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The River A Journey to the source of HIV and AIDS

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"Every time two people put their heads together, Truth Suffers; when many put their heads together, she suffers more. A major point of this book is that when the heads are great ones and have owners with much to lose (employed perhaps in giant companies or government departments) Truth can be made so ill that we should all shiver. Hooper deserves great praise for having so tenaciously carried through his investigation and for bringing to light so many more facts affecting the main questions. He has in fact given us the best history of the epidemic.
"Everyone should read this book, both for its story and in order to think hard on all that it implies - all this before Truth, more white and sick than with AIDS, quietly rejoins us through door."

1070 pages, Hardcover

First published January 1, 1999

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Edward Hooper

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Displaying 1 - 29 of 40 reviews
Profile Image for Andy.
2,057 reviews604 followers
October 19, 2022
This is a massive book (over 1,000 pages). I still give it 4* because of the idiosyncratic method the author uses to tell the story. He is a journalist trying to figure what caused the AIDS pandemic. He reads about it, he interviews people, etc. He starts with the conventional wisdom that it came from some kind of spillover from apes ("monkeys") in Africa. But along the way someone tells him about this alternative theory that the origin was that something went wrong with early polio vaccination programs in the 1950s. Keeping an open mind he chases down all kinds of leads, some of which would refute the vaccine theory, while others would support it. Most of the paths he follows turn out to be dead ends.
This is why it makes sense to have the book be so long. Hooper is documenting every detail because as he goes along, the apparently crazy theory about the vaccine makes more and more sense and the arguments given against it fall apart more and more. By the end, the vaccine theory is not proven, but it's plausible as opposed to coo-coo bananas. What makes it plausible is all the balderdash, sloppy science (no controls in a vaccine trial? no lab notebooks for anything?), hubris, unethical experimentation (no informed consent?) from supposed heroes of modern medicine. All this reminded me of a book I'm reading now about the Sacklers and the opioid epidemic Empire of Pain: The Secret History of the Sackler Dynasty. According to that book, the Sackler family was engaging in shady behavior for decades before OxyContin and should have been shunned for those corrupt shenanigans, not given the benefit of the doubt by the FDA and co. This is why these sorts of stories of egomaniacs and sociopaths need to be told. Because otherwise we can't possibly learn from them and try to stop the next man-made plague.

That's why the most galling thing to me in The River was all the doctors and scientists telling the author not to publish his book even if it is all true because it would damage confidence in vaccines. Not only is that the recipe for more disasters, it goes against the primary moral value of Science, i.e. Truth: Science & Human Values. Not to mention that this is the argument of the villains in Capricorn One, who think that faking a Mars landing is the way to save NASA's reputation.

Toward the end of the book, there are a few pages about the evidence for/against the vaccine hypothesis and a list of experiments that could be done to refute it. This is the core content of the whole thing and people in a hurry could jump to that. I'm reading the original hardback edition, so it would be interesting to see if any of these experiments have been done.

Turns out there is a new (2021) edition available online, but it does not update what happened with all those potential experiments. The postscript makes sense: "There are lessons to be learned from both hypotheses. If Hahn’s theory is right, then it is important (from a medical perspective) to try to curb the bushmeat trade. If the OPV theory is right, then we need to be particularly cautious about medical interventions that have the potential to introduce foreign viruses into humans. And whichever theory is correct, it is important to try to minimize the casual reuse of needles in Africa, in that it is abundantly clear that reused needles can amplify rare viral infections in humans."

One fascinating thing in whichever theory is the agreement on the difference between infection and disease. Before the AIDS epidemic, "sputtering" SIV/HIV exposures were occurring but leading to epidemiological dead ends with asymptomatic and/or non-contagious infections. If that's the case, what matters is what happened to cause the transformation from nothing-burger to plague. It seems like that is worth sorting out, and is relevant to COVID and lots of other diseases.

If you think it's crazy that polio vaccine could have been contaminated with monkey viruses:
The Virus and the Vaccine: The True Story of a Cancer-Causing Monkey Virus, Contaminated Polio Vaccine, and the Millions of Americans Exposed
Profile Image for Megan.
Author 2 books7 followers
May 29, 2022
(This book was my constant companion for a month; I feel, writing it up, like I'm delivering a eulogy.)

In The River, Edward Hooper builds a case for HIV's sudden appearance in the 1970's springing from unsafe practices surrounding the development and production of (live) oral polio vaccines in the late '50's. His writing is detailed, clear, personal, and frank; not only does he reconstruct events of sixty years ago, he describes the often-bumpy course of his own research in the 90's.

