Health Education AIDS Liaison, Toronto

Surviving and Thriving

 

Gavin Geoffrey Dillard
"'HIV test' has long been a moniker of confusion. People still die of AIDS who are HIV negative, while others, like myself, have been positive for more than fifteen years and have the stamina of a tiger. I have known a number of young men who tested positive, were coerced onto anti-viral medications, got sick from the medicines, and have even died. Who's being served here? Who's being duped? The HIV test is not only useless theology, it is a virulent trap for what has become a multi-billion-dollar death machine."
    - Gavin Geoffrey Dillard
       Author of In the Flesh


Long-term survivors or "non-progressors"

excerpt from
The Drug-AIDS Hypothesis
By Peter Duesberg and David Rasnick

In view of the appearance of growing numbers of HIV carriers who are healthy even 15 years after infection, the HIV orthodoxy has created a new category of HIV carriers, termed long-term survivors or “long-term non-progressors". The first mainstream paper on long-term survivors described a healthy male homosexual blood donor and five blood recipients who by 1992 had survived HIV for 10 to 12 years. The HIV orthodoxy has therefore proposed that the existence of the non-progressors is due to non-virulent, mutant strains of HIV and that such viruses would be ideal vaccine strains. However, these optimistic proposals were not backed up by functional evidence for non-virulent HIV .

According to the drug hypothesis the non-progressors should be HIV-positive people who have stopped using or never used recreational drugs or AZT. Indeed, the HIV-researchers David Ho et al. inadvertantly provided the key to long-term survival: "none had received antiretroviral therapy". Likewise, Alvaro Munoz reported that not one of the long-term survivors of the largest federally funded study of male homosexuals at risk for AIDS, the MAC study, had used AZT. Another orthodox HIV study acknowledged “only 38% of the HLP [healthy long-term HIV-positives] had ever used zidovudine or other nucleoside analogues compared with 94% progressors”. Clearly the wording “had ever used” implies that AZT had been discontinued after a short traumatic, but reversible experience.

Independent scientists document that in addition to abstaining from antiviral drugs long-term survivors are those who have given up or never taken recreational drugs. Timothy Hand, from the Ogelthorpe University in Atlanta GA, adds much weight to this view:

While healthy, ‘non-progressing’ HIV carriers are considered rare (and doomed), they may in fact vastly outnumber the sick and dying. This is certainly implied by the ubiquitous estimate of HIV prevalence in America of one million. Long-term AIDS survival is now a hot topic in the literature, and anecdotal reports as well as numerous scientific studies suggest that most long-term survivors have shunned antiviral drugs. This point is often understated in these studies, and is not made in the titles or abstracts. In David Baltimore’s editorial on 2 of these studies, avoidance of antivirals was not mentioned at all. Needless to say, none of these studies was funded by a pharmaceutical firm.

Interestingly, nearly all of these studies suggest a protective role of cytotoxic CD8+ T-cells and/or natural killer cells in healthy survivors. Many focus on the importance of maintaining cell-mediated immunity, rather than on “killing HIV”. Thus HIV infection per se seems to entail little danger, unless it is followed by antiviral therapy..

Similar observations have been made by the late homosexual AIDS activist Michael Callen: In researching his 1990 book Surviving AIDS, Callen interviewed nearly fifty people who had lived for many years not just after being pronounced HIV-positive, but after an AIDS diagnosis. He found that only four had ever used AZT; three of those had since died, and one was dying of AZT-induced lymphoma. But the overwhelming majority of long-term survivors had somehow managed to resist the enormous pressure to take AZT.

The pressure did not just come from doctors, Callen told the Amsterdam meeting, but from a certain segment of AIDS activism that seemed driven by a ‘drugs-into-bodies’ mentality. ‘I feel many AIDS activist friends who are in the forefront of this frenzy are very misleading to people with AIDS, who are frightened and desperate. They only seem to talk about two possible outcomes of taking experimental drugs: one is that it works and one that it does not work. There is a third, apparently much more common possibility, which is that you will be worse off than if you did nothing at all. And nobody likes to talk about that because it is so unpleasant’. He had seen the devastation wreaked by AZT, watching with horror as friends with AIDS ‘turn the colour of boiled ham from AZT poisoning, endure the melting away of their muscles, become transfusion dependent, and experience drug-induced psychosis’. Yet his perception of a person diagnosed with AIDS in 1992 was that ‘they would sell their grandmother into slavery to get a slot in the latest drug-of-the-month clinical trial’.

