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Out Of Control

AIDS and the corruption of medical science 

CELIA FARBER / Harper's Magazine 1mar2006

A substantial amount of this article has been removed (EDITED).  
For complete article contact Harper's Magazine

Celia Farber is a writer based in New York City. A collection of her AIDS reporting, Serious Adverse Events, is forthcoming from Melville House.

Joyce Ann Hafford was a single mother living alone with her thirteen-year-old son, Jermal, in Memphis, Tennessee, when she learned that she was pregnant with her second child. She worked as a customer service representative at a company called CMC Call Center; her son was a top student, an athlete and musician. In April 2003, Hafford, four months pregnant, was urged by her obstetrician to take an HIV test. She agreed, even though she was healthy and had no reason to think she might be HIV positive. The test result came up positive, though Hafford was tested only once, and she did not know that pregnancy itself can cause a false positive HIV test. Her first thought was of her unborn baby. Hafford was immediately referred to an HIV/AIDS specialist, Dr. Edwin Thorpe, who happened to be one of the principal investigators recruiting patients for a clinical trial at the University of Tennessee Medical Group that was sponsored by the Division of AIDS (DAIDS) - the chief branch of HIV/AIDS research within the National Institutes of Health.

The objective of the trial, PACTG 1022, was to compare the "treatment-limiting toxicities" of two anti-HIV drug regimens. The core drugs being compared were nelfinavir (trade name Viracept) and nevirapine (trade name Viramune). To that regimen, in each arm, two more drugs were added - zidovudine (AZT) and lamivudine (Epivir) in a branded combination called Combivir. PACTG 1022 was a "safety" trial as well as an efficacy trial, which means that pregnant women were being used as research subjects to investigate "safety" and yet the trial was probing the outer limits of bearable toxicity. Given the reigning beliefs about HIV's pathogenicity, such trials are fairly commonplace, especially in the post-1994 era, when AZT was hailed for cutting transmission rates from mother to child.

The goal of PACTG 1022 was to recruit at least 440 pregnant women across the nation, of which 15 were to he enrolled in the University of Tennessee Medical Group. The plan was to assign the study's participants to one of two groups, with each receiving three HIV drugs, starting as early as ten weeks of gestation. Of the four drugs in this study, three belong to the FDA's category "C," which means that safety to either mother or fetus has not been adequately established.

Joyce Ann Hafford was thirty-three years old and had always been healthy. She showed no signs of any of the clinical markers associated with AIDS - her CD4 counts, which measure the lymphocytes that are used to indicate how strong a person's immune system is, and which HIV is believed to slowly corrode, were in the normal range, and she felt fine. In early June 2003, she was enrolled in the trial and on June 18 took her first doses of the drugs. "She felt very sick right away," recalls her older sister, Rubbie King. "Within seventy-two hours, she had a very bad rash, welts all over her face, hands, and arms. That was the first sign that there was a problem. I told her to call her doctor and she did, but they just told her to put hydrocortisone cream on it. I later learned that a rash is a very had sign, but they didn't seem alarmed at all."

Hafford was on the drug regimen for thirty-eight days. "Her health started to deteriorate from the moment she went on the drugs," says King. "She was always in pain, constantly throwing up, and finally she got to the point where all she could do was lie down." The sisters kept the news of Hafford's HIV test and of the trial itself from their mother, and Hafford herself attributed her sickness and nausea to being pregnant. She was a cheerful person, a noncomplainer, and was convinced that she was lucky to have gotten into this trial. "She said to me, 'Nell' - that's what she called me - 'I have got to get through this. I can't let my baby get this virus.' I said, 'Well, I understand that, but you're awful sick.' But she never expressed any fear because she thought this was going to keep her baby from being HIV positive. She didn't even know she was in trouble."

On July 16, at her scheduled exam, Hafford's doctor took note of the rash, which was "pruritic and macular-papular," and also noted that she was suffering hyperpigmentation, as well as ongoing nausea, pain, and vomiting. By this time all she could keep down were cans of Ensure. Her blood was drawn for lab tests, but she was not taken off the study drugs, according to legal documents and internal NIH memos.

Eight days later, Hafford went to the Regional Medical Center "fully symptomatic," with what legal documents characterize as including: "yellow eyes, thirst, darkening of her arms, tiredness, and nausea without vomiting." She also had a rapid heartbeat and difficulty breathing. Labs were drawn, and she was sent home, still on the drugs. The next day, July 25, Hafford was summoned back to the hospital after her lab reports from nine days earlier were finally reviewed. She was admitted to the hospital's ICU with "acute and subacute necrosis of the liver, secondary to drug toxicity, acute renal failure, anemia, septicemia, premature separation of the placenta," and threatened "premature labor." She was finally taken off the drugs but was already losing consciousness. Hafford's baby, Sterling, was delivered by C-section on July 29, and she remained conscious long enough not to hold him but at least to see him and learn that she'd had a boy. "We joked about it a little, when she was still coming in and out of consciousness in ICU," Rubbie recalls. "I said to her, 'You talked about me so much when you were pregnant that that baby looks just like me."' Hafford's last words were a request to be put on a breathing tube. "She said she thought a breathing tube might help her," says Rubbie. "That was the last conversation I had with my sister." In the early morning hours of August 1, Rubbie and her mother got a call to come to the hospital, because doctors had lost Hafford's pulse. Jermal was sleeping, and Rubbie woke her own daughter and instructed her not to tell Jermal anything yet. They went to the hospital, and had been there about ten minutes when Joyce Ann died.

Rubbie recalls that the hospital staff said they would clean her up and then let them sit with her. She also remembered a doctor who asked for their home phone numbers and muttered, "You got a lawsuit." (That person has not resurfaced.) They hadn't been sitting with Hafford's body long when a hospital official came in and asked the family whether they wanted an autopsy performed. "We said yes, we sure do," she says. The hospital official said it would have to be at their expense - at a cost of $3,000. "We said, 'We don't have $3,000.' My sister didn't have any life insurance or anything," says Rubbie. "She had state health care coverage, and we were already worried about how to get the money together to bury her." Consequently, no autopsy was done. There was a liver biopsy, however, which revealed, according to internal communiqués of DAIDS staff, that Hafford had died of liver failure brought on by nevirapine toxicity.

And what was the family told about the cause of Hafford's death? 

"How did they put it?" Rubbie answers, carefully. "They told us how safe the drug was, they never attributed her death to the drug itself, at all. They said that her disease, AIDS, must have progressed rapidly." But Joyce Ann Hafford never had AIDS, or anything even on the diagnostic scale of AIDS. "I told my mom when we were walking out of there that morning," Rubbie recalls, "I said, 'Something is wrong.' She said, 'What do you mean?' I said, 'On the one hand they're telling us this drug is so safe, on the other hand they're telling us they're going to monitor the other patients more closely. If her disease was progressing, they could have changed the medication.' I knew something was wrong with their story, but I just could not put my finger on what it was."

When they got home that morning, they broke the news to Jermal. "I think he cried the whole day when we told him," Rubbie recalls. "My mom had tried to prepare him. She said, 'You know, Jermal, my mom died when I was very young,' but he was just devastated. They were like two peas in a pod those two. You could never separate them." Later on, Jermal became consumed with worry about how they would bury his mother, for which they had no funds and no insurance. The community pitched in, and Hafford was buried. "I haven't even been able to go back to her grave since she passed," says Rubbie.

Rubbie King is haunted by many questions, including whether her sister was really infected with HIV,1 and also what the long-term damage might be to Sterling, whom Rubbie is now raising, along with Jermal and her own child. Sterling, in addition to the drugs he was exposed to in the womb, was also on an eight-week AZT regimen after birth. One of the reasons the family suspects Hafford may have been a false positive is that St. Jude's Children's Research Hospital has not released Sterling's medical records, and although they have been told that he is now HIV negative, they never had any evidence that he was even born positive. (All babies born to an HIV-positive mother are born positive, but most become negative within eighteen months.)

Hafford's family was never told that she died of nevirapine toxicity. "They never said that. We never knew what she had died of until we got the call from [AP reporter] John Solomon, and he sent us the report," says Rubbie King. "It was easier to accept that she died of a lethal disease. That was easier to handle." The family has filed a $10 million lawsuit against the doctors who treated Hafford, the Tennessee Medical Group, St. Jude's Children's Research Hospital, and Boehringer Ingelheim, the drug's manufacturer.2

Rubbie King made a final, disturbing discovery when she was going through Hafford's medical records: In addition to discovering that her sister had only ever been given a single HIV test, she also came across the fifteen-page consent form, which was unsigned.

On August 8, 2003, Jonathan Fishbein, who had recently taken a job as the director of the Office for Policy in Clinical Research Operations at DAIDS, wrote an email to his boss, DAIDS director Ed Tramont, alerting him that "there was a fulminant liver failure resulting in death" in a DAIDS trial and that it looked like "nevirapine was the likely culprit." He said that the FDA was being informed. He was referring to Joyce Ann Hafford. Tramont emailed him hack, "Ouch. Not much we can do about dumb docs!"

This email exchange came to light in December 2004, when AP reporter John Solomon broke the story that Fishbein was seeking whistle-blower protection, in part because he had refused to sign off on the reprimand of an NIH officer who had sent the FDA a safety report concerning the DAIDS trial that launched the worldwide use of nevirapine for pregnant women. The study was called HIVNET 012, and it began in Uganda in 1997.

