'As with the AIDS epidemic, sluggish responses from governments and international institutions, plus outright homophobia and bureaucratic bumbling, have hampered efforts to contain the outbreak' – epidemiologist gregggonsalves on the spread of monkeypox
As a young man, I watched an epidemic wash over the bodies of dozens I knew and loved, carrying them away while many people went blithely about the ordinary business of their lives. Starting in the 1980s, the AIDS epidemic, as the late activist Vito Russo said, was “like living through a war which is happening only for those people who happen to be in the trenches”.
Very often, humanity has the ability to prevent and treat infectious disease; not doing so is a political choice.I and others spent weeks clamouring for better access to monkeypox testing — which, here in the United States, was centralized at state health departments, until the Centers for Disease Control and Prevention finally allowed commercial vendors to offer tests.
In 2018, I said, “infectious diseases will always be with us, but epidemics are a human creation”, musing on the Ebola outbreaks then spreading in West Africa, the importation of cholera into Haiti by United Nations peacekeepers in 2010 and the AIDS epidemic. The response to AIDS, Ebola, cholera, monkeypox and any number of neglected diseases, including major killers such as tuberculosis, isn’t mere negligence. It’s public policy that embraces suffering and death. Even our language is a dodge.
As scientists, as clinicians, as public-health experts, we do our jobs in our laboratories, at the bedside, at our laptops. We learn a tremendous amount about disease, and develop vaccines and treatments for the patients who arrive at our clinics. But perhaps we need to do more.
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