Reviewed by Rachel Holmes
Win tickets to the ATP finals
The joint United Nations Program on HIV/Aids and the World Health Organisation estimate that global HIV infections have now topped 40 million. The infection rate has increased rapidly in Eastern Europe, Central and East Asia, particularly in China, Vietnam, Pakistan and Indonesia, where the focus is on combating prostitution and drugs to curb infection.
In The Wisdom of Whores,Elizabeth Pisani tackles the urgent need to communicate the hard data, scientific empiricism and complexity of the epidemic as a narrative journey, making it accessible as a human story.
Pisani's expertise is epidemiology, the study of how diseases spread in a population. In short, she is a card-carrying, intellectual number-crunching boffin nerd. But - and here's what makes the book a good read - Pisani is a charismatic, fun-loving, intellectual boffin nerd, full of joie de vivre and the ability to turn a rip-roaring good story. Critically, she is non-judgmental and passionate about how the scourge of stigma continues to kill people unnecessarily in a world where access to anti-retroviral drugs can keep people alive and living with HIV.
The wellspring of her journey is her lifelong addiction to Asia. “I was hooked on Asia, hooked on nightclubs and girlie bars, hooked on chatting to anyone who would chat”. Working for UNAids in Indonesia, she focused her epidemiological know-how on cutting the statistics for Aids. “Sex, drugs and plenty of squeamish politicians. Aids was the disease for me”.
Drawing on her decade of experience as an Aids technocrat working inside the corridors of international state-funded agencies, Pisani charts her adventure through the Asian sex trade and Aids industry, “a world where Byzantine international bureaucracies fight turf wars with one another, with pharmaceutical giants, with activist NGOs. A world where money eclipses truth”. She shows how hard it is to influence policy and get governments to do the right thing when they are presented with statistical facts.
This is an engaging, well- written and entertaining confessional- Pisani playfully highlights her “nice Catholic girl” credentials that drew her to the realities of the underworlds and the complexities of human behaviour. Weaving anecdotes drawn from a rich cast of drug addicts, hookers, dive bars and street corners, the book investigates how these human stories are - or are not - effectively translated into the flip charts, colourful graphs and budgetary funding models that should influence and define global health policies.
Pisani offers an intriguing conversation about how science intersects with state politics, and a beguilingly rigorous exposé of how contemporary political ideology manages and skews objective science by harnessing it to the aims and objectives of national states and the global capitalist superstate.
An engaging, compassionate libertarian, Pisani shows that while there are universal wisdoms to be learnt both in exotic subcultures and the corridors of political policy-making, there are no universals in data and the patterns of disease. Top-down policymakers want questionnaires, but “The truth is, real people don't have sex in boxes”.
Pisani is clear from the start that her story is about Asia, particularly Indonesia. Her research - characters, stories and data - are drawn from this region where, as she makes plain, there is no Aids tsunami on the scale of Africa: “Unlike many books about Aids it does not focus primarily on Africa, where two-thirds of HIV infections have been transmitted so far”.
As readers, we must be attentive to her point that HIV/Aids is an epidemic defined by combined and uneven development. Like global capitalism, there is no universal “normal development” model for Aids.
The Wisdom of Whores by Elizabeth Pisani
Granta, £17.99; 288pp Buy
the book here
Video highlights from The Times Cheltenham Literature Festival

Industry sectors news at a glance. Interactive heatmap, video and podcast
Everything the Business Traveller needs to know to make a better trip
Get ready for the winter sports season, with our resort guides and snow reports
We are backing British business, what is the confidence of the nation and what businesses are succeeding?
Growing demand for energy, oil that is harder to reach and the rise of carbon dioxide emissions. We examine the energy challenge
Enjoy further reading from Travel to Fashion, Business to Sport, discover more
Shortcuts to help you find sections and articles
36-month car lease
on contract hire for
£359.99 plus VAT pm
12 months for the price of 11 and a 5% discount.
Offer ends 31/11/09
The UK's leading alternative to showroom finance.
Finance packages tailored to your needs.
Minimum loan of £15,000
Car Insurance
£12,578 per annum
The Independent Housing Ombudsman
London
Competitive
Barclaycard
Not Specified
The Sheppard Trust
London
£80-95,000
Clay McGuire Executive Selection
Moments from Battersea Park.
For sale with Winkworth.
See your free Experian credit report beforehand
Book now & save over £100pp.
11 cool resorts, lowest prices... Early Booking offers 15 Nov.
20% off selected Azores holidays taken in October with Sunvil Discovery
Get covered on your travels with a superb range of policies at great prices. Visit InsureandGo.com
World Class Golf, Spa and preferential Beach Club. Private estate overlooking West Coast
Villas from £275 per night inclusive of Golf
Contact our advertising team for advertising and sponsorship in Times Online, The Times and The Sunday Times, or place your advertisement.
Times Online Services: Dating | Jobs | Property Search | Used Cars | Holidays | Births, Marriages, Deaths | Subscriptions | E-paper
News International associated websites: Globrix Property Search | Milkround
Copyright 2009 Times Newspapers Ltd.
This service is provided on Times Newspapers' standard Terms and Conditions. Please read our Privacy Policy.To inquire about a licence to reproduce material from Times Online, The Times or The Sunday Times, click here.This website is published by a member of the News International Group. News International Limited, 1 Virginia St, London E98 1XY, is the holding company for the News International group and is registered in England No 81701. VAT number GB 243 8054 69.