Keeping the Hetero AIDS Ogre Alive

by Michael Fumento


We've all heard horror stories of beasts who won't. But no beast was ever so deathless as some myths. So it is with the notion of heterosexual AIDS poised to devour the American populace. Pierce it with facts and science all you want; the myth lives on.

The occasion for this latest round of doomsaying was an article in the Centers for Disease Control and Prevention (CDC) publication, the Morbidity and Mortality Weekly Report (MMWR). In the article the agency looked at cases through December 1996 and admitted what has been evident from the numbers for the last few years: The AIDS epidemic has peaked and is actually in decline.

So much for Health and Human Services Secretary Donna Shalala's warning four years ago that soon because of AIDS we might not have any Americans left."

But that never stops the doomsayers. "This announcement is a wake-up call to Americans that heterosexual AIDS is not a myth," exclaimed James Loyce, chief executive office of AIDS Project Los Angeles. "We've got a very serious situation in the United States," chimed in Arthur Ammann, head of the activist American Foundation for AIDS Research (AmFAR).

"If you look at the problem in developing countries, it's more heterosexual spread, and rapidly increasing among women. We've got a developing-country situation right here in the United States."

Wrong on all counts.

Let's start with the claim that AIDS is "rapidly increasing among women." AIDS cases reported in the MMWR among women actually increased all of 2 percent in 1996.

As it happens, however, the CDC has also just released its midyear HIV/AIDS Surveillance Report, comparing cases from July 1996-June 1997 with those from July 1995-June 1996. These more recent data found that female AIDS cases actually fell almost 2 percent.

Meanwhile, female deaths from AIDS actually declined 10 percent. This was the first time there has ever been a decline in AIDS deaths among women.

As for heterosexual contact, the MMWR data show AIDS cases in that category did go up 8 percent. But using more recent HIV/AIDS report data, cases in the heterosexual contact category went up by less than 2 percent. Deaths in the heterosexual transmission category dropped 8 percent.

Are we all panicky yet, folks? Hands going clammy, forehead sweating profusely?

What's worst about all this nonsense, though, is that once again it's merely an effort to make AIDS everyone's disease equally. Or as an AMFAR slogan put it a decade ago, "AIDS is an Equal Opportunity Destroyer." But it's not and never will be. The entire increase in the MMWR's heterosexual contact category came from blacks and Hispanics. The number of cases in the white male heterosexual contact group fell 3 percent, while among white females it dropped 4 percent. Using the more recent HIV/AIDS Surveillance Report data, the white heterosexual cases dropped fully 10 percent overall.

This shift of the epidemic toward blacks and Hispanics is hardly a new trend. I noted it fully 10 years ago in my first article on AIDS in Commentary magazine.

But the activists and the media have cared not a whit for what the epidemic was actually doing, but rather for what would bring in the most cash and also the most readers and viewers.

Thus we were warned, as one headline put it, "AIDS Runs Wild Among Teen-agers." Well, give the doomsayers their due. According to the midyear HIV/AIDS report, teen-age AIDS did go up in 1996 by 10 cases. On the other hand, AIDS cases in the 20-24 age group fell by almost 200, a decline of almost 8 percent. 'Together these groups represent less than 4 percent of cases reported over the last 12 months.

Even more than teenagers, nothing tugs at the heartstrings like talk of babies with AIDS. But let's talk honestly; the number of AIDS babies is, thankfully, small and dwindling. In the midyear HIV/ AIDS report, 552 babies got AIDS apparently from their mothers. In the previous 12-month reporting period, this number was 655. AIDS babies comprised less than 1 percent of the cases in the latest report.

Yet it is among babies we can see the most stark example of how the AIDS scythe really does discriminate. Though blacks are outnumbered in the United States by whites almost 7-to-1, they had 4 times as many babies (383 to 90) born with AIDS. Hispanics had 130 such babies. Asians, with 3 percent of the population, had zero AIDS babies.

Overall, black AIDS cases slightly outnumber white ones, while in the much-vaunted heterosexual contact category they outnumber whites by more than 3-to-1.

Every year this disparity grows. Yet blacks and Hispanics remain at the back of the public health bus. Stunningly, a three-page statement by CDC AIDS director Helen Gayle, which accompanied the first "HIV/AIDS Surveillance Report" that came out this year, made no mention of any racial or ethnic group.

Thus we continue to have two AIDS epidemics. There's the real one, in which white heterosexual contact accounts for 4 percent of the epidemic.

And there's the Hollywood one crafted by the activists, the media, the government and, yes, Holly wood itself - in which if you have a group of three people with AIDS, they're bound to be a white man and wife and their baby.

And thus we continue to concentrate our resources on where the epidemic isn't, thereby short changing those who are truly suffering.

Michael Fumento is a resident fellow at the American Enterprise Institute and author of "The Myth of Heterosexual AIDS" (Regnery,1993).


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