There is a LOT here about polio vaccines and vaccination campaigns and white guy scientists and African geography and the natural ranges of monkeys you've never heard of. A lot. My favorite part, though, is when Hooper goes back to so-called "archival" pre-1959 AIDS cases, people posthumously diagnosed based on them having opportunistic infections typical of AIDS. The existence of these cases was a key point for people opposed to the oral polio vaccine hypothesis: how could AIDS have appeared before the vaccine trials? Hooper provides reasonable alternatives for each person's immunosuppression: cancer, steroids, exposure to radiation, and a couple of cases of "ideopathic lymphocytopenia," technical talk for "no clue why this dude's white count tanked"; yes, some explanations are better than others, but he effectively bunks the archival-case objection.

Hooper encountered opposition of all kinds, often along the lines of "You shouldn't write a book about this, because even if you're right, you're just going to convince people that vaccines -- and polio vaccines in particular -- are unsafe." Hooper would point out that he was making it clear he was talking about vaccines of a bygone era. I found myself thinking that an 841-page book is not the thing that's going to halt vaccination programs in India and Africa today.

There's a follow-up documentary with updated information I'm going to hunt down; it would also probably be a good place to start if you're interested in all this.
This entire review has been hidden because of spoilers.
Profile Image for Trudi.
615 reviews1,697 followers
November 11, 2008
Not an easy read, but the payoff for your investment is huge. Recommended for fans of And the Band Played On.
Profile Image for Paul Fleckney.
Author 2 books2 followers
September 16, 2017
* SPOILER ALERT*

This book is unlike any other I have ever read. I'd be amazed if anyone has ever undertaken a greater amount of research in writing a book than Hooper. The sheer volume of circumstantial evidence he amasses to support his theory is mind-blowing and yet despite the hundreds of interviews, articles, research notes, diaries and conversations he never manages to find the smoking gun that would prove his hypothesis once and for all. But in the end I'm not sure that matters. Because even though he cannot prove that OPV caused AIDS, for me the real story here is Hooper's merciless exposure of unethical medical and scientific practices of a few ego-driven men taking advantage of their white, male, western privilege to experiment on Africans, disabled children and prison inmates.

Hooper is like a dog with a bone -incidentally, the same analogy he uses to describe his arch-nemesis Hilary Koprowski at one point in the book. Even when it starts to become evident to the reader that the OPV/AIDS theory is not going to be provable - for me, the penny dropped in chapter 49 - Hooper keeps on going for another 150 pages, desperately clutching at straws and rehashing old evidence he'd presented in earlier chapters. My advice for future readers is to stop after chapter 49. There's really nothing new in the final section and I felt having to trudge through these pages diminished my overall opinion of the work.
2 reviews3 followers
November 16, 2007
Well, I never quite finished this book, as while I was reading it the theory was debunked by other scientists- they dated HIV's origin by sequencing the RNA from other SIV species, and HIV originated at least 20 years earlier than the first wave of the oral polio vaccine. That being said, I'm a fan of epidemiological studies on origins of infectious diseases, and the first half of the book was quite thorough and well-referenced (I think he was aware of the controversy this book would initiate).
119 reviews9 followers
April 7, 2024
A very long book on the origin of AIDS. It contained a lot of eye- opening facts about oral polio vaccine administration in the U.S and Africa in the late 50's which I found appalling. Documentation was horrific or hidden because it could cause widespread havoc.
All in all, a very worthwhile read.
403 reviews
June 1, 2020
this book was outstanding. While I am not a virologist or even a doctor of any type, this book was written in a style that I could understand. An amazing premise that is even more pertinent to right now. in our rush for a vaccine for covid 19, we need to be very careful that we do not get much more than we asked for. a real case study in how science can go very bad and what the lack of oversight can do. It is absolutely amazing that over 1 million people were vaccinated with an EXPERIMENTAL vaccine--of course this was to the african population of the congo--NOT to the white european colonists. It is pitiful that this book showed that the medical establishment could not then and still cannot be trusted to police itself. Dr. Koprowski should be vilified by the medical community for his research methods and his total lack of regard for human life and instead he is held up as a hero. This man experimented on the mentally handicapped in the US without consent. What an eye opener this book was.
Profile Image for Georg Sagittarius.
435 reviews4 followers
July 8, 2025
Kurzmeinung: Ignorierte wahre HIV-/AIDS-Geschichte! USA-Verbrecher-Wiss. Hilary Koprowski! yt-BBC-Sensations-Doku "Der Ursprung von AIDS German Doku"!
Free ebook aidsorigins.com! Best book (see also Jacques Pepin) & research work about the truth of AIDS & HIV (monkey-SIV based!)! Best videos: yt "The Origins of AIDS documentary (2003)"! Shorted German version: "Der Ursprung von AIDS German Doku"! "rodigious amount of research...He finds close coincidence in both time and place between the earliest cases of AIDS and the testing of an oral vaccine...The River builds a sufficiently detailed case to require serious examination.” Lawrence K. Altman,

