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Social networking and infectious diseases are nothing new. Social networking is dynamic and as old as recorded time. The world of technology has made it seem new, however, as it expands from its person-to-person origins and immediate purposeful beginnings to a way to connect with others across the globe. Individuals with infectious diseases around emotionally, if not physically, from the supportive nature of social networking. The World Health Organization (WHO) defines infectious diseases as those that can spread directly, or indirectly, between individuals. The most politicized infectious disease in modern history is acquired immune deficiency syndrome (AIDS), a global concern affecting and infecting tens of millions of individuals.

Historically, social networking was demonstrated by community outreach to individuals in need. In times of crisis, neighbors would look after neighbors, providing food and resources. Most illnesses did not result in individual rejection and family ostracism. Communities were formed around a religious philosophy of caring for others, commonly comprised of generations of shared histories and family connections. Care and concern, and hands-on help in times of crisis, prevailed.

Social networking does not inherently mean communications of any specific type, good or bad, in person or technological. In the case of infectious diseases, social responses and judgments vary depending on the type of infectious disease, which can range from a simple case of influenza to something more serious. It is commonplace for society to anticipate brief recovery periods in order to regain health and to remove the risk of infection of others. However, sometimes something new, unknown, and incurable arises. Infectious diseases—organic, biological, and inherently neutral—become value laden by social networking based on the stigma attached to the initially identified and affected populations.

Guilty or Innocent?

Society responds to each infectious disease based on personal risk and tends to judge those infected as worthy or unworthy of help. Some infectious diseases instill fear, individual blame, and banishment, while others illicit compassion for the infected “innocent.” This results in a nexus of conflict between compassion for others and concern for self. While the list of infectious diseases is vast, some are of greater concern, resulting in patterns of both positive and negative social responses.

Examples of “innocent” infectious diseases pervade history and include outbreaks of the bubonic plague in medieval and Renaissance Europe; cholera and tuberculosis in the 19th century (with recurrences and new strains of the latter in the 20th and 21st centuries); mumps; and influenza, including swine flu (also known as H1N1). Severe acute respiratory syndrome (SARS) first appeared in southern China in 2002. Ebola, both deadly and treatable, is most commonly found in Africa.

A sexually transmitted disease is an example of a “guilty” infectious disease, based on projected social stigma regarding the perceived personal responsibility of the infected or affected individual. For example, the Centers for Disease Control and Prevention (CDC) estimates that more than 700,000 persons are infected annually with gonorrhea, via sexual transmission or from mother to baby during delivery. But by far, AIDS is one of the most prominent, worldwide examples of a “guilty” infectious disease.

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