Patient Zero and the Making of the AIDS Epidemic

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Patient Zero and the Making of the AIDS Epidemic Page 42

by Richard A. McKay


  patient in North America. Although Burton wishes to have Zero pro-

  claim his innocence on video, they are unable to catch Zero on tape for

  longer than a few seconds. At this point fate intervenes: the museum’s

  director, Dr. Placebo, insists on broadcasting Burton’s original slanted

  video montage, saying that, in any case, he preferred that version of the

  story. The distorted myth of Patient Zero is subsequently disseminated

  wholesale via the media. Riled by the museum’s willful misinformation,

  and singing that “We’ve got zero patience for accusations, zero patience

  for blame,” ACT UP members stage a protest; they rearrange Burton’s

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  Hall of Contagion exhibit to evoke a more patient- centered health- care

  history. Ultimately, to Burton’s sadness and dismay, Zero wishes to be

  allowed to disappear. Reluctant to let his otherworldly lover depart,

  Burton fi nally acquiesces and helps Zero short-

  circuit the museum’s

  “Patient Zero” display. Zero is at last able to return to his limbo- like

  existence, freed from the never- ending attempts to frame his existence

  within straitjacket- like AIDS narratives.26

  Greyson later expressed his fondness for the fi lm’s lyrics and the ideas

  and spirit of the time it captured. At the same time, despite being pro-

  duced on a much greater budget than his previous experimental video

  work, the production’s resources were roughly a third of what he needed

  to realize his vision and thus constrained the production quality.27 Re-

  views were mixed. A Quebecois reviewer in Montreal defi ned the fi lm

  as “impossible to classify” and “a unique experience.”28 An Anglophone

  critic noted that despite it being “a movie that you really want to like,”

  Zero Patience was “disappointing” and “often appear[ed] amateurish.”

  At the same time he acknowledged that the fi lm was laudable for its po-

  litical message and “admirably uncompromising” in its depiction of gay

  life— with “such in- your- face segments as a duet performed by two an-

  imated singing anuses”— and could not, like Jonathan Demme’s fi lm

  Philadelphia, be accused of sanitization.29 The timing of the fi lm’s re-

  lease and its originality compelled audiences and critics to pay attention.

  As Greyson recalled:

  It was released the same week as Philadelphi a in theatres and so it imme-

  diately had . . . the most brilliant juxtaposition imaginable because the crit-

  ics had a great hook, you know, on the one hand Philadelphia, four- hanky

  weepie, on the other Zero Patience, and so . . . it almost forced the critics to

  take a stand in terms of politics, as opposed to simply around fi lm. And so

  while most critics were pretty hard on the fi lm in terms of its craft, there was

  an acknowledgment that it was stirring the pot, intervening, saying something

  that hadn’t been said before in a semi- mainstream context.30

  26. On this point, see Knabe and Pearson, Zero Patience, 11, 150.

  27. Greyson, recording C1491/41, tape 1, side A.

  28. Éric Fourlanty, “Zero Patience,” Voir, March 10, 1994. My translation from the

  French original: “inclassable” and “une expérience unique . ”

  29. Scott Steele, “AIDS, the Musical: Zero Patience,” Maclean’s, March 7, 1994, 60.

  30. Greyson, recording C1491/41, tape 1, side A; emphasis on recording. Interest-

  ingly, Douglas Elliott recalled the cathartic and emotional response he had each time he

