Aidsgate –August 2
SOÉ IF HIV DOESNÕT CAUSE AIDS, WHAT ARE MILLIONS OF
PEOPLE AROUND THE WORLD DYING OFÉ
The grim news of the AIDS
epidemic is never far from the headlines but what is its cause? Why do we have
no vaccine or cure despite the spending of $180 billion over 20 years? Could it
be that our health institutions have tried too hard for too long to prove HIV
to be its cause when it is not?
Despite the long-standing
scientific evidence that suggests AIDS is not caused by HIV, as recounted in
the last edition of the Ecologist, the health authorities have long only funded
research based on the HIV theory of AIDS. Recently they emphasized this by
renaming the epidemic as ÔHIV/AIDSÕ, a change some thought necessary to counteract
the spreading influence via the Internet of the professors and scientists who
say AIDS is caused by other factors entirely.
Today the UK Health
Protection Agency states it is totally wrong to ÔdenyÕ HIV, affirming that its
role in causing AIDS is totally evident since Ôthose who are HIV infected [i.e.
those who have a positive HIV Test] are far more likely to become ill or die.Õ [1]. It bases its entire treatment of AIDS
around the truth of this statement – and even goes further. Its treatment guidelines say the HIV
test detects not a greater risk, but an inevitability. If positive, you will
get AIDS.
But I found to my surprise
that many senior professors and Nobel-Prize winners who say HIV is not the
cause of AIDS are not disputing that the ÔHIV TestÕ can detect a real risk of
AIDS. Instead they cite research that apparently shows this test can detect,
not HIV, but causes of AIDS for which there are remedies. If they are right,
this would be enormously important, and would bring hope to countless thousands,
but surely this was unlikely? At
first sight it seemed it would be an utterly unlikely coincidence if they were
correct. How could a test devised
to detect a virus find instead an entirely different cause for AIDS?
But before I could consider this
riddle, there was one thing further thing I needed to do. Before considering
what could cause AIDS, I had to look again at the clinical symptoms of
AIDS. Even if HIV did not exist,
the illness called AIDS did exist. I thus consulted the textbooks and health
authorities, hopeful that the clinical definition of AIDS would shed light on
whether or not there really could be other reasons for this terrible epidemic.
But I discovered its official
definition was far more complex and unusual than I had expected. It had been changed over 4 times in the
West, and the international health authorities had given Africa an entirely
different AIDS definition and clinical symptoms. I had presumed that an African is diagnosed with AIDS
because they had the same symptoms as a Western AIDS patient – and
was most surprised to find I was
wrong.
THE FIRST DEFINITION OF
AIDS – 1981-83.
At first AIDS was defined and
diagnosed clinically – by the evident symptoms of the complex of
illnesses from which its mostly gay drug-abusing victims suffered. These
illnesses became known as ÔAIDS IndicatingÕ. Under this definition, most
patients had several of these illnesses and did not live a year after
diagnosis.
The principal cause of death
was a pneumonia (PCP) caused by a fungus that
harmlessly lives in some 80% of humans, that had suddenly gone out of control
and become a killer. The only time such an large-scale outbreak had been
previously recorded in the West was among severely malnourished European
children at the end of the Second World War – and likewise among such children in Africa. The victims also
commonly had Candida or Thrush, another fungal infection found in most humans
– but again out of control, causing not the common mild infection, but a
gross growth that blocked the mouth and throat; and also a skin cancer called Kaposi Sarcoma. [2]
On top of these, most victims
suffered from multiple sexually transmitted diseases (STDs) - syphilis and
gonorrhoea of the penis, the mouth, the anus as well as Herpes, Hepatitis B and
tuberculosis (TB).
When a newly invented test
was used in 1981 to try to measure the strength of the immune system of the
victims by counting how many CD4 Helper T-Cells they had in a ml. of their
blood, they were found to
have low numbers. This was thought
to indicate an immune system in difficulty – but this symptom was not
unique to these cases of illness. Similar results were coming from testing the
victims of other illnesses – and from testing those suffering from severe
drug abuse.
THE 1984 REDEFINITION OF
AIDS.