The internal communiqués from DAIDS around the time of Hafford's death made it clear that doctors knew she had died of nevirapine toxicity. Tramont's reply to Fishbein suggests that he thought blame could he placed squarely with Hafford's doctors, but it was the NIH itself that had conceived of the study as one that tested the "treatment-limiting toxicities" of HIV drugs in pregnant women.

The conclusion of the PACTG 1022 study team was published in the journal JAIDS in July of 2004. "The study was suspended," the authors reported, "because of greater than expected toxicity and changes in nevirapine prescribing information." They reported that within the nevirapine group, "one subject developed fulminant hepatic liver failure and died, and another developed Stevens-Johnson syndrome." Stevens-Johnson syndrome is skin necrolysis - a severe toxic reaction that is similar to internal third-degree burns, in which the skin detaches from the body. Another paper, entitled "Toxicity with Continuous Nevirapine in Pregnancy: Results from PACTG 1022," puts the results in charts, with artful graphics. A small illustration of Hafford's liver floats in a box, with what looks like a jagged gash running through it. Four of the women in the nevirapine group developed hepatic toxicity.

As Terri Schiavo lay in her four-teenth year of a persistent vegetative state, and the nation erupted into a classically American moral opera over the sanctity of life, Joyce Ann Hafford's story made only a fleeting appearance - accompanied by a photo of her holding a red rose in an article that was also written by the AP's John Solomon. But soon a chorus of condemnation was turned against those who were sensationalizing Hafford's death and the growing HIVNET controversy to condemn nevirapine, which had been branded by the AIDS industry as a "life-saving" drug and a "very important tool" to combat HIV in the Third World.

So-called community AIDS activists were sprung like cuckoo birds from grandfather clocks at the appointed hour to affirm the unwavering AIDS cathechism: AIDS drugs save lives. To suggest otherwise is to endanger millions of African babies. Front and center were organizations like the Elizabeth Glaser Pediatric AIDS Foundation, which extolled the importance of nevirapine. Elizabeth Glaser's nevirapine defenders apparently didn't encounter a single media professional who knew, or cared, that the organization had received $1 million from nevirapine's maker, Boehringer Ingelheim, in 2000.3 This was no scandal but simply part of a landscape. Pharmaceutical companies fund AIDS organizations, which in turn are quoted uncritically in the media about how many lives their drugs save. This time the AIDS organizations were joined by none other than the White House, which was in the midst of promoting a major program to make nevirapine available across Africa.4

America is a place where people rarely say: Stop. Extreme and unnatural things happen all the time, and nobody seems to know how to hit the brakes. In this muscular, can-do era, we are particularly prone to the seductions of the pharmaceutical industry, which has successfully marketed its ever growing arsenal of drugs as the latest American right. The buzzword is "access," which has the advantage of short-circuiting the question of whether the drugs actually work, and of utterly obviating the question of whether they are even remotely safe. This situation has had particularly tragic ramifications on the border between the class of Americans with good health insurance, who are essentially consumers of pharmaceutical goods, and those without insurance, some of whom get drugs "free" but with a significant caveat attached: They agree to be experimented on. These people, known in the industry as "recruits," are pulled in via doctors straight from clinics and even recruited on the Internet into the pharmaceutical industry and the government's web of clinical trials, thousands of which have popped up in recent years across the nation and around the world. Such studies help maintain the industry's carefully cultivated image of benign concern, of charity and progress, while at the same time feeding the experimental factories from which new blockbuster drugs emerge. "I call them what they are: human experiments," says Vera Hassner Sharav, of the Alliance for Human Research Protection in New York City. "What's happened over the last ten to fifteen years is that profits in medicine shifted from patient care to clinical trials, which is a huge industry now. Everybody involved, except the subject, makes money on it, like a food chain. At the center of it is the NIH, which quietly, while people weren't looking, wound up becoming the partner of industry."

By June 2004, the National Institutes of Health had registered 10,906 clinical trials in ninety countries. The size of these trials, which range from the hundreds to more than 10,000 people for a single study, creates a huge market for trial participants, who are motivated by different factors in different societies but generally by some combination of the promise of better health care, prenatal care, free "access" to drugs, and often - especially in the United States - cash payments. Participating doctors, whose patient-care profits have been dwindling in recent years because of insurance-company restrictions, beef up their incomes by recruiting patients.

Dr. Jonathan Fishbein is hardly a rabble-rouser. But he is a passionate advocate of "good clinical practice," or GCP, a set of international standards that were adopted in 1996, as clinical-trial research boomed. The GCP handbook states: "Compliance with this standard provides public assurance that the rights, safety, and well-being of trial subjects are protected, consistent with the principles that have their origin in the Declaration of Helsinki, and that the clinical trial data are credible." During the decade prior to his arrival at DAIDS, Fishbein had overseen and consulted on hundreds of clinical trials for just about every pharmaceutical company. Fishbein knew, before he took his job as director of the Office for Policy in Clinical Research Operations at DAIDS, that there was a troubled study haunting the whole division. Nobody was supposed to talk about it, but it hung heavily in the air. "Something about Uganda, that's all I knew," he says. There was a trial staged there, a big one, that had been plagued with "problems," and there was also a lot of talk about one particular employee connected to this trial who would need to he disciplined. Soon he discovered just how bad the situation was. "The HIVNET thing," he recalls, "it hit me like a fire hose when I walked in there."

Fishbein's position was new. "It sounded like a very important position," he says. "I was to oversee the policies governing all the clinical-research operations, both here and abroad." He was told he would have "go-no go" authority over individual trials. It wasn't long before Fishbein realized that he was, in effect, taking a job that was the equivalent of piloting an already airborne plane. "They had all these trials going on, and hundreds of millions of dollars flowing in every year, but there was apparently no one in a senior position there who really had clinical expertise - who knew all the nuances, rules, and regulations in the day-to-day running of clinical trials." DAIDS, when Fishbein came to work there in 2003, was running about 400 experimental trials both in the United States and abroad.

A DAIDS project officer close to the HIVNET study closed the door when she had her first meeting with Fishbein. She had also crossed over from the private sector, and so she and Fishbein shared a disillusionment over how much shoddier and more chaotic the research culture was within the government, compared with industry. "I'm really frightened about the stuff that goes on here," she told him. "We really need somebody." This project officer, who for her own protection cannot be named, told Fishbein that the division's flagship study in Africa - HIVNET 012 - had been wracked with problems and completely lacking in regulatory standards. She told Fishbein that the trial investigators were "out of control," and that there was no oversight of them, and nobody with either the inclination or the authority to make them adhere to safety standards. What Fishbein subsequently learned entangled him in a story with eerie echoes of John Le Carre's Constant Gardener.

For our purposes, the story of nevirapine begins in 1996, when the German pharmaceutical giant Boehringer Ingelheim applied for approval of the drug in Canada. The drug had been in development since the early 1990s, which was a boom time for new HIV drugs. Canada rejected nevirapine twice, once in 1996 and again in 1998, after the drug showed no effect on so-called surrogate markers (HIV viral load and CD4 counts) and was alarmingly toxic. In 1996, in the United States, the FDA nonetheless gave the drug conditional approval so that it could be used in combination with other HIV drugs.5

By this time, Johns Hopkins AIDS researcher Brooks Jackson had already generated major funding from the NIH to stage a large trial for nevirapine in Kampala, Uganda, where the benevolent dictator Yoweri Museveni had opened his country to the lucrative promise of AIDS drug research, as well as other kinds of pharmaceutically funded medical research. HIVNET 012, according to its original 1997 protocol, was intended to be a four-arm, Phase III, randomized, placebo-controlled trial.6 Its sole sponsor was listed as the National Institute of Allergy and Infectious Diseases (NIAID), though one of the investigators was a Boehringer employee. The "sample size" was to be 1,500 HIV-1 infected Ugandan women more than thirty-two weeks pregnant. The four arms they would be divided into were 1) A single dose of 200mg nevirapine at onset of labor and a single 2mg dose to the infant forty-eight to seventy-two hours post-delivery, and 2) a corresponding placebo group; 3) 600mg of AZT at onset of labor and 300mg until delivery, with a 4mg AZT dose for the infant lasting seven days after birth, and 4) a corresponding placebo group. There were to he 500 women in each "active agent" arm and 250 in each placebo arm. The study was to last eighteen months, and its "primary endpoints" were to see how these two regimens would affect rates of HIV transmission from mother to child, and to examine the "proportion of infants who are alive and free of HIV at 18 months of age." Another primary objective was to test the "safety/tolerance" of nevirapine and AZT. HIVNET's architects estimated that more than 4,200 HIV-positive pregnant women would deliver at Mulago hospital each year, allowing them to enroll eighty to eighty-five women per month. Consent forms were to be signed by either the mother or a guardian, by signature or "mark." One of the exclusion criteria was "participation during current pregnancy in any other therapeutic or vaccine perinatal trial."

Although HIVNET was designed to be a randomized, placebo-controlled, double-blind, Phase III trial of 1,500 mother/infant pairs, it wound up being a no-placebo, neither double- nor even single-blind Phase II trial of 626 mother/infant pairs. Virtually all of the parameters outlined for HIVNET 012 were eventually shifted, amended, or done away with altogether, beginning with perhaps the most important - the placebo controls. By a "Letter of Amendment" dated March 9, 1998, the placebo-control arms of HIVNET were eliminated.