  Ghosts and Blood 257

  Though less accessible to many mainstream audience members by

  virtue of its intellectually challenging approach and niche cinema dis-

  tribution, Zero Patience benefi ted from the near simultaneous release

  of two Hollywood contributions: the movie Philadelphia and the HBO

  television miniseries of And the Band Played On. Zero Patience held its

  main premiere in Toronto during the Festival of Festivals (precursor to

  the Toronto International Film Festival) on September 11, 1993. By co-

  incidence, this was the same day the TV miniseries of Shilts’s book was

  broadcast on cable television, an adaptation in which the fi gure of “Pa-

  tient Zero” played only a small role.31 Shilts, possibly having been stung

  by criticism from AIDS activists, had insisted that the TV miniseries

  minimize the role of the fl ight attendant.32

  In addition to showing the fi lm at various North American gay fi lm

  festivals, Greyson sought to make use of a network of AIDS organiza-

  tions to promote the fi lm. In a letter to the fi lm’s marketing coordinator,

  he noted that “the range and scale of AIDS groups across the country

  is breath- taking” and that there would be a symbiosis to the relation-

  ship between the fi lm distributor and these groups: “They’ll want to

  work with us as much as we’ll want to work with them.”33 In discuss-

  ing the possibility of gala fund- raising evenings, he distinguished, how-

  ever, between AIDS service organizations and his preferred activist or-

  ganizations. Given the relative success of the former in raising fi nancial

  contributions, “Groups like ACT [the AIDS Committee of Toronto] and

  Casey House [an organization providing palliative care for people liv-

  ing with AIDS] don’t need Zero Patience,” he wrote.34 Greyson wished

  to preserve a space for dissident voices— for people living with AIDS,

  for critics of the health- care system, for activists in general— amid what

  viewed Philadelphia, identifying strongly with Denzel Washington’s character of a lawyer

  who knew that his client with AIDS would soon die; Elliott, September 6, 2008, recording

  C1491/39, tape 2, side A.

  31. Philadelphia, directed by Jonathan Demme (TriStar Pictures, 1993; Burbank, CA:

  Columbia TriStar Home Video, 1997), DVD; And the Band Played On, directed by Roger

  Spottiswoode (HBO Pictures, 1993; Warner Home Video, 2004), DVD.

  32. Deborah Hastings, “Shilts Says Film Version of His Book Still Alive,” Indiana

  Gazette, October 30, 1991, 31.

  33. John Greyson to Virginia Kelly, 4 May 1992, fi le: Zero Patience— Distribution,

  Acc. 2003– 007– 05.0483, Greyson Collection.

  34. John Greyson to Virginia Kelly, undated, fi le: Zero Patience— Distribution, Acc.

  2003– 007– 05.0483, Greyson Collection.

  258

  chapter 5

  he and others saw as the institutionalization and professionalization of

  AIDS. “AIDS runs the risk,” he wrote in a November 1991 outline for

  the fi lm, “of becoming as respectable as cancer: an acceptable tragedy,

  and a multi- billion dollar industry that doesn’t really cure anyone. Alter-

  native theories, therapies, and treatments are being suppressed because

  they threaten not just the profi t margins of the pharmaceuticals, but the

  very authority of the medical establishment.”35 The resulting marketing

  plan would enthusiastically describe “the support and communications

  network spawned by the AIDS crisis” as “formidable and wide reach-

  ing,” and it highlighted the need to work through the Canadian AIDS

  Society “to reach primary and secondary audiences.”36 Also, the open-

&nbs
p; ing gala held in advance of the fi lm’s general release was a benefi t screen-

  ing for the activist group AIDS Action Now! and Inside Out, a collective

  which organized an annual gay and lesbian fi lm festival (see fi g. 5.1).37

  By the 1990s, AIDS service organizations had become relatively

  mainstream, no longer considered by many as activist in a political sense.

  A decade earlier, however, the fl edgling efforts of these organizations

  would have been considered essential foundational work, given their ac-

  tive campaigning against the status quo, amid a widespread lack of insti-

  tutional response to AIDS, and the media’s often discriminatory depic-

  tion of those with the disease. It is to this earlier group of AIDS workers

  that the discussion now turns.

