Because it has been almost three decades since the AIDS pandemic first exploded into public consciousness, it may be hard for some to believe that there are still vast pockets of the country in which un- and under-treated people continue to suffer, and where public health experts and AIDS activists are not much closer to getting a handle on the problem than they were three decades ago.
Within Black communities, this doleful reality is becoming increasingly apparent, as people are alarmed to discover that Black women are the fastest-growing group of AIDS sufferers, representing 67 percent of all new HIV infections in the U.S. among women. Within Dallas County, there are currently 14,000 people living with HIV/AIDS, more than a third of whom are Black. Blacks are 48 percent of the newly-diagnosed (compared with 28 percent for whites and 23 percent for non-white Hispanics). 1 in 89 Black individuals in Dallas County are living with HIV/AIDS. *
And Dallas is no anomaly. Despite being just 13 percent of the U.S. population, African-Americans are 50 percent of all of those living with HIV.
Given the ways that the socioeconomic profile of the “typical” AIDS patient has evolved over time, experts everywhere are insisting on the need for new paradigms and, for Black communities especially, new urgency.