1) a) AIDS/HIV entstand durch Verwendung von Affen-SIV/-AIDS-verseuchtem Schimpansen-Gewebe (schlampige Laborarbeit vom egomanen, verbrecherischen USA-Wissenschaftler Hilary Koprowski), das zur Herstellung von Polio-Impftoffen verwendet wurde, mit denen über 1 Million Afrikaner in Britisch-Kongo on den 1950/60-er Jahren zwangsgeimpft wurden (Schluckimpfung)! Das Gewebe mußte ca. 400 lebenden Affen entnommen werden, die dadurch starben! Die Verwendung von lebendem, mit Affen-AIDS verseuchtem Schimpansen-Gewebe im Polio-Schluck-Impfstoff für die Zwangsimpfung der Afrikaner war die Hauptursache für die Übertragung von Affen-AIDs auf den Menschen!

b) Affen-AIDS = SIV = Simian Immunodeficiency Virus
ape SIV https://duckduckgo.com/?t=ffab&q=...
monkay SIV https://duckduckgo.com/?t=ffab&q=...

b1) "Simian retroviruses in African apes - Clinical Microbiology and Infection: It is now well established that simian immunodeficiency viruses (SIVs) from chimpanzees (SIVcpz) and gorillas (SIVgor) from west Central Africa are at the origin of HIV-1/AIDS." https://www.clinicalmicrobiologyandin...

c) free ebook 1170 p. https://www.aidsorigins.com/wp-conten...

d) Best videos (youtube): Truth about HIV+AIDS: documentary:
d1) "The Origins of AIDS documentary (2003)" https://youtu.be/l5ykGc6IIG8
d2) Shorted German version: "Der Ursprung von AIDS German Doku" https://youtu.be/hnMPuWHnTIc , 18:53 Bill Hamilton
Die weitgehend ignorierte & demagogisch-ideologisch bekämpfte wahre Geschichte von HIV/AIDS! Verbrecher US-Wissenschaftler Hilary Koprowski (& Albert B. Sabin?) bei seinem Wettlauf um den ersten Schluckimpfstoff gegen Kinderlähmung (Polio): Der mit Affen-AIDS (SIV) verseuchte Polio-Impfstoff (schlampige Versuche & Herstelllung) wurden in den 1950/60-er Jahren an über 1 Million Afrikaner in Britisch-Kongo zwangsverabreicht. Dies ist das Ursprungsgebiet von AIDS/HIV!

Bestes deutschsprachiges Video: https://youtu.be/hnMPuWHnTIc + "Der Ursprung von AIDS German Doku"
"Ich vermute, die [BBC-]Doku ist aus dem Jahre 2009. Ich tippe hier unter erschwerten Bedingungen, weil YouTube und Google scheinbar ein vernünftiges Videomanagement und Userkontenverwaltung nicht hinbekommen, man kann alles zweimal schreiben, ich hab's satt. Seltsame Fragen bleiben allemal . Warum hat Dr.Koprowski etwa 400 wildlebende Schimpansen einfangen und nach Camp Lindi verbringen lassen ? Was hat es mit der aufgekündigten Freundschaft und dem kurzen Briefwechsel zwischen Dr Sabin und Dr. Koprowski auf sich ? Die Royal Society ist eine mächtige Institution. War das Vorgehen dieser Institution fair ? Ich meine nein. Denn das Rolling Stone Magazin verlor nur deshalb an Glaubwürdigkeit, weil in besagtem Artikel behauptet wurde, Koprowski würde Meerkatzen zur Anzucht der Vaccine verwenden. Diese Behauptung war lediglich ein Versehen, wurde allerdings zu einem Skandal aufgeblasen. Die Doku benennt Afrikaner als Zeugen, die dort gearbeitet haben sollen. Demgegenüber stehen Darstellungen durch Wissenschaftler, dass eine genetische Uhr die Beweisführung ermöglicht, das AIDS-Virus sei lange vor dieser Zeit von Schimpansen auf den Menschen übertragen worden. Was ist aber, wenn beide Wahrheiten zutreffen und in den fünfziger Jahren eine erneute Übertragung stattfand ? https://sciencev1.orf.at/science/news... "