The first major redefinition
of AIDS occurred in 1984, after HIV was declared its cause. To the above list
of ÔAIDS-defining illnessesÕ the presence of the virus was added as an AIDS
defining condition, as detected with another new test, todayÕs ÔHIV TestÕ. From
now on this test would play a key role in diagnosing ÔAIDS cases.Õ As the virus
itself was near impossible to locate in patients according to US health
authorities, this test was designed to find instead the antibodies said to
attack the virus. The test was said to be totally reliable. If this antibody were present, it was
firmly stated that the virus must be too. If the person tested had these
antibodies, they were grimly told that they were incurably ÔHIV positiveÕ
– and on an inevitable route to death.
This HIV Blood Test was
looked on as a great advance. Every doctor wanted a way to predict the onset of
AIDS. Now, instead of waiting until people were within 11 months of death, they
had a test said to reliably predict even in an apparently healthy person the
occurrence of AIDS within 10 years. And, if found positive, the patient did not
have to be left nervously waiting for AIDS to strike at any time. The Health
authorities had another test that would reveal just when this would be. They
could use the above mentioned ÔHelper T-cellÕ (CD4 cell) Count to see when the
cells that HIV was said to kill dropped to low numbers.
In future all found HIV
positive with the first test, would have to come back regularly to see their
doctor to have the second ÔCD4 CountÕ blood test. It was generally agreed that
a count of 500 CD4 cells per ml of blood serum meant that AIDS was near –
and that a count of 200 meant it was already or almost present. On average a
healthy person had between 300 and 1,400 Helper T-cells per ml. of blood
serum– although there are exceptions.
In future, when a person was
both ÔHIV positiveÕ and had a low CD4 Count, they would be diagnosed to have
AIDS before any physical symptoms of illness were evident. But this did not
mean the former way of diagnosing AIDS was abandoned. People could still be
diagnosed with AIDS because they already had an ÔAIDS IndicatingÕ illness and
were seriously near to death. Both
ways of diagnosing ADIS were seen as valid – but they could not have been
more different.
No other ÔviralÕ illness is
diagnosed by finding antibodies in the absence of symptoms – and it is
just as well! If we diagnosed other illnesses the same way, we would be facing
not one pandemic but a score. Take the case of the major AIDS killer disease
–– fungal pneumonia (PCP);
80% of us are exposed in early childhood to the fungus that causes it,
and consequently nearly all of us are protected by having antibodies against
it. If PCP were diagnosed the
same way as HIV, on the basis of having antibodies against it, we would all
panic. We would think a vast pandemic was about to eliminate 80% of the worldÕs
population. But we do not predict this.
The same applies to measles, mumps and many other common illnesses. The
presence of antibodies against them is taken as a symptom of health, not of
illness.
THE 1985 REDEFINITION OF
AIDS FOR AFRICA
In
1984 scientists went to Africa armed with this new ÔHIV TestÕ and discovered to
their dismay that many Africans tested positive. But most had no sign of the ÔAIDS IndicatingÕ illnesses.
This presented the scientists with a problem. If this virus causes these
illnesses in the West, why werenÕt Africans falling ill with the same diseases? There was also a practical
problem. The HIV test was priced
too high to be widely used in Africa.
Both
enigmas were resolved when, in 1985 in the West African city of Bangui, the CDC
experts with other international specialists agreed on an entirely new
definition of AIDS especially for Africa.
This listed, not the ÔAIDS IndicatingÕ diseases of the West, but a new group of ÔMajor African AIDS
Indicating Diseases.Õ Astoundingly, these included the common symptoms of many
common African illnesses, including persistent diarrhoea, intermittent fever
and an itching skin rash! The
presence of just these three symptoms would justify a doctor telling an African
that he or she is incurably ill with AIDS. These symptoms are said to indicate
the presence of HIV without any need to further test.
When
I read this definition, it so astounded me that it took time for its
implications to sink in. It seemed almost incomprehensible to believe that all
an African needs to be diagnosed with AIDS are common symptoms caused by impure water supplies, by lack of
sanitation – and by TB. There was no question that Africans suffer from
more of their proper share of the diseases of poverty, and from rampant TB, but
in future the same symptoms would be diagnosed as incurable sexually
transmitted AIDS, thus terrifying millions of Africans.
The
Official Definition of AIDS for Africa
The official
World Health Organization ÔBangui definition of AIDS for AfricaÕ says a person has AIDS, if they have two from its list of ÔMajor
Indicating DiseasesÕ and one from its list of ÔMinor Indicating DiseasesÕ (in
the absence of Ôknown causes of immunosuppression, such as a cancer or severe
malnutrition.Õ).
