A New Deal in HIV Prevention: Lessons from the Global Approach
Authors: Myron S. Cohen
Journal: Annals of Internal Medicine (1994)

Editorials15 February 1994A New Deal in HIV Prevention: Lessons from the Global ApproachMyron S. Cohen, MD, Gina Dallabetta, MD, MPH, Marie Laga, MD, PhD, and King K. Holmes, MD, PhDMyron S. Cohen, MDUniversity of North Carolina-Chapel Hill, Chapel Hill, NC 27599. AIDS Control and Prevention Program, Family Health International, Arlington, VA 22201. Institute of Tropical Medicine, B-2000 Antwerp, Belgium. University of Washington, Seattle, WA 98122., Gina Dallabetta, MD, MPHUniversity of North Carolina-Chapel Hill, Chapel Hill, NC 27599. AIDS Control and Prevention Program, Family Health International, Arlington, VA 22201. Institute of Tropical Medicine, B-2000 Antwerp, Belgium. University of Washington, Seattle, WA 98122., Marie Laga, MD, PhDUniversity of North Carolina-Chapel Hill, Chapel Hill, NC 27599. AIDS Control and Prevention Program, Family Health International, Arlington, VA 22201. Institute of Tropical Medicine, B-2000 Antwerp, Belgium. University of Washington, Seattle, WA 98122., and King K. Holmes, MD, PhDUniversity of North Carolina-Chapel Hill, Chapel Hill, NC 27599. AIDS Control and Prevention Program, Family Health International, Arlington, VA 22201. Institute of Tropical Medicine, B-2000 Antwerp, Belgium. University of Washington, Seattle, WA 98122.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-120-4-199402150-00014 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail We have now entered the second decade of the human immunodeficiency virus (HIV) pandemic. Medical science has responded to this new disease with remarkable dissection of the HIV virus and equally detailed descriptions of the clinical evolution of opportunistic infections and neoplasms in patients with the acquired immunodeficiency syndrome (AIDS). An entire industry has developed to address and improve strategies for the management of patients with HIV disease. Much of the funding for HIV research in the United States has focused on the development of vaccines [1] and antiviral therapy [2]. In essence, it was (and might still be) hoped ...References1. Haynes BF. Scientific and social issues of human immunodeficiency virus vaccine development. Science. 1993; 260:1279-85. Google Scholar2. Johnston MI, Hoth DF. Present status and future prospects for HIV therapies. Science. 1993; 260:1286-93. Google Scholar3. Rhame FS, Maki DG. The case for wider use of testing for HIV infection. N Engl J Med. 1989; 320:1248-54. Google Scholar4. Francis DP. Toward a comprehensive HIV prevention program for the CDC and the nation. JAMA. 1992; 268:1444-7. Google Scholar5. Wasserheit JN. Epidemiological synergy: interrelationships between human immunodeficiency virus infection and other sexually transmitted diseases. Sex Transm Dis. 1992; 19:61-77. 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The Social Impact of AIDS in the United States. Washington, DC: National Academy Press; 1993. Google Scholar11. Cooke KL, Yorke JA. Some equations modeling growth processes and gonorrhea epidemics. Math Biosci. 1973; 16:75-101. Google Scholar12. Rogers DE, Osborn JE. AIDS policy. Two divisive issues. JAMA. 1993; 270:494-5. Google Scholar13. Laga M, Manoka A, Kivuvu M, Malele B, Tuliza M, Nzila N, et al. Non-ulcerative sexually transmitted diseases as risk factors for HIV-1 transmission in women: results from a cohort study. AIDS. 1993; 7:95-102. Google Scholar14. Moore JE. The passing of the American Journal of Syphilis. American Journal of Syphilis, Gonorrhoea, and Venereal Diseases. 1954; 38:487-8. Google Scholar15. Stamm WE, Kaetz S, Holmes KK. Clinical training in venereology in the United States and Canada. JAMA. 1982; 248:2020-4. Google Scholar16. Cantor JC, Baker LC, Hughes RG. Preparedness for practice. Young physicians' views of their professional education. JAMA. 1993; 270:1035-40. Google Scholar Author, Article, and Disclosure InformationAffiliations: University of North Carolina-Chapel Hill, Chapel Hill, NC 27599. AIDS Control and Prevention Program, Family Health International, Arlington, VA 22201. Institute of Tropical Medicine, B-2000 Antwerp, Belgium. University of Washington, Seattle, WA 98122.Corresponding Author: Myron S. Cohen, MD, Division of Infectious Diseases, CB# 7030, 547 Burnett-Womack, University of North Carolina, Chapel Hill, NC 27599.Grant Support: By the North Carolina Sexually Transmitted Infection Research Center and the Family Health International/U.S. Agency for International Development AIDS Control and Prevention Program. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoHuman Immunodeficiency Virus (HIV) Infection Metrics Cited ByEpidemiology and Prevention of Acquired Immunodeficiency Syndrome and Human Immunodeficiency Virus InfectionEpidemiology and Prevention of Acquired Immunodeficiency Syndrome and Human Immunodeficiency Virus InfectionYoung Clients of Hotel-Based Sex Workers in Bangladesh: Vulnerability to HIV, Risk Perceptions, and Expressed Needs for InterventionsPatrones de prescripción de antirretrovirales en 997 pacientes colombianosPreventing Sexual Transmission of HIVSexually Transmitted Infections Among Brothel-Based Sex Workers in Bangladesh: High Prevalence of Asymptomatic InfectionCommentary: Immigration, HIV Infection, and Sexually Transmitted Diseases in EuropeAntiretroviral-Drug Concentrations in Semen: Implications for Sexual Transmission of Human Immunodeficiency Virus Type 1Sexual transmission of HIV: infectiousness and preventionSexually transmitted diseases enhance HIV transmission: no longer a hypothesisCharacterisation of Neisseria gonorrhoeae in semen during urethral infection in men.Sexual Transmission of HIVTopics for our times: the increasing demand for tuberculosis services--a new encumbrance on tuberculosis control programs.Antenatal HIV testingHIV and sexually transmitted diseasesPREFACESTD/HIV control in Malawi and the search for affordable and effective urethritis therapy: a first field evaluation. 15 February 1994Volume 120, Issue 4Page: 340-341KeywordsAIDSDrugsGonorrheaHIVHIV preventionHerpes simplexHuman sexual behaviorPrevention, policy, and public healthSexually transmitted diseasesSyphilis Issue Published: 15 February 1994 CopyrightCopyright © 1994 by American College of Physicians. 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