How to Survive a Plague cover art

How to Survive a Plague

The Story of How Activists and Scientists Tamed AIDS

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How to Survive a Plague

By: David France
Narrated by: Rory O'Malley
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About this listen

Winner of The Green Carnation Prize for LGBTQ literature

Winner of the Lambda Literary Award for LGBT non-fiction

Shortlisted for the Wellcome Book Prize 2017

'This superbly written chronicle will stand as a towering work in its field' Sunday Times


'Inspiring, uplifting and necessary reading' - Steve Silberman author of Neurotribes, Financial Times

How to Survive a Plague by David France is the riveting, powerful and profoundly moving story of the AIDS epidemic and the grass-roots movement of activists, many of them facing their own life-or-death struggles, who grabbed the reins of scientific research to help develop the drugs that turned HIV from a mostly fatal infection to a manageable disease. Around the globe, the 15.8 million people taking anti-AIDS drugs today are alive thanks to their efforts.

Not since the publication of Randy Shilts's now classic And the Band Played On in 1987 has a book sought to measure the AIDS plague in such brutally human, intimate, and soaring terms.

Weaving together the stories of dozens of individuals, this is an insider's account of a pivotal moment in our history and one that changed the way that medical science is practised worldwide.

20th Century Americas Gay Studies LGBTQ+ Studies Modern Physical Illness & Disease Medicine Health Care Health Chronic Fatigue Syndrome

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Critic reviews

This superbly written chronicle will stand as a towering work in its field, the best book on the pretreatment years of the epidemic since Randy Shilts’s And the Band Played On (1987), which it corrects in places. Most of the people to whom it bears witness are not around to read it, but millions are alive today thanks to their efforts, and this moving record will ensure that their legacy does not die with them.
Important and powerfully written . . . Instead of diluting the emotional force of his narrative, France’s personal perspective on the story amplifies it, particularly because his meticulously chronicled version of events is never clouded by sentimentality or petty score-settling . . . How to Survive a Plague stands on its own as a more richly nuanced telling of a chain of events that forever changed medicine . . . Inspiring, uplifting and necessary reading. (Steve Silberman author of Neurotribes)
Subtle and searing . . . [France] uses his privileged access to put us in the heart of the action, or more usually, inaction.
A remarkable book about a remarkable achievement: how an unlikely alliance of US activists, patients, doctors and scientists tamed one of the greatest threats to public health in the past 100 years, saving millions of lives. (Peter Tatchell)
David France’s remarkable book . . . somehow manages to pack all the emotional power of [his] film with far more granular detail and narrative force. I doubt any book on this subject will be able to match its access to the men and women who lived and died through the trauma and the personal testimony that, at times, feels so real to someone who witnessed it that I had to put this volume down and catch my breath.
Flawless. Masterfully written, impeccably researched, and full of feeling for the living and dead heroes of the AIDS movement . . . No better person to write this book, which had to be written, creating a complete and correct record of this terrible story and its heroes.
Substantial and elegantly written, it is at once a deeply reported . . . AIDS history and an intimate memoir . . . The book naturally invites, and merits, comparison to Randy Shilts’s masterful And the Band Played On.
David France managed to simultaneously break my heart and rekindle my anger in just the first few pages of his breathtakingly important new book . . . Riveting.
How to Survive a Plague is epoch-making: the whole social and scientific history of AIDS, brilliantly told. Informative, entertaining, suspenseful, moving, and personal. (Edmund White)
Heroic and heartbreaking and magnificent history throughout, How to Survive a Plague is one of the great tales of our time: the story of incredibly brave and determined men and women who defied government, the pharmaceutical industry, vicious homophobia, and the death sentence of AIDS to overwhelm an awful scourge. (Carl Bernstein)
All stars
Most relevant
Finding myself listening to this felt very timely given current circumstances, but I can truly say the compassionate, brutal honesty France shares in this book should be shared with more people.
O'Malley narrates the book well, keeping pace consistent and giving every section the tone befitting its contents.
A long listen but one very worth the time. Eye-opening to a piece of history I knew very little about, if I retain even a fraction of the information in this book, my knowledge about the HIV/AIDS epidemic will be better than anything taught to me at school in recent years. Only 30 years since some of these events and so much is being forgotten.

A piece of history that needs to be shared

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My eyes have been opened. The truly heartbreaking story of the AIDS epidemic in the US: Of the people in power who caused countless deaths and suffering through their ignorance and prejudice, and the heroic individuals and communities who finally turned the tide. At once soul-destroying and life-affirming. Everyone should read this book.

Everyone should read this book

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The book was fascinating, but also, unsurprisingly, depressing both in terms of what these people went through and just how relevant the treatment of these people is today.

Fascinating and tragic

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There were many moments throughout listening to this book that I had to stop and cry either out of anger, sadness, hope, joy or pride. David France's first hand experience and access to key figures throught his research for this book made me feel like I was living the story today whether I liked it or not.

This is essential listening.

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A collection of biographies during the AIDS epidemic that detail different reactions, actions and events that show people dying, surviving and perhaps finally living with AIDS. A clear insight into the actions of so many warts and all.

Provides insight into historical moment

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