Bioethics News

‘Patient Zero’ of the US AIDS epidemic finally exonerated

A demonstration against the epidemic in the 1980s in San Francisco   

The exoneration of “Patient Zero” of America’s AIDS epidemic in the 1980s raises ethical questions about confidentiality. French Canadian airline steward Gaétan Dugas was named as the centre of the epidemic in the 1987 book And the Band Played On. He and his family were vilified after his death of AIDS complications in 1984. The New York Post even fingered him as “The Man Who Gave Us AIDS.” 

But according to a study of the spread of the virus published recently in Nature, Dugas was just one of the early victims of AIDS, not its cause. Investigators from the Centers for Disease Control contacted him because he was at the centre of a cluster of men who had Kaposi’s sarcoma or others illnesses characteristic of late-stage AIDS. Dugas had kept a diary and gave the CDC researchers the names of 72 of his hundreds of sexual contacts. This enabled them to see how the disease spread.

The authors of the Nature article analysed blood samples from the 1970s and found that AIDS was already widespread in the 1970s, demonstrating that Dugas had not been the epicenter of AIDS.   

An article in the New York Times raises the question, “Is it right to hunt down the first case in any outbreak, to find every Patient Zero?” Journalist Donald G. McNeil Jr points out that finding Patient Zero has become a staple of reporting about epidemics and of B-grade films about disease.

The views, opinions and positions expressed by these authors and blogs are theirs and do not necessarily represent that of the Bioethics Research Library and Kennedy Institute of Ethics or Georgetown University.