  The Krever Inquiry

  The Krever inquiry’s primary investigative phase stretched from early

  1994 until the end of the following year. During this initial stage, the

  commissioner, his counsel, and teams of lawyers traveled across the

  country to hold regional hearings from Vancouver to St. John’s.38 They

  listened to many of the Canadians who had been infected with HIV and

  35. “Zero Patience,” outline, 12 November 1991, 1, fi le: Zero Patience OAC— Canada

  Council, Acc. 2003– 007– 05.0487, Greyson Collection.

  36. VK & Associates, “Positioning of Project and General Marketing Approach,”

  June 30, 1992, 3, fi le: Zero Patience— Funding Application, Acc. 2003– 007– 05.0485, Grey-

  son Collection.

  37. See the promotional advertisement for the fi lm “Zero Patience [/] A John Greyson

  Movie Musical,” Xtra! [Toronto], February 18, 1994, 2.

  38. For a comprehensive summary of the inquiry’s schedule, see Horace Krever, “Ap-

  Ghosts and Blood 259

  Figure 5.1 Promotional advertisement for Zero Patience, 24.8 × 18.9 cm, reprinted from

  Xtra! February 18, 1994, 2. Courtesy of the Canadian Lesbian and Gay Archives, To-

  ronto. © Zero Patience Productions. Used with permission from John Greyson, and from

  Ken Popert on behalf of Pink Triangle Press. This poster, depicting the actor Norman

  Fauteux in the role of the ghost Zero, also illuminates the connections Greyson had with

  AIDS activism work in Toronto, for which this advance gala was to be a fund- raiser. The

  fi lm’s producers relied on such activist networks as a way of fi nding audiences and promot-

  ing the fi lm.

  hepatitis C through infected blood and blood products, as well as the

  regional representatives of the organizations whose safety and regula-

  tory measures were under investigation. The inquiry’s second investiga-

  tive phase began in early 1995 at the commission’s Toronto headquar-

  ters. There, national experts testifi ed about their roles in Canada’s blood

  system during the 1980s, and roundtables of experts discussed current

  issues facing the blood system.

  While the Krever inquiry was chiefl y concerned with the events and

  (in)actions leading to an HIV- and hepatitis C– infected blood system,

  the motives of the different parties granted standing varied consider-

  pen dix I,” in Krever, Commission of Inquiry, 3:1136– 38; and Trebilcock and Austin, “Lim-

  its,” 25– 28.

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  chapter 5

  ably. Having been permitted to represent the Canadian AIDS Society,

  Douglas Elliott believed that the inquiry offered Canadian gay commu-

  nities their only opportunity to document offi cially their early responses

  to AIDS in the face of governmental inertia and widespread homopho-

  bia. During the hearings he advanced several arguments contesting the

  widely held view that these communities had perpetuated the epidemic’s

  spread. Among the accepted truths that Elliott challenged was the by

  then often- told story of “Patient Zero,” part of his wider strategy to chal-

  lenge the history of the lesbian and gay community’s response put for-

  ward by Randy Shilts. This widely read perspective clashed with his own

  personal recollection of the early response to AIDS in Canada.

  In July 1983, a twenty- six- year- old Douglas Elliott was articling for

  Bassel, Sullivan and Leake, a Toronto law fi rm, having recently grad-

  uated from the University of Toronto Law School. One day, his lover

  passed on news of a disturbing phone call he had received from a friend

  and former sexual partner, who had been working in New York City as

  a model: “‘Darrell just called and you know this AIDS thing, he’s got it,

  and he doesn’t have any health insurance, so he’s coming back to Can-

  ada to die.’ And that was one thing we knew for sure about AIDS at

  that time was the average time from diagnosis to death was six months.

