Timeline of important milestones related to HIV/AIDS
This is a timeline of HIV/AIDS, including cases before 1980.
Pre-1980s
Researchers estimate that some time in the early 20th century, a form of Simian immunodeficiency virus found in chimpanzees (SIVcpz) first entered humans in Central Africa and began circulating in Léopoldville (modern-day Kinshasa) by the 1920s.[1][2][3] This gave rise to the pandemic form of HIV (HIV-1 group M); other zoonotic transmissions led to the other, less prevalent, subtypes of HIV.[3][4]
- 1930s to 1950s
- A range of small scale Pneumocystis pneumonia epidemics occurred in northern and central European countries between the 1930s and 1950s,[5] affecting children who were prematurely born. The epidemics spread likely due to infected glass syringes and needles. Malnutrition was not considered a cause, especially because the epidemics were at their height in the 1950s. At that time war torn Europe had already recovered from devastation. Researchers state that the most likely cause was a retrovirus closely related to HIV (or a mild version of HIV) brought to Europe and originating from Cameroon, a former German colony. The epidemic started in the Free City of Danzig in 1939 and then spread to nearby countries in the 1940s and 1950s, like Switzerland and The Netherlands.
- 1959
X-ray showing infection with Pneumocystis carinii pneumonia
- The first known case of HIV in a human occurs in a man who died in the Congo, later confirmed as having HIV infection (from his preserved blood samples).[6][2]
- June 28, in New York City, Ardouin Antonio,[7] a 49-year-old Haitian shipping clerk dies of Pneumocystis carinii pneumonia, a disease closely associated with AIDS. Gordon Hennigar, who performed the postmortem examination of the man's body, found "the first reported instance of unassociated Pneumocystis carinii disease in an adult" to be so unusual that he preserved Ardouin's lungs for later study. The case was published in two medical journals at the time,[8][9] and Hennigar has been quoted in numerous publications saying that he believes Ardouin probably had AIDS.[10][11][12]
- 1960s
- HIV-2, a viral variant found in West Africa, is thought to have transferred to people from sooty mangabey[13] monkeys in Guinea-Bissau.
- Genetic studies of the virus indicate that HIV-1 (M) first arrived in the Americas in the late 1960s likely in Haiti or another Caribbean island.[14] At this time, many Haitians were working in Congo, providing the opportunity for infection.[15]
- 1964
- 1966
- Williams and Williams note that an unusually high incidence of simultaneous Kaposi's sarcoma, River Blindness, and Femoral hernia in patients within the West Nile sub-region of Uganda. They went on to speculate that the Black fly which transmits River Blindness may also transmit the causative agent for Kaposi's sarcoma.[17]
- Slavin, Cameron, and Singh note first that research indicates that, quote "Kaposi's sarcoma occurs with great frequency in indigenous African Negroes", and then goes on to describe 117 cases of Kaposi's Sarcoma (including cases in children indicative of vertical transmission), typical of HIV/AIDS infection. Finally, they note that, at the time of publication, 4% of malignancies diagnosed in Tanzania by biopsy indicated Kaposi's sarcoma as the causative agent.[18]
- 1968
- A 2003 analysis of HIV types found in the United States, compared to known mutation rates, suggests that the virus may have first arrived in the United States in this year.[19][medical citation needed] The disease spread from the 1966 American strain, but remained unrecognized for another 12 years.[15][medical citation needed] This is, however, contradicted by the estimated area of time of initial infection of Robert Rayford who was most likely infected around 1959.[original research?]
- 1969
- A St. Louis teenager, identified as Robert Rayford, dies of an illness that baffles his doctors. Eighteen years later, molecular biologists at Tulane University in New Orleans test samples of his remains and find evidence of HIV.[20]
- 1976
- The 9-year-old daughter of Arvid Noe dies in January.[citation needed] Noe, a Norwegian sailor, dies in April; his wife dies in December. Later it is determined that Noe contracted HIV-1 type O, in Africa during the early 1960s.[citation needed]
- 1977
- Danish physician Grethe Rask dies of AIDS contracted in Africa.
- A San Francisco woman, believed to be a sex-worker, gives birth to the first of three children who are later diagnosed with AIDS. The children's blood was tested after their deaths and revealed an HIV infection. The mother died of AIDS in May 1987. Test results show she was infected no later than 1977.[21][medical citation needed]
- French-Canadian flight attendant Gaëtan Dugas, a relatively early HIV patient, gets legally married in Los Angeles to get U.S. citizenship. He stays in Silver Lake whenever he is in town.
