The impact of HIV/ AIDS on prisons (and vice versa) has received minimal attention within histories of the epidemic. Yet, researchers agree that 'HIV hit prisons early and it hit them hard'. 1 Prisons were flagged as locations of concern very early on. Their residents, like other already-marginalised groups whose lives became entangled with HIV/ AIDS, became a source of anxiety among policy-makers and the media alike. Injecting drug use before and during incarceration, sex between men in prison, violence among inmates and towards staff, overcrowding and bad hygiene, and the poor general health of many of those behind bars were all highlighted as factors potentially contributing to the rapid spread of disease. 2 This, coupled with concern about the provision of adequate clinical and palliative care for prisoners affected by HIV/ AIDS and possible infringements of their rights, prompted international organisations to gather information and issue specific recommendations for HIV/ AIDS and prisons in 1987-8. 3 Such recommendations emphasised education, integration of people with HIV/ AIDS into normal prison life, special efforts to avoid stigma and discrimination, and the need for services and standards of healthcare within prisons to match those existing elsewhere in the community.Despite these clear recommendations, policy and practice in prisons remained the object of criticism throughout the 1990s and into the 2000s. 4 These ongoing concerns, along with some elements of secrecy and stigma adhering to prisons, help to explain why prisons and their occupants have featured little in histories of HIV/ AIDS; successful activism, charismatic leadership, and a clear trajectory of change is difficult to locate. Researchers from contemporary and historical perspectives alike have ascribed the lack of