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But what about all those who died before the drugs came online?

Just an interesting tidbit I stumbled across that answers you better than I did:

"The non-infectious immunosuppressive agents associated with AIDS risk groups are extensive and diverse. They include a variety of addictive and recreational drugs, pharmacological agents, malnutrition and anal exposure to semen, an alloantigen known to cause immune suppression. AIDS appears, almost without exception, in groups of people who have an unusual amount of immunosuppressive risks. The typical AIDS patient has multiple concurrent infections with bacteria, viruses, fungi, yeasts and parasites, a substantial number of which are known to infect immune cells, known to disrupt immune function, are known to result in immune-cell death. The combination of these various infections can have pathological consequences that are quite different from their individual effects."
Rethinking AIDS: The Tragic Costs of a Premature Consensus
Dr. Robert Root-Bernstein

Interesting to see how what we call AIDS could be a result of lifestyle choices (sodomites/intravenous) or environmental factors (African heterosexuals) and not necessarily a virus at all.

The semen line: I've always been fascinated with Paul's line that includes "IN THEMSELVES." -- Romans 1:27 And likewise also the men, leaving the natural use of the woman, burned in their lust one toward another; men with men working that which is unseemly, and receiving in themselves that recompence of their error which was meet.

He very likely elaborated a biological point here that escaped interpreters for generations.....until now.

anal exposure to semen, an alloantigen known to cause immune suppression. AIDS appears, almost without exception, in groups of people who have an unusual amount of immunosuppressive risks.

If this were true it would appear that there is a link between fecal interaction, either through the urethra or other means too repugnant to talk about, and AIDS.