- In 1977 a Zairian woman in her 30s seeks treatment in Belgium for symptoms indicating a suppressed immune system and AIDS-like disease (rapid weight loss, swollen lymph nodes and severe CMV). She initially came to Belgium for care of the oral fungus infection of her baby daughter. Her two other children, who were recently born as well, had earlier died from respiratory infections; both also had an oral fungus infection since birth. The woman contracts even more opportunistic infections, dying in Kinshasha in early 1978. Tissue and blood samples are not preserved, but researchers state this might be an early AIDS case.[22]
- 1978
- A Portuguese man known as Senhor José (English: Mr. Joseph) dies; he will later be confirmed as the first known infection of HIV-2. It is believed that he was exposed to the disease in Guinea-Bissau in 1966.[citation needed]
- 1979
- An early case of AIDS in the United States was in a female baby born in New Jersey in 1973 or 1974. She was born to a sixteen-year-old girl, an identified drug-injector, who had previously had multiple male sexual partners. The child died in 1979 at the age of five. Subsequent testing on her stored tissues confirmed that she had contracted HIV-1.[23]
- A thirty-year-old woman from the Dominican Republic dies at Mount Sinai Medical Center in New York City from CMV infection.
- A Greek man who worked for years as a fisherman at Congo's Lake Tanganyika shows up in a Belgian hospital with a range of untreatable opportunistic infections, including a very rare fungal meningitis. After he dies, the hospital keeps his blood and tissue samples for future analysis. After HIV testing becomes available, his samples are tested for HIV and give a positive result.[24][25][26]
1980s
- 1980
- 1981
Kaposi's sarcoma on the skin of an AIDS patient
- May 18, Lawrence Mass becomes the first journalist in the world to write about the epidemic, in the New York Native, a gay newspaper. A gay tipster overheard his physician mention that some gay men were being treated in intensive-care units in New York City for a strange pneumonia. "Disease Rumors Largely Unfounded" was the headline of Mass' article.[32] Mass repeated a New York City public-health official's claims that there was no wave of disease sweeping through the gay community. At this point, however, the Centers for Disease Control (CDC) had been gathering information for about a month on the outbreak that Mass' source dismissed.[citation needed]
- June 5, The CDC reports a cluster of five Pneumocystis pneumonia cases in five "young...practicing homosexuals" in Los Angeles. Each of these cases included simultaneous Cytomegalovirus infection, and several included other AIDS-defining clinical conditions, including Candidiasis, Hodgkin lymphoma, and Cytomegalovirus retinitis. The CDC goes on to suggest that there is a possibility of a "cellular-immune dysfunction related to common exposure that predisposes individuals to Opportunistic infections"[33]
- July 3, An article in The New York Times carries the headline: "Rare Cancer Seen in 41 Homosexuals". The article describes cases of Kaposi's sarcoma found in forty-one gay men in New York City and San Francisco.[34]
- July 4, The CDC reports two separate clusters of Kaposi's Sarcoma and Pneumocystis pneumonia. The first cluster, in New York City included 20 patients, 7 of whom had died at the time of publication. The second cluster, in California had just six with an additional death. Of the 26 cases reported, 12 had tests for Cytomegalovirus, all of which were positive. The report goes on to detail frequent Hepatitis and Amoebiasis infections among those described. Additionally, the report details the apparent connection of Kaposi's sarcoma and immune suppression, and the abnormality of the disease in the gay population, noting that outside of its appearance in Equatorial Africa (no doubt as a result of the already endemic HIV in the area) and in those receiving immunosuppressants, no other population was known to be at risk.[35]
- October, self proclaimed "AIDS poster boy" Bobbi Campbell is diagnosed with Kaposi's sarcoma in San Francisco. That same month he creates and displays San Francisco's first AIDS poster.[36]
- October, first reported case in Spain, a 35-year-old gay man.[37][medical citation needed] Died shortly after.
- October 29, John Eaddie, 49, dies of pneumocystis pneumonia in London. Later identified as HIV.[38]
- December 10, Bobbi Campbell is the first to come out publicly as a person with what came to be known as AIDS.[39][40][41]
- December 12, First known case reported in the United Kingdom.[42]
- One of the first reported patients to have died of AIDS (presumptive diagnosis) in the US is reported in the journal Gastroentereology. Louis Weinstein, the treating physician, wrote that "Immunologic incompetence, related to either disease or therapy, or both ... although suspected, could not be proved..."[43]
- By the end of the year December 31, 337 people are known to have had the disease, 321 adults, and 16 children under the age of 13 and of those 130 had died from the disease.[19][medical citation needed]
- 1982
- January, the service organization Gay Men's Health Crisis is founded by Larry Kramer and others in New York City.