The study as reconstituted thus amounted to a simple comparison of AZT and nevirapine.

On September 4, 1999, The Lancet published HIVNET's preliminary results, reporting that "Nevirapine lowered the risk of HIV-I transmission during the first 14-16 weeks of life by nearly 50 percent." The report concluded that "the two regimens were well-tolerated and adverse events were similar in the two groups." The article also reported that thirty-eight babies had died, sixteen in the nevirapine group and twenty-two in the AZT group. The rate of HIV transmission in the AZT arm was 25 percent, while in the nevirapine group it was only 13 percent. As Hopkins Medical News later reported, the study was received rapturously. "The data proved stunning. It showed that nevirapine was 47 percent more effective than AZT and had reduced the number of infected infants from 25 to 13 percent. Best of all, nevirapine was inexpensive - just $4 for both doses. If implemented widely, the drug could prevent HIV transmission in more than 300,000 new-borns a year."

With the results of the study now published in The Lancet, Boehringer, which previously had shown little interest in HIVNET, now pressed for FDA approval to have nevirapine licensed for use in preventing the transmission of HIV in pregnancy.

----- EDITED SECTION -----

The HIVNET cover-up can only be understood within the larger political context of AIDS. The emergence of this syndrome in the 1980s sparked a medical state of emergency in which scientific controls, the rules that are supposed to bracket the emotions and desires of individual researchers, were frequently compromised or removed entirely. AIDS helped turn disease into politics, and politics, at least in the United States, is all about turning power into money.

No one has been more persistent in calling attention to the failings of AIDS research than Peter Duesberg, a virologist and cancer specialist at the University of California at Berkeley. If Duesberg's name sounds familiar, it's because he has been quite effectively branded in the international media as the virologist who is wrong about HIV. His name entered the popular culture in the late 1980s prestamped with wrongness. You knew he was wrong before you knew what he had said in the first place.

In 1987, Duesberg published a paper in the journal Cancer Research entitled "Retroviruses as Carcinogens and Pathogens: Expectations and Reality." He was, at the time, at the top of the field of retrovirology, having mapped the genetic structure of retroviruses and defined the first cancer gene in the 1970s. He was the youngest member, at age fifty, ever elected into the National Academy of Sciences. In this paper, which in the words of his scientific biographer, Harvey Bialy, "sealed his scientific fate for a dozen years," Duesberg argued that retroviruses don't cause cancer and concluded by detailing how and why the retrovirus HIV cannot cause AIDS.

As AIDS grew in the 1980s into a global, multibillion-dollar juggernaut of diagnostics, drugs, and activist organizations, whose sole target in the fight against AIDS was HIV, condemning Duesberg became part of the moral crusade. Prior to that 1987 paper, Duesberg was one of a handful of the most highly funded and prized scientists in the country. Subsequently, his NIH funding was terminated and he has received not one single federal research dollar since his pre-1987 Outstanding Investigator Grant ran out. Duesberg lost his lab facilities and had to move twice within a few years to smaller labs on the Berkeley campus, where he spent much of his time writing futile research grant proposals asking to test his hypothesis that AIDS is a chemical syndrome, caused by accumulated toxins from heavy drug use. He lost his graduate students, who were warned that to emerge from his lab would blight their careers. He was denied and had to fight for routine pay increases by his employers at UC Berkeley, where he has tenure and still teaches. He was "disinvited" from scientific conferences, and colleagues even declared that they would refuse to attend any conference that included him. Duesberg also was banished from publishing in scientific journals that previously had welcomed his contributions, most theatrically by the editor of Nature, Sir John Maddox, who wrote a bizarre editorial declaring that Duesberg would he denied the standard scientific "right of reply" in response to personal attacks that were frequently published in that journal. Prior to 1987, Peter Duesberg never had a single grant proposal rejected by the NIH. Since 1991 he has written a total of twenty-five research proposals, every single one of which has been rejected. "They took him out, just took him right out," says Richard Strohman, an emeritus professor of biology at UC Berkeley.

And what was it, exactly, that Peter Duesberg had done? He simply pointed out that no one had yet proven that HIV is capable of causing a single disease, much less the twenty-five diseases that are now part of the clinical definition of AIDS.12 He pointed to a number of paradoxes regarding HIV and argued that far from being evidence that HIV is "mysterious" or "enigmatic," these paradoxes were evidence that HIV is a passenger virus.

The classical tests of whether or not a microorganism is the cause of infectious disease are known as Koch's postulates. They state: 1) the microorganism must be found in all cases of the disease; 2) it must be isolated from the host and grown in pure culture; 3) it must reproduce the original disease when introduced into a susceptible host; and 4) it must be found present in the experimental host so infected. Although claims to the contrary have been made, Duesberg maintains that it has never been demonstrated that HIV satisfies all of Koch's postulates. His exhaustive analysis of the peer-reviewed scientific literature has revealed more than 4,000 documented AIDS cases in which there is no trace of HIV or HIV antibodies. This number is significant, because there are strong institutional forces deterring such descriptions and because the vast majority of AIDS cases are never described in formal scientific papers. In fact, most AIDS patients have no active HIV in their systems, because the virus has been neutralized by antibodies. (With all other viral diseases, by the way, the presence of antibodies signals immunity from the disease. Why this is not the case with HIV has never been demonstrated.) Generally speaking, HIV can be isolated only by "reactivating" latent copies of the virus, and then only with extraordinary difficulty. Viral load, one of the clinical markers for HIV, is not a measurement of actual, live virus in the body but the amplified fragments of DNA left over from an infection that has been suppressed by antibodies. Another embarrassment for the HIV hypothesis is the extraordinary latency period between infection and the onset of disease, despite the fact that HIV is biochemically most active within weeks of initial infection. This latency period, which apparently grows with every passing year, enables proponents of the theory to evade Koch's third and fourth postulates.

The foregoing is merely a sketch of the central mystery presented by the HIV theory of AIDS. There are many more, which Duesberg has laid out very carefully in his scientific papers and in a trade book published ten years ago, but they all boil down to the central point that when it comes to AIDS, basic scientific standards seem no longer to apply.13 AIDS is a "syndrome" defined by twenty-five diseases, all of which exist independently of HIV. No one has ever demonstrated the cell-killing mechanism by which HIV is supposed to cause all these different diseases, and no one has ever demonstrated how a sexually transmitted virus can manage to restrict itself overwhelmingly to gay men and other AIDS risk groups instead of spreading randomly through the population, as do all other infectious diseases. The "overwhelming" character of the evidence for HIV's causation has always been epidemiological; which is to say, a correlation, a coincidence. Whenever we have AIDS, researchers say, we also have HIV. But this correlation is a result of the official definition of AIDS, which state, that a disease counts as AIDS only if it corresponds with HIV antibodies. ("AIDS without HIV" has been given a singularly unmemorable name: idiopathic CD4 lymphocytopenia.)

Given that the evidence for HIV is coincidental, a number of research avenues suggest themselves, yet orthodox AIDS researchers have failed to demonstrate, using large-scale controlled studies, that the incidence of AIDS-defining diseases is higher among individuals infected with HIV than among the general uninfected population. Consequently, it could very well be the case that HIV is a harmless passenger virus that infects a small percentage of the population and is spread primarily from mother to child, though at a relatively low rate. (This hypothesis would tend to explain the fact that the estimated number of HIV-positive Americans has remained constant at about 1 million since 1985.) Nor have large-scale controlled studies been carried out to directly test the AIDS-drug hypothesis, which holds that many cases of AIDS are the consequence of heavy drug use, both recreational (poppers, cocaine, methamphetamines, etc.) and medical (AZT, etc.).14 Nor have controlled studies been carried out to prove that hemophiliacs infected with HIV die sooner than those who are not infected. Such studies might be expensive and tedious, but expense has never been a serious objection to AIDS researchers, who have spent many billions of dollars in the last twenty years on HIV research and practically nothing on alternative causes or even cofactors. (Even Luc Montagnier, the discoverer of HIV, has stated repeatedly that the virus cannot cause AIDS without contributing causes.)

Attempts to rigorously test the ruling medical hypothesis of the age are met not with reasoned debate but with the rhetoric of moral blackmail: Peter Duesberg has the blood of African AIDS babies on his hands. Duesberg is evil, a scientific psychopath. He should be imprisoned. Those who wish to engage the AIDS research establishment in the sort of causality debate that is carried on in most other branches of scientific endeavor are tarred as AIDS "denialists," as if skepticism about the pathogenicity of a retrovirus were the moral equivalent of denying that the Nazis slaughtered 6 million Jews. Moral zeal rather than scientific skepticism defines the field. It has been decided in advance that HIV causes AIDS; consequently all research and all funding must proceed from that assumption. Similarly, it was known in advance that AZT was a "magic bullet" against HIV; the word was out that it was a "life-saving drug" before anyone could possibly verify this, and so scientific controls were compromised. Journalists (myself included) who reported at the time that the drug apparently was killing patients were labeled "AZT refuseniks" and even "murderers."

The nevirapine debate follows the same histrionic, antiscientific pattern. Because of his concerns about the toxicity of this and other antiretroviral drugs, President Thabo Mbeki of South Africa was pilloried in the international press as pharmaceutical companies and their well-funded "activist" ambassadors repeated their mantra about "life-saving drugs." So, too, was Jonathan Fishbein, who never questioned the premise that HIV causes AIDS, tarred and feathered for pointing out that the NIH flagship study on nevirapine was a complete disaster. Fishbein's failure to fall into line, his failure to understand in advance of experimental proof that nevirapine was too important to fail, meant that the AIDS bureaucracy's neutralizing antibodies had to be activated to destroy them.

