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Harm Reduction/Clean Needles

In the early 1980s, many believed that identity not behavior put people at risk for contracting AIDS. Known collectively as the 4 H’s: homosexuals, hemophiliacs, heroin users (representing all intravenous drug users), and Haitians, the four groups were considered vulnerable and blamed for spreading the disease. Intravenous drug users brought with them an all-too-familiar public health challenge. How do you inform, protect, and support a group that engages in behaviors deemed illegal and potentially considered wrong or sinful?

One answer, as illustrated in these public health campaigns, was harm reduction—the idea that if you could not stop people from using intravenous drugs, you could provide people with information about how to protect themselves while doing so. Using straightforward language, these campaigns spoke to needle users and the people who had sex with them.

The Minority AIDS Project
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The Minority AIDS Project

In 1985, four years into the national health crisis, African Americans and Latinos accounted for three times as many cases of AIDS as whites. To address the growing disparate epidemic and counter the myth that AIDS was a “gay white disease,” Archbishop Carl Bean and members of the Unity Fellowship Church founded the Minority AIDS Project (MAP) to support communities in southern Los Angeles. Their bold, bilingual campaigns stressed AIDS as a very serious, rapidly growing problem in communities of color and provided information on prevention and care for those with AIDS. MAP, working alongside two other community-based organizations—Blacks Educating Blacks About Sexual Health Issues (BEBASHI) and Black and White Men Together—became examples for future organizations focused on assisting African Americans and Latinos affected by HIV/AIDS.

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Native People Respond to HIV/AIDS
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Native People Respond to HIV/AIDS

Since 1987, the National Native American AIDS Prevention Center (NNAAPC) has offered programs and outreach to Native communities. The NNAAPC's Social Marketing Clearinghouse includes a variety of educational resources, including posters, which have been tailored to individual Native nations in many parts of the country. Many of the posters displayed here reflect the work of tribal governments and local community organizations as they strive to educate their citizens and non-Native neighbors about AIDS. Although not originally focused on HIV/AIDS prevention or awareness, staff at health clinics and support organizations frequently counseled individuals on pursuing safer, healthier behaviors and, in the process, became key participants in fighting the epidemic in Indian Country. The images here reflect an array of culturally— and oftentimes tribally-specific messages aimed at a broad, new audience that required help and information.

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The Whitman-Walker Clinic
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The Whitman-Walker Clinic

Initially called the Gay Men’s VD Clinic upon its opening in 1973, the Whitman-Walker clinic was renamed in 1978, in honor of Walt Whitman, the famous American poet, who made his life with men, and Dr. Mary Edwards Walker, a feminist activist and medical doctor, who dressed exclusively in men’s clothes and was the only woman to receive the Medal of Honor for her service as a surgeon during the Civil War.

As early as 1983, the clinic staffed the first AIDS hotline in the city, and within two years, it opened multiple homes for people with AIDS. In addition, Whitman-Walker was at the forefront of designing and distributing safer-sex materials that targeted a range of audiences. Even as the clinic created campaigns to help all kinds of people, it never forgot to attend specifically to the needs of men who had sex with men.

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“Please Be Safe” by the Northwest AIDS Foundation
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“Please Be Safe” by the Northwest AIDS Foundation

In 1987, with funding from the U.S. Conference of Mayors, the Seattle-based Northwest AIDS Foundation launched the “Please Be Safe” campaign to help gay and bisexual men reimagine their sexual behaviors. Using a different creative visual strategy than the sexually charged imagery of some contemporaneous public health efforts, this campaign used road signs—a straightforward, familiar set of symbols—to discuss and advertise sexual safety. The “Please be Safe” or “Rules of the Road” campaign used road signs and compelling, straightforward, community-specific language to help gay men engage in safer sex. The “Sexual Safety Card” featured on many of the posters provided quick and accessible information on activities at every level of safety.

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South Carolina AIDS Education Network (SCAEN)
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South Carolina AIDS Education Network (SCAEN)

In 1986, DiAna DiAna, an African American hairdresser with a salon in Columbia, South Carolina, took action when a local newspaper refused to run an advertisement for condoms. She began to use her salon as a space to engage customers in conversations about safer sex.