book content:
Front matter 2
Reviews 2
Title page 4
Copyright information 5
Dedication 6
Table of contents 7
List of maps and charts 11
Cast of characters 13
Foreword by Professor Bill Hamilton 27
Prologue 36
Introduction 38
I. The river in cross section: frozen moments of flow 48
1. Frozen in time: 1959 50
2. Frozen in space: a rural epicentre in Africa 64
II. From trickle to flood: the early spread of AIDS 86
3. "A mysterious microbe": early evidence of AIDS in North America 88
4. High days and holidays: the Haitian interchange 107
5. Early traces in Europe 116
6. HIV and AIDS in Central Africa 122
7. False positives, and the specter of contamination 136
8. The Manchester sailor 148
9. AIDS in the pre-AIDS era? 162
10. Theories of origin, propounded and refuted 184
11. Gerry Myers and the monkey puzzle tree 203
III. A new hypothesis of source 218
12. AIDS and polio vaccines 220
13. The race to conquer polio: early research and inactivated polio vaccines 227
14. The race to conquer polio: oral polio vaccines 237
15. Dr. Dick and Dr. Dane 251
16. "What happens when science goes bad" 260
17. Louis Pascal 269
18. The counterattack begins 277
IV. European feeders 288
19. An untimely passing 290
20. The Congo trials 299
21. Primate immunodeficiency viruses 317
22. Pierre Lépine and the Pasteur Institute 329
23. The Norwegian sailor 339
24. Switzerland and Sweden 356
25. An introduction to HIV-2 371
26. Paul Osterrieth and Fritz Deinhardt 380
27. The quieting of Louis Pascal 398
V. The passage through the pools 408
28. A man of many ideas 410
29. Hilary Koprowski - opening moves 430
30. The West Coast trials 444
31. The East Coast trials - and the question of informed consent 453
32. At the CDC 465
33. Tom Norton 477
34. Hilary Koprowski - end game 489
35. Other views, other voices - from Lederle to the Wistar 509
36. David Ho 522
VI. Whirlpools and sinkholes 532
37. Bill Hamilton 534
38. The two sailors 545
39. From the archives 556
40. Ghislain Courtois 569
41. Stanley Plotkin 580
42. Le Laboratoire Médical de Stanleyville 593
43. The chimpanzees 604
44. The Belgian vaccine 617
45. The threats begin 625
46. Alexandre Jezierski 637
VII. Charting the course 654
47. The HIV-2 enigma 656
48. Infection by mouth 677
49. Preston Marx and an alternative hypothesis 696
50. Natural or iatrogenic transfer? 709
51. What happened at Letchworth and Clinton 720
52. What happened at Lindi 741
53. Where CHAT was fed 757
54. Correlations with early HIV and AIDS 773
55. Starburst and dispersal 791
56. Dead ends and hidden bends 814
VIII. How a river is born 826
57. The rechanneling of history 828
58. When the levee breaks 843
Postscript 860
Photographs 912
Hilary Koprowski and Albert Sabin in conversation. 912
David Carr, the “Manchester sailor”. 913
Dr. Trevor Stretton, circa 1960. 913
Hilary Koprowski and George Dick in Belfast, 1956. 914
David Dane pictured feeding George Dick’s daughter with Koprowski’s first Type 1 polio vaccine, SM, in 1956. 914
Lederle Laboratories, Pearl River, New York, 1993. 915
The Wistar Institute, Philadelphia, 1993. 915
The Pasteur Institute, Paris, 1997. 915
The new medical laboratories (including the virus labs), and the animal house at Stanleyville, Belgian Congo, 1957. 916
Staff of Stanleyville Medical Laboratory in mid-1958. 917
Norton, Koprowski, Sabena stewardess, Courtois, pictured at Camp Lindi, 1957. 917
Gaston Ninane, Tom Norton, Paul Osterrieth, Hilary Koprowski, Ghislain Courtois. 918
Djamba and Camp Lindi sign. 919
Hilary Koprowski and Ghislain Courtois shaking hands at Lindi, 1957. 919
Chimp caught in a liana net by pygmies. 920
Chimp in a temporary cage at one of Rollais’s base camps. 920
The chimp cages at one end of the first (quarantine) hangar at Camp Lindi. 921
Two African assistants dismembering a dead chimp. 921
Alexandre Jezierski on a monkey-hunting expedition for the Gabu-Nioka laboratory, 1954. 922
Henry Gelfand and chimpanzee friend, Camp Lindi, 1958. 922
André Nahmias, 1995. 923
Joseph Melnick, 1995. 923
Bill Hamilton, circa 1981. 923
Paul Sharp, 1995. 924
Preston Marx, and the human immunodeficiency virus, 1995. 924
Agnes Flack vaccinating a “sea of Africans” with CHAT in the Ruzizi Valley, 1958. 925
Child being vaccinated in Leopoldville in 1959 with the “Koprowski live virus vaccine. 926
Another child vaccinated with chilled CHAT vaccine in Leopoldville, 1958. 926
Florence and her baby son, Ssengabi, in Gwanda, near Kyebe, southern Uganda, 1986. 927
Small boy sitting in a banana plantation in Kyebe, southern Uganda. 927
Appendices 928
Appendix A. Arguments for and against the OPV/AIDS hypothesis 928
Appendix B. Experiments and investigations that could be conducted to shed further light on the OPV/AIDS hypothesis 932
Acknowledgements 936
Notes 942
Profile Image for Grant.
2 reviews
June 29, 2024
This book is eye opening and paints a picture on what can happen when great need arise that requires expedited solutions to serious problems. Such circumstances open the door to experts who engage in competition in hopes for the prizes of fame and immortality, and in the heat of the race short cuts are taken, and less than ethical decisions are made.
No one can deny that Ed Hooper exhaustively turned over every stone in the search for the origins of the Human Immunodeficiency Virus.
I believe there is enough circumstantial evidence laid out in this book to conclude without any reasonable doubt that the most likely cause of the AIDS epidemic was the OPV CHAT mass vaccination trials between 1957-1959 in the Belgian Congo where an unknown SIV virus, at the time, was able to survive the vaccine production processes, and be transmitted to humans and evolve into HIV-1. Viruses are more likely to survive the live attenuated vaccine making processes than Inactivated vaccines. The earliest confirmed case of HIV-1 was in 1959. Weighing the heaviest is the simple fact that the first AIDS outbreaks occurred at different locations around the Congo in Africa, around the areas where the OPV CHAT mass vaccinations took place. Also, the fact that over 400 chimpanzees have been used at the Lindi Chimpanzee Camp for the purpose of supporting the OPV CHAT development, and the fact that all documentation related to this development have been mysteriously lost.
If the scientists involved in the OPV CHAT development claim that they didn’t use chimpanzees as grow culture for the vaccine why didn’t they have the documentation to prove so? Why did all records mysteriously vanish? If the vaccine was safe why didn’t they mass vaccinate Americans and Europeans, but instead went on to mass vaccinate Africans?
On the other hand I would not expect the scientists or the medical establishment as a whole to admit to their mistakes because of the consequences of doing so. Lastly, Scientists did confirm that HIV-1 came from a type of chimpanzee troglodyte. This type of chimpanzee was the most abundant at the Lindi Chimpanzee Camp.
This entire review has been hidden because of spoilers.
125 reviews2 followers
August 1, 2022
An amazingly well researched book about AIDS, polio, and their possible link in Belgian Congo.

