History of HIV/AIDS
A 1959 Kinshasa blood sample preserves the earliest confirmed HIV-1 infection
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What was actually collected
In early 1959, researchers obtained a plasma sample from an adult Bantu man living in Léopoldville, Belgian Congo — now Kinshasa. The specimen was later designated L70, and the viral sequence recovered from it ZR59.
The blood was drawn during population-genetic and medical research. The surviving publications identify no patient-specific illness or clinical event behind this particular draw, and no exact collection day beyond "early 1959."
The consulted reports do not say the man died that year. His identity and subsequent life are unknown.
Found four decades later
Nothing was recognized as an HIV event at the time. The plasma was archived, and only retrospective testing revealed what it held: Andre Nahmias and colleagues reported antibody reactivity in 1986, and Tuofu Zhu's team recovered HIV-1 RNA in the 1990s.
Of 1,213 archival African plasma samples in the reported serological survey, exactly one was confirmed reactive by multiple HIV-1 tests. Four short RNA fragments were recovered from it.
Phylogenetic testing authenticated ZR59 as the oldest confirmed HIV-1 infection known from an archival human specimen.
What "first" can and cannot mean here
Oldest known infection means the oldest confirmed archival specimen — not the first human ever infected. ZR59 shows that HIV-1 already existed and had diversified; it does not identify the person in whom the virus crossed into humans.
The 1959 material was plasma from a man. The well-known archival lymph-node biopsy is a different specimen, taken from a woman in Léopoldville in 1960, and the genetic distance between the two showed the virus had been diversifying for decades before AIDS was recognized.
Research places a probable chimpanzee reservoir in southeastern Cameroon, separate from Kinshasa's later role as a focus of early human transmission.
Sources
Researched 24 Aug 2026 7 sources not yet audited Date disputed
How this was checked
Researched from the web into a fact sheet and rewritten from that sheet. This article has not yet had an independent model audit. How the pipeline works →
Date disputed. Sources disagree about when this happened.
What the sources leave uncertain
- No exact collection day is reported beyond “early 1959.”
- The event as listed is unsupported: there is no evidence that the donor died in 1959.
- “Oldest known infection” means the oldest confirmed archival specimen, not the first human ever infected.
- A purported 1959 HIV case involving a Manchester sailor who died that year was later judged unconfirmed; it is separate from ZR59.
Checked against
- An African HIV-1 sequence from 1959 and implications for the origin of the epidemic
- PubMed: An African HIV-1 sequence from 1959
- Evidence for human infection with an HTLV III/LAV-like virus in Central Africa, 1959
- Direct evidence of extensive diversity of HIV-1 in Kinshasa by 1960
- The early spread and epidemic ignition of HIV-1 in human populations
- Chimpanzee Reservoirs of Pandemic and Nonpandemic HIV-1
- AIDS Virus Identified in Blood Sample Taken From African Man in 1959