Later on DiAna met Bambi Sumpter (now Gaddist), a public health educator, at an AIDS workshop. The two women formed the South Carolina AIDS Education Network (SCAEN). The organization initiated a full-scale campaign to use popular culture to entice people to think about AIDS prevention. They wrote plays, and held Tupperware-style parties with prizes that could be used to make sex safe.

Emerging from this culture are a series of posters, by an unknown artist, that typify DiAna's approach to AIDS prevention: positioning the epidemic as a situation empowered community members could take on.

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Harm Reduction/Clean Needles
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Harm Reduction/Clean Needles

In the early 1980s, many believed that identity not behavior put people at risk for contracting AIDS. Known collectively as the 4 H’s: homosexuals, hemophiliacs, heroin users (representing all intravenous drug users), and Haitians, the four groups were considered vulnerable and blamed for spreading the disease. Intravenous drug users brought with them an all-too-familiar public health challenge. How do you inform, protect, and support a group that engages in behaviors deemed illegal and potentially considered wrong or sinful?

One answer, as illustrated in these public health campaigns, was harm reduction—the idea that if you could not stop people from using intravenous drugs, you could provide people with information about how to protect themselves while doing so. Using straightforward language, these campaigns spoke to needle users and the people who had sex with them.

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Postcard Politics
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Postcard Politics

By the mid-1980s, as the AIDS epidemic became a full-on crisis, AIDS activists turned to art and graphic design to illustrate and punctuate their responses to the disease and the resulting social crises. Soon artistic activism insisted that visual culture had tremendous power to affect behavioral and political change. Artists and activists plastered urban neighborhoods with posters featuring provocative images that forced some to confront their homophobia and others to reimagine what they could do to fight AIDS.

In addition to creating posters, artists reproduced those images as postcards. These small, portable, inexpensive items were visual reminders of how big the AIDS crisis had become. Displayed for the taking at bars, restaurants, neighborhood shops, and community centers, these postcards allowed activists to reach an even wider audience.

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15 Images

Black and white photograph of a pregnant White woman holding her stomach.

A man who shoots up can be very giving, he can give you and your baby AIDS

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Black and white photograph of a pregnant White woman holding her stomach.

National Institute on Drug Abuse, ca. 1980s

This poster features a pregnant White woman whose male partner uses intravenous drugs. She is regarded as an infector of babies rather than as a person with AIDS deserving care.

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Black and white photograph of a pregnant African American woman holding her stomach looking at the viewer.

A man who shoots up can be very giving, he can give you and your baby AIDS

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Black and white photograph of a pregnant African American woman holding her stomach looking at the viewer.

National Institute on Drug Abuse, ca. 1980s

In the early 1990s, the National Institute on Drug Abuse called on women to seek treatment to protect their children, including those yet to be born, from AIDS. This poster features a pregnant African American woman whose male partner uses intravenous drugs. The accompanying text warned, “Babies with AIDS are born to die,” and suggested women get tested for HIV before becoming pregnant and use condoms to protect themselves.

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Black and white photograph of a pregnant Latina woman holding her stomach looking at the viewer.

A man who shoots up can be very giving, he can give you and your baby AIDS

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Black and white photograph of a pregnant Latina woman holding her stomach looking at the viewer.

National Institute on Drug Abuse, ca. 1980s

This campaign pictured women of all races, acknowledging that drug use happened in all communities, and emphasized that women should seek treatment as mothers. This poster features a pregnant Latina whose male partner uses intravenous drugs.

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Black and white photograph of run-down front room of a house with three people huddled together, with a fourth person walking out the front door.

A lot of people are getting stuck with AIDS

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Black and white photograph of run-down front room of a house with three people huddled together, with a fourth person walking out the front door.

AIDS Resource Center, Dallas, TX, ca. 1980s

This poster attempted to reach not only drug users, but their families and friends as well, in the hopes that by reaching the user’s social network, campaigns like this would be more successful in educating people on the dangers of sharing needles.

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Black and white photograph of a young woman standing against a wall with a young man in front of her, the image is repeated three times.