- June 18, "Exposure to some substance (rather than an infectious agent) may eventually lead to immunodeficiency among a subset of the homosexual male population that shares a particular style of life."[44] For example, Marmor et al. recently reported that exposure to amyl nitrite was associated with an increased risk of KS in New York City.[45] Exposure to inhalant sexual stimulants, central-nervous-system stimulants, and a variety of other "street" drugs was common among males belonging to the cluster of cases of KS and PCP in Los Angeles and Orange counties."[44]
- July 4, Terry Higgins becomes one of the first people to die of AIDS-related illnesses in the United Kingdom, prompting the foundation in November of what was to become the Terrence Higgins Trust.[46]
- July 9, The CDC reports a cluster of opportunistic infections (OI) and Kaposi's sarcoma among Haitians recently entering the United States.[47] Their risk factor for acquiring the syndrome was uncertain. Ten (29.4%) of these 34 patients with the syndrome of unexplained OI and Kaposi's Sarcoma (termed AIDS weeks later by CDC) also had disseminated tuberculosis.[47][48] This was the first reported association of tuberculosis with AIDS in a cluster of patients.[49][50] The uncertain risk factor for AIDS among Haitians was ultimately explained mostly by heterosexual transmission.[47][51][52][53][54][55]
- July 27, The term AIDS (acquired immune deficiency syndrome) is proposed at a meeting in Washington, D.C. of gay-community leaders, federal bureaucrats and the CDC to replace GRID (gay-related immune deficiency) as evidence showed it was not gay specific.[56]
- Summer, First known case in Italy.[57]
- September 24, The CDC defines a case of AIDS as a disease, at least moderately predictive of a defect in cell-mediated immunity, occurring in a person with no known cause for diminished resistance to that disease. Such diseases include KS, PCP, and serious OI. Diagnoses are considered to fit the case definition only if based on sufficiently reliable methods (generally histology or culture). Some patients who are considered AIDS cases on the basis of diseases only moderately predictive of cellular immunodeficiency may not actually be immunodeficient and may not be part of the current epidemic.[58]
- December 10, a baby in California becomes ill in the first known case of contracting AIDS from a blood transfusion.[29][medical citation needed]
- First known case in Brazil.[59][medical citation needed]
- First known case in Canada.[60]
- First known case in Australia, diagnosed at St Vincent's Hospital, Sydney.[61]
- 1983
- January, Françoise Barré-Sinoussi, at the Pasteur Institute in Paris, isolates a retrovirus that kills T-cells from the lymph system of a gay AIDS patient. In the following months, she would find additional cases in gay men and people with hemophilia. This retrovirus would be called by several names, including LAV and HTLV-III before being named HIV in 1986.[62][medical citation needed]
- CDC National AIDS Hotline is established.
- March, United States Public Health Service (PHS or USPHS) issues donor screening guidelines. AIDS high-risk groups should not donate blood/plasma products.
- In March, AIDS Project Los Angeles is founded by Nancy Cole Sawaya, Matt Redman, Ervin Munro, and Max Drew
- First known case in Colombia, A female sexual worker from Cali was diagnosed with HIV in the Hospital Universitario de Cartagena[63]
- First AIDS-related death occurs in Australia, in the city of Melbourne. The Hawke Labor government invests in a significant campaign that has been credited with ensuring Australia has one of the lowest HIV infection rates in the world.
- AIDS is diagnosed in Mexico for the first time. HIV can be traced in the country to 1981.[64][medical citation needed]
- The PCR (polymerase chain reaction) technique is developed by Kary Mullis; it is widely used in AIDS research.
- Within a few days of each other, the musicians Jobriath and Klaus Nomi become the first internationally known recording artists to die from AIDS-related illnesses.
- First known case in Portugal.[65]
- 1984
- Around January, the first case of HIV infection in the Philippines was reported.[66][medical citation needed]
- Gaëtan Dugas passes away due to AIDS-related illnesses. He was a French-Canadian flight attendant who was falsely identified as patient 0 due to his central location and labeling as "patient O," as in the letter O, in a scientific study of 40 infected Americans from multiple U.S. cities.[67]
- Roy Cohn is diagnosed with AIDS, but attempts to keep his condition secret while receiving experimental drug treatment.[68]
- April 23, U.S. Health and Human Services Secretary Margaret Heckler announces at a press conference that an American scientist, Robert Gallo, has discovered the probable cause of AIDS: the retrovirus is subsequently named human immunodeficiency virus or HIV in 1986. She also declares that a vaccine will be available within two years.
