Antiblack Racism and the AIDS Epidemic: State Intimacies by Adam M. Geary (auth.)

By Adam M. Geary (auth.)

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23 Thus, for Washington, DC and Detroit, the more-thorough concentration of hyper-poverty has meant that dispersion patterning in those regions has almost exclusively correlated to commute patterns (93% and 88% respectively). For New York and Philadelphia the relative dispersion of the racialized poor has affected the patterning of disease dispersion, with HIV traveling more closely along the corridors of racialized poverty before spreading from those corridors. ”24 Specific geographies of economic and racial domination have produced specific, regional geographies of the AIDS epidemic.

Against the fantasies of the “outbreak narrative,” health geographers have discovered that disease diffusion—the movement of disease through space over time—within interconnected geographies like nation-states, obeys relatively structured rules that are irreducible to individuals or groups of individuals. While disease transmission may be analyzed in terms of individual contact or local networks of individuals, micro analyses are inadequate for explaining large-scale diffusion patterns. Rather, at scales beyond the individual, disease concentration and diffusion are strongly structured by social organization and social inequality.

R e t h i n k i n g A IDS i n B l a c k A m e r i c a 27 The Book’s Structure The following chapters explore and elaborate the role of antiblack racial formation in the structuring of HIV exposure and transmission for black people. In chapter 2, I analyze the place of AIDS in the United States as an index of the forces structuring vulnerability to disease. ”78 As mentioned above, health geographers have demonstrated that the mid-twentieth-century inner-cities provided the key human geography for the emergence and dispersion of HIV in the form of a coherent national epidemic in the United States.

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