The book poses a question, supported by scientists, whether malfeasance in growing the OPV - the oral polio vaccine - resulted in the species jump of SIV to humans leading to the AIDS epidemic.

This is interesting because there's a fair bit of evidence, and documentary support, that AIDS was first identified in Kinshasha, the capitol city of Congo, during both Belgium's rule and the subsequent independence.

The oft-blamed bushmeat is explained because those native to Congo have been harvesting and consuming bushmeat for centuries, but somehow in the early-mid 20th century they managed to make such a mess of a centuries old hunting practice they became infected with a disease.

And perhaps the most damning discovery. Chimpanzees were used as the growth media for the polio vaccine. To non-scientists this seems minute. But all of the scientific literature insists it's only appropriate to use Macaques as they have no diseases that can cross the species barrier to humans. Macaques, however, are not native to Congo while chimpanzees are. Macaques were to be specially ordered from breeders in southeast Asia.

But the part I found most interesting was the author's tracing of early, perhaps undiagnosed, AIDS cases. A woman in Kinshasha dies from what looks like AIDs in the 1950. She worked in the vaccination program and could have been exposed to blood products from thousands.

[Here's where I note up until AIDS it was exceedingly common for far-flung and rural places to re-use needles. During the WHO's push to end smallpox inoculators would commonly use the same multi-pronged needle for hundreds of patients for time, for failure to be taught proper sanitary practices, and for lack of supplies. There's no reason to presume safeguards were in place prior to that time for polio-vaccination drives.]

There's the British sailor who worked in Belgian Congo on a humanitarian mission.
There's dozens of people dying in the 1950s and 1960s across Europe from an unspecified disease that seems to leave them vulnerable.

The mass-polio vaccination campaign is credited with saving millions of American lives. To the point that the majority of Americans alive today were never vaccinated with polio vaccine (or smallpox). But this book questions if that's true. It questions what if "the science" realized that through error or malfeasance a single cadre of scientists could have created and unleashed AIDS on the world. A disease that has killed millions. All because some corrupt scientist was in a hurry to make a buck half-a-century before.

I will note that the majority of the scientists who could confirm or deny have vehemently denied ever doing anything wrong. Which is completely unrelated to the fact that they are hailed as heroes, and have garnered awards, millions in grants, and positions leading faculties and foundations with billions of dollars to award. Who questions if the guy with the money is actually the bad guy?
Profile Image for Jean Marie Angelo.
542 reviews22 followers
June 20, 2014
I stumbled across this book on YouTube because it received a prominent mention in a free documentary on the origin of AIDS. Edward Hooper presents a captivating theory that the OPV vaccine developed in the late 1950s unwittingly unleashed the HIV virus on humanity. His theory has been challenged and debunked, but the idea still fascinates me. If the 860 pages could be summed up with any questions it would be, "Why now?"

