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And the Band Played On

Catherine Howard
Regina Mundi, Cork

Book Review
And the Band Played On by Randy Shilts

And The Band Played On is a magnificent, enthralling, in-depth chronology of the mass ignorance and paradoxically, the hysteria which ended up costing millions of lives during the first decade of AIDS in our world. Shilts does little to sugarcoat what was possibly humanity's darkest hour and by the end of the first paragraph the sadness is already overwhelming.

The book opens on America's 200th birthday (July 4th, 1976) in New York harbour, where ships from fifty-five different nations were berthed and the crowds were counted in millions. Shilts constructs a picture of the greatest party on earth, everyone's objective is to stay out all night, have lots of fun and to not have a care in the world. But the next paragraph reads, "This was the part epidemiologists would later note, when they stayed up late at night and the conversation drifted towards where it had started and when. They would remember that glorious night in New York, all those sailors, and recall: from all over the world they came to New York". In his first page, he highlightes an omnipresent undertone which those, in their fear and ignorance persisted in screaming - that AIDS was a punishment for those who led fast-lane lives of sin and why bother doing anything to stop it, the world would be better off with less of them. While the homophobes were busy distributing gloves and masks to firemen and refusing to use CPR dummies in first aid classes, they forgot that inside we're all the same and the loss of any member of the human race should be mourned.

Unlike other books on AIDS, Shilts goes deeper into the lives of those first victims, gay men. After achieving so much they now had to deal with a bigger, more lethal, hurdle. But their fighting was in vain - AIDS hit homosexuals first only by pure coincidence, it would be two years before Haitians, Africans, haemophiliacs and non-risk heterosexuals began dying of AIDS. Suddenly, upper-class, respected, powerful people were at risk and millions of dollars of emergency funds began pouring into frivolous AIDS research. Shilts tells of the politics, too complex to even touch on here, that paid no attention and gave no help. He exposes the lies that were carefully constructed to make the government look good. The National Institute of Health (NIH) Maryland did everything but help save lives in those first few years. Grants were promised but never distributed and the joke was that NIH actually stood for Not Interested in Homosexuals. Then the politicians were pressurised and suddenly the NIH had spent $26 million (out of a budget of $3.85 billion) on AIDS research. However, it emerged that this money had in fact been spent on studies into the common cold, uncommon types of skin cancer and fungal infections. Because AIDS patients had remote chances of contracting them, it was all dubbed AIDS research. The Centre For Disease Control (CDC) received no funding in the beginning, even though it was their staff that identified the virus. At the CDC, Dr. Don Francis submitted countless funding applications but received no replies - at a time when the virus was at its height he was even refused $150 for a textbook.

In September 1982 Bill Kraus, a leading gay politician, reported startling facts relating to funding at the NIH. Shilts writes, that in his report "National Institutes of Health's research on Legionnaires Disease amounted to $34,841 per death. By contrast, the health institute had spent about $3,225 per death" for AIDS. Moreover, while thousands of people had to die of AIDS before action was taken, Legionnaires took top priority when 10 deaths and 50-odd infections occurred - the life of a gay man was worth about one quarter that of a member of the American Legion.

Five words sum up the majority's response to AIDS, and Shilts uses them for his title - and the band played on. It is an achievement just to collect and compile reams of detailed information but, he presents it with such emotion and conviction. He doesn't overshadow the main theme - the sadness, the loss. One man knew 21 close friends who had succumbed to AIDS. Twenty-one people. Imagine. Ten million people of every sex, age, nationality and social preference have had their bodies ravaged by AIDS.

And The Band Played On is the definitive AIDS chronology and, although complicated, a highly recommended read.

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