In the end, the NIH failed to silence Fishbein. In late December 2005, he won his case and was retroactively reinstated at the agency, though he won't be returning to DAIDS. He is unable to discuss the terms of his settlement, but he has promised to continue his commitment to research integrity and the protection of human research subjects. Peter Duesberg has been less successful, though there are signs of rehabilitation.

Regardless of whether Duesberg is right about HIV, his case, like Fishbein's, lays bare the political machinery of American science, and reveals its reflexive hostility to ideas that challenge the dominant paradigm. Such hostility is not unusual in the history of science,15 but the contemporary situation is dramatically different from those faced by maverick scientists in the past. Today's scientists are almost wholly dependent upon the goodwill of government researchers and powerful peer-review boards, who control a financial network binding together the National Institutes of Health, academia, and the biotech and pharmaceutical industries. Many scientists live in fear of losing their funding. "Nobody is safe," one NIH-funded researcher told me. "The scientific-medical complex is a $2 trillion industry," says former drug developer Dr. David Rasnick, who now works on nutrition-based AIDS programs in Pretoria, South Africa. "You can buy a tremendous amount of consensus for that kind of money."

"You have to write a grant a year almost. And you have to write four to get one, if you're any good. I got out just in time. Everybody who's still in there says the same thing," says Berkeley's Strohman. "Before the biotech boom, we never had this incessant urging to produce something useful, meaning profitable. Everybody is caught up in it. Grants, millions of dollars flowing into laboratories, careers and stars being made. The only way to be a successful scientist today is to follow consensus. If you're going to produce something and put it on the market you don't want any goddamn surprises. You've got the next quarter to report and you don't want any bad news. It's all about the short term now. Science has totally capitulated to corporate interests. Given their power and money, it's going to be very hard to work our way out of this."

Duesberg has never been afraid to challenge consensus, but contrary to what many in the AIDS establishment would have us believe, he is very far from being a scientific psychopath.16 In 1997, on the brink of scientific demise in the U.S., Duesberg was quietly invited back to his native Germany to resume his cancer research. During this time, commuting biannually between Mannheim and Berkeley, Duesberg formulated and tested a theory that shifts the focus of cancer causation from the "mutant gene" theory that has reigned for about three decades to a simpler explanation that revives an abandoned thread of research from early in the twentieth century, which posited that cancer is caused by chromosomal malfunction, now known as "aneuploidy."

Harvey Bialy, the founding scientific editor of Nature Biotechnology, a sister journal to Nature, recently spent four years writing a scientific biography of Duesberg entitled Oncogenes, Aneuploidy, and AIDS. The book is a history of the papers, review articles, and letters that Duesberg published between 1983 and 2003, and the responses they generated. I asked him why he wrote the book. "I am persuaded that aneuploidy is the initiating event in carcinogenesis", Bialy said. "Peter has found the genetic basis for cancer. The most immediate application of it will be early diagnosis."

"When aneuploidy, or genetic instability, or whatever linguistic term you want to use, gets reincarnated as the dominant theoretical explanation for the genesis of cancer, Peter Duesberg will be recognized as a major contributor to that," Bialy said. "I wanted to make sure that his contributions were not swept aside or ignored." I asked him about the AIDS controversy. "AIDS is a political thing, and Peter's stuck in it. There's nothing to discuss anymore on that." Bialy made a critical point. Science is amoral and should be. There is no right and wrong, only correct and incorrect. "Duesberg," Bialy said, "is a classical molecular biologist. All he is interested in is rigorously testing dueling hypotheses. The twin pillars, AIDS and oncogenes, both are crumbling because of the questions Peter Duesberg put into motion."

"The basis of speciation is changing the content and the number of chromosomes," says Duesberg. "Cancer is essentially a failed speciation. It's not mutation. Cancer is a species. A really bad breast, lung, or prostate cancer has seventy, eighty, or more chromosomes. Those are the real had guys they're way outside our species. But it's a rare kind of species that as a parasite is more successful in its host than the normal host cell is."

There has been considerable international interest in Duesberg's new research.17 In January 2004, he hosted a conference on aneuploidy and invited fifty cancer researchers from around the world who also have been working on the connections between aneuploidy and cancer. Seventy showed up, including such luminaries as Thomas Ried, the National Cancer Institute's head of cancer genomics, Gert Auer from the Karolinska Institute in Stockholm, and Walter Giaretti, who heads the equivalent of the NCI in Italy. And on May 31 of last year, amid considerable tension, Duesberg was invited by the National Cancer Institute to give a talk at the NIH. The auditorium crackled with nervous tension as people filed in and took their seats. His talk was succinct and laced with his characteristic irony, but the questions afterward were civilized, with no tangible hostility. All was not forgiven, however. After the talk, while Duesberg remained at the podium talking to a group of people from the audience, I noticed a very angry-looking NIH publicist standing at the back of the room admonishing a colleague, a scientist, who'd posed a question that somehow connected aneuploidy to HIV. "You opened it up," she scolded. "We got through it okay, but you opened it up." As the questioner tried to defend himself, a thick-set man who'd been standing in the circle said loudly, as though intending to broadcast it across the room: "Well, at least if he's wrong about this he won't he killing millions of people."

Nobel laureate Kary Mullis, who discovered the revolutionary DNA technique called the polymerase chain reaction, has long been a supporter of Duesberg, but he has grown weary of the AIDS wars and the political attacks on contrarian scientists. "Look, there's no sociological mystery here," he told me. "It's just people's income and position being threatened by the things Peter Duesberg is saying. That's why they're so nasty. In the AIDS field, there is a widespread neurosis among scientists, but the frenzy with which people approach the HIV debate has slacked off, because there's just so much slowly accumulating evidence against them. It's really hard for them to deal with it. They made a really big mistake and they're not ever going to fix it. They're still poisoning people."

Duesberg thinks that up to 75 percent of AIDS cases in the West can he attributed to drug toxicity. If toxic AIDS therapies were discontinued, he says, thousands of lives could be saved virtually overnight    . And when it comes to Africa, he agrees with those who argue that AIDS in Africa is best understood as an umbrella term for a number of old diseases, formerly known by other names, that currently do not command high rates of international aid. The money spent on antiretroviral drugs would be better spent on sanitation and improving access to safe drinking water (the absence of which kills 1.4 million children a year).

It's too late to save people like Joyce Ann Hafford, but it is possible that an open and honest debate about the risks of current AIDS treatments and the scientific questions concerning HIV could save others.


1 HIV tests detect footprints, never the animal itself. These footprints, antibodies, are identified by means of molecular protein weights, and were limited to two in 1984, when the first test was developed and patented, but over the years expanded to include many proteins previously not associated with HIV. Like most Americans, Hafford thought that a single HIV-positive test meant that she "had" HIV - a surefire death sentence. But a majority of HIV-positive tests, when retested, come back indeterminate or negative. In many cases, different results emerge from the same blood tested in different labs. There are currently at least eleven different criteria for how many and what proteins at which hand density signal "positive." The most stringent criteria (four hands) are upheld in Australia and France; the least stringent (two hands), in Africa, where an HIV test is not even required as part of an AIDS diagnosis. The U.S. standard is three reactive hands. It has been pointed out that a person could revert to being HIV negative simply by buying a plane ticket from Uganda to Australia.

2 Dr. Thorpe declined to comment, citing ongoing litigation, as did the Tennessee Medical Group, the Regional Medical Center at Memphis, and St. Jude's Children's Research Hospital.

3 "Our mission of eradicating AIDS is always informed and driven by the best available science, not by donations," said Mark Isaac, Elizabeth Glazer's vice president for policy, when asked to comment. "The full body of research, as well as our extensive experience, validates the safety and efficacy of single-dose nevirapine as one of several options to prevent mother-to-child transmission of HIV."

4 Africa, as the news media never tires of telling us, has become ground zero of the AIDS epidemic. The clinical definition of AIDS in Africa, however, is stunningly broad and generic, and was seemingly designed to be little other than a signal for funding. It is in no way comparable to Western definitions. The "Bangui definition" of AIDS was established in the city of Bangui in the Central African Republic, at a conference in 1985. The definition requires neither a positive HIV test nor a low T-cell count, as in the West, but only the presence of chronic diarrhea, fever, significant weight loss, and asthenia, as well as other minor symptoms. These happen to be the symptoms of chronic malnutrition, malaria, parasitic infections, and other common African illnesses. (In 1994 the definition was updated to suggest the use of HIV tests, but in practice they are prohibitively expensive.) Even when HIV tests are performed, many diseases that are endemic to Africa, such as malaria and TB, are known to cause false positives. The statistical picture of AIDS in Africa, consequently, is a communal projection based on very rough estimates of HIV positives, culled from select and small samples, which are extrapolated across the continent using computer models and highly questionable assumptions.

5 Asked to comment about the Hafford case, HIVNET 012, and the larger nevirapine controversy, Boehringer Ingelheim provided the following statement: "Viramune (nevirapine) was an innovation in anti-HIV treatment as the first member of the nonnucleoside reverse transcriptase inhibitor (NNRTI) class of drugs. Now in its tenth year of use, Viramune has been used as a treatment in more than 800,000 patient-years worldwide."