It names the
following symptoms as the ÔMajor AIDS Indicating Diseases for AfricaÕ, of which two are required for AIDS
diagnosis,
1
Weight loss
exceeding 10% of normal body weight
2
Chronic diarrhoea
for over a month.
3
A fever for over
a month, intermittent or constant.
It names the
following as the ÔMinor Indicating AIDS Diseases in Africa,Õ of which just one
is required for AIDS diagnosis
1
Persistent cough
for over a month
2
Itching skin rash
(Dermatitis)
3
Recurrent
Shingles (Herpes Zoster)
4
Thrush
5
Swollen lymph
gland. (Generalised lymphadenopathy)
6
(Only for an
African child – Repeated Minor Infections.)
(A patient who
has Kaposi Sarcoma or cryptococcal meningitis need to have none of the above
– these diseases are Ôsufficient of themselves for a diagnosis of AIDSÕ
in Africa.)
Thus in Africa,
since 1985 to be diagnosed with AIDS, It is sufficient to have persistent
diarrhoea, a fever and a persistent itch – all of which could be caused
by living in unsanitary conditions – especially if also suffering from TB
or one of the major pre-AIDS killer diseases of Africa. Dr Christian Fiala, who
researches AIDS in East Africa, reported; ÔTB is very widespread in Africa.
It's a bacterial infection that infects the lungs. TB is spread by coughing,
and it's highly infectious. The typical symptoms of Tuberculosis are fever,
weight loss and coughing. This is exactly what is required for an AIDS
diagnosis.Õ
Éend of box
AIDS
is still diagnosed in Africa by this ÔBangui StandardÕ that conflates the
effects of poverty and common African diseases. The implications are vast. It seems that WHO, the CDC and other
international ÔexpertsÕ, have
created by written fiat the pandemic AIDS emergency that has ever since
terrified Africa, vastly concerning all outside that continent who care for
what happens to its people – and fooling those journalists who do not
think to check how AIDS is diagnosed in Africa before they ring the AIDS alarm
bell.
I
found the Bangui definition had also ÔdemocratizedÕ HIV and AIDS as all these
symptoms sre shared by men and women, child and adult, gay and heterosexual,
alike – as they all suffer equally from impure water supplies and from
TB. Thus by the act of definition,
AIDS in Africa, unlike in the West, is not mostly confined to adult gay males
in the drug-scene scene but affects all categories of humans. In the UK today, the vast majority of
heterosexual and female cases of ÔHIVÕ and ÔAIDSÕ are currently said by
government experts to be confined to African immigrants Ôpresumed infected in
AfricaÕ.
This
redefinition also has apparently deceived experts into believing resolved one
of the great enigmas of HIV science – why HIV seemingly behaves unlike any other virus by
infecting mostly gay men in the West. You never hear of measles, malaria, TB,
as only affecting one gender – or according to whether a person is gay or
straight. The HIV scientists needed to show that women and heterosexual people
were equally falling ill if they were to maintain with any confidence the HIV
theory of AIDS – and a simple act of definition had done this for them.
To
make matters worse, individual African countries have felt free to develop
their own clinical case definitions for AIDS. Tanzania says just finding one of
the above symptoms is all that is required. Uganda for a period allowed just TB
to be defined as AIDS. As a result, their AIDS cases leapt up in number.
On top of this
the WHO computer team in Geneva vastly increased its allowance for Ôerror
factorsÕ. While their field reports list a steady number of Africans as testing
HIV positive, around 70,000 a year;
WHO worked out their annual estimate for AIDS in Africa by multiplying the reported cases by an
ever increasing error factor to account for under-reporting. In 1996, WHO
multiplied registered AIDS cases in Africa by 12. In 1997 this had jumped to
17. Recently in an 18 month period 116,000 new African HIV cases were
registered with WHO, but it estimated, after multiplying by its new error
factor, that the real total was 5.5 million.[3]
THE 1987 REDEFINITION
OF AIDS FOR THE WEST
Despite
the dramatic redefinition in Africa, those dying of AIDS in the West remained
over 80% males with most of these gays in heavily drug taking communities. A
1987 CDC study found heterosexuals
made up less than 5% of all new AIDS cases – and that these few
cases were mostly on drugs. New
York City Mayor Edward Koch drew the obvious conclusion. He told a 1987 AIDS
commission. ÔThe future of AIDS lies, to a great extent, in combating drug
abuse.Õ
But
some Gay organisations protested against this as an unjustified assault on
their life style. They said it was
proved that HIV was the cause – and
they wanted a vaccine against it. They had been promised in early 1984
that a vaccine would arrive in 2 years – and it was now overdue. They
broke up medical meetings, organised sit-ins in government offices. They
demanded medicine. If not a vaccine, anything else that would lengthen their
lifespan. Under this pressure, AZT was released in late 1986 as the first
antiretroviral drug, despite having failed its safety trials when considered
for cancer chemotherapy.