AIDS, think about it: first

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Black and white photograph of a young woman standing against a wall with a young man in front of her, the image is repeated three times.

New York City Department of Health, ca. 1980s

The cut-and-paste, zine-style of this poster suggested a youthful audience, while focusing the message on people who either did not have AIDS or had not yet been tested but could be engaging in risk behaviors.

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Drawing of a needle with a red blood spot near the tip, on a black background.

AIDS can blow your high, if you’re not going to stop, at least use clean needles

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Drawing of a needle with a red blood spot near the tip, on a black background.

Health Education Resource Organization, Baltimore, MD, 1987

Much of the outreach to drug users focused on getting people to “simply” stop using drugs. This poster from the Health Education Resource Center offered a message that focused on making risky behaviors safer.

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Drawing of a vertical needle with purple skull and crossbones where the handle is, on a black background.

Don't share needles, Don't get stuck with AIDS

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Drawing of a vertical needle with purple skull and crossbones where the handle is, on a black background.

Michigan Department of Public Health, AIDS Prevention Program, 1988

The grim image here makes a straightforward connection between needle-sharing, AIDS, and death. Campaigns like this one relied on fear as a motivator for people to take steps towards safer practice.

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Two color drawings, one of a Hispanic couple on a crowded multiracial subway, and the other an African American couple on the same subway car.

Carlos Y Carla: Libro De Illustraciones Sobre El SIDA. Bill and Brenda: AIDS Information Picture Book

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Two color drawings, one of a Hispanic couple on a crowded multiracial subway, and the other an African American couple on the same subway car.

New York City Department of Health, 1987

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Color photograph of a syringe.

Don't share.

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Color photograph of a syringe.

San Francisco AIDS Foundation, ca. 1980s-1990s

Straight and to the point, this poster presents a basic prevention technique aimed at anyone using needles.

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Color photograph of a hand injecting drugs into an arm.

Don't share!

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Color photograph of a hand injecting drugs into an arm.

Project Safe, Denver AIDS Prevention, 1988

Sharing needles became widely known as a dangerous practice in public health communities, but with little political will or funding to provide users with clean needles, some organizations chose to stress how to sterilize needles for reuse. This poster communicates a simple and cheap measure that would help prevent the spread of AIDS in intravenous drug user communities.

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White text that mimics chalk on a blackboard over a photograph of a needle. The words Famous last words are in red.

“Hey man, let me use your works,” famous last words

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White text that mimics chalk on a blackboard over a photograph of a needle. The words Famous last words are in red.

People of Color Against AIDS, ca. 1980s

By using a conversational and perhaps familiar line, this poster from the People of Color Against AIDS offered an example of a realistic situation that drug users may have experienced, along with a strategy to use if it came up.

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Color photograph of a line of syringes with a condom on the far right

If you won't kick an old habit, start a new one

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Color photograph of a line of syringes with a condom on the far right

AIDS Administration, Maryland Department of Health and Mental Hygiene, 1988

Risky behaviors could be made safer; sex with a condom or injecting with a clean needle both minimized the likelihood that a person with AIDS would pass it on to a partner. This poster offers both solutions, as well as appealing to the reader’s sense of responsibility to protect others by making choices to stay safe.

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Black and white photograph of a baby carriage next to it is hospital intravenous drip bag on a pole.

Most babies with AIDS are born to mothers or fathers who have shot drugs

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Black and white photograph of a baby carriage next to it is hospital intravenous drip bag on a pole.

National Institute on Drug Abuse, ca. 1980s

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Black and white photograph of a baby bottle next to text.

Guess who else can get AIDS if you shoot drugs, your baby can

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Black and white photograph of a baby bottle next to text.

National Institute on Drug Abuse, ca. 1980s

This poster advised pregnant women with a history of drug use and those with partners who used intravenous drugs to get an AIDS test, seek drug treatment, and use condoms.

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Red tinted photograph of a hand injecting drugs into an arm.

Share and you are a target for AIDS

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Red tinted photograph of a hand injecting drugs into an arm.

Tulsa Area Chapter of the American Red Cross, Tulsa, OK, ca. 1980s

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