Hooper presents a very detailed case for those who argue that HIV was introduced to humanity from eating monkey meat, or hunting primates. Hooper goes on to write, "If (as seemed increasingly likely) SIVs had been had been present in African monkeys for many thousands of years, why was it only now that many of these viruses had been transferred into humans?"

He contends that medical virologists and doctors, namely Dr. Hilary Koprowski, developed their important oral polio vaccines in the late 1950s with tissue taken from chimpanzees infected with the simian immunodeficiency virus. This SIV contaminated vaccines were "tested" on unwitting subjects in African villages and in prisons and children's homes in the United States. While Koprowski denied that he could have unleashed HIV on humans with his vaccine, he was incredibly uncooperative in released research data, notes, and old samples of his vaccine.

The world may never really be sure how HIV came to be and how AIDS became the health issue of our age.

While I was gripped by the topic and Hooper's theories, this became one long, ponderous read. What started as an easy and understandable story because a real labor. Not for the faint of heart.
Profile Image for Matthew.
55 reviews6 followers
January 9, 2008
Hooper presents a fascinating hypothesis. Essentially that the AIDS virus is the result of the bringing together of 2 species of chimpanzee that had been separated by a river since the point of speciation. (Chimps do not swim). As a result SIV viruses endemic and living in equilibrium with both species came into contact the result being HIV. He presents as proof the fact the 'hearth' of AIDS is the Great Lakes Region of Africa which coincides with the zone of human testing of the Koprowski polio vaccine which was very likely cultured in tissues from the aforementioned chimps. He never presents a smoking gun and I think that he may have identified an early vector of the virus-perhaps the largest rather than its origin. Following through his research is utterly fascinating. If not for the fact that this book is nonfiction I'd say it is the best mystery novel ever written. He loses one point for his subsequent egotistical defenses of his thesis in a number of online forums and his repetition of the urban myth of "gerbilling"" in an early chapter.
Profile Image for Dennis Ombachi.
31 reviews
March 14, 2025
Genre: Investigative Nonfiction, Science, Medical History
Publication Year: 1999

Introduction

The River by Edward Hooper is a comprehensive investigation into the origins of the HIV/AIDS pandemic. Spanning over a decade of research, interviews, and analysis, Hooper meticulously examines the theory that the virus may have been inadvertently introduced into humans through contaminated oral polio vaccines (OPV) administered in Central Africa in the late 1950s. The book is a blend of scientific inquiry, historical investigation, and human storytelling, shedding light on one of the most devastating pandemics in human history.

Synopsis

Hooper embarks on a scientific detective journey to trace the origins of HIV. The dominant theory has long been that the virus jumped from chimpanzees to humans through bushmeat hunting. However, Hooper presents a controversial alternative hypothesis — the Oral Polio Vaccine (OPV) Theory.

According to this theory, scientists working on the mass immunization campaigns against polio may have unknowingly used chimpanzee tissue to develop the vaccines, which could have been contaminated with simian immunodeficiency virus (SIV) — a virus found in chimps that is closely related to HIV. As the OPV campaigns were conducted primarily in Central Africa, where the first known cases of HIV emerged, Hooper proposes that this event might have acted as the spark that led to the global pandemic.

The book takes readers across continents — from labs in Europe and the U.S. to remote villages in Africa — as Hooper interviews virologists, medical professionals, and locals who witnessed the vaccine trials. He delves into the ethical questions surrounding medical experimentation, colonialism, and the potential consequences of scientific ambition.

While the OPV theory sparked heated debates in the scientific community, the majority of researchers continue to support the bushmeat theory, citing genetic evidence that HIV likely crossed into humans earlier than the polio trials. Nevertheless, The River remains a monumental piece of investigative journalism, presenting evidence with remarkable detail and leaving readers questioning the fine line between scientific progress and unintended consequences.


Themes

1. Scientific Inquiry and Controversy:
The book explores the complexities of scientific research, where ambition and ethics often collide. It also highlights the controversies that arise when established theories are challenged.


2. Ethics in Medical Research:
Hooper raises crucial ethical questions about medical trials conducted in Africa, particularly in colonial contexts. He scrutinizes the lack of informed consent and the long-term consequences of these experiments.


3. Pandemics and Global Impact:
The narrative draws attention to how localized medical practices can have global repercussions, showing the interconnectedness of health crises and humanity.


4. Colonialism and Power Dynamics:
The book subtly examines the power imbalances during the colonial era, where Western scientists conducted experiments in African countries with little regard for local communities.


5. Human Stories Amid Science:
Beyond the science, Hooper weaves in the personal stories of those who lived through the early days of the epidemic, humanizing a narrative often dominated by cold statistics.


Writing Style and Structure

Hooper’s writing is detailed and methodical, reflecting the years of research that went into the book. He balances scientific explanations with vivid storytelling, making complex virology accessible to readers without sacrificing accuracy. The narrative unfolds like a detective story, with each chapter unraveling another layer of the mystery behind HIV’s origins. While some parts may feel dense due to the depth of research, the book remains gripping due to Hooper’s ability to build suspense and intrigue.