In
late 1987 President Reagan named AIDS as a Number One killer, but other voices
in the US appealed for some sanity, pointing out that it was already declining
among gay men, that accidental falls in the home killed more people, that US
suicides exceeded AIDS deaths by 100,000 and deaths from prescription drugs
were 1.4 million greater.[4] The CDC in response grimly stated 1.8 million Americans were
infected with HIV and about to get AIDS. When the White House asked E. Thomas
Starcher, the CDC official who compiled AIDS case reports, to explain this
terrifying estimate, he replied to their astonishment; ÔIt's just a guess.Õ
'I
was at the meeting' where this number was arrived atÕ, explained a CDC ÔsourceÕ later. 'We
were a subcommittee, and supposed to make these predictions. It was really just
off the tops of our heads. We tried to estimate the number of homosexual men in
the country. We'd fool around with those kinds of numbers, and then we'd debate
what the infection rate would be...Õ They then decided to take the percentage
figure for the number of drug-abusing gays affected at the 1982 height of the
San Francisco AIDS epidemic and apply this percentage uniformly across the
whole country.
It
then dawned on the Reagan Administration that AIDS among heterosexuals were
also much rarer than predicted – despite the CDC classifying
automatically all Black patients with a recent African or Haitian origin as
heterosexuals (much as still happens). This caused a heated exchange in the
White House Domestic Policy Council. The Education Secretary, Bill Bennett,
asked James Mason, the director of the CDC, 'You mean this thing is not
exploding into the heterosexual community?Õ Mason replied, ÔNo, it's not.Õ
Bennett then angrily asked, 'Well, why have you been telling everybody that it
is?' Mason could only reply
by referring to Africa, where, under the new redefinition, it seemingly
affected women equally to men.
But
the CDC had to do something as a
result of this pressure. It
responded by slashing its estimate of the number of Americans infected by
two-thirds to a new total of 600,000
(a cut some have mistakenly
attributed to the use of the just-introduced antiretrovirals)– and it
redefined AIDS in a manner that would put its numbers back up.
Under
its new definition, no longer was it necessary to have a positive HIV test
before being diagnosed with AIDS – and no longer were the ÔAIDS defining
diseasesÕ only the original PCP, Candida and Kaposi Sarcoma. Many more
illnesses were added. The CDC
stated that Ôwith laboratory
evidence against HIV infectionÕ, (that is, with a negative HIV test) Ôany of the provided list of diseases
could be diagnosed as AIDSÕ if the patient had fewer CD4 (Helper T-Cells) in their blood than Ô400Õ per ml. Thus, if one had a negative HIV test,
the T-Cell count could substitute. T-cells were said to be killed by HIV, thus
low numbers were said to indicate the presence of HIV. It was presumed that only
HIV could lower the number of CD4 cells.
The
CDC officials were exceedingly generous with their new definition of AIDS
– as were the UK authorities who as usual closely followed the American
lead. It could now be
diagnosed even if CD4 count reported the immune system undamaged, even if HIV itself could not be
detected, even if the HIV antibody could not be found – so no wonder the epidemic suddenly was
reported as getting much worse on both sides of the Atlantic.
The
new guidance to doctors stated, Ôif laboratory tests for HIV were not performed
or gave inconclusive results, and if the patient had no other cause of
immunodeficiency [defined as immunosuppressive treatment or cancer], then ÔanyÕ
of the following list of diseases Ôindicates AIDS without a CD4 CountÕ! This list is still current and includes
blindness caused by CMV (another virus), the presence of mycobacteria (the cause of TB),
bronchitis, pneumonia, a herpes ulcer – and a dozen other illnesses. It also meant a specialist working on
any one of these disorders would be able to get research funds from the
increasingly large proportion of the medical budget put aside for AIDS research.
