The emergence of Aids in Amazonas

This article analyzes the historical, social, and political context in which Aids emerged in the Brazilian state of Amazonas, and how local responses were shaped by changes taking place on a national political level. Documental sources from governmental and non-governmental institutions were researched, and the information was supplemented and clarified by oral sources-testimonials of activists and health professionals/managers who have led the organization of healthcare for people with HIV/Aids in the state. This research reveals that the lack of coordination between healthcare institutions and the dearth of any real political will to fight the epidemic in the state have hampered the planning and execution of public strategies and actions covering the whole welfare system in the state.