- June 25, French philosopher Michel Foucault dies of AIDS in Paris. Following his death, AIDES was founded.
- September 6, First performance at Theatre Rhinoceros in San Francisco of The AIDS Show which runs for two years and is the subject of a 1986 documentary film of the same name.
- December 17, Ryan White was diagnosed with AIDS by a doctor performing a partial lung removal. White became infected with HIV from blood products that were administered to him on a regular basis as part of his treatment for hemophilia. When the public school that he attended, Western Middle School in Russiaville, Indiana, learned of his disease in 1985 there was enormous pressure from parents and faculty to bar him from school premises. Due to the widespread fear of AIDS and lack of medical knowledge, principal Ron Colby and the school board assented. His family filed a lawsuit, seeking to overturn the ban.
- First known cases in Ecuador.[69]
- 1985
- March 2, the FDA approves an ELISA test as the first commercially available test for detecting HIV in blood.[70][71] It detects antibodies which the body makes in response to exposure to HIV and is first intended for use on all donated blood and plasma intended for transfusion and product manufacture.[70]
- April 21, the play The Normal Heart by Larry Kramer premieres in New York City.
- July 28, AIDS Project Los Angeles hosts the world's first AIDS Walk at Paramount Studios in Hollywood. More than 4,500 people helped the Walk surpass its $100,000 goal, raising $673,000.[72]
- September 17, during his second term in office, US President Ronald Reagan publicly mentions AIDS for the first time when asked about the lack of medical research funding by an AP reporter during a press conference.[73][74]
- September 19, The first Commitment to Life is held in Los Angeles. Elizabeth Taylor hosted the event and honored former First Lady Betty Ford. Taylor said at the event "Tonight is the start of my personal war on this disease, AIDS."[75] The event raised more than $1 million for AIDS Project Los Angeles.
- October 2, Rock Hudson dies of AIDS. On July 25, 1985, he was the first American celebrity to publicly admit having AIDS; he had been diagnosed with it on June 5, 1984.
- October 12, Ricky Wilson, guitarist of American rock band The B-52's dies from an AIDS related illness. The album Bouncing Off The Satellites, which he was working on when he died, is dedicated to him when it is released the next year. The band is devastated by the loss and do not tour or promote the album. Wilson is eventually replaced on guitar by his former writing partner Keith Strickland, the B-52's former drummer.
- October, a conference of public health officials including representatives of the Centers for Disease Control and World Health Organization meet in Bangui and define AIDS in Africa as "prolonged fevers for a month or more, weight loss of over 10% and prolonged diarrhea".
- First officially reported cases in China.[76][77]
- November 11, An Early Frost, the first film to cover the topic of HIV/AIDS is broadcast in the U.S. on prime time TV by NBC.
- First known case in Cuba.
- 1986
This image revealed the presence of both HTLV-1, and HIV.
- HIV (human immunodeficiency virus) is adopted as name of the retrovirus that was first proposed as the cause of AIDS by Luc Montagnier of France, who named it LAV (lymphadenopathy associated virus) and Robert Gallo of the United States, who named it HTLV-III (human T-lymphotropic virus type III)
- January 14, "one million Americans have already been infected with the virus and that this number will jump to at least 2 million or 3 million within 5 to 10 years..." – NIAID Director Anthony Fauci, The New York Times.[78]
- February, US President Reagan instructs his Surgeon General C. Everett Koop to prepare a report on AIDS. (Koop was excluded from the Executive Task Force on AIDS established in 1983 by his immediate superior, Assistant Secretary of Health Edward Brandt.) Without allowing Reagan's domestic policy advisers to review the report, Koop released the report at a press conference on October 22, 1986.[79][80]
- May 30, fashion designer Perry Ellis dies of AIDS-related illness.
- Attorney Geoffrey Bowers is fired from the firm of Baker & McKenzie after AIDS-related Kaposi's sarcoma lesions appeared on his face. The firm maintained that he was fired purely for his performance.[81] He sued the firm, in one of the first AIDS discrimination cases to go to a public hearing. These events were the inspiration for the 1993 film Philadelphia.[82]
- August: Jerry Smith publicly announces he has AIDS in August 1986, becoming the first former professional athlete to do so. He dies two months later, becoming the first known former professional athlete to die of the disease.[83]
- August 2, Roy Cohn dies of complications from AIDS at the age of 59.[84] He insists to the end that his disease was liver cancer.[85]
- November 18, model Gia Carangi dies of AIDS-related illness.