The
new definition went on to say that if a person had a positive HIV test, then
AIDS could be diagnosed if they had just one of another long list of illnesses
including; septicaemia, pneumonia, meningitis, TB, bone or joint infection or
an abscess of an internal organ caused by streptococcus or other common
bacteria. All these had became
ÔAIDS Indicating IllnessesÕ brought on by HIV– as also were Ômultiple
bacterial infectionsÕ in children!
The
new definition conferred an extraordinary status on HIV. Every one of these many ÔAIDS
indicatingÕ illnesses had existed for hundreds of years before HIV was first
diagnosed. Each of had its own cause; a bacteria, virus or a fungus which had
to be present for the illness to be diagnosed. But HIV was said to cause AIDS
without being found present. If it were not present, it presumably could not be
killing our T-cells – and yet AIDS was still diagnosed. No justification
for these decisions was given by the CDC.
Finally
the CDC added, that people who did not fall under this definition of AIDS
because they Ôhave either a negative HIV antibody testÕ or Ôan opportunistic
disease not listed in the definition as an indicator of AIDSÕ, could still be diagnosed as having AIDS
Ôon consideration of É a history
of exposure to HIV.Õ[5] This last clause totally
astonished me. Under this anyone with flu could be diagnosed as
having AIDS despite being HIV negative, if a friend consistently has tested HIV
positive.
No
wonder there was an enormous public panic immediately after this redefinition!
The Chicago Tribune warned: ÔNew
AIDS Definition Likely to Raise TollÕ. [6]
USA Today ran in 1988 the headline, ÔBy 1991, 1 in 10 babies may be AIDS
victims.Õ[7]
In Italy this new definition was estimated by scientists to have put up the
AIDS figures by 188%. In the US it
was more like 280% - but with this redefinition came a watering down of the
risk factor. With so many now said
to have AIDS without having the original deadly AIDS Indicating diseases, the average life span after diagnosis
increased without any need for medicine.
THE
1993 REDEFINITION OF AIDS
In 1993 the last
redefinition of AIDS took place, one still applying in the West. All the AIDS
indicating diseases added in 1987 were re-indorsed as AIDS indicating –
with more diseases added – but the major reason for this redefinition
was, the CDC explained, Ôwas to
emphasise the clinical importance of the CD-4Õ (T-Cell) CountÕ.
In future the CDC
would diagnose AIDS in people who had none of the symptoms of AIDS Indicating
illnesses. All that would be
needed was to find less than 200 CD4 white blood cells per ml of their blood.
The CDC explained they were seeking the estimated 120,000 to 190,000Õ Americans
who had a CD4 Count of below 200 without knowing it. When it found them, it
would add them to the list of people with AIDS. This, the CDC said, would more
than double the number of reported AIDS cases, for Ô the population of
HIV-infected persons with CD4+ T-lymphocyte counts of less than 200/uL is
substantially larger than the population of persons with AIDS-defining clinical
conditionsÕ i.e. than those who were actually suffering from AIDS.
The CDC further
stated that this would enable the far wider use of AIDS drugs. All with a CD4 count below 500, were to
be seen as possible candidates for antiretroviral drugs – and those below
200 as for drugs against fungal pneumonia as well – despite no symptoms
of fungal pneumonia appearing.
This time the UK
contradictorily only partially followed suit. It said a person should have one
of the ÔAIDS indicating illnessesÕ to have AIDS in the absence of HIV –
but after a positive test, it accepted a CD4 counts below 200 meant the person
had AIDS even if not feeling ill – and should be put on antiretrovirals
and drugs against fungal pneumonia.
Previously all
AIDS patients had to have one or more life-threatening diseases, but by 1997,
according to the CDC, 61% of all new AIDS patients did not suffer from any AIDS
defining illness at all – and yet were being put on chemotherapy-type
antiretrovirals for the remainder of their lives – in the expectation
that they were sure to die soon otherwise!