6 The study was originally titled "HIVNET 012: A Phase III Placebo-Controlled Trial to Determine the Efficacy of Oral AZT and the Efficacy of Oral Nevirapine for the Prevention of Vertical Transmission of HIV-1 Infection in Pregnant Ugandan Women and Their Neonates." "Randomization" means that people are randomly chosen for one arm of the study or another, a procedure that is supposed to even out the variables that could affect the outcome. "Placebo controls" are the bedrock of drug testing and are the only way to know whether the treatment is effective. Phase I trials involve a small group of people, twenty to eighty, and are focused on safety and side effects. In Phase II trials the drug is given to an expanded cohort, between 100 and 300, to further evaluate safety and begin to study effectiveness. Phase III drug trials expand further the number of people enrolled, often to more than 1,000, and are meant to confirm a drug's effectiveness, monitor side effects, and compare it with other treatments commonly used. A small Phase I trial preceded HIVNET 012 that studied the safety, primarily, of nevirapine in pregnant women but also looked at efficacy. It was called HIVNET 006, and it enrolled twenty-one pregnant women for initial study. Of twenty-two infants born, four died. There were twelve "serious adverse events" reported. The study also showed that there was no lowering of viral load in the mothers who took the study drug (the industry's agreed-upon standard for interrupting maternal transmission).

7 Brooks Jackson declined to comment for this article. Laura Guay responded with the following statement: "Several in-depth reviews of the conduct and results of the HIVNET 012 trial as well as the data collected from subsequent trials and PMTCT programs, have substantiated the HIVNET 012 conclusions that Nevirapine is safe and effective in preventing mother-to-child HIV transmission. Nevirapine remains one of the most important tools for the prevention of mother-to-child HIV transmission in the developing world, where there are still hundreds of thousands of HIV-infected pregnant women who do not have access to any HIV testing, antiretroviral therapy, or HIV care at all. For many programs struggling to establish PMTCT programs with limited resources, Nevirapine is often the only option available." Family Health International, the NIH contractor originally responsible for monitoring HIVNET 012, contested the Westat report and said that the results of the study had been validated by the NIH and the Institute of Medicine.

8 Smith and Luzar have been forbidden by the NIH to speak to the press about HIVNET. Luzar was deposed by Fishbein's attorney in his wrongful-termination lawsuit, Stephen Kohn, in December 2004, and this account is partially based on her deposition.

9 At this point the story grows ever more complicated, as Fishbein supported Luzar in a sexual-harassment claim against Kagan.

10 An internal NIH investigation, which was obtained by the Associated Press last summer, vindicated many of Fishbein's charges and concluded that "it is clear that DAIDS is a troubled organization," and that the Fishbein case "is clearly a sketch of a deeper issue." Kagan and Tramont did not return repeated calls for comment. Instead, an NIH spokesman, Dr. Cliff Lane, said that the agency stands by HIVNET 012.

11 AZT, which was developed as a chemotherapeutic agent in 1964 but shelved because of its extreme toxicity, is a DNA chain terminator, which means that it brings DNA synthesis to a halt. It is therefore an extremely efficient cell killer. HIV is a retrotirus, and as such replicates itself by inserting its genes into a cell's genome so that when the cell divides a new copy of the virus is produced. AZT prevents the replication of HIV by killing infected T-cells; unfortunately, it kills all dividing cells indiscriminately, whether they are infected with a retrovirus or not, and will very quickly decimate even a healthy person's immune system. AZT's manufacturer, GlaxoSmith Kline, chose not to comment for this article.

12 HIV was declared the probable cause of AIDS in a U.S. government press conference in 1984. It was claimed that the virus had been discovered by NIH researcher Robert Gallo. In fact, Gallo had not discovered HTLV-III (Human T-cell Lymphotropic Virus III, as it was known before it was rechristened with the more memorable name HIV) . That honor belongs primarily to Luc Montagnier, of the Pasteur Institute, who had sent Gallo a sample of the virus.

13 It has been claimed that HIV somehow causes cell death even when it is not present by remote programmed "suicidal" mechanisms. Some researchers claim that HIV exploits special receptors on human T-cells that, due to a hypothetical genetic mutation, many "Caucasian Europeans" lack, but most Africans have. What's interesting is that many gay men also seem to possess these mysterious receptors, as do intravenous drug users and transfusion recipients.

It is claimed that although HIV does not kill the laboratory T-cells used to manufacture AIDS tests, it does kill T-cells in the human body, even though it infects only a very small proportion of them, typically an average of 0.1 percent. HIV does not sicken or kill chimpanzees, though they do produce antibodies. It was recently claimed that HIV appears to be evolving into a form less dangerous to human beings. Such unproven hypotheses about the ingenuity of HIV proliferate in the popular and scientific media like the seasonal flu. Seldom do journalists insist on good hard evidence for these assertions.

14 There is ample statistical and epidemiological evidence linking the rise of mass drug abuse in the late Sixties and Seventies with the sudden appearance of AIDS. The overwhelming majority of AIDS patients with Karposi's sarcoma, for example, have been heavy users of nitrate inhalers, or "poppers." The case of "super AIDS" that was recently reported in New York turned out upon closer examination to he an individual with an extraordinarily heavy methamphetamine habit.

15 Few today remember the controversies over scurvy and pellagra, which, until the discovery of vitamin C and niacin, were blamed by the medical establishment on mysterious infectious agents. Those who pointed out, even before they knew the cause, that dietary changes cured both conditions were dismissed as flat-earthers.

16 Nor is Duesberg alone in dissenting from AIDS orthodoxy. More than 2,300 people, mostly scientists and doctors, including Nobelists in chemistry and medicine, have signed the petition of the Group for the Scientific Reappraisal of the HIV-AIDS Hypothesis, which calls for a more independent and skeptical approach to the question of AIDS causality.

17 Even so, the National Cancer Institute still refuses to fund him. Duesberg has submitted five grant proposals to study aneuploidy, and all have been rejected. One of the most influential cancer researchers in the country, Bert Vogelstein, Clayton Professor of Oncology and Pathology at Johns Hopkins University, has written a letter urging the NCI to reconsider. "1 agree with him that aneuploidy is an essential part of cancer," Vogelstein wrote. "Dr. Duesberg continues to have a major impact on this burgeoning area of research, through his careful experimental observations as well as through his thoughtful reviews and critiques of the subject. There is no question that he is a world leader in this field of investigation."

(Harper's Magazine is an American journal of literature, politics, culture, and the arts published continuously from 1850. You can subscribe to Harper's Magazine for as little as $14.97 a year.)

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"True science invites attacks on its hypotheses. So when people tell you that you aren't allowed to question the HIV-AIDS hypothesis you know you aren't in the realm of science anymore - you're dealing with dogma." (from the letter below)

Some who question it, like Dr Charles Thomas, a molecular biologist and former Harvard professor of biochemistry, say it is complete nonsense. "The HIV-causes-AIDS dogma represents the grandest and perhaps the most morally destructive fraud that has ever been perpetrated on the young men and women of the Western world," he says.

Dear Colleague,

For the first four years of AIDS in America leading AIDS researchers concluded that AIDS was caused by 'recreational' and other drugs being consumed in alarming quantities by those in the limited risk groups (drug users) who were getting sick. Why do you think these researchers changed their analysis? Because the data actually pointed in that direction? Or because it became apparent that there would not be billions of dollars handed out to study drug-induced illness, but that the money would flow freely if someone shouted "Virus!" It was as if someone shouted "Fire!" in a crowded theatre but instead of people running for the exits it was the truth which vacated the premises. Shout "Virus!" and watch the money start to flow! (One leading researcher, when asked why he changed his story, was honest enough to answer: 'Because that's where the money is.')

Actually, there is not one scientific paper out of all the tens of thousands on HIV and AIDS that proves HIV causes AIDS. There was never any 'discovery' in the scientific definition of the word 'discover'. The idea that HIV causes AIDS was announced to the world, not in the form of a scientific paper or verifiable experiment, but at a press conference in 1984 by Dr. Robert Gallo - a product of the failed but hugely costly national 'war-on-cancer' effort to find a cancer virus. "Although Gallo presented no evidence to support his tentative assumption, the Department of Health and Human Services (DHHS) immediately characterized it as '..another miracle of American medicine... the triumph of science over a dreaded disease'. On that same day, Gallo filed a patent for the antibody test now known as the 'AIDS test.' By the following day, the New York Times had turned Gallo's proposal into a certainty with front page news of 'the virus that causes AIDS', and all funding for research into other possible causes of AIDS came to an abrupt halt... Dr. Luc Montagnier of the Pasteur Institute in France accused Gallo of stealing his HIV sample, resulting in negotiations between the French and American governments. A congressional investigation then determined that Gallo had presented fraudulent data in his paper on HIV and that the virus he claimed to have discovered had been sent to him by Montagnier. Montagnier has since stated that he does not believe HIV alone is capable of causing AIDS". (from the book "What if everything you thought you knew about AIDS was wrong? by Christine Maggiore of

Did you know that AIDS is not a disease?

"Popularly referred to as a disease, AIDS is actually a new name for 29 previously known and relatively common health conditions when these conditions appear in someone who has tested positive for antibodies to HIV. For example, a person who tests HIV (antibody) positive and has herpes is classified as having AIDS, while a person who tests HIV (antibody) negative has herpes, not AIDS. All 29 health conditions categorized as AIDS occur in people who test HIV (antibody) negative, and none are exclusive to those who test HIV (antibody) positive.

