Considering the HIV Care Continuum on World AIDS Day

Guest post by Cathy Maulsby

jainTremendous progress has been made in the fight against HIV since the first World AIDS Day in 1988. Thanks to advancements in antiretroviral therapy (ART), HIV can now be a manageable chronic disease, and in the U.S., the average life expectancy for people living with HIV (PLWH) continues to increase towards that of the general U.S. population. However, significant work remains to be done to reach the goal of ending HIV in this country. Today, approximately 1.2 million people in the U.S. are living with HIV, and certain populations (including gay, bisexual and other men who have sex with men, Black women and men, Latino men and women, people who inject drugs, youth aged 13 to 24, and transgender women) continue to be disproportionately affected. Additionally, of the 1.2 million PLWH in the country, far too many lack access to ART—the lifesaving drugs that reduce HIV transmission by lowering the level of virus in the blood (viral suppression).

In the field of HIV, we refer to the HIV care continuum—a model of the consecutive stages of HIV medical care, from initial diagnosis to achieving viral suppression—to identify gaps in services and improve engagement in care and health outcomes for PLWH. The Centers for Disease Control and Prevention (CDC) estimates that among PLWH, only 41% are retained in HIV care, 36% are prescribed ART, and 28% are virally suppressed. This means that the majority of PLWH do not have access to regular HIV medical appointments (approximately 60%), and even more (approximately 70%) are not virally suppressed. Clearly, there is significant work to be done to reduce these gaps across the continuum of care.

In July 2015, the White House released an updated National HIV/AIDS Strategy (NHAS) to guide the nation’s response to the epidemic through 2020. The updated NHAS sets specific goals to achieve the vision of a country where new HIV infections are rare, and every person living with HIV has access to high-quality care. If we are to meet these goals, it is critical that HIV programs combine effective behavioral and biomedical programs to boost linkage and retention in HIV care. Evidence-based program models—such as patient navigation, coordinated care teams, and strengths-based case management—save lives by providing the tools and support to maintain regular HIV care engagement, but reimbursement and coverage for these services needs to be expanded. In addition, there is a dearth of information on how to implement these interventions in real-life practice settings, and too few evidence-based interventions exist for some of the populations most heavily impacted by HIV, such as Black gay, bisexual and other men who have sex with men.

Through research that my colleagues and I conducted on Improving Access to HIV Care, a national HIV linkage and retention in care program funded through AIDS United with generous support from the Corporation for National and Community Service, M·A·C AIDS Fund, and Bristol-Myers Squibb, we found that a lack of support services—such as long waitlists for housing and insufficient resources for mental health and addiction services, and employment-related services—created a significant barrier to HIV program implementation. And while case management reimbursement through the federal Ryan White HIV/AIDS program provides much needed support, the demand for these services often far surpasses the available resources.

Scientific advances have given us the tools to effectively prevent HIV infection and disease progression. But HIV is a social disease, and the root causes—and the largest barriers to HIV medical care and HIV medication adherence for many PLWH—are the complex and competing needs, such as housing insecurity, addiction, mental health conditions, incarceration and unemployment. To realize the full benefit of the tools available to fight HIV, coverage for much needed case management and social support services must be expanded, and we must address, at the systems-level, the social factors that place individuals at increased risk for HIV transmission. Otherwise, the disparities we see today across the HIV continuum of care are likely to persist.

Cathy Maulsby is an assistant scientist at the Johns Hopkins Bloomberg School of Public Health and co-author of Improving Access to HIV Care: Lessons from Five U.S. Sites, which JHU Press will publish early next year.

Use promo code “HDPD” to receive a 30% discount when you place your pre-publication order for Improving Access to HIV Care.

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Eliot prose receives Modernist Studies Association prize

This post re-publishes portions of a story by Maureen McGavin that appeared online at the Emory News Center.  Read the full story here.

The second volume of a JHUP’s monumental digital work, The Complete Prose of T.S. Eliot: The Critical Edition, coedited by Emory University’s Ron Schuchard and involving the Emory Center for Digital Scholarship (ECDS), has won the Modernist Studies Association’s inaugural prize for a distinguished edition.

After decades of building relationships and literary sleuthing, English professor emeritus Ron Schuchard is bringing the complete prose of acclaimed modernist T.S. Eliot to the world. Photo courtesy of Emory Photo/Video.

After decades of building relationships and literary sleuthing, Ron Schuchard is bringing the complete prose of acclaimed modernist T.S. Eliot to the world. Photo courtesy of Emory Photo/Video.

