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AIDS Worse Than Black Death

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WebMD Health News
Reviewed by Gary D. Vogin, MD

Jan. 25, 2002 -- What's the worst plague the human race has ever seen? Is it the Black Death of the middle ages -- or today's AIDS?

Black Death -- bubonic plague -- wiped out a third of Europe's population in six terrible years. Over the next century, it killed 40 million people as it spread across the globe.

AIDS already has killed 25 million. About 40 million people carry the AIDS virus -- an almost certain death sentence for the 38 million who can't afford new AIDS drugs. And every hour there are 600 new infections.

What's the worst form of terrorism on earth? About 3,000 people died in the Sept. 11 attacks. Every day, about 8,000 people die of AIDS.

Is it fair to make these kinds of comparisons?

Yes, says Peter R. Lamptey, MD, DrPH, head of the nonprofit Family Health International AIDS Institute, Arlington, Va. In the Jan. 26 issue of the British Medical Journal, Lamptey says AIDS soon will rank as mankind's greatest scourge. And while 14th-century medicine had nothing to offer plague victims, 21st-century medicine doesn't get to 95% of people with AIDS.

"It is a serious comparison," Lamptey tells WebMD. "A total of 65 million people will have died of AIDS over 15 years. The Black Death happened 700 years ago when science was negligible. Yet despite our modern technology, today we have a disease that is killing a vast number of people. The diseases are similar because of the vast scope of death, the destruction of families, and the destruction of the economies of nations."

The comparison may not be entirely fair, says Randall M. Packard, PhD, chairman of the history of science, medicine, and technology department at Johns Hopkins University. He warns that it might lull us into thinking that AIDS, like the Black Death, is a thing far away and long gone.

"Most people today don't have a clue what the Black Death was all about," Packard tells WebMD. "Projecting them back into the 14th century isn't very helpful. The realities are very different. This isn't how we should limit our thinking about AIDS. It is not just people dying, it is the impact on society. AIDS is much less dramatic and much more extensive and complex."

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