Three illnesses
were added in 1993 to the 1987 list of 23 ÔAIDS IndicatingÕ Diseases. These
were TB, bacterial pneumonia and invasive cervical cancer. The addition of TB
would have a gigantic impact in Africa – since it was already in the grip
of a major TB epidemic, but also among Afro-Americans who also widely suffered
from TB. Pneumonia was another major killer disease that would put up the AIDS
numbers As for the addition
of cervical cancer – this was the product of political lobbying by
determined lesbian women in solidarity with their gay brothers. It came about
because they accepted the government prediction that millions of Western women
were about to get AIDS.
Until then very
few women had been diagnosed with AIDS, but this could not last, or so
thought Maxime Wolfe in 1992. She
explained; ÔAlmost all clinical research required a CDC definition of AIDS or
an HIV symptom to be included in research [for funding to be granted.];Õ Women
were not falling ill with AIDS, but Ôwe donÕt know if women were really
asymptomatic. They simply did not
have male-defined symptoms.Õ She believed; ÔMost women are in the early stages
of the disease.Õ By shaming the CDC with accusations of chauvinism, they apparently
succeeded in having cervical cancer added to the AIDS list, despite no relevant
evidence. The result was; ÔIn the
half-year following [the redefinition], over 9,000 cases in women were
reported. The number of women said to have AIDS in the US went up by 300%.Õ
Thus AIDS has
been greatly changed since it was
first defined – but
despite all this, it is still mostly the drug-abusing rave scene gays that die
of AIDS in the West. You would not
realise this however from the statements of the public health authorities. They
emphasise the percentage rise in heterosexual cases among Westerners –
without saying how many fewer these are in comparison to cases among gay men.
The
Wall Street Journal investigated in 1996 the CDC claim that AIDS posed an equal
danger to heterosexuals - and found that 90% of all AIDS cases were still among
drug abusing gay males. The CDC
was forced by the Journal to acknowledge itÕs fund raising drive had
deliberately exaggerated the risk to heterosexuals. It excused this by saying
if it acknowledged the gay nature of the disease this would increase homophobia
– and make it near impossible to raise AIDS research funds from Congress.
It had thus adopted as its slogan; ÔYou all can catch AIDS!Ó [8]
There has been no change in this tactic in recent years.
In 2004 the UK government reported, ÔRecent increases in new HIV diagnoses have
been largely driven by infections acquired
through heterosexual intercourseÕ. And yet, the small print of the same Report
stated; ÔMen-having-sex-with-men (MSM) remain the group at greatest risk of
acquiring HIV infection within the UK, accounting for an estimated 84% of
infections diagnosed in 2003 that were likely to have been acquired in the UKÕ
– and that out of 6,606 new cases of ÔHIV infectionÕ in 2003, only 43 cases were among women
born in the UK, and only 57 among UK born heterosexual men.
By vastly
inflating what can be called AIDS in the absence of the original severe
illnesses, the life expectancy of AIDS patients was automatically increased
– again by redefinition rather than by the use of medication. By 2001
life expectancy after diagnosis with AIDS had gone up from the 11 months of
1984 to over five years.
Under this
watered-down definition, such a low rate of AIDS deaths is now being reported
in the West that our government health agencies have been driven to what can
only be called ÔcheatingÕ to keep
up the appearance of a devastating epidemic. From 1993 the CDC recorded in its statistics every
death of a person found HIV positive as if they have died of AIDS. [9] A 1997 CDC report made the rate
acknowledgement that ÔReported deaths [on AIDS statistics tables] are not
necessarily caused by HIV-related diseases.Õ
Likewise in the
UK. When I looked at the most recent official AIDS statistics, those for
2003, I found a sharp decline in
AIDS cases had happened after the 1993 redefinition, from around 1,900 cases in
1993 to 766 in 2003.[10] The death statistics likewise fell from
around 1800 in 1993 to 475 in 2003 -
to less than half the total for the hospital super-bug. Then I looked in
the small print in these statistics – and found the figures for ÔdeathsÕ
in the ÔHIV/AIDS statisticsÕ were not for Ôdeaths from AIDSÕ, as one might be
forgiven to presume. They were for Ôdeaths among the HIV-infected,Õ leaving
open the actual cause of death. This makes these UK figures not only highly
misleading, but meaningless.
However from other research it seems most ÔAIDSÕ deaths recorded for people born in the UK continue to be of gay men who are chronically drug addicted, dying of the same ÔAIDS indicatingÕ diseases that killed in the early 1980s – plus,