The prize is awarded to an edition, anthology, or essay collection, published in the previous year, which made the most significant contribution to modernist studies.

“I’m honored to receive and share this prize with my coeditor, professor Anthony Cuda (Emory Ph.D. 2004) at the University of North Carolina, Greensboro, the Emory digital team, and the staff members of the Johns Hopkins University Press and Project Muse,” says Schuchard, Goodrich C. White Professor of English Emeritus at Emory.

The Complete Prose of T.S. Eliot is an eight-volume digital collection of Eliot’s published and unpublished works. The third volume was published in September, with the fourth slated to be released in December.

When complete, the fully searchable, integrative edition will include all of Eliot’s collected essays, reviews, lectures, commentaries, and letters to editors, including more than 700 uncollected and 150 unpublished pieces from 1905 to 1965. The editions are available from JHU Press on Project Muse.

“While the entire edition, projected to eight volumes, constitutes a major achievement and an indispensable archive,” the judges wrote, “Volume II is certain to be the one most used by scholars, most central to ongoing studies and re-evaluations of Eliot and the history of modernist criticism. Clear and easily grasped editorial principles and superb content notes speak to the dedication, diligence, and sound sense of the editorial team.”

Read more about The Complete Prose of T. S. Eliot and The Poems of T. S. Eliot, both available from JHU Press.


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Look! Up in the sky!

By Brian Shea
JHUP Journals PR and Advertising Coordinator

I don’t feel very special sitting in my cubicle at work. I enjoy my work and feel like I do things to help our journals and affiliated societies promote the work that they do, but think I rank among the many ordinary people playing a small role in something bigger.

Sometimes we all need a reminder that even our ordinary efforts serve an extraordinary purpose. That’s the mindset that drove the creation of the 2016 JHU Press Scholarly Journals catalog.

The superhero theme shown on the cover and carried throughout the catalog evolved out of a brainstorming session the Journals Marketing Department had at a local café. That led to more brainstorming which generated a concept executed by local artist Monica Gallagher (who also shared the work on her blog) in conjunction with Keli Strickland, the graphic designer in the Journals Division.


Artist Monica Gallagher (left) and JHUP Journals Graphic Designer Keli Strickland show off the new JHUP Journals catalog

The rest of our department—me, marketing manager Lisa Klose, senior coordinator for direct mail & renewals Janet Gilbert, and advertising and exhibits coordinator Lauren Anderson—worked from the shadows, providing feedback as the final piece came together. We’re thrilled with the result.

Those of us who work closely with the people who produce and share the scholarly research from our journals already know that those folks do superhuman work. We’re happy we are able to articulate a story which we can share with the world.

We know the authors bring their gift of new knowledge with their writing, which is guided by editors who have the special vision to find the right scholarship for their journal. The expertise of the reviewers gives the writing superhuman strength, providing the Press with the seal of approval it needs to publish the highest-quality available. From there, professional associations provide light-speed communications to promote the work through their network of scholars and librarians use their extra-sensory understanding of research methods to deliver the finished product to readers, who come to the rescue with their interest in expanding their knowledge.

And all of this starts from very humble beginnings, in cubicles like mine. We just do a good job of hiding our capes most of the time.

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Religion, politics, and Charlie Sheen

By Kathryn Marguy

Of all the celebratory hullabaloo surrounding the release of Adele’s latest album, my favorite has to be Saturday Night Live’s “A Thanksgiving Miracle” sketch. The scene opens with a family gathered around the table for Thanksgiving. As they pass around the sweet potato casserole, various members of the family start bleating close-minded, occasionally racist commentary about current events. As tensions rise, a young girl, the smallest guest at the table, slowly rises and walks to the nearby stereo to blast Adele’s single, “Hello.” The adults immediately abandon their griping and sing along in synchrony. In typical SNL fashion, the scene unravels into absurdity, and it is glorious and I love it.

But (also in typical SNL fashion) the sketch raises an issue that is all too real: how is one to cope with the strong, often incorrect commentary of those you’re spending Thanksgiving with? Without Adele’s sultry siren’s call, how can you successfully traverse a conversation with your family’s Archie Bunker?

The answer? Cold, hard facts.

That’s where America’s Oldest University Press comes in. We’ve compiled a list of six books that will help you drop some knowledge on those Thanksgiving guests who might need an extra nudge toward reality. Within the pages of these books are many quotable quips to use in discussion. They’d also make great presents for those seeking more answers (bonus: they’re easy to wrap). We can’t guarantee these books will smooth a kerfuffle, but it’s always a good idea to go into a situation prepared with evidence-based reasoning. Plus, you can use the code “HDPD” for 30% off these enlightening texts!

