Acknowledgements
Acronyms
Introduction
Chapter 1 AIDS Comes to China
An open window lets in fresh air, and flies
Closing the window
Domestic invasion: HIV spreads in Yunnan
Chapter 2 Selling Blood Spreads HIV
Plasma collection in China
The rise of plasma selling
Early cases of HIV in plasma sellers
Early warning signs of the epidemic to come: seen but not heeded
The emergence of AIDS Villages: the media as catalyst for HIV/AIDS policy changes in China
The enduring legacy: families destroyed, stigma entrenched
Cleaning up the blood supply: comprehensive action
Chapter 3 TheAIDS Warriors
Making friends: the importance of local allies
Beneath the red lantern: examining the commercial sex trade
Lessons learned: listening to those you're trying to help
Foreign money opens the door to new approaches
Research is a back door for action
A pragmatic response: the customer is always right
Research to action: developing workable models in the sex trade
First, make no enemies
Chapter 4 AIDS Policy: China's Tipping Point
The value of international partners
Coming to terms with all the numbers
Estimating the numbers at risk for HIV: China leads the way
UNAIDS rocks the boat
The shock of SARS
A fresh promise of care
Chapter 5 Finding Those At Risk, China's Way
Activists inside and outside China opposed mass screening of plasma sellers
Forging ahead to meet local needs
Taking testing to high risk groups
So, how big is the epidemic?
Manageable goals
Chapter 6 Fulfilling a Promise: Universal Care
HIV testing as a gateway to care
The rocky road to treatment
Getting medicine to those who need it
Making treatment work for patients, and doctors
Preventing HIV transmission from mother to infant
Keeping drug users safe from HIV
Preventing HIV transmission between men and women during sex
Hitting the target
Chapter 7 China Takes Charge of a Changing Epidemic
A single, integrated data system
The evolving epidemic
A socially embedded disease requires social responses
Gay men on the frontlines
Taking over the purse strings
Finding new platforms
Chapter 8 HIV-Related Stigma and Discrimination in China: A Persistent Puzzle
The "Stigma Factor" ~
Sowing fear, reaping stigma
Supportive families are not the norm
"Innocence" is no protection
Legislative challenges and conflicts
Stigma and discrimination in the healthcare system
Enlisting help in the battle against HIV-related stigma
Chapter 9 Building on the Past, Facing the Future
Building success over 30 years
Listening, trying, measuring
"Best practice" is not always best: daring to be different
Putting national needs first
The importance of political leadership
A dedicated workforce
Challenges
Enduring stigma: silence is deadly
A changing epidemic: gay men, sexual transmission
A socially embedded approach
Adapting for the future
Community engagement in the response
Breaking the silence
90-90-90
The journey continues
Appendix HIV in China: 30 Years in Numbers
The evolving epidemic
Drug injecting spreads HIV in south-western China
Plasma sales drive a second wave of HIV
Tracking the path of the virus
Limited spread through commercial sex
HIV takes off among gay men
Heading for parallel epidemics?
Uncertainly over growing heterosexual transmission
HIV transmission between husband and wife"
Heterosexual transmission outside marriage
The Viagra TM Generation?
Funding increases by leaps and bounds
Ramping up testing and treatment
What is next?
References