Four decades on the front lines.

A history of the HIV epidemic in the United States: the science, the policy, the advocacy, and AIDS United's role in the fight to end it.

1980s

June 5, 1981

A rare lung disease, pneumocystis carinii pneumonia (PCP), is identified by the CDC. It is the first official reporting of what will become known as the AIDS epidemic.

Dec. 10, 1981

Bobbi Campbell becomes the first Kaposi sarcoma patient to go public, writing a newspaper column on living with “gay cancer.”

Dec. 31, 1981

By year’s end, there is a cumulative total of 270 reported cases of severe immune deficiency among gay men, including 121 deaths.

June 4, 1982

Gay Men’s Health Crisis, the first community-based AIDS service provider in the U.S., is founded in New York City.

Sept. 24, 1982

CDC uses the term “AIDS” (Acquired Immune Deficiency Syndrome) for the first time and releases the first case definition of AIDS.

Jan. 7, 1983

CDC reports cases of AIDS in female sexual partners of men with AIDS.

Feb. 1983

CDC establishes the National AIDS Hotline to respond to public inquiries about the disease.

March 1983

The CDC announces that injection drug use is a leading cause of AIDS transmission in the United States.

May 18, 1983

The U.S. Congress passes the first bill with specific funding ($12 million) for AIDS research and treatment.

May 1984

Community-based AIDS service organizations join together to form AIDS Action, a national organization in Washington, D.C. and the predecessor to AIDS United, to advocate on behalf of people and communities affected by the epidemic.

July 13, 1984

The CDC states that avoiding injection drug use and reducing needle-sharing should be effective in preventing transmission of the virus.

Aug. 27, 1985

Ryan White, an Indiana teenager who contracted AIDS through contaminated blood products used to treat his hemophilia, is refused entry to his middle school.

Oct. 24, 1986

CDC reports that AIDS cases are disproportionately affecting African American and Latino children, who make up 90% of perinatally acquired AIDS cases.

March 19, 1987

FDA approves the first antiretroviral drug, zidovudine (AZT). The U.S. Congress approves $30 million in emergency funding for AZT, laying the groundwork for what will become the AIDS Drug Assistance Program (ADAP).

1988

The National AIDS Fund, later AIDS United, was founded in 1988. From the beginning, the organization focused on the most disproportionately affected populations, including gay and bisexual men, communities of color, women, and people living in the South.

1990s

Aug. 18, 1990

The U.S. Congress enacts the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act, providing $220.5 million in federal funds for HIV community-based care and treatment services in its first year.

1995

The U.S. Institute of Medicine recommends that the government lift the ban on funding syringe services programs, finding they are effective at reducing HIV rates without increasing drug use. The CDC reaches a similar conclusion.

June 27, 1995

The Presidential Advisory Council on HIV/AIDS is formed, and the National Association of People With AIDS launches the first National HIV Testing Day.

Oct. 31, 1995

500,000 cases of AIDS have been reported in the U.S.

Jan. 1, 1996

The Joint United Nations Programme on HIV/AIDS (UNAIDS) begins operations, advocating for global action and coordination on the HIV epidemic.

April 1997

HHS Secretary Donna Shalala endorses the scientific evidence backing syringe services programs and calls for lifting the federal funding ban, though the prohibition is ultimately maintained.

April 24, 1998

CDC issues the first national treatment guidelines for the use of antiretroviral therapy in adults and adolescents with HIV.

2000s

Feb. 7, 2001

The HIV community recognizes the first annual National Black HIV/AIDS Awareness Day in the U.S.

Jan. 2004

The U.S. Congress authorizes the first $350 million for the President’s Emergency Plan for AIDS Relief (PEPFAR).

Jan. 2004

PEPFAR upholds the prohibition on federal funding for syringe services programs.

2006

Dr. Julio Montaner pioneers the concept of treatment as prevention (TasP).

July 25, 2008

A study finds that people taking HIV treatment can expect to live into their 60s and beyond. A 20-year-old starting treatment can expect to live to 70.

2009

Congress lifts the prohibition on federal funding for syringe services programs.

2010s

Jan. 4, 2010

The U.S. Government officially lifts the HIV travel and immigration ban.

2010

The Department of Health and Human Services issues implementation guidelines for using federal dollars for syringe services programs, and PEPFAR endorses syringe services programs.

2011

Congress reinstates the prohibition on federal funding for syringe services programs.

July 3, 2012

The FDA approves the first at-home HIV test, letting users learn their HIV status right away.

July 16, 2012

The FDA approves the use of Truvada for pre-exposure prophylaxis (PrEP), a milestone in HIV prevention.

March 4, 2014

The PARTNER study reports that no one with an undetectable viral load transmitted HIV across tens of thousands of instances of condomless sex.

2015

Congress passes a partial repeal: federal money still cannot pay for sterile syringes, but can now fund other aspects of syringe services programs.

Feb. 25, 2015

Indiana health officials announce an HIV outbreak linked to injection drug use in the southeastern part of the state; by year’s end Indiana confirms 184 new linked cases.

Oct. 19, 2016

Dr. Carl Dieffenbach and the National Institute of Allergy and Infectious Diseases confirm Undetectable = Untransmittable (U=U), a transformative breakthrough in HIV science and advocacy.