Perplexity on AIDS Mortality
Make the case that AIDS mortality was decreasing even before the miracle AIDS drugs were introduced and the decrease was falsely correlated with the drugs. There is some evidence that AIDS mortality rates began to decline among certain risk groups before the widespread introduction of highly active antiretroviral therapy (HAART, the so-called "miracle AIDS drugs") in 1996. This pre-HAART decline, especially evident among injection drug users (IDUs), has been attributed to public health interventions unrelated to antiretroviral drugs. These included: Harm reduction programs such as methadone maintenance, syringe exchanges, active case finding, and outreach targeting drug users. Improved diagnosis and management of opportunistic infections (like tuberculosis and pneumocystis pneumonia) through prophylaxis, antibiotic use, and counseling. Socioeconomic and behavioral interventions that improved access to health care and reduced high-risk behavior, especially in urban settings....