Already on the road? You’ll be happy to know all of these books are available in an electronic format for on-the-go reading.

The holiday season is upon us, curious readers. Spread good cheer and a little bit of knowledge this year.

callahanThe Science of Mom, by Alice Callahan, PhD

It seems everyone has an opinion about proper parenting (this includes those with and without children). Whether you face discussions of co-sleeping, baby’s nutrition, or the absurdly volatile matter of immunizations, Dr. Alice Callahan has you covered.

formisano15Plutocracy in America, by Ronald P. Formisano

This is a big one. Dr. Formisano’s data-driven book gets to the root of inequality in America. After reading its easy-to-digest chapters, you’ll be able to share relevant statistics and information about legislation without batting an eye as you ladle gravy over your potatoes.

paulImmunity, by William Paul

Let’s face it, the topic of Charlie Sheen is ripe for conversation, no matter how dignified your dinner guests. It’s easy to caricature his situation to make assumptions about HIV. Shut down erroneous chatter with a comprehensive look at immunology from the man who led innovation in the field for the past three decades.

smithDiversity’s Promise for Higher Education, second edition,
by Daryl G. Smith

Beyond flashy headlines and dramatic images, the lack of diversity in higher education identifies a problem not with football players or student protesters, but with institutional leadership. Dr. Daryl Smith provides tangible solutions to the growing issues with diversity on college campuses.

prasadEnding Medical Reversal,
by Vinayak K. Prasad, MD, MPH, and Adam S. Cifu, MD

We’d like to think new treatment and tests represent advances in the field of medicine. But what happens when doctors start using a medication, procedure, or diagnostic tool without a robust evidence base? Medical reversal, that’s what. Drs. Prasad and Cifu help readers discern best medical practices based on facts, not Cousin Brittney’s assurances.

dowdGroundless, by Gregory Dowd

The elephant at every Thanksgiving table is the genocide of Native Americans that shortly followed the first Thanksgiving. Groundless looks at rumors and tall tales that pervaded early-American culture, many of which cast aspersions on Native Americans. In this fascinating book, historian Gregory Dowd refutes numerous folk stories, including the legend that the English gave smallpox blankets to Powhatan’s people.

Kathryn Marguy (@pubkat) is a publicist at Johns Hopkins University Press.


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Va. Tech professor on post-traumatic writing

The most recent issue of the journal American Imago featured four essays focused on grief and loss. The issue, titled “Memory and Remembrance: Essays in Psychoanalytic Autobiography,” contains “Lockout: Spacing Trauma and Recovery in the Aftermath of the Virginia Tech Shootings,” an essay written by Virginia Tech University faculty member Stefanie Hofer. She lost her husband, Jamie Bishop, on April 16, 2007 during the deadliest school rampage in the US history. Hofer joined us to talk about her post-traumatic writing and how it has helped her to persevere and heal.


Podcast transcript

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Communicating Reproduction

The Fall 2015 issue of the Bulletin of the History of Medicine is a special issue, “Communicating Reproduction,” that sets an agenda for a long-term vision in this field. Tackling topics from medieval fertility charms to home birth activism, the five essays give a rich sense of current research.

bhm.89.3_frontThe issue is edited and introduced by a group from the Department of History and Philosophy of Science at the University of Cambridge: Nick Hopwood, Peter Murray Jones, Lauren Kassell, and Jim Secord. Hopwood and Jones participated in a Q&A about the issue.

JHUP: What’s the idea behind this special issue?

NH: Reproduction became very prominent and controversial in the 1970s. Especially since then, historians have contributed much excellent research to the debates. Topics have included childbirth, contraception and abortion, genetics and embryology, and population control. But, not unusually, these studies are too often fragmented between historical periods. The main frameworks, which were also set up in the 1970s, are showing their age. We need some long-term perspectives to draw together and revitalize the field.

PMJ: Communication is key because controlling reproduction and controlling communication about reproduction have always gone together. That very fact has meant that communication tends to be taken for granted. Taking it seriously means reconstructing the conditions for communication, and how it did or didn’t succeed. And this approach lends itself to thinking over the long term. People have asked some very similar questions for centuries, such as “What do male and female contribute?” and “How can we produce healthy children?” But the form of the questions and their audiences have changed dramatically. We’re interested in how that has mattered.

JHUP: How did you approach tackling such a long period of time?

