There's been a lot of posts lately, remembering a weirdly romanticized version of the political activism spurred by the AIDS crisis in the 1980s and 1990s. Everyone likes to talk about Larry Kramer and ACT UP, but how many actually remember the rest of the story? 🧵
Behind the political activism, there were real people really dying from a real illness while the rest of the world really just ignored it. Kinda like today, actually - but weirdly no one likes to discuss this part of history. 🧵
I get why it makes a good call to action but if we're gonna use their efforts we could at the very least respect their stories. Too few in our community are even willing to acknowledge the other aspects of the AIDS Crisis. 🧵
Note: if you lost friends or loved ones to AIDS, the rest of this thread will trigger painful memories. Its intended to remind those who were privileged enough to look away then.
All images from Google; I have blurred all faces as I have no idea if proper consent was given 🧵
Here in developed Western nations, in 4 short decades, we have completely forgotten what it was like to watch people dying from AIDS - both in the years before HIV was identified, and the years after before there was treatment. 🧵
We've forgotten the pain of losing a family member. 🧵
We've forgotten the hell of watching a best friend or lover slip slowly away - and maybe wondering if you're next all the while. 🧵
Hell, we've even forgotten that the early treatments were sometimes almost as awful as the illness. 🧵
Children died, too, while the world looked away. When anyone finally cared, they were called the "innocent victims," as if everyone else somehow deserved it. But no one did then, and no one does now. 🧵
AIDS is the name given to the syndrome caused by HIV. The syndrome is characterized by depletion of immune cell subsets, dysfunction of cell-mediated immunity, reactivated and opportunistic infections, cancers, and autoimmune disorders. 🧵
The infections were usually the killer. Patients experienced invasive fungal infections like cryptosporidium, candidiasis, pneumocystis, coccicoidosis; bacterial infections like mycobacterium, strep A, salmonella, staph; or complications of reactivated CMV, VZV, EBV, etc. 🧵
Cancer - notably Kaposi's Sarcoma - was also common & one of the more well known issues because of its outwardly visible nature & its propensity to manifest as lesions on the face. But it can also appear on other parts of the body. Like toes🧵
But that's all just diagnosis. Lets talk about symptoms - that ranged from fatigue and muscle aches & weakness, to severe gastrointestinal issues, to various itchy or painful rashes. Like this one, from disseminated VZV. Its like shingles, but all over the body. 🧵
The worst may have been the grief, though. Grief for friends and loved ones already lost, grief for those dying, and most of all? The grief and despair of knowing you're dying and no one cares. 🧵
I usually close my threads by asking you to support me on ko-fi if you like my writing, and while that would definitely be appreciated it just doesn't feel right this time. So here's the page to buy merchandise from or donate to @actupny instead. /🧵 give.actupny.com/gear/
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Lots of interesting papers have dropped in a short period of time. But no one is connecting the dots. I want to discuss that, but lets start with this paper about large data sets, perspectives, and elephants. Because it sums up the problem well. 1️⃣
Take, for example, this preprint on pediatric long covid that found dysregulation of myeloid compartment, T, B, and NK cells in kids. They frame it as specific to kids, different from that seen in adults.
See, here is another paper that has nearly identical findings in adult patients. But now literature will appear to support the idea of distinct conditions, perpetuating the myth of covid affecting kids differently.
This is especially poignant to write, given my current situation. Honestly, I'm not sure what I can say that the article didn't already lay out, except that it's about damn time - and I fear it will come too late for too many of us.
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I'm also acutely aware that Michael and many others who follow me have been in this same position before - a novel virus, immune dysfunction, no treatment and the world at large doesn't give a shit even as people are dying.
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"scientists believe that the SARS-CoV-2 virus may be subtly altering our immune systems"
"The plausibility is there. The precedent is there."
What no one wants to say out loud is that it is happening. And we have seen it all before. And that precedent is HIV.
Its related, but complicated. We know a lot more about the virus and how it causes damage over time than we did in the early days. Also, U=U & TasP are now important factors.
But it wasn't always this way. Time for history lessons... and a discussion of why it matters
First, a brief reminder that the illness that came to be called AIDS was first identified in June 1981 & the first treatment - AZT - wasn't approved until March 1987. Originally a cancer drug, early adaptations for HIV used too-high doses and had horrific side effects.
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Its also important to remember that in the early eighties, we did not yet understand that untreated HIV can be asymptomatic for many years before progressing to AIDS, or that this would inevitably happen eventually in nearly all cases.
The fake debate about whether or not immune dysregulation persists, which is falsely framed with all the wrong terminology to keep us confused, doesn't actually even matter.
It is settled science that SARS-CoV-2 causes acute lymphopenia in hospitalized patients.
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Before you mistakenly interpret that to mean *only* hospitaized patients... quick, what's your CD4 count?
Unless you have HIV or cancer, or have had it checked since covid because you read - its unlikely that either you or your doctor have ever thought about it.
I've written ad nauseum about my journey thru this long covid nightmare for over five years now. You're probably all sick of hearing about it by now, but I figure you stick around because you think I'll find the answers somehow. And maybe I did, but you ain't gonna like it. 🧵
For those few that don't know - I contracted SARS-CoV-2 (herein, sars2) early in 2020 and subsequently developed persistent cd4 specific lymphopenia (the same type of immune deficiency seen in advanced HIV/AIDS) 🧵
That has led to a years long battle with opportunistic and reactivated latent infections, as we struggle to find some way to treat the underlying cause - which research has shown over and over to be persistent sars2. 🧵
I know everyone wants quick answers for #LongCovid but the thing is, they don't exist. Not for us, and not for #Virology or #Immunology in general. And when you try to force it, you run the risk of making things worse and not being able to determine the cause. 🧵
It's horrific and inexcuseable that the healthcare system, governments, and researchers have left us in the position of trying to live long enough for them to unass their heads and help us, but here we are. Thing is, that means we have to do it smart. 🧵
To do that, let's back up and review the scientific method. Some may vaguely remember it, from way back in the elementary school science fair days. But most folks these days, seem to have never learned it at all. 🧵