Significance and Impact

The River sparked one of the most heated debates in medical history, with scientists both supporting and fiercely opposing Hooper’s OPV theory. Although subsequent genetic studies have largely debunked this theory in favor of the bushmeat hypothesis, the book’s significance lies in its relentless pursuit of truth and the ethical questions it raises about scientific responsibility.

Hooper’s investigation also played a role in pushing the scientific community to be more transparent and reflective about past practices, especially regarding medical research in vulnerable populations. Whether one agrees with Hooper’s conclusions or not, The River is a testament to the power of investigative journalism in holding science accountable.

Criticism

The book faced backlash from parts of the scientific community, with critics arguing that the OPV theory lacked conclusive evidence. Some claimed that Hooper selectively presented data to support his hypothesis. Additionally, later studies pinpointed HIV’s crossover into humans decades before the polio trials. Nevertheless, Hooper’s rigorous research and thought-provoking arguments have kept the debate alive in academic circles.


Conclusion

The River is an extraordinary work of investigative journalism that dives deep into the origins of HIV/AIDS while raising profound ethical questions about scientific practices. Even though the OPV theory has been largely discredited, the book remains an essential read for those interested in medical history, pandemics, and the pursuit of truth. Hooper’s passion for uncovering the origins of one of the deadliest diseases in modern history makes this a gripping, thought-provoking, and essential work in understanding the complexities behind global health crises.

Whether you approach the book as a detective story, a scientific inquiry, or a historical reflection, The River will leave you questioning the narratives we accept and the hidden stories that shape our world.
Profile Image for Lauren Little.
655 reviews
April 2, 2011
A very thorough look at how HIV might have first been spread to humans and then eventually lead to an epidemic. Since it's a very thorough (and very long) book, there is quite a lot of repetition. Also, Hooper wrote the sections as he investigated so that makes the narrative longer (and sometimes harder to follow). He does speculate a lot and sometimes overemphasizes people who don't recall exact details of everything they ever wrote/did (from many decades earlier, I might add), but I feel like he would be a tough guy to be interviewed by. Also, not being a scientist himself, he does explore/think about the issues and theories very well. In fact, maybe he does a better job than most scientists since he is looking at it from the outside.
9 reviews4 followers
January 4, 2022
This is real journalism -- what journalism used to be. Excellent and well-researched, including Hooper's traveling the globe to get first-hand accounts and interviews. It took me a couple of weeks of evening reading to traverse this 800+ page documentary book, and at the end I understood it as an important journey.

When I picked up Judy Mikovits's Plague of Corruption and started into Robert F. Kennedy Jr's The Real Anthony Fauci, I was thrilled to realize Hooper's book had laid a great deal of groundwork for understanding those two worthy books. This is not past history, or it certainly isn't right now -- the same issues arising in the 80s are surfacing now, and we, especially within western civilization, need to take this on and fix it.
Profile Image for Meredith.
50 reviews1 follower
June 25, 2008
Incredibly well-researched. It provides a truly unique insight into the minds and egos of many of the AIDS researchers and polio researchers of the last century. Hooper interviews many of them. This is a big book, but a thorough history of the science behind what we know about HIV is bound to be bulky. It should be noted that the theory Hooper is investigating (linking the polio vaccine with the introduction of HIV in humans) has been all but discredited by the medical community. Still, this is a fascinating book on a subject that is typically too couched in medical jargon to really make sense to a normal person.
100 reviews
December 16, 2008
This book was hard to read, not because it was too academic, it definitely wasn't. It is horrfying to read because it's so fn sick how one dude who was just trying to make money probably began the spread of the AIDS virus to humans. Every step of the way, he skips protocol and shirks regulations just to get recognition for creating a vacine. If you can find it, I recommend reading this book. If you can't, I recommend watching the documentary.
1 review1 follower
July 21, 2011
This is a riveting read. Incredibly well researched and almost every page boggles the mind regarding the cavalier attitude of scientist to literally the fate of humankind. At last we are nearer the truth of the origin of HIV/AIDS, a truth which has nothing to do with the racist assumptions about the promiscuity of Africans. I do not look forward to finishing this read as I am sure the blues will set in.
Profile Image for Clare.
Author 1 book26 followers
January 13, 2009
I had high hopes for this book, but it's impenetrable, disorganised and hopelessly wordy. The thread of the author's argument gets lost well before the half way mark, and it's an uncomfortable mixture of investigative journalism, science and biographical ramblings. "And the Band Played On" is far better, or indeed "Beyond Love".
20 reviews
February 22, 2011
The best researched conspiracy theory you'll ever read in your entire life. However, even I got bored in the middle of the 350+ pages on OPV (oral polio vaciene) so probably not for the casual reader.
Profile Image for Barry Phillips.
Author 1 book3 followers
January 6, 2020
Superb. Makes a persuasive case to support his thesis that AIDS was essentially a man-made epidemic. There have since been rebuttals but it remains a great tale of detective work and corruption - and I still think there may be *something* to it.
Profile Image for Elliott.
405 reviews76 followers
February 1, 2024
Ugh…
Edward Hooper raised some good questions regarding the safety of administering such a large number of vaccinations, in a short period. Jacques Pepin acknowledges in his own book The Origins of AIDS that sterilization procedures were insufficient and that it’s indeed quite possible that this contributed to the early spread of HIV/AIDS.
However, that’s about the only positive I can muster. Without getting into the specifics the book is dated. It was published in 1999 and updated shortly after. That’s a quarter of a century ago. Even presuming that the science in this book is correct (it’s not) it would still be dated and superseded by more precise data. As it happens the entire book has been neatly refuted and was done within five years of this book’s publication. A more thorough and simple refutation was done in 2008 on two samples inadvertently collected in 1959 and 1960. Both samples exhibit extensive diversity so much so that their closest common ancestor is about 60 years older than those two samples. This book argues that the virus jumped into humans in 1959. If that were the case there would not be so great a difference.
Case closed.
Profile Image for Ryan.
11 reviews2 followers
July 20, 2007
This book was a difficult read but it was an amazing story. It's a bit like reading a doctoral thesis or a legal brief at times. Because of the controversial nature of his theory he is forced to make his case in the most detailed way possible, which results in a sometime tedious writing style.