"An epidemic is generally defined as the outbreak of a contagious disease that spreads rapidly, grows quickly and is widely prevalent. Since 1981, AIDS has remained confined almost exclusively to the original risk groups, has not spread rapidly among the risk group members, and is not widely prevalent anywhere in the world. For example, 99.5% of the people living on the African continent, an area often described as being devastated by AIDS, do not have AIDS." (Maggiore, op cited)

In the US and Europe AIDS is restricted since 1981 to two main risk groups, intravenous drug users and male homosexual drug users. This meant they "partied" with every conceivable "recreational" drug. Pot, cocaine, ecstasy methamphetamines, heroin, LSD, PCP, uppers, downers, etcetera, and, last but certainly not least, amyl nitrite, otherwise known as 'poppers', a chemical that is inhaled perhaps dozens of times per night to "feel good" but which is highly toxic, carcinogenic and suppresses the immune system. Most or all of these 'recreational' drugs are directly toxic to the body and immune system and a number of these drugs suppress the appetite - and not eating suppresses the immune system.

They also took antibiotics - sometimes daily for weeks or months - to prevent the infections they were prone to. Taking antibiotics long-term to prevent illness is very dangerous and suppresses the immune system. And the infections they were prone to - gonorrhea, syphilis, hepatitis, intestinal worms and other parasites, etc will wear down anyone's immune system if the infections repeatedly recur as is often the case with these risk groups. Further, since 1987 when the first AIDS drug (AZT) was approved, many who Acquired Deficiencies in their Immune Systems also took the doctor-prescribed anti-HIV drugs AZT, ddI, D4T, ddC and 3TC which "... are all highly toxic chemotherapies that destroy the immune and digestive systems, in addition to causing five of the 29 official AIDS-defining illnesses... There is no case of AIDS documented in a person whose sole risk is exposure to HIV." (Maggiore, op cited)

Smoke cigarettes for twenty years and see if you don't get lung cancer. Indeed, now that that there are twenty years of AIDS statistics it is clear that the graphs for AIDS-defining illness and lung cancer look similar. They both increased over the years (as people smoked more cigarettes and as people took more drugs) then both graphs 'leveled off' (as smoking and drug taking declined). The graphs for true viral-induced diseases always look completely different from environmental induced illnesses. Viral diseases have a 'bell-shaped' curve, rising - as the virus kills - and then falling, as viral immunity is gained by a population.

But what about Africa, you say. In America and European countries the AIDS epidemic is highly 'non-random' infecting primarily 80% men whose "lifestyle" as mentioned above includes heavy drug taking. When is the last time you heard of any virus that wasn't 'equal opportunity", that is, infecting men and women in equal numbers? But, in Africa, it is indeed random, 50/50? Why the difference? Why does the so-called 'AIDS virus' infect 80% male drug users in the U.S. but 50/50 in Africa? Here's another anomaly mainstream AIDS researchers cannot, or will not, explain.

Have you ever been to Africa? Ordered a glass of water and seen flecks of fecal material floating in the glass or suspended in the ice cubes? Try this experiment: take a baby and subject it to the same living conditions as in Africa. To a malnourished, calorie-protein-and-vitamin-deficient womb environment. Then born into a world of more malnourishment, hunger, starvation and famine; no immunizations, flies, filthy drinking water. Also, insect, rodent, food and water borne illnesses including malaria, filariasis, river blindness, sleeping sickness, relapsing fever, typhus, plague, yellow fever, hemorrhagic fevers, intestinal worms, dysentery, typhoid fever, cholera, dracunculiasis, polio, Hepatitis A, B, C, & E; trachoma, Lassa fever, Ebola fever, Margburg fever, meningococcal meningitis, plague, rabies, cholera, encephalitis.

Subject a person to these conditions for about 5 or 10 years and see if they don't Acquire a Deficiency in their Immune System.

Indeed, this is why millions of Africans were getting sick from hepatitis, herpes, tuberculosis, and pneumonia etc - all now termed "AIDS-defining illnesses" - long before the age of HIV. But now that antibodies to a virus (but not the virus itself!) can sometimes be found, all of a sudden we're supposed to believe that it is a mysterious new virus that is killing African people?

If you ask any epidemiologist 'What is the number one cause of immune suppression on the planet?' they will not answer "HIV". No, they will say, "poor nutrition and filthy drinking water both caused by poverty." Speaking of Africa, why aren't their any substantive media stories about President Mbeki of South Africa who dares to suggest that AIDS is caused, not by some mysterious new virus which violates all known laws of virology, but is caused instead - in Africa - by poverty and malnutrition? How dare Mbeki suggest that adequate food, basic vaccinations and clean drinking water should take priority over expensive, unproven and toxic anti-viral chemotherapy drugs!

The presence of antibodies (the 'soldiers' of the immune system) - especially in the absence of illness - was considered a good sign, a sign the body has mounted a successful defense against an invader. Indeed, we get vaccinations precisely so that antibodies will be produced. But AIDS researchers stood viral science on its head by, among other things, pronouncing that antibodies were now a thing to be feared and for which expensive, toxic and unproven chemotherapy drugs should be taken - even if actual HIV virus cannot be found and even if people show no sign of illness.

Please note that the so-called "HIV test" tests ONLY for antibodies. Actual virus (HIV) often cannot be found. It should also be noted that the so-called 'HIV test' has no clear standards and is notoriously unreliable, producing many false positives. Moreover, because of the unclear standards you can test positive in one country and negative in another. Tests can even vary from lab to lab, or differ in the same lab on different days.

If researchers want to prove that a virus is the cause of disease they must isolate the virus from a sick person or animal and then inject the virus into a healthy animal and see if it will make that animal sick. Can they do this with HIV? No. In most cases - some scientists say all cases - they can't even find the virus. And when they do 'find' the virus - using elaborate artificial cellular stimulants in a laboratory dish - when they inject this into healthy animals - surprise! - it doesn't make them sick. "What the heck", says the AIDS establishment, "if HIV violates the 'laws' of virology (Koch's postulates, for example) then let's construct a parallel universe in which we make up our own whacky ideas to suit our agenda."

Why don't you or I know of anyone with AIDS who wasn't a recreational drug user or who took toxic anti-AIDS chemotherapy drugs? You probably don't even know anyone who has AIDS? Why? Where is this terrible epidemic which was said to be like the plague? Remember twenty years ago when Ophra and Time magazine and the virus hunters from the Centers for Disease Control (CDC) warned that Americans would be dying by the millions from AIDS? Why haven't we? And where is this mysterious new virus which, unlike all other known viruses, supposedly takes years or decades to cause disease? Why can't the scientists find any actual virus in individuals who have "AIDS"? "Ah" they reply, "we have the 'viral load' test."

But the so-called 'viral load' test detects and multiplies single genes, not virus, and most often only fragments of genes. Then a complicated mathematical algorithm is performed on the genetic fragments giving these virus hunters something they call 'viral load.' Actual virus cannot be found.

Kerry Mullis won the 1993 Nobel Prize in chemistry for inventing PCR - Polymerase Chain Reaction - that has revolutionized genetic research (making possible the unraveling of the human genome, among other things), and which is used in the 'viral load' test. He is a member of The Group for the Scientific Reappraisal of the HIV/AIDS Hypothesis and refutes those who claim that HIV is the causative agent of AIDS. He is less than happy that his technique, PCR, is being used to claim that HIV is present when in fact none can be found.

"If billions of HIV are present, why is PCR necessary to find them? And if PCR is the only way HIV can be detected, how is it possible for scientists to verify the results of PCR?"

"The FDA has not approved PCR viral load for HIV screenings or for diagnostic purposes. The CDC acknowledges that the specificity and sensitivity of PCR are 'unknown' and that 'PCR is not recommended and is not licensed for routine diagnostic purposes'. The viral load test manufacturers' literature warns 'the test is not intended to be used as a screening test for HIV or as a diagnostic test to confirm the presence of HIV'". (Maggiore, op cited)

This is a "load" alright, as, in the words of one virologist, "a viral load of crap".

Fortunately, not all scientists have let their rational minds go on extended vacation. There is a group of scientists - "The Group for the Scientific Reappraisal of the HIV-AIDS Hypothesis" - who have demanded a rethinking of these issues.

There are thousands of personal tragedy stories of those who have unnecessarily taken the toxic antiviral medicines that the virus hunters have frightened them into taking based on a notoriously unreliable and highly dubious "HIV test". Thousands of people made sick or killed by these toxic chemotherapy drugs even though they never showed any sign of illness. And now the virus hunters - after many years of urging these toxic drugs on people - have changed their recommendations hoping that the public doesn't notice their 'about face' (see material below). These contemporary virus hunters are descended from those earlier virus hunters who told us scurvy, beriberi, and black tongue diseases were caused by microbes but which, just as the dissenters predicted, were later shown to be vitamin deficiencies. Thousands died then while the virus hunters pursued their misguided theories.

