Channel 4
documentary The AIDS Catch in 1990. The different combinations of these drugs,
accompanied by repeated infections with - is it? - eight different herpes viruses, who
knows how many hepatitises, and bacterial STDs, plus the mass of antibiotics used to
treat them, are going to make a lot, if not all, the sad young men very sick. When Michael
Callen described the identical lifestyle he led in the late 70s, before subsequently
developing various AIDS-defining illnesses, he was honest enough to admit that this was
the cause of his illness. As he said to me, the wonder was that he had the strength to
crawl to Joe Sonnabends surgery for treatment. Shioyas article mentions the
reservations of "AIDS experts" who ".... fear the prevalence of drug use on
the Circuit - particularly, crystal - leads to dangerous sexual practices that will
increase the spread of HIV." Wearing a condom as thick as a wellington boot will not
save anyone who repeatedly turns their body into a toxic battlefield or sticks a loaded
gun to his head and pulls the trigger? Could it be that the CDC and NIH now know they can
never win the War against AIDS by fighting HIV and are preparing to make gays
the scapegoats for their failure?
Real victory over the illnesses grouped as AIDS can only begin when gay men can be
honest and admit that in our case, AIDS is a hedonistic holocaust brought on by our own
excesses, and stop passing the buck to a harmless irrelevant epiphenomenon called
HIV. They can either get real or get dead. The choice is theirs. The fight for
gay liberation was surely about more than an inalienable right to drug-fuck each other to
death. Lest I be misunderstood, the war against AIDS-defining illnesses is a just war, a
must war, and worthy the winning; but the phoney war against HIV is a wicked
waste of time, blood, hope and treasure.