1986–1988: Final years and death
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In 1985, Sylvester's boyfriend, Rick Cranmer, became aware that he had become infected with HIV; with no known medical cure, his health deteriorated rapidly and he died in September 1987. Sylvester was devastated, and although recognizing that he too was probably infected, he refused to have his blood tested, only noticing the virus's first symptoms when he developed a persistent cough.[113] Beginning work on an album that would remain unfinished, he moved into a new apartment on Collingwood Street in the Castro, and tried his best to continue performing in the Bay Area, even though he became too sick to undertake a full tour.[114] Eventually diagnosed with AIDS, he was hospitalized for sinus surgery in late 1987, and upon returning to his apartment he began to be cared for by his mother and Tracy, before being hospitalized again in May 1988, this time with pneumocystis pneumonia. Returning to his flat, he gave away many of his treasured possessions and wrote his will.[115]
Having lost a lot of weight and unable to walk easily, he attended the Castro's 1988 Gay Freedom Parade in a wheelchair, being pushed along by Mckenna in front of the People with AIDS banner; along Market Street, assembled crowds shouted out his name as he passed.[116] The subsequent 1988 Castro Street Fair was named "A Tribute to Sylvester," and although he was too ill to attend, crowds chanted his name to such an extent that he was able to hear them from his bedroom.[117] He continued to give interviews to the media, being open about the fact that he was dying of AIDS, and sought in particular to highlight the impact that the disease was having in the African-American community.[118] In an interview with the NME, he stated, "I don't believe that AIDS is the wrath of God. People have a tendency to blame everything on God."[119]
For Thanksgiving 1988, his family spent the holiday with him, although he had developed neuropathy and was increasingly bed-ridden and reliant on morphine; he died in his bed on December 16, 1988 at the age of 41.[120] Sylvester had planned his own funeral, insisting that he be dressed in a red kimono and placed in an open-top coffin for the mourners to see, with his friend Yvette Flunder doing his corpse's makeup. He wanted Tracy to sing at his funeral, accompanied by choirs and many flowers. The whole affair took place in his church, the Love Center, with a sermon being provided by Reverend Walter Hawkins. The event was packed, with standing room only, and the coffin was subsequently taken and buried at his family's plot in Inglewood Park Cemetery.[121] An album titled Immortal was posthumously released; it contained Sylvester's final studio recordings, and was compiled by Marty Blecman.[122]