The author's basic claim is extremely inflammatory: he explains why he believes that AIDS was inadvertently created by American and European doctors in Central Africa during the late 1950s as a result of their search for a Polio vaccine. They used "monkey kidney tissue culture" to propagate the vaccines. At this point in medical history using tissue culture was very common but, also, they had no way of testing for or identifying unknown/undiscovered viruses that might contaminate the tissue culture. At this point in time SIV (simian immuno-deficiency virus) had not yet been discovered but was apparently very common. They theory is that monkey kidney tissue culture infected with SIV went undetected into the polio vaccine and mutated into HIV. The vaccine was then, in fact, given to hundreds of thousands of Africans. Interestingly it also documents the fact that the first known case of HIV wasn't in the early 1980s as is generally assumed but was in 1959.
Profile Image for Lisa Gallagher.
Author 9 books31 followers
July 21, 2015
This was a transcendant experience, reading "The River" and taking step and step back into the past. There are cases of deaths going as far back as the 1950's where physical specimens left behind reveal the decedent to be infected with HIV. A British Merchant Marine. A drug addict in St. Louis. Hooper reveals the behind-the-scene machinations of the scientists behind the polio vaccine and how one particular oral immunization in the Belgian Congo may provide answers as to how SIV jumped to humans and became HIV. It's a fascinating read and I completely understood and believed the theory that in the rush to immunize people against polio (and secure prizes in science and humanities) some scientists might have cut corners and used a different form of monkey kidney tissue than prescribed, in creating the vaccine. Sadly, the book and its theory have now been debunked. This was a great book that I originally rated a 4 (both for its well-thought out theory and for its readability) but now have to downgrade to a 3 due to the theory panning out.
Profile Image for Erin Beck.
115 reviews5 followers
October 2, 2007
One theory on how SIV made the transition to HIV. As we were entering WWII we knew we'd be launching a lot of troops from northern africa. We needed to vaccinate the Africans for polio. we needed to produce a lot of the vaccine in a short amout of time. Doing so in chicken eggs takes several months. So we took the antibodies from monkeys who had recovered from polio transfering the disease from monkeys to humans. No culture eats monkeys. No culture is know to have sex with monkeys. This theory gains more support year after year.
319 reviews2 followers
January 10, 2009
It has been some time since I read this, but I think about it every now and again. This is a very long book, and as I recall, even the bibliography is huge. It is not an easy read, but it is a fascinating look at the history of HIV and AIDS back to their earliest documented appearances. I have not looked lately to see if there is any additional information in this vein or from this author, but I will put that on my 'to do' list.
44 reviews
November 27, 2007
This book is approximately 1493843948 pages. I read it over the course of a year, and it's just a great read--covering topics relating to Africa, medical ethics, research, politics, etc. I'm pretty sure the main theory proposed in the book regarding the origin of AIDS has been debunked, which is a bummer, but it's still worth the year of your life.
3 reviews1 follower
April 1, 2008
This book is fascinating if you have any interest in theories regarding the origin of the HIV virus. It is considered controversial and is very long and at times can be a bit technical, which can make it difficult to follow. Hooper's theory, is followed up by some very strong evidence and makes you think.
Profile Image for Melissa.
66 reviews1 follower
June 14, 2007
This book is intense, interesting and long.
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