NH: That’s been the biggest challenge. We’re involved in a Wellcome Trust-funded research programme, “Generation to Reproduction,” that goes from antiquity to the present day. Some of us worked together on an exhibition, Books and Babies, that covers the same timespan. So we’ve become used to pooling knowledge in an effort to see beyond our own period expertise. It was an obvious move to invite international colleagues with interests in this approach to join us for the conference that led to the special issue.

PMJ: The issue showcases work from medieval Europe to the late twentieth-century United States. My own article with Lea Olsan shows how medieval men as well as women were involved in rituals for conception and childbirth. Jennifer Richards reconstructs how women read, wrote about, and critiqued one of the most popular midwifery books in early modern England. Alicia Puglionesi investigates how sellers of books on sex and contraception in late nineteenth-century America evaded the Comstock Laws. Solveig Jülich provides insight into the making of the best-selling advice book, A Child Is Born, at a key moment in the history of medicine and the media. Her article reproduces some striking photographs that place Lennart Nilsson’s fetal photographs in context. We put one on the cover. And Wendy Kline explores the relations between countercultural print and the home birth movement in the 1970s.

JHUP: How do the articles work off each other—are there linking themes?

NH: The issue brings these various topics into dialogue through a common concern with technology. The relations between the introduction of new communication technologies and changes in reproduction have been more complex and subtle than is usually realized. This applies to the shift from an older, broader framework of generation to the modern reproduction in the decades around 1800. It also helps us appreciate the paradox that the rise of mass communication did not make everything the same, but rendered meanings even more contested and unstable than before.

PMJ: Our introduction picks out three more specific themes. From the Bible to Brave New World, stories have helped people make sense of the complexities of generation and reproduction. There are also important issues of expertise: who could say what and on what authority? And since knowledge in these areas was often passed over in silence or kept secret, we need to consider relations between knowledge and ignorance. This matters, because communicating reproduction is a story of gaps, misunderstandings, and misreadings—even, perhaps especially, in the seemingly homogenized world of the digital media today.

JHUP: What do you hope happens from here?

NH: Great work has been coming out regularly and there’s more in the pipeline. For example, here in Cambridge, Jesse Olszynko-Gryn, Caitjan Gainty, and Patrick Ellis recently organized an exciting conference on “Reproduction on Film.” But ironically, even those of us who study communication would benefit from communicating more broadly among ourselves. We’d like to think that this special issue will assist colleagues in placing studies of particular periods, media, and genres within longer and broader histories. This will add depth and multiply points of comparison, while opening up the conversation—among historians and other scholars, and hopefully with practitioners too.

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Meet us in Boston: Modernist Studies Association

If you are in Boston for MSA17, be sure to stop by Booth #5 in the Essex Foyer to meet our staff, browse our latest publications, and take advantage of special meeting discounts. Throughout the meeting and after, JHUP books will be available at a 30% discount when your use the discount code HEAU. Check out what’s new and recent from JHUP in modernist studies!

The Complete Prose of T.S. Eliot: Volume 3The JHU Press will host a Champagne Reception at 3 p.m. on Friday, Nov. 20, to celebrate The Complete Prose of T. S. Eliot: The Critical Edition (Volumes 1–4) and The Poems of T. S. Eliot (Volumes 1 and 2). Stop by Booth #5 in the Essex Foyer to toast the success of this multi-year collaboration among Eliot’s Estate, Faber and Faber Ltd., Johns Hopkins University Press, the Beck Digital Center of Emory University, and the Institute of English Studies, University of London.

The Complete Prose of T. S. Eliot gathers for the first time in one place the collected, uncollected, and unpublished prose of one of the most prolific writers of the twentieth century. The eight-volume critical edition dramatically expands access to material that has been restricted or inaccessible in private and institutional collections for almost fifty years.

The fully searchable, integrative edition includes all of Eliot’s collected essays, reviews, lectures, commentaries from The Criterion, and letters to editors, including more than 700 uncollected and 150 unpublished pieces from 1905 to 1965. Each item has been textually edited, annotated, and cross-referenced by an international group of leading Eliot scholars, led by Ronald Schuchard, a renowned scholar of Eliot and Modernism.

eliotpoemsv1The critical edition of T. S. Eliot’s Poems establishes a new text of the Collected Poems 1909–1962, rectifying accidental omissions and errors that have crept in during the century since Eliot’s astonishing debut, “The Love Song of J. Alfred Prufrock.” As well as the masterpieces, the edition contains the poems of Eliot’s youth, which were rediscovered only decades later, others that circulated privately during his lifetime, and love poems from his final years, written for his wife Valerie Eliot.

