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The Wisdom of Whores: Bureaucrats, Brothels and the Business of AIDS [Paperback]

Elizabeth Pisani
4.7 out of 5 stars  See all reviews (7 customer reviews)
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Book Description

6 July 2009
In "The Wisdom of Whores", epidemiologist Elizabeth Pisani brings honesty, wit and startling pragmatism to the tawdry front lines of sex and drugs. She explains how we could shut down HIV in most of the world with a few simple steps, with less money than we already have. We could do it now. But shockingly, it isn't happening. From the back streets to the boardrooms, politics, ideology and cash have bulldozed through scientific evidence and common sense. "The Wisdom of Whores" is both a riveting expose of the AIDS industry and a penetrating analysis of where we've gone wrong.

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The Wisdom of Whores: Bureaucrats, Brothels and the Business of AIDS + And the Band Played On: Politics, People, and the AIDS Epidemic
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Review

'[A] rollicking, eye-opening, hilarious account of the underbelly of international AIDS research ... Forget everything you've ever gleaned from boilerplate stories about AIDS research: The Wisdom of Whores vibrates with "I've been there" authenticity' Philadelphia Enquirer 'An absorbing read - Her book has freshness, charm and innocence, reminding us of the core elements that remain at the heart of this epidemic' Independent '[A] wonderful book on the salamagundi of money, politics, hypocrisy and obduracy (or possibly just plain stupidity) in what she calls the business of AidsA"' Telegraph 'A beguilingly rigorous expose - engaging, well written and entertaining' Times 'A major book' Daily Telegraph 'Pisani packs quite a punch. Her book - ignited a mini-firestorm of controversy - It exploded several prevalent myths about the diseases' Irish Sunday Independent

About the Author

Elizabeth Pisani studied Chinese at Oxford before working as a foreign correspondent for Reuters, the Economist and the Asia Times. She has an MSc in Medical Demography and a PHD in Infectious Disease Epidemiology. She has worked in the field of HIV prevention for a decade, for organisations including UNAIDS, WHO and Family Health International.

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9 of 9 people found the following review helpful
5.0 out of 5 stars Sex, drugs and statistics 14 July 2009
By PMH
Format:Paperback
I met Elizabeth Pisani in one of her earlier lives when she was a business journalist. She was pretty impressive at that, but she would end an email with "got to get back to sexual networking now". She was already a medical demographer moonlighting as journalist. Now she has written a remarkable book about her life and work. It's partly a hard-nosed statistical account of why so much of what we are told about AIDS is wrong, backed up by 40 pages of footnotes and references and a website. In particular how little AIDS actually spreads among heterosexuals outside southern and eastern Africa; but telling people that everyone was at risk was the way to mobilise public attention. It's also the story of the author's nights doing "qualitative research" in dodgy bars and street corners in the sleaziest parts of Asia, which is often very funny as well as shocking. And the politics of the AIDS Industry. The book was written while the Bush administration was pushing its "faith-based" programmes while insisting that drugs available at $1.50 a dose be bought from US suppliers at $71. Meanwhile funding was rolling in on massive scale, but very often, Pisani tells us, for spending on the wrong things. East Timor had a big AIDS budget and plenty of other public health problems, but no AIDS. Despite the grim theme it's actually a very funny book with a lot of sympathy for the people she meets. There are positive messages. There are some very dedicated people in health ministries across Asia; and there are programmes that do seem to work. The UK DfID and the Chinese government also come out of the story better than many other players. One is left with great admiration for the author. She has done a very tough job and has written a marvellous book about it, with many lessons for the world.
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6 of 6 people found the following review helpful
5.0 out of 5 stars A very cheerful book about AIDS 12 Oct 2009
Format:Paperback
I've just finished reading The Wisdom of Whores by Elizabeth Pisani and it is a wonderful book. Ok, a wonderful book especially if you find yourself compulsively turning the pages of popular science books more than novel, but still - a book written by a real expert who also happens to have been a journalist before becoming an epidemiologist, and can write vividly, entertainingly and with passion about fairly obscure statistical points. Most of all, I loved the sense of fun, and genuine liking for people, that came across from the book: despite the fact that it deals with a disease that has killed millions and will kill more, it's a book that celebrates the lives of the people it destroys, gay guys, whores and junkies to use Pisani's definition: not with a funeral but with endless descriptions of wit, spirit, dinner parties and shared meals, cigarettes and drinks.

It makes quite a number of vibrant points, that boil down to "to stop HIV spread you need to do nice things for whores, junkies, and gay guys, and lots of people don't want to." And there are wonderful anecdotes, like the erotic Chinese classic novel she appropriated for a lesson in relationship networks and reality check for a Chinese apparatchnik, or how she rescued a night's worth of samples from a couple of Indonesian policemen...

I'll just say, go out and buy this book, it will entertain you and outrage you and leave you with a faint sense of hope in the human race.
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2 of 2 people found the following review helpful
Format:Paperback|Amazon Verified Purchase
An interesting and provocative look at the HIV epidemic and the public health response. With stigma on the one side and political correctness on the other it's perhaps not surprising that many interventions have lacked effectiveness. Even if, like me, you find Pisani's writing style grating you'd do well to persevere with this book: you will learn something. Her arguments for the impact of long-term concurrent relationships (not promiscuity) on the spread of HIV within Africa were especially interesting.
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