However, it soon became optional, and remains so, although it is highly recommended to all newly diagnosed patients at least for an initial period of care and education. As visitors to the AIDS sanatorium near Havana, we were permitted free access to the grounds, although guided by physicians and staff, including the director of the sanatorium, Dr. Jorge Perez, a former short-term visitor to Harvard's David Rockefeller Center for Latin American Studies. He introduced us to many of the patients and clearly knew each one very well. We saw sturdy housing, a park-like setting, clean public areas, and plenty of nutritious food. They have opportunities for work, social events, well-integrated medical and mental health care, social acceptance, and a sense of community.
Current emphases are on education, condom promotion and screening in order to limit transmission.
This is supposedly non-mandatory, but few women refuse to be tested. Those testing positive often go to the sanatorium for education and potential relocation, but many end up returning to their homes after the education period. The practice of public health always entails a tension between the rights of the individual and those of the community. It also involves judgements about the extent that government or a community should interfere in the life of an individual in the interest of his or her own health. Cuba's health system is community-oriented and interventionist in its approach.