Conjuring Medical Science: The 1986 Referendum on AIDS/HIV Policy in California

Medical science occupies a peculiar status in American life. On the one hand, people often view medical science as a privileged and authoritative body of knowledge that transcends other kinds of knowledge. On the other handy medical–scientific authority can be easily conjured from the popular symbols of science, e.g., credentials, technical terms, and white lab coats. This problem can be converted into an anthropological question of meanings and symbols, based on Geertz's interpretive anthropology and Baudrillard' s sociology of hyperreality. This article uses these frameworks to explore the cultural construction of medical-scientific authority in the case of a 1986 referendum on AIDS/HIV policy in California. The interpretation of that construction raises some difficult problems concerning anthropology's treatment of medical science. [AIDS, HIV, cultural construction of science, anthropology of science, hermeneutics of science]     

Risk for AIDS in multiethnic neighborhoods in San Francisco,California. The population-based AMEN Study.

To examine the actual and potential spread of human immunodeficiency virus (HIV) from an acquired immunodeficiency syndrome (AIDS) epicenter to surrounding neighborhoods, we studied the prevalence of the viral infection and AIDS risk behaviors from 1988 to 1989 in a representative sample of unmarried whites, African Americans, and Hispanics living in San Francisco. We surveyed 1,770 single men and women aged 20 to 44 years (a 64% response rate) in a random household sample drawn from 3 neighborhoods of varying geographic and cultural proximity to the Castro District where the San Francisco epidemic began. Of 1,369 with blood tests, 69 (5%) had HIV antibodies; all but 5 of these reported either homosexual activity (32% HIV-positive; 95% confidence interval [CI] = 23%, 41%), injection drug use (5% HIV-positive; CI = 1%, 14%), or both (59% HIV-positive; CI 42%, 74%). Homosexual activity was more common among white men than among African-American or Hispanic men, but the proportion of those infected was similar in the 3 races. Both the prevalence of homosexually active men and the proportion infected were much lower in the 2 more outlying neighborhoods. Risk behaviors in the past year for acquiring HIV heterosexually--sex with an HIV-infected person or homosexually active man or injection drug user, unprotected sexual intercourse with more than 4 partners, and (as a proxy) having a sexually transmitted disease--were assessed in 1,573 neighborhood residents who were themselves neither homosexually active men nor injection drug users. The prevalence of reporting at least 1 of these risk behaviors was 12% overall, and race-gender estimates ranged from 5% among Hispanic women to 21% among white women. We conclude that in San Francisco, infection with HIV is rare among people who are neither homosexually active nor injection drug users, but the potential for the use spread of infection is substantial, as 12% of this group reported important risk behaviors for acquiring the virus heterosexually.     

Ecological effects of seaweed harvesting in the Gulf of California and Pacific Ocean off Baja California and California

The ecological effects of harvesting were investigated for two species, the giant kelp Macrocystis pyrifera and Eucheuma uncinatum, by using harvest records and aerial surveys that show yield changes and by using studies of recruitment, survivorship and community interactions. There were no ecological effects found for M. pyrifera harvested with contemporary methods, and there are no recommendations for changing current management practices for this species. It is recommended that E. uncinatum, which on occasion produces commercially significant standing crops, not be harvested unless special precautions are taken to leave some plants for regeneration of the harvested populations.     

The Southern California Twin Register at the University of Southern California.

The Southern California Twin Register is the result of an effort to recruit twins of all ages in the city of Los Angeles and surrounding areas. The register currently includes an ethnically diverse sample of more than 2600 twin pairs. The most recently recruited pairs have been drawn primarily from computerized records of enrollments in local public school districts, and are comparable in sex and ethnic distributions to the general public school population. An ongoing twin study of social and moral development in children, based on 600 pairs of 9-year-old twins from this register, is also described briefly in this paper.     

Distribution of living coccolithophores in the California Current system,southern California borderland

The distribution of living coccolithophores in the California Current system of southern California at 10 m water depth was investigated on two dates in March and June, 1982. Six closely spaced stations were sampled in March, of which three were resampled in June. Thirty-six euphotic species were identified of which four,Emiliania huxleyi, Umbilicosphaera sibogae, Gephyrocapsa oceanica, andRhabdosphaera longistylis, respectively, were the most abundant. Both the “cold” and “warm” morphotypes ofE. huxleyi were present, in varying proportions. Large ranges in community structure, diversity (0.35–2.64 natural bels), and standing crop (1.0 × 10⁴–6.2 × 10⁵cells/l) were recorded. This range of end-member values is approximately that found in the open ocean from 0° to about 65° latitude.The distributions of four coccolithophore assemblages recognized in March samples from the Borderland area appear to reflect the following distinct water masses: (1) California Current; (2) Southern California Counter Current; (3) Transitional Zone; (4) Near Shore. The coccolithophore assemblages from the June stations were more uniform, indicating that the Borderland was experiencing more stable conditions than in March.     

New Agrostis from the California coast

Agrostis clivicola, A. clivicola var.punta-reyesensis andA. blasdalei var.marinensis are described from the California coast. A key distinguishes these from other species of similar habit and habitat.