Richard Berkowitz:
My name is Richard Berkowitz, and I want to welcome you to the history of the invention of the first safe sex guidelines to stop the sexual transmission of AIDS. Here’s a synopsis of what you’re looking at and how it came about. In August 1982, my doctor, Joseph Sonnabend diagnosed me with early symptoms of AIDS. Everything I read said no one survives. I was 26. I told Dr. Sonnabend, “I knew I was doomed,” but Sonnabend told me that AIDS was new, so there were no experts. So why did I believe I was doomed? Was I stupid enough to believe whatever I read?
Suddenly I had hope. I went to work in his medical practice and discovered that Sonnabend was a world-class virologist with a distinguished history in lab research. He introduced me to another patient, the late Michael Callan, to write and alert gay men. On November 1982 article, We Know Who We Are, called for the end of urban gay male promiscuity, but I had doubts. Three months earlier, I was a sex worker trying to pay for grad school at NYU until I woke up to AIDS, stopped having sex, and disconnected my phones.
One night, a client rang my doorbell. I explained AIDS to him and assumed he’d fly out my door. But instead he asked, “Can’t you just put on your leather and boots, let me worship you and jerk off?” As soon as he left, I ran to my typewriter and typed, how to have sex in an epidemic. That was my eureka moment in December 1982. Every day at Dr. Sonnabend’s frantic office, while he was treating sick, dying in AIDS-panic gay men, I began pestering him about ways to make sex safe. “Is sex all you care about,” Joe yelled at me. “No, but I had nurtured a close circle of friends and lovers who were my gay family, who I wanted to protect and grow old with,” so I kept on pestering Joe until one day he exploded. “All my patients who have a history of oral and penile sexually transmitted infections are not showing signs of AIDS. It’s only my patients with a history of rectal STIs who are.”
After that bombshell sunk in, receptive intercourse was the risk. I was able to finish writing How to Have Sex in an Epidemic. In February 1983, when Mandate Magazine decided to publish my article, Sonnabend recognized its importance, but it took 10 months for my article to appear, and I refused to wait. That’s when Joe had the idea to publish it ourselves. He got Michael Callan to join us and turned my article into a booklet we self-published in May 1983. At that time, America had 1,400 cases of AIDS, 558 deaths and 70% were gay men. Our guidelines worked. So what happened? Gay leaders who had publicly encouraged the gay sexual revolution of the 1970s hated us for writing in We Know Who We Are, that promiscuity was causing AIDS in gay men, so they blacklisted us for our mistake instead of confronting their own. They unwittingly contributed to the deaths of their own people.
When a new epidemic appears, scientists examine the evidence and propose theories to minimize risk. Theories are just frameworks. They’re often wrong in detail, but they’re all scientists have when people start dying, and we need ways to limit sickness, death, and contagion. Joe used cytomegalovirus or CMV as a model. When HIV was discovered three years later, it spread the same way as CMV, entering the bloodstream from receptive intercourse with infected partners. So Dr. Joe was right about the risk of receptive intercourse, and that’s what scientific theories can accomplish if people without scientific expertise, gay or straight don’t get in the way as they did with our invention of safe sex guidelines. Joe taught me and Callen that in science as in life, there’s always more to learn, that the nature of being human as we all make mistakes, but that’s how progress gets made.
I was 26 when I told you I was doomed. This year I turned 70. How to Have Sex in an Epidemic came too late from many of my friends and Michael Callen, but millions of lives were protected and saved from the sexual transmission of HIV and many other sexually transmitted viruses and infections too. Everyone has heard of safe sex, but few have ever known how it came about. Now you have, and you also got to meet Dr. Joseph Sonnenbend and Michael Callen, survivors of catastrophes who often have a need to testify, a need that can wear out the strongest among us. That’s why this exhibit and you who came to view it, give me a deep, appreciative, overwhelming sense of peace. Sometimes it’s best to just lay out the evidence and let people decide for themselves. Thank you.