Another feature of the long-term survivors was that they rejected the predominant scientific view that HIV-positivity meant inevitable decline of the immune system towards an early death.

In December 1995 The Advocate, the largest national gay magazine, published the story of Dennis Leoutsakas, a man who is HIV-positive “for at least 17 years [but] doesn’t have AIDS - and no one knows why”. According to the article, “most HIV researchers have insisted that HIV infection will, in almost every case, eventually lead to AIDS” - a belief underscored by their preferred term for nonprogressors: slow progressors.

Wearing his HIV blinkers the author of the article fails to see the formula for Leoutsakas’ “slow progression”: “ Leoutsakas, 47: A former IV-drug user who last shared a needle in 1978 ... first tested positive in 1987. He has a T-cell count ... between 650 and 950. In addition, Leoutsakas has had none of the opportunistic infections that define AIDS - no pneumonia, no Kaposi’s sarcoma, no fungal infections, nada. Leoutsakas says doctors have attempted to explain his case by theorizing that, like the Australians, he is infected with a weakened form of HIV - but it’s really just speculation.” ... “Leoutsakas has no theory of his own - and no special formula for his well-being. He’s never taken AZT or any other antiretroviral drugs.” No more IV-drugs, no antiretroviral drugs - but “no formula for his well-being”!

And in October 1996 even an orthodox professor of medicine at the University of California at San Francisco taught his medical students the secret of long-term survival with HIV: “I have a large population of people who have chosen not to take any antivirals since I’ve been following them since the very beginning... They’ve watched all of their friends go on the antiretroviral bandwagon and die, so they’ve chose to remain naive to therapy. More and more, however, are now succumbing to pressure that protease inhibitors are it ... We are in the middle of the honeymoon period, and whether or not this is going to be an enduring marriage is unclear to me at this time, so I’m advising my patients if they still have time, to wait.”

Unknowingly the vast majority of HIV-positives are long-term survivors! Worldwide, they number 17 million, including 1 million HIV-positive, healthy Americans and 0.5 million HIV-positive, healthy Europeans. Most of these must have been HIV-positive for at least 10 years now because the numbers of the HIV-positive Americans and Europeans have not changed during the period 1984 to 1988 when the epidemic of HIV-testing began in the respective countries.

Since no more than 6% of the 17 million people worldwide with antibodies to HIV have developed AIDS over the last 7 to 10 years, the risk of AIDS to an HIV-carrier is less than 1% per year. However, even this low figure is not corrected for the normal occurence of the 30 AIDS-defining diseases in HIV-free controls. There is not a single controlled study in the vast AIDS literature proving that HIV-positive people who are not drug users have a higher morbidity or mortality than HIV-free controls.

To save the reputation of the “deadly virus” in the face of long-term survivors, orthodox HIV researchers have already posted warnings that “regrettably ... the proportion of individuals who might demonstrate such a benign course is very small”. Others have postulated rare HIV attenuating mutations without providing functional evidence. Gallo et al. went even further by postulating human mutants, who fall victim of HIV because they lack “major HIV-suppressive factors”. According to Gallo’s hypothesis most American homosexuals, hemophiliacs and intravenous drug users are mutants!

Quoted from section:
6.8. Non-correlations between HIV and AIDS. (with references)

You may also want to consider:
7.8. Hiding evidence that AZT accelerates death, eleven examples.

The Drug-AIDS Hypothesis
By Peter Duesberg(a) and David Rasnick(b)
a) Department of Molecular and Cell Biology, 229 Stanley Hall, UC Berkeley Berkeley, CA 94720, phone 510.642.6549, FAX 510.643.6455, email: duesberg@uclink4.berkeley.edu
b) Resident AIDS investigator at UC Berkeley, 229 Stanley Hall, UC Berkeley Berkeley, CA 94720, phone (510) 642-6549, fax (415) 826-1241, email: rasnick@mindspring.com



What do healthy long-term HIV+ people*
have in common?