The SMON Fiasco

And let us not forget the deadly Japanese 'epidemic' in the 1950's, 1960's and 1970's known as 'SMON' which the virus hunters assured us was viral induced and for which they demanded and received hundreds of millions of dollars and years of wasted time to 'fight' but which was later shown to be caused by the medicine (clioquinol) doctors were prescribing for stomach ailments! (Towns were cordoned off, and the sick were placed in isolation and shame from family members who were afraid to go near them, and many of the victims committed suicide.) The maker of the offending drug, Ciba-Geigy, was later sued especially since it was revealed that they knew of the drugs dangers without informing anyone.

"Today most scientists and laymen outside Japan have never heard of the virus-SMON controversy ... The story that SMON research had ignored the evidence of a toxic cause for fifteen years and had sacrificed thousands of human lives to a flawed virus hypothesis is too embarrassing to the virus-hunting establishment to record. Once the truth about SMON could no longer be ignored, the episode dissolved into lawsuits for the thousands of remaining victims. This story has remained untold outside of Japan, ignored as being too embarrassing for the virus hunters. It deserves to be told in full here." See article at:

If you question the HIV/AIDS hypothesis, you may very well be dismissed with a "What, are you crazy? Everyone knows HIV causes AIDS." Be ready for the hysteria that will ensue, coming from all those on board the multi-billion dollar AIDS gravy train - from AIDS-funded researchers to AIDS activists/counselors to the drug companies. Be prepared to be met with outright anger from the true believers, and be prepared to see these true believers descend into a kind of foaming-at-the-mouth frenzy when attempting to dismiss your questions. They haven't figured out that science isn't about "beliefs". It's about verifiable experiments - not shouting matches. True science invites attacks on its hypotheses. So when people tell you that you aren't allowed to question the HIV-AIDS hypothesis you know you aren't in the realm of science anymore - you're dealing with dogma.

Welcome to the brave new world of AIDS, Incorporated. Repeat a lie often enough and it becomes the 'truth'. At the very least, AIDS researchers need to be made to answer the questions contained in the "the HIV-AIDS hypothesis:17 predictions versus the facts." Instead of shouting "Show me the money!", as a character did in a movie, we should be shouting "Show me the virus!"

Harrell Graham

note: my apologies if you receive more than one copy of this email.

The HIV-AIDS hypothesis*: 17 predictions versus the facts.

*All quotes are from The Durban Declaration, the most authoritative edition of the HIV-AIDS hypothesis to date, which was signed "by over 5000 people, including Nobel prizewinners" and published in Nature in 2000 (The Durban Declaration 2000).

1. Since HIV is "the sole cause of AIDS", it must be abundant in AIDS patients based on "exactly the same criteria as for other viral diseases."

But, only antibodies against HIV are found in most patients (1-7)**. Therefore, "HIV infection is identified in blood by detecting antibodies, gene sequences, or viral isolation." But, HIV can only be "isolated" from rare, latently infected lymphocytes that have been cultured for weeks in vitro - away from the antibodies of the human host (8). Thus HIV behaves like a latent passenger virus.

2. Since HIV is "the sole cause of AIDS", there is no AIDS in HIV-free people.

But, the AIDS literature has described at least 4621 HIV-free AIDS cases according to one survey - irrespective of, or in agreement with allowances made by the CDC for HIV-free AIDS cases (55).

3. The retrovirus HIV causes immunodeficiency by killing T-cells (1-3).

But, retroviruses do not kill cells because they depend on viable cells for the replication of their RNA from viral DNA integrated into cellular DNA (4, 25). Thus, T-cells infected in vitro thrive, and those patented to mass-produce HIV for the detection of HIV antibodies and diagnosis of AIDS are immortal (9-15)!

4. Following "exactly the same criteria as for other viral diseases", HIV causes AIDS by killing more T-cells than the body can replace. Thus T-cells or "CD4 lymphocytes ... become depleted in people with AIDS".

But, even in patients dying from AIDS less than 1 in 500 of the T-cells "that become depleted" are ever infected by HIV (16-20, 54). This rate of infection is the hallmark of a latent passenger virus (21).

5. With an RNA of 9 kilobases, just like polio virus, HIV should be able to cause one specific disease, or no disease if it is a passenger (22).

But, HIV is said to be "the sole cause of AIDS", or of 26 different immunodeficiency and non-immunodeficiency diseases, all of which also occur without HIV (table 2). Thus there is not one HIV-specific disease, which is the definition of a passenger virus!

6. All viruses are most pathogenic prior to anti-viral immunity. Therefore, preemptive immunization with Jennerian vaccines is used to protect against all viral diseases since 1798.

But, AIDS is observed - by definition - only after anti-HIV immunity is established, a positive HIV/AIDS test (23). Thus HIV cannot cause AIDS by "the same criteria" as conventional viruses.

7. HIV needs "5-10 years" from establishing antiviral immunity to cause AIDS.

But, HIV replicates in 1 day, generating over 100 new HIVs per cell (24,25). Accordingly, HIV is immunogenic, i.e. bio-chemically most active, within weeks after infection (26, 27). Thus, based on conventional criteria "for other viral diseases", HIV should also cause AIDS within weeks - if it could.

8. "Most people with HIV infection show signs of AIDS within 5-10 years" - the justification for prophylaxis of AIDS with the DNA chain terminator AZT.

But, of "34.3 million ... with HIV worldwide" only 1.4% [= 471,457 (obtained by subtracting the WHO's cumulative total of 1999 from that of 2000)] developed AIDS in 2000, and similarly low percentages prevailed in all previous years (28). Likewise, in 1985, only 1.2% of the 1 million US citizens with HIV developed AIDS (29, 30). Since an annual incidence of 1.2-1.4% of all 26 AIDS defining diseases combined is no more than the normal mortality in the US and Europe (life expectancy of 75 years), HIV must be a passenger virus.

9. A vaccine against HIV should ("is hoped" to) prevent AIDS - the reason why AIDS researchers try to develop an AIDS vaccine since 1984 (31).

But, despite enormous efforts there is no such vaccine to this day (31). Moreover, since AIDS occurs by definition only in the presence of natural antibodies against HIV (§ 3), and since natural antibodies are so effective that no HIV is detectable in AIDS patients (see No. 1), even the hopes for a vaccine are irrational.

10. HIV, like other viruses, survives by transmission from host to host, which is said to be mediated "through sexual contact".

But, only 1 in 1000 unprotected sexual contacts transmits HIV (32-34), and only 1 of 275 US citizens is HIV-infected (29, 30), (figure 1b). Therefore, an average un-infected US citizen needs 275,000 random "sexual contacts" to get infected and spread HIV - an unlikely basis for an epidemic!

11. "AIDS spreads by infection" of HIV.

But, contrary to the spread of AIDS, there is no "spread" of HIV in the US. In the US HIV infections have remained constant at 1 million from 1985 (29) until now (30), (see also The Durban Declaration and figure 1b). By contrast, AIDS has increased from 1981 until 1992 and has declined ever since (figure 1a).

12. Many of the 3 million people who annually receive blood transfusions in the US for life-threatening diseases (51), should have developed AIDS from HIV-infected blood donors prior to the elimination of HIV from the blood supply in 1985.

But, there was no increase in AIDS-defining diseases in HIV-positive transfusion recipients in the AIDS era (52), and no AIDS-defining Kaposi's sarcoma has ever been observed in millions of transfusion recipients (55).

13. Doctors are at high risk to contract AIDS from patients, HIV researchers from virus preparations, wives of HIV-positive hemophiliacs from husbands, and prostitutes from clients - particularly since there is no HIV vaccine.

But, in the peer-reviewed literature there is not one doctor or nurse who has ever contracted AIDS (not just HIV) from the over 816,000 AIDS patients recorded in the US in 22 years (30). Not one of over ten thousand HIV researchers has contracted AIDS. Wives of hemophiliacs do not get AIDS (35). And there is no AIDS-epidemic in prostitutes (36-38). Thus AIDS is not contagious (39, 40).

14. Viral AIDS - like all viral/microbial epidemics in the past (41-43) - should spread randomly in a population.

But, in the US and Europe AIDS is restricted since 1981 to two main risk groups, intravenous drug users and male homosexual drug users (§ 1 and 4).

15. A viral AIDS epidemic should form a classical, bell-shaped chronological curve (41-43), rising exponentially via virus spread and declining exponentially via natural immunity, within months (see figure 3a).

But, AIDS has been increasing slowly since 1981 for 12 years and is now declining since 1993 (figure 1a), just like a lifestyle epidemic, as for example lung cancer from smoking (figure 3b).

16. AIDS should be a pediatric epidemic now, because HIV is transmitted "from mother to infant" at rates of 25-50% (44-49), and because "34.3 million people worldwide" were already infected in 2000. To reduce the high maternal transmission rate HIV-antibody-positive pregnant mothers are treated with AZT for up to 6 months prior to birth (§ 4).

But, less than 1% of AIDS in the US and Europe is pediatric (30, 50). Thus HIV must be a passenger virus in newborns.

17. "HIV recognizes no social, political or geographic borders" - just like all other viruses.

But, the presumably HIV-caused AIDS epidemics of Africa and of the US and Europe differ both clinically and epidemiologically (§ 1, table 2). The US/European epidemic is highly nonrandom, 80% male and restricted to abnormal risk groups, whereas the African epidemic is random.

