I am filled with rage that we don't do more to change it. While attitudinal barriers include government inaction, stigmatisation and denial, and attitudes of health workers. There are models from all over the world that have successfully overcome barriers. I refuse to simply accept the sad truth that I can be here, that I can face this epidemic with energy, conviction and purpose while others are falling sick. We must force governments to take action now.
Single interventions are ineffective without an enabling environment and broader action.
We need an expanded response. There is good evidence that prevention works. There's no excuse for governments not to invest in prevention. The 4th Prevention Symposium will take place before the XIVth International AIDS Conference in 2002.