*"long term survivors" or "non progressors"

Compiled by Bill Wells, 1-11-97 (HEAL Portland)

A few common elements run through these reports - some of which are scientific papers, others anecdotal stories: most long-time survivors have (1) avoided taking chemotherapy/antiretroviral drugs such as AZT, ddI, ddC, d4T, 3TC; (2) on learning of their HIV status (HIV-positive), they stopped all high-risk activities such as drug use and unprotected sex; (3) they began taking charge of their lives, including their health.
(1) Cao, Yunzhen, et al, “Virologic and immunologic characterization of long-term survivors of HIV-type 1 infection.” in New England Journal of Medicine. January 26, 1995, 332: 201-208.

The study is based on 10 HIV+ people in New York City, all of whom had been living with HIV infection for 12-15 years when the study was done: 7 gay men; 2 IV drug users; 1 woman infected heterosexually. Their characteristics were: (1) no AIDS symptoms; (2) normal and stable CD4 cells; (3) no prolonged use of antiviral agents; (4) infection of 12 years or more.

Two important points emerge: (1) they did not use antiviral drugs; (2) they stopped all high-risk activity after they tested HIV- positive.


(2) Simmons, Todd, “Living on the edge,” in The Advocate, Dec. 5, 1995.

Story about Dennis Leoutsakas, 47, a former IV drug user, who has been HIV-positive since 1978 he thinks, when he last shared a needle. He is still living disease-free as of 1995. He has never taken AZT or any other antiretroviral drugs. He believes taking charge of his life was the single most important thing he has done to promote his ongoing health. The article also includes a brief description of 8 HIV+ Australians who have been healthy and HIV-positive for at least 15 years.


(3) Altman, Lawrence, “Long-term survivors may hold key clues to puzzle of AIDS,” in New York Times, Science Section, January 24, 1995.

Profiles a long-time survivor, Newton Butler, from San Francisco, who has been HIV+ for at least 10 years, maybe 15 years. He is a picture of health. Works full-time, hikes, exercises, and has never taken anti- HIV medication. “Soon after learning he was infected, Mr. Butler realized that his best chance of survival was by taking charge of his own health. ‘You have to depend on yourself and not on an abstract overseer such as the Government, and you have to establish your own self- management regimen,’ he said. Mr. Butler attributes his favorable situation to a combination of a ‘certain feistiness,’ a good genetic makeup. . . and exercise, a good diet, taking as few medications as possible, limiting alcohol intake to an occasional glass of wine, and never having smoked. He said he has practiced safe sex since 1981. . . .”


(4) Munoz, A. “Disease progression of 15% of HIV-infected men will be long-time survivors.” In AIDS Weekly, (News Report), May 15 & 29: 5-6; 3-4.

Reports that not one of the long-term survivors at risk for AIDS, the MACSA study, had used AZT.


(5) Root-Bernstein, Robert. “Five myths about AIDS that have misdirected research and treatment.” In Genetica (1995) 95: 111-132.

The study documents that long-term survivors discussed here all avoided antiviral drugs and had given up or never had taken recreational drugs.


(6) Wells, J. “We have to question the so-called facts,” in Capital Gay, August 20, 1993, 14-15.
A description of long-term survivors.
(7.) Pantaleo, G. et al. “Studies in subjects with long-term nonprogressive Human Immunodeficiency Virus Infection.”
In New England Journal of Medicine, 332:209 (1995)

Fifteen long-term non-progressors studied: usually living longer than 10 yrs.; no decline in CD4s; had not taken any antiretroviral drugs.


(8.) Hogervorst, E. et al. “Predictors for non- and slow progression in HIV type-1 infection: low viral RNA copy numbers in serum and maintenance of high HIV-1 p24-specific antibody levels.” (Amsterdam)
In Journal of Infectious Diseases, 171:811 (1995)

Subjects: homosexual men in Amsterdam. Three groups, all HIV+ for p24 antibodies: either (1) not, or (2)slowly or (3) rapidly progressing to AIDS.
(1) long-term asymptomatic: at least 7 years asymptomatic; T cells at 400 or above; (2) slowly progressing, same as #1 but decline of T-cells after 4 years.

“None of the LTAs [long-term asymptomatics] or slow progressors received any antiviral drugs during the study [ 7 years].”


(9) Harrer, Thomas et al. “Strong cytotoxic T-cell and weak neutralizing antibody responses in a subset of persons with stable nonprogressing HIV type-1 infection.”
In AIDS Research and Human Retroviruses, 12: 585 (1996)

Ten HIV+ people; 11-15 years infected; non-progressors; maintained stable T-cell counts above 500. “These long-term nonprogressors are a heterogeneous group with respect to viral load and HIV-1 responses.”

