Of the more than 40 million people around the world currently living with HIV/AIDS, two million live in Latin America and the Caribbean. In an engaging chronicle illuminated by his travels in the region, Shawn Smallman shows how the varying histories and cultures of the nations of Latin America have influenced the course of the pandemic. He demonstrates that a disease spread in an intimate manner is profoundly shaped by impersonal forces. In Latin America, Smallman explains, the AIDS pandemic has fractured into a series of subepidemics, driven by different factors in each country. Examining cultural issues and public policies at the country, regional, and global levels, he discusses why HIV has had such a heavy impact on Honduras, for instance, while leaving the neighboring state of Nicaragua relatively untouched, and why Latin America as a whole has kept infection rates lower than other global regions, such as Africa and Asia. Smallman draws on the most recent scientific research as well as his own interviews with AIDS educators, gay leaders, drug traffickers, crack addicts, transvestites, and doctors in Cuba, Brazil, and Mexico. Highlighting the realities of gender, race, sexuality, poverty, politics, and international relations throughout Latin America and the Caribbean, Smallman brings a fresh perspective to understanding the cultures of the region as well as the global AIDS crisis.

This publication examines the progress made on development issues and related challenges in the Latin American and Caribbean region five years after the Millennium Development Goals and associated targets were agreed by the international community. Focusing on the key theme of inequality, seven chapters consider the following issues: combating poverty and hunger; access to educational opportunities as a pillar of human development; gender equality and women's empowerment; health-related targets; ensuring environmental sustainability; financing aspects of the MDGs and international development assistance.

AIDS and the Ecology of Poverty combines the insights of economics and biology to explain the spread of HIV/AIDS and deliver a telling critique of AIDS policy. Drawing on a wealth of scientific evidence, Stillwaggon demonstrates that HIV/AIDS cannot be stopped without understanding the ecology of poverty. Her message is optimistic, with pragmatic solutions to the health problems that promote the spread of HIV/AIDS.

"The global AIDS epidemic has caused over 25 million deaths since 1981, and there is no end in sight. It is a multidimensional, phased, long-wave crisis with impacts that will be felt for decades to come. Attempts to defeat the epidemic are conventionally grounded in the three core pillars of AIDS policy: prevention, treatment and care, and mitigation. But there is also an urgent need for a deeper understanding of the integral role that food and nutrition can and should play, and a corresponding urgency to use that understanding to improve responses at all levels.The 18 essays in AIDS, Poverty, and Hunger: Challenges and Responses contribute to such an understanding by examining the impacts of HIV and AIDS on labor markets and wages, household income and consumption dynamics, and the agricultural sector as a whole; by studying the ways in which households respond to prime-age illness, death, and food insecurity; and by exploring the implications of local responses for the roles that national and international actors must play in addressing the AIDS-hunger nexus.This book creates an opportunity for development professionals to build the conceptual links lacking in current multisectoral frameworks, assess impacts and costs, propose indicators and monitoring systems, and design appropriate food- and nutrition-related interventions and policies."

The first book on the shocking reality of AIDS in Latin America.