- First officially known cases in the Soviet Union.[86][87] and India.[88][89]
- 1987
- AZT (zidovudine), the first antiretroviral drug, becomes available to treat HIV.[19][90]
- On February 4, popular performing musician Liberace dies from AIDS related illness.
- March 1, 1987, Dr. Peter Duesberg of the University of California, Berkeley publishes a 22-page peer-reviewed article "Retroviruses as Carcinogens and Pathogens: Expectations and Reality".[91] The article challenges the hypothesis that HIV causes AIDS, launching the "AIDS denialist movement"
- In April the FDA approves a Western blot test as a more precise test for the presence of HIV antibodies than the ELISA test.[70]'
- In March, the direct action advocacy group ACT UP is founded by Larry Kramer in New York City.
- On May 28, playwright and performer Charles Ludlam dies of AIDS-related PCP pneumonia.
- On July 2, musical theatre director, writer, choreographer, and dancer Michael Bennett dies of AIDS-related lymphoma at the age of 44.[92]
- On July 11, Tom Waddell, founder of the Gay Games, dies of AIDS.
- Randy Shilts' investigative journalism book And the Band Played On published chronicling the 1980–1985 discovery and spreading of HIV/AIDS, government indifference, and political infighting in the United States to what was initially perceived as a gay disease. (Shilts died of the disease on February 17, 1994.)
- On August 18 the FDA sanctioned the first clinical trial to test an HIV vaccine candidate in a research participant.[70]
- First known case in Nicaragua.
- 1988
- May, C. Everett Koop sends an eight-page, condensed version of his Surgeon General's Report on Acquired Immune Deficiency Syndrome report named Understanding AIDS to all 107,000,000 households in the United States, becoming the first federal authority to provide explicit advice to US citizens on how to protect themselves from AIDS.[79][93]
- March 3, John Holmes dies from AIDS-related complications.
- August 5, screenwriter, actor, director, and producer Colin Higgins dies of an AIDS-related illness at his home at the age of 47.[94]
- November 11, The fact-based AIDS-themed film Go Toward the Light is broadcast on CBS.
- December 1, The first World AIDS Day takes place.
- In Buenos Aires, Argentina, the rock musicians Miguel Abuelo (March 26) and Federico Moura (December 21), die from AIDS-related complications.
- American disco singer Sylvester dies of AIDS in San Francisco.
- 1989
- The television movie The Ryan White Story airs. It stars Judith Light as Jeanne, Lukas Haas as Ryan and Nikki Cox as sister Andrea. Ryan White had a small cameo appearance as Chad, a young patient with AIDS. Another AIDS-themed film, The Littlest Victims, debuted in 1989, biographically chronicling James Oleske, the first U.S. physician to discover AIDS in newborns during AIDS' early years, when many thought it was only spreading through male-to-male sexual activity.
- "Covering the Plague" by James Kinsella is published, providing a scathing look into how the media fumbled the AIDS story.[95]
- British travel writer Bruce Chatwin dies from AIDS-related complications.
- NASCAR driver Tim Richmond dies from AIDS-related complications.
- Amanda Blake, best known for her portrayal of saloon owner Miss Kitty on the television show Gunsmoke, becomes the first actress of note in the United States to die of AIDS-related illness on August 16. The cause of death was cardiac arrest stemming from CMV hepatitis, an AIDS-related hepatitis.
- Longtime Companion is a 1989 film directed by Norman René and starring Bruce Davison, Campbell Scott, Patrick Cassidy, and Mary-Louise Parker. The first wide-release theatrical film to deal with the subject of AIDS, the film takes its title from the euphemism The New York Times used during the 1980s to describe the surviving same-sex partner of someone who had died of AIDS.[96]
- New York's highest court ruled in Braschi vs. Stahl Associates that Miguel Braschi, a surviving gay partner of Leslie Blanchard who died of AIDS in 1986, had the right to continue living in their rent controlled apartment. The landlord's losing argument was that Miguel Braschi was not family because he was not related to Blanchard by "blood, marriage or adoption."[97] The decision marked the first time any top state court in the nation recognized a gay couple to be the legal equivalent of a family, American Civil Liberties Union lawyer William Rubenstein said. The decision was a ground-breaking victory for lesbians and gay men; it marked an important step forward in American law toward legal recognition of lesbian and gay relationships.[98]
- Judge Elizabeth A. Kovachevich of the United States District Court for the Middle District of Florida ruled that Eliana Martínez, who had AIDS, could sit at a desk in a classroom without isolation partitions; Martínez attended her first day of school on April 27, 1989.[99][100]