Threatening and threatened: undetectability, risk and sexuality in the «treatment as prevention» for HIV-Aids era

Authors

  • Agostina Aixa Gagliolo Instituto de Ciencias Antropológicas, Universidad de Buenos Aires https://orcid.org/0000-0003-0985-8671

    PhD student in Anthropological Sciences from the University of Buenos Aires. She is part of the UBA's Anthropology and Health Program and her research focuses on HIV / AIDS policies and technologies from an approach centered on the lives of people affected by the epidemic. Her latest publications include: Personal relationships and health policies in a municipal HIV / AIDS program in the Province of Buenos Aires, Field Notebooks (2019) and Reflections on antiretroviral treatment as prevention, Notebooks of the National Institute of Anthropology and Latin American Thought (2017). Email: agostinagagliolo@gmail.com

  • Susana Margulies ICA, FFyl, UBA https://orcid.org/0000-0001-5754-9529

    PhD in Anthropological Sciences and director of the Anthropology and Health Program of the Institute of Anthropological Sciences of the University of Buenos Aires. Pioneer in research and resource formation in the area of ​​health anthropology, disease and care processes in Argentina. She is interested in the processes of health-disease-care and life with chronic diseases, global  health policies, and food health policies. Among her latest publications are: Public health policies  and infant nourishment in the city of Buenos Aires. The rite" of milk delivery (2019), and Space, time and power in hospital care of health and disease: Contributions of an ethnography of an obstetric center (2017). Email: sumargulies@gmail.com

DOI:

https://doi.org/10.18800/anthropologica.202001.009

Keywords:

health, ethnography, global policies, everyday life, HIV, Buenos Aires, Risk, Treatment as prevention, Undetectability

Abstract

This article recovers the experience of people with HIV residing in the Metropolitan Area of the Buenos Aires Province, around «treatment as prevention» the central core of the HIV-Aids contemporary government policies. It’s an ethnographic investigation with fieldwork (24 months of 2-3 weekly visits lasting 8-12 hours each) developes between 2016 and 2018. Our empirical corpus consists of 13 in-depth interviews and extensive records of everyday interaction observations. We analyze the ways in which the virus´' undetectability and untransmittability engage into everyday life with HIV. We show that while policies present the undetectable-untransmittable relation as key to ending the epidemic and simultaneously as a powerful tool to respond to the stigma surrounding HIV, these relations become more complex in the everyday lives of those affected by it, giving rise to tense and contradictory processes between perception-interpretation-signification and practices. Amongst these processes what stands out is a redirection in the risk of disease: from the probability of transmitting the virus to others, towards others as a source of transmission for new diseases.

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Published

2020-05-19

How to Cite

Gagliolo, A. A., & Margulies, S. (2020). Threatening and threatened: undetectability, risk and sexuality in the «treatment as prevention» for HIV-Aids era. Anthropologica Del Departamento De Ciencias Sociales, 38(44), 209–234. https://doi.org/10.18800/anthropologica.202001.009