AIDS has never played a significant role in my life. I am fortunate enough to have never lost a relative or close friend to this virus, and thus HIV and AIDS existed solely as “that fatal disease”. However, after reveiwing data for my hometown it is clear AIDS is much more prevalent in my community than I previously thought.
    Prior to receiving data, however, I was asked to estimate the approximate number of AIDS cases of my hometown of Potomac, MD. This town is a quiet suburb of Washington D.C. in Montgomery County. Just minutes from the downtown monuments and museums of the nation’s capital, Montgomery County is home to some major government organizations and industries that fuel our nation, such as the National Institutes of Health, the Department of Energy, Lockheed Martin, and the David Taylor Model Basin1.  With little knowledge of what is a “big” or “small” number, I guessed there were 600 cases in my zip code of 20854, 5,000 cases for 20850, and approximately 65% of the AIDS cases in Montgomery County are female. The data provided proves my estimates seriously incorrect. One reason for this miscalculation was simply due to my own frame of reference. I had no knowledge of town population size nor had the number of AIDS cases ever concerned me. Because of this ignorance and due to the media in my hometown, my family and my school I estimated much higher than the actual values.
 
 
First Impressions and the
Influence of the Media
    A primary source of news for the local community of Montgomery County is the Gazette which seems to suggest that AIDS is not a local but rather national or even world concern, and for the immediate community the main effort is aimed toward prevention, as both high schools and colleges students diligently work to spread awareness of HIV and AIDS2,3. Furthermore, numerous events are created to fund research for HIV and AIDS, yet again nothing targeted for the Montgomery County residents, in particular4,5. Unfortunately the opposite could be found in the nation’s capital. While many prevention and awareness programs seem to be implemented in the state, Washington D.C. seems to have struggled with similar events6. One featured article introduced a sense of secrecy explaining there are, in fact, a number of individuals who are tested for HIV but did not divulge in revealing any rates7. However another revealed Maryland’s increase in new AIDS cases, making it at that time (1999) the fourth highest state with new cases in the nation8. This again suggests some kind of “hidden” or “quiet” problem that may perhaps exist within the Maryland if not Montgomery County community.
    A serious and very apparent problem exists just a few miles from Montgomery County in Washington, D.C., where the number of AIDS cases are overwhelming.9 This information is likely to have skewed my own perception of the number of cases in Montgomery County due to the proximity of the county to the state line. Moreover, my school in Washington, D.C. altered my opinion of the prevalence of AIDS for both the city and the suburbs.
    At this Episcopal school, the formal introduction of AIDS in the classroom was received in 7th grade, after two tumultuous years of learning the basics of sexual education, our lesbian instructor including the fact that yes, homogenous couples do exist, as foreign an idea as it was. Then when AIDS was studied scientifically in the biology class as well as socially in the “Wellness” class it was when I truly began to understand the effects of this virus. Watching videos of deceased AIDS victims reinforced the fatality of this virus instilling a certain trepidation toward both the disease as well as the gay community which it seemed to attack.
    In high school I had the opportunity to hear the father of friend and classmate, Dr. Fauci, speak, but even then the speech was aimed more toward the functions of his job rather than AIDS itself. As serious as I knew HIV and AIDS to be, my experiences continued to force me to feel so distant to “that problem.” AIDS seemed predominantly to be an African problem, or at least, not a local one. My impression of AIDS was further still influenced by a summer EMT course where I learned that more frequently gangs are becoming more prevalent in Montgomery County and those members engage in risky sexual behavior combined with drug usage which might also lead to the higher number of AIDS cases10. Injection drug therapy certainly is one of the primary modes of transmission, however heterosexual intercourse among girls is another of the leading methods. This is a major study occurring locally in Bethesda’s National Institutes of Health which is another factor leading me to an estimate of a very high number of AIDS cases, as well as a high percentage of females vs. males infected11. Moreover, both my school and my home life led to my naivety of male-to-male sexual contact, not realizing this was another major mode of transmission.
    My family definitely had a major influence in determining AIDS cases around Montgomery County. Growing up my mother and father, both in the medical field, always taught me to be aware of certain diseases that could be transmitted through blood-borne pathogens. At a very early age I understood strangers could be “sick” and victims of a variety of diseases which, intentionally or not, went hand-in-hand with the age-old idiom: “Don’t talk to strangers.” As a nurse my mother was once pricked by an infected needle and consequently forced her to undergo serious treatment and as a result cannot donate blood. Not only did that infected needle compromise my mother’s health, but it also reinforced the idea instilled by my father, an anesthesiologist, that needles are for medical purposes, and anyone who uses such instruments otherwise are considered dangerous. AIDS, specifically, was presented to me as yet another disease to be cognizant of, yet I never quite grasped the importance and significance of the virus until I attended school-sanctioned sexual education.
    Up to this point, this virus has remained somewhat of a mystery to me until I was forced to try and provide numbers of AIDS cases within my own hometown of Potomac, Maryland. After receiving the data I am now interested to study where the zip codes are, and why certain towns have a much higher prevalence than others. Moreover I want to discover who, in particular, in these zip codes is being infected, and if there is a group that must be targeted for AIDS prevention and awareness programs. In understanding what this data means I can determine whether an AIDS problem exists in Montgomery County.