**Please note that all references corresponding to the reference numbers above have been omitted here. To see the complete references as well as the excellent article from which they are drawn, please read "The chemical basis of the various AIDS epidemics: recreational drugs, anti-viral chemotherapy and malnutrition" at For further background on the HIV=AIDS myth see the book "Inventing the AIDS Virus" by Peter Duesberg, Ph.D. Also, the two websites and

AIDS drug cheerleaders do an abrupt 'about face' (which you never heard about because the media did no stories on it)

A major government policy affecting the treatment of AIDS was suddenly and inexplicably reversed in April 2005. Chances are you have not been made aware of this since no media has reported on this event.

What prompted the U.S. Dept. of Health & Human Services to suddenly and quietly reverse a decade long policy of recommending antiviral drugs for people who test HIV (antibody) positive? 450,000 Americans - and millions more worldwide - have been taking anti-viral drugs based on these now defunct recommendations. HIV (antibody)-positives - even if they showed no signs of AIDS - have followed doctor's orders to "Hit Hard and Hit Early" in accordance with the now reversed recommendations. What prompted them to issue a stunning reversal of this policy? Why have there been no stories on this? What are the implications?

Studies now reveal what the critics suspected years ago - that HIV antibody-positives treated with antiviral medicines have significantly higher mortality than their untreated HIV-antibody positive cohorts. The implications are alarming for the millions who took and still take these drugs. This growing body of scientific evidence shows that it is these toxic chemotherapy drugs themselves which can impair the immune system, in effect, causing the body to Acquire a Deficiency in the Immune System.

If true, it would not be the first time that medical efforts have harmed people with ideas later shown to be misguided. (Read the chapter on the history of virology in the book "Inventing the AIDS Virus" for examples of mismanaged epidemics by fame-and-fortune-seeking virus hunters.) It's starting to look like the virus hunters have once again led us down a path costing billions of dollars and many, many lives.

These new federal guidelines basically admit that more harm than good comes from taking these chemotherapy drugs unless the person is already sick. And taking these toxic drugs even when sick is questioned by the growing number of scientists who doubt the HIV/AIDS hypothesis. Governments have extracted billions of dollars in damages from the tobacco companies because the tobacco companies sold drugs which they knew harmed human beings. But few have raised a peep about the sale of toxic chemotherapy drugs to healthy people who merely tested positive for HIV antibodies using an unreliable test.

In the mid-1980's there was a group of scientists who questioned the prescribing of toxic HIV antiviral drugs to otherwise healthy people who were merely found to have antibodies. Mainstream AIDS researchers were aware at the time of these warnings about the inefficacy and toxicity of these drugs, yet they persisted in prescribing them to people who showed no signs of illness, saying in effect, "if you don't take these drugs you will die." It appears - just as the critics warned - that if you take these drugs, you die. But now, many years later, the very people who frightened people into taking antiviral drugs are changing their tune and saying 'well, maybe you shouldn't be taking these toxic chemotherapy drugs after all'.

Are they now trying to absolve themselves of responsibility the way the tobacco companies wished they could have done? The sad truth is they knew a long time ago about the dangers of these drugs.

"Controlled studies and uncontrolled surveys prove that anti-HIV drugs (possibly in conjunction with recreational drugs) increase the mortality of HIV positives 4 to 6 fold. It would appear that anti-HIV drugs are prescriptions for, rather than treatments of AIDS.' ("The chemical bases of the various AIDS epidemics: recreational drugs, anti-viral chemotherapy and malnutrition" Journal of Biosciences, June, 2003 available at

"In view of this the US government has appointed a panel of AIDS scientists to review the toxic effects of antiviral medications and issued recommendations (see actual April 2005 NIH/DHHS recommendations below) to restrict prescriptions of anti-HIV drugs that were published by the New York Times (Altman 2001b):

'Altering a long-held policy, federal health officials are now recommending that treatment for the AIDS virus be delayed as long as possible for people without symptoms because of increased concerns over toxic effects of the therapies. More recently, concern has grown over nerve damage, weakened bones, unusual accumulations of fat in the neck and abdomen, diabetes and a number of other serious side effects of therapy. Many people have developed dangerously high levels of cholesterol and other lipids in the blood, raising concern that H.I.V. - infected people might face another epidemic - of heart disease. Dr Fauci, who is co-chairman of the panel, said in an interview, "We are adopting a significantly more conservative recommendation profile". (According to the panel), "Much remains to be learned about how best to treat H.I.V.-infected individuals".'

"However, it is hard to understand, why it should have taken AIDS researchers 14 years since the introduction of DNA chain-terminators as anti-HIV drugs (Kolata 1987) to make these observations and issue warnings about the "side effects" of these drugs. In April 2001, the FDA followed up on these concerns by "ordering drug makers to tone down their upbeat ads for AIDS medications, calling them 'misleading' ... because they imply greater efficacy than demonstrated by substantial evidence, or minimize the risks associated with HIV drugs" (Russell 2001) - again 14 years after approving these drugs for currently 450,000 American recipients. Many other independent observers have since commented on the "U-turn" of AIDS researchers (Day 2000) from "Hit HIV early and hard" in 1995 (Ho 1995) to reducing, skipping and delaying treatments, and even recalling some anti-HIV drugs. (Altman 2001c; Associated Press 2001). (J. Bioscience op cited)

"HIV co-discoverer Jay Levy wrote in the Lancet, "Caution: should we be treating HIV infection early? No cancer patient takes three or four chemotherapeutic drugs for a lifetime. What is overlooked is that these drugs can be toxic and can be directly detrimental to a natural immune response to HIV." (Levy 1998)." (J. Bioscience op cited)

"AZT's toxicities are severe: AZT is the most toxic drug ever prescribed for long-term use. AZT causes severe anemia, head-aches, nausea, muscular pain, and cachexia. It damages the nerves and every organ in the body. It is a known carcinogen.

AZT was approved by the FDA on the basis of fraudulent research: I have examined hundreds of pages of documents that the U.S. Food and Drug Administration (FDA) was forced to release under the Freedom of Infor-mation Act. It is clear from these documents that the Phase II AZT trials were fraudulent: that all kinds of cheating took place, and that the investigators deliberately used data which they knew were false. (The Phase II AZT trials, conducted in 1986, formed the basis of AZT's approval in the U.S. and 31 other countries.)

There is no scientifically credible evidence AZT has benefits of any kind: The studies that have been used to claim benefits for AZT were all paid for and controlled by Well-come, the manufacturer of AZT. They are therefore unworthy of credence, in light of the fraud that was committed in the Phase II AZT trials.

John Lauritsen Alternative AIDS Symposium, Buenos Aires, 8 April 1995

AIDS cheerleaders quilty of moving the goalposts.

When the idea that HIV causes AIDS was first sold in America (1984) researchers told us the virus would 'get us' in matter of months, or, at best a couple of years. Then they changed that to four or more years. When that didn't pan out they moved the goal post yet again to 10 or so years, and now they tell us it might take a 'lifetime'. All other viruses take only a matter of days or weeks to cause illness, but not the 'mysterious' virus known as 'HIV', which researchers have now dubbed a 'slow virus' in their attempts to hide their ignorance.

"There are no slow viruses - only slow virologists". (Peter Duesberg, Ph.d., author of the book, "Inventing the AIDS Virus"

Below I have excerpted the latest HIV/antiviral protocols & recommendations from the Dept. of Health & Human Services and National Institutes of Health, which recommendations are a complete reversal of their previous 'Hit Hard and Hit Early' recommendations. Note what appears to me to be ambivalence and uncertainty in their revised 'recommendations', leaving wide latitude for patient and physician interpretation, whereas before - for over fourteen years - HIV (antibody) positives were frightened into taking highly toxic chemotherapy drugs, even if they showed no signs of illness.

Harrell Graham

"Guidelines for the Use of Antiretroviral Agents in HIV-1-Infected Adults and Adolescents April 7, 2005

"Developed by the Panel on Clinical Practices for Treatment of HIV Infection convened by the Department of Health and Human Services (DHHS) It is emphasized that concepts relevant to HIV management evolve rapidly. The Panel has a mechanism to update recommendations on regular basis, and the most recent information is available on the U.S. Govt. AIDSinfo Web site or, in pdf form,

"WHEN TO TREAT: Indications for Antiretroviral Therapy Panel's Recommendations (Table 4):

"... the decision to initiate antiretroviral therapy also is influenced by an assessment of other potential risks and benefits associated with treatment. ... therapy initiation for the asymptomatic patient should be considered by the clinician and patient.

"Potential Benefits of Deferred Therapy include:

(end of NIH guideline excerpts)

For further information you may check out the paper "The chemical basis of the various AIDS epidemics: recreational drugs, anti-viral chemotherapy and malnutrition" (from which the above "The HIV hypothesis..." is taken) at Also, the book "Inventing the AIDS Virus" by Peter Duesberg, Ph.D. Also, the two websites and

Note: You may want to read the article in the March 2006 issue of Harper's magazine: "Out of Control: AIDS and the Corruption of Medical Science" by Celia Farber. An edited version is available here: or you can buy the complete article on the newsstand, or find it on the internet (or write me and I'll send you a PDF copy of it). The AIDS drugs that have caused sickness and death induced by the 'rush to market' mentality that the author chronicles in "Out of Control" is only the tip of the iceberg. If you dig deep enough you will find 20 years of misguided and deadly practices waged by the fame-and-fortune seeking 'virus hunters' and the pharmaceutical industry. Tens of thousands made sick or killed by unproven and highly toxic drugs. And patients were often urged, cajoled and frightened into taking these drugs even if they showed no signs of illness. Moreover, the doctors and industry knew of the dangers beforehand.


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