THE HISTORY AND ORIGIN OF HIV/AIDS:
AN ANALYSIS OF THE BOOK, "THE CHIMP AND THE RIVER" by DAVID QUAMMEN
Being a gay man, I have always had
a fascination with AIDS: the epidemic that hit the gay communities in the late
seventies, the stories of the heroes and villains that came out of it and the
sociopolitical movement it help push forward that humanized the LGBT community.
AIDS, or acquired immune deficiency syndrome is caused by the HIV virus, this
is widely known knowledge but what isn’t widely known and what wasn’t
officially known until about 2007 was the origin of the virus, one that has
killed over 39 million people worldwide.
What makes AIDS/HIV so socially and
politically charged, especially in the U.S., is its connection and relevance to
the male homosexual communities of mainly San Francisco, New York City and
Miami when the virus was identified and labeled in the early 1980s. Since its
“birth” into the public eye, the virus has been plagued by many misconceptions
and slanderous accusations such as: being labeled by politicians and religious
people as a curse on the gay community for being homosexuals, how the virus is
transmitted, and the infamous “patient zero”. These myths and lies, while some
being respectively reactionary to a deadly virus, have caused a lot of grief,
rejection, prejudice and ignorance that have affected many people involved with
the virus. The sad reality is the fact that ignorance, led by the socially and
politically charged lies, to this day masks the reality about AIDS and the HIV
virus.
The reality is that since its
appearance in the gay communities in the late 1970s, scores of doctors,
virologists, biologists, phylogeneticists etc… have meticulously studied the
HIV virus and leaned not only the way it attacks the cells of the body but the
origin and nature of the virus. In David Quammen’s book, “The Chimp and the
River”, Quammen tells the history of AIDS/HIV virus, from how it was identified
to the origin of the virus itself. This book brings to light the realities of
the virus, information that could have toppled the hurtful lies about the virus
and saved many people in the process.
The book focuses on three main
scientific points of the virus: First, the early days of identifying the virus,
second, the different mutations of the virus and where they come from, and
finally the actual origin of the virus. The book starts with the scientists
Michael Gottlieb and Alvin Friedman-Kien, Dr. Gottlieb was an assistant
professor at the UCLA Medical Center in California while Dr. Kien was a
dermatologist in New York. At roughly the same time, about a month apart, these
doctors noticed a strange pattern of infections in a handful of their patients,
infections that should normally and easily be fought off by any healthy adult.
All of the patients were homosexual men and over the next six months died.
Further cases spread up over the next few years and a few teams of doctors
raced to identify the cause of these deaths. The book states that in the early
80s there was only one known human retrovirus called human T-cell leukemia
virus (HTLV) and many raced off in that direction. As a result, the virus was
wrongfully identified as HTLV-III/LAV because scientists thought it was another
strand of HTLV. It wasn’t until 1983 that the virus was labeled as human
immunodeficiency virus (HIV) and identified as the virus that cause AIDS, which
was itself identified the year before.
Once the virus was labeled,
scientists quickly realized that there were two main groups of the HIV virus
(HIV-1 and HIV-2 respectively) and that these groups had multiple strands of
the virus, all slightly different from each other. They also realized that HIV
was very similar to SIV (Simian Immunodeficiency Virus) the retrovirus found in
many species of primates. Like HIV, SIV has multiple strands or groups that
infect different primates. Quammen (the author) explains how the different
subdivisions of HIV and SIV were discovered and how they are related to each
other. HIV-1 is the more virulent
(aggressive and lethal) virus and contains 4 different subgroups: M, N, O and
P. Groups M-O come from the SIVcpz
that is in chimpanzees, whereas group P (which was identified recently) comes
from the SIV in gorillas. On the other hand, the HIV-2 group is less lethal and
virulent but contains the first subgroup to be both identified and connected to
SIV. The subgroups are labeled A - H and resemble the SIVsm found in sooty mangabey
monkeys.
While the different subgroups of
viruses were being identified, other scientists were trying to figure out how
the HIV virus came to be, how it crossed over from a primate to a human (called
spillover) and then spread throughout the world. As stated in the previous
paragraph, the group HIV-1 is the group that contains the strand of virus that
caused the AIDS epidemic we all know about. The subgroup is labeled as HIV-1
group M (for “Main”) without this group, there would be no epidemic and
millions of deaths. Quammen explains that scientists looked at two important
factors to find the origin of the virus. First were the mutations of the virus’
DNA that happen in DNA replication that they took from samples of infected
people and primates. Looking at the number of mutations tells the scientists
how long the virus has been in a host; the more mutations the longer the virus
has been in a host. Second, was the ability to compare the HIV-1 M virus to the
SIVcpz found in
chimpanzees, when scientists had identified that the HIV-1 M virus came from
chimpanzees they set out to find what tribe of chimps had the virus first.
Using feces of chimps and a lot of trekking through African jungles, a group of
scientists lead by Beatrice Hahn located the geographical origin of the whole
pandemic by finding a tribe of chimps with the most mutated SIVcpz that infallibly resembled
HIV-1 M, and that was Southeastern Cameroon.
The boom goes on to explain how
even SIV came to be and then fictionally accounts how the first bushman got
infected while cutting up an infected chimp in Cameroon through a cut on his
hand and then slowly spread it throughout the world. Through the DNA mutation
analysis, scientists believe that this man was infected as early as 1908 and
say it is soundly accurate, give or take a couple years. I truly loved this
book, AIDS was and still is an epidemic that plagues our world and has affected
many people in the LGBT culture that I heartily identify with. I have seen the
effects of AIDS and even watched as someone was told they have tested positive
for HIV. The knowledge that this book contains makes the virus that less scary,
less of an unidentified monster lurking in the dark and I wish that these
scientific facts could have been identified sooner than 2007 because I feel
this knowledge would have softened the pain of many men and women and lessen
the guilt and stigma that comes with being HIV+.
Written by Cory Martin