  Everybody who got it was dying.”39 Elliott had been following news of

  the disease ever since initial reports of a “gay cancer” had left him and

  others deeply skeptical. Over time, though, this skepticism gave way to

  uncertainty, then apprehension, about “a real medical threat.”40

  Having a friend diagnosed with the condition made the threat even

  more apparent. Elliott, realizing he needed more detailed information

  to assist Darrell, sought guidance from the newly formed ACT, which

  had recently held a press conference to inform the public that it was or-

  ganizing a response to the condition.41 Elliott was disconcerted by what

  he saw: “I’m looking around, and they had these crappy offi ces over top

  of the Kentucky Fried Chicken, dirty and grimy and a few sticks of fur-

  niture, and I’m thinking, ‘This is the frontline of defence against this ter-

  rible epidemic? You’ve got to be joking.’” Elliott and his partner became

  involved with ACT while they juggled looking after their dying friend

  and Elliott’s studying for his upcoming bar exam. Darrell died in 1984;

  39. Elliott, August 27, 2008, recording C1491/39, tape 1, side B.

  40. Ibid.

  41. Silversides, AIDS Activist, 54.

  Ghosts and Blood 261

  soon after, Elliott was elected to ACT’s fi rst board of directors and con-

  tinued his work with the group, becoming one of the earliest lawyers in

  the country to be involved with AIDS issues. He recalled that his pro-

  fessional background made him stand out from other members of the

  board: “It was a pretty laid- back, kind of lefty grassroots organisation

  and meeting in a big, open, grimy room . . . with the smell of Kentucky

  Fried Chicken permeating the air, and I’m the only guy in a suit, and

  they say, ‘Well, you should be on the executive, we need guys in suits for

  when we meet politicians.’”42

  In the fi rst months after its foundation in mid- 1983, ACT worked hard

  to address what its members viewed as the media’s propensity for “blam-

  ing the victim for the illness,” monitoring and responding to media re-

  ports displaying strong bias.43 Members of the organization also pro-

  tested vigorously against the gay community’s lack of representation on

  the nascent National Advisory Committee on AIDS (NAC- AIDS). This

  expert committee had been appointed to advise the federal minister of

  health, Monique Bégin, and was initially coordinated by the director

&
nbsp; general of the Laboratory Centre for Disease Control (LCDC), Alastair

  Clayton.44 Elliott recalled the “strained” relationship between the two

  organizations early in their history and that “one of our big bones of

  contention in those years was that the NAC- AIDS would not have an

  openly gay community representative on their board.” He remembered

  the derision with which his fellow ACT members viewed this situation:

  All you have is a bunch of public health offi cials, all of the people who are do-

  ing nothing about AIDS [ laughing wryly], all of the people in white lab coats

  that are sitting around reading CDC reports and things like that and think-

  ing great thoughts— they’re the people that are sitting around the table. The

  people that are actually doing something about AIDS, who are on the front-

  lines and experiencing AIDS and making a difference with respect to educa-

  tion and stuff like that— they’re the people in the community organizations

  42. Elliott, August 27, 2008, recording C1491/39, tape 1, side B.

  43. ACT’s early activities are outlined in its meeting minutes and AIDS Activities Bul-

  letins, printed from August 16, 1983, onward: “Minutes of the General Meeting,” Octo-

  ber 18, 1983, 1, attached to AIDS Activities Bulletin, no. 6, October 31, 1983. The ACT Li-

  brary closed in the spring of 2010, though as of July 2014 the minutes and bulletins were

  still held at the organization’s head offi ce in Toronto.

  44. Charlotte Montgomery, “Begin Appoints Advisers to Study AIDS,” Globe and

  Mail [Toronto], August 16, 1983.

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  that you’re shunning. . . . We have expertise to share. You want to communi-

  cate with the gay community and you wouldn’t know a gay person if they bit

  you in the ass.45

  Elliott remained involved with ACT’s board through 1986, the year

  when the second national AIDS conference was held in Toronto. At this

  meeting, representatives from AIDS service organizations from across

  the country fi nalized plans to found the Canadian AIDS Society (CAS).

  The society developed as a national organization to help overcome the

  geographic distance separating the largely gay- run community AIDS or-

  ganizations in various far- fl ung Canadian cities, to share information,

  and to engage with the federal government as a national body represent-

 

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