“Selected solely on the basis of CD4 counts and duration of infection. All showed the same risk factor (sexual exposure), and all had... virus..., and none had been treated with antiretroviral agents.”


(10.) Buchbinder, Susan et al. “Long-term HIV-1 infection without immunologic progression.”
In AIDS, 8:1123 (1994)

588 men; 42 were 10-15 year non-progressors. “Only 38% of the HLP [Healthy long-term positives] had ever used zidovudine [AZT] or other nucleoside analogues, compared with 94% of the progressors.”


(11.) Garbuglia, Anna R. et al. (Rome, Italy) “In Vitro activation of HIV RNA expression in peripheral blood lymphocytes. . . .”
In AIDS, 10:17 (1996)

Eleven HIV+ long-term non-progressors: all stable for at least 7 years; CD4 cells >500; no AIDS symptoms; and no antiretroviral therapy.


(12.) Hoover, Donald R. et al. (Johns Hopkins) “Long-term survival without clinical AIDS after CD4+ cell counts fall below 200.”
In AIDS, 9:145 (1995)

Of the 446 men in the MACS study with 200 T-cells, 26% (118) were free of AIDS illnesses three years later.

“. . . 45% of the group who were AIDS-free > three years after CD4+ cells fell below 200 had not used these [antiretroviral therapy] treatments.”

Conclusions: “Significant numbers of individuals remain free of illnesses and AIDS symptoms > three years after CD4+ cell counts drop below 200. This occurs even in the absence of treatment.”

“. . . recent date suggest the CD8+ cell subsets play an important role in controlling HIV-1 infection.”

“This study documents that substantial numbers of (even untreated) [meaning no antiviral drugs] HIV-1 infected patients remained free of AIDS illnesses for long time periods after becoming CD4+ immunosuppressed.”


(13.) Montefiori, David C. et al (Duke Univ. Med Center, Durham, NC)
“Neutralizing and infection-enhancing antibody responses to HIV type-1 in long-term nonprogressors.”
In Journal of Infectious Diseases , 173:60 (1996)

Subjects: 24 long-term nonprogressors [LTNP] all have HIV infection for at least 7 years; CD4 cells at 600; no symptoms related to HIV-1 infection; and with the exception of 2 patients, none of them had ever received antiretroviral therapy.


(14.) Dr. Donald I Abrams, Prof. of Medicine at San Francisco General Hospital, an active participant in AIDS research/treatment from the early 80’s.

In an informal meeting with medical students on Oct. 7, 1996, Dr. Abrams made the following statements:

“In contrast with many of my colleagues at SFGH in the AIDS program, I am not necessarily a cheerleader for anti-retroviral therapy. I have been one of the people who’s questioned, from the beginning, whether or not we’re really making an impact with HIV drugs and, if we are making an impact, if it’s going in the right direction.”

“I have a large population of people who have chosen not to take any antiretrovirals since I’ve been following them -- since the very beginning. . . They’ve watched all of their friends go on the antiviral bandwagon and die, so they’ve chose to remain naive [to therapy]. More and more, however, are now succumbing to pressure that protease inhibitors are “it”. . . We are in the middle of the honeymoon period, and whether or not this is going to be an enduring marriage is unclear to me at this time, so, I’m advising my patients if they still have time, to wait.”

(Article by Mark Tanaka, “Abrams Cautious On Use of New AIDS Drugs”
in “Synapse” Univ. of California, San Francisco.)

Life After HIV
The stories on this page are excerpted from the fourth edition of "What If Everything You Thought You Knew About AIDS Was Wrong?" They are part of a collection of accounts from healthy, HIV positive men, women and children whose lives defy all that we have been taught to believe about AIDS.

Positive
Toronto Life, June, 1999
An HIV diagnosis used to be viewed as a death sentence. Today, the growing number of longterm survivors calls into question some basic assumptions about the disease. What these "thrivers" seem to have in common is strenght of character and an optimistic outlook.
By Sky Gilbert



Judge for yourself. After reading the arguments above, take a look at the mainstream view of this issue:

Long-term Nonprogressors
By Dennis Blakeslee, PhD


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