Christopher Ricks and Jim McCue have provided a commentary that illuminates the imaginative life of each poem. Calling upon Eliot’s critical writings, as well as his drafts, letters, and other original materials, they illustrate not only the breadth of Eliot’s interests and the range of his writings, but how it was that the author of “Gerontion” came to write “Triumphal March” and then Four Quartets. Thanks to the family and friends who recognized Eliot’s genius and preserved his writings from an early age, the archival record is exceptionally complete, enabling us to follow in unique detail the progress of a mind that never ceased exploring.

Literature in the Ashes of History
By Cathy Caruth

Cathy Caruth juxtaposes the writings of psychoanalysts, literary and political theorists, and literary authors who write in a century faced by a new kind of history, one that is made up of events that seem to undo, rather than produce, their own remembrance. At the heart of each chapter is the enigma of a history that, in its very unfolding, seems to be slipping away before our grasp.

What does it mean for history to disappear? And what does it mean to speak of a history that disappears? These questions, Caruth suggests, lie at the center of the psychoanalytic texts that frame this book, as well as the haunting stories and theoretical arguments that resonate with each other in profound and surprising ways. In the writings of Honoré de Balzac, Hannah Arendt, Ariel Dorfman, Wilhelm Jensen, Sigmund Freud, and Jacques Derrida, we encounter, across different stakes and different languages, a variety of narratives that bear witness not simply to the past but also to the pasts we have not known and that repeatedly return us to a future that remains beyond imagination.

These stories of trauma cannot be limited to the catastrophes they name, and the theory of catastrophic history may ultimately be written in a language that already lingers in a time that comes to us from the other side of the disaster.

Sublime Noise: Musical Culture and the Modernist Writer
by Josh Epstein

When Stravinsky’s Rite of Spring premiered in Paris in 1913, the crowd rioted in response to the harsh dissonance and jarring rhythms of its score. This was noise, not music. In Sublime Noise, Josh Epstein examines the significance of noise in modernist music and literature. How—and why—did composers and writers incorporate the noises of modern industry, warfare, and big-city life into their work?

Epstein argues that, as the creative class engaged with the racket of cityscapes and new media, they reconsidered not just the aesthetic of music but also its cultural effects. Noise, after all, is more than a sonic category: it is a cultural value judgment—a way of abating and categorizing the sounds of a social space or of new music. Pulled into dialogue with modern music’s innovative rhythms, noise signaled the breakdown of art’s autonomy from social life—even the “old favorites” of Beethoven and Wagner took on new cultural meanings when circulated in noisy modern contexts. The use of noise also opened up the closed space of art to the pressures of publicity and technological mediation.

Building both on literary cultural studies and work in the “new musicology,” Sublime Noise examines the rich material relationship that exists between music and literature. Through close readings of modernist authors, including James Joyce, T. S. Eliot, Edith Sitwell, E. M. Forster, and Ezra Pound, and composers, including George Antheil, William Walton, Erik Satie, and Benjamin Britten, Epstein offers a radically contemporary account of musical-literary interactions that goes well beyond pure formalism. This book will be of interest to scholars of Anglophone literary modernism and to musicologists interested in how music was given new literary and cultural meaning during that complex interdisciplinary period.

Metahistory: The Historical Imagination in Nineteenth-Century Europe
by Hayden White

Since its initial publication in 1973, Hayden White’s Metahistory has remained an essential book for understanding the nature of historical writing. In this classic work, White argues that a deep structural content lies beyond the surface level of historical texts. This latent poetic and linguistic content—which White dubs the “metahistorical element”—essentially serves as a paradigm for what an “appropriate” historical explanation should be.

To support his thesis, White analyzes the complex writing styles of historians like Michelet, Ranke, Tocqueville, and Burckhardt, and philosophers of history such as Marx, Hegel, Nietzsche, and Croce. The first work in the history of historiography to concentrate on historical writing as writing, Metahistory sets out to deprive history of its status as a bedrock of factual truth, to redeem narrative as the substance of historicality, and to identify the extent to which any distinction between history and ideology on the basis of the presumed scientificity of the former is spurious.

This fortieth-anniversary edition includes a new preface in which White explains his motivation for writing Metahistory and discusses how reactions to the book informed his later writing. In a new foreword, Michael S. Roth, a former student of White’s and the current president of Wesleyan University, reflects on the significance of the book across a broad range of fields, including history, literary theory, and philosophy. This book will be of interest to anyone—in any discipline—who takes the past as a serious object of study.

JHU Press Journals:

New Literary History
Studies in the Novel
MFS: Modern Fiction Studies

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