ThinkTankWeekly

AIDS in Soviet Russia: A Story of Deception, Despair, and Hope

Foreign Affairs | 2026-04-21 | health

Topics: Europe, Russia, Ukraine, United States

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English Summary

The Soviet response to the AIDS epidemic was initially defined by state deception and systemic neglect, which was compounded by laws criminalizing homosexuality. Key evidence shows that the spread was significantly driven by injection drug use and poor hospital sanitation, rather than solely sexual contact, highlighting deep infrastructural and public health failures. The eventual improvement in the response was achieved through the combined efforts of progressive local activists and foreign civil society groups. This suggests that managing public health crises in authoritarian or closed societies requires robust external civil support and internal grassroots pressure to overcome state opacity and infrastructural deficiencies.

中文摘要

蘇聯對愛滋病疫情的反應,最初的特徵是國家層面的欺騙和體系性的忽視,而這又因法律將同性戀定為犯罪而加劇。關鍵證據顯示,疫情的傳播主要由注射藥物使用和醫院衛生條件不佳所驅動,而非單純的性接觸,這凸顯了深層的基礎設施和公共衛生方面的失敗。最終,應對措施的改善,是透過進步的本地活動家和外國公民社會團體的共同努力所實現的。這表明,在威權或封閉的社會中管理公共衛生危機,需要強健的外部公民支持和內部草根壓力,才能克服國家的不透明性與基礎設施的不足。

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