The Acquired Immunodeficiency Syndrome (AIDS) and Infection with the Human Immunodeficiency Virus (HIV)
Authors: HEALTH AND PUBLIC POLICY COMMITTEE*
Journal: Annals of Internal Medicine (1988)

Position Papers1 March 1988The Acquired Immunodeficiency Syndrome (AIDS) and Infection with the Human Immunodeficiency Virus (HIV)HEALTH AND PUBLIC POLICY COMMITTEE*HEALTH AND PUBLIC POLICY COMMITTEE*Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-108-3-460 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptIn 1986, the American College of Physicians and the Infectious Diseases Society of America jointly published a policy statement on the acquired immunodeficiency syndrome (AIDS) (1). The statement that follows expands and updates the previous one, based on knowledge and experience gained in the last 2 years, evolution of professional and public attitudes and beliefs, and recognition of unmet needs. Particular issues emphasized include an explicit acknowledgment of the ethical imperative to care for all patients; recognition of the low but definite risk for transmission of human immunodeficiency virus (HIV) in the health care setting and of the need for...References1. . Acquired immunodeficiency syndrome. Ann Intern Med. 1986;104:575-81. LinkGoogle Scholar2. Pneumocystis pneumonia—Los Angeles MMWR. 1981:30:250-2. MedlineGoogle Scholar3. Human immunodeficiency virus infection in the United States. MMWR. 1987;36:801-4. MedlineGoogle Scholar4. Coolfont report: a PHS plan for prevention and control of AIDS and AIDS virus. Public Health Rep. 1986;101:341-8. MedlineGoogle Scholar5. MORGANCURRAN WJ. Acquired immunodeficiency syndrome: current and future trends. Public Health Rep. 1986;101:459-65. MedlineGoogle Scholar6. AHLUWALIA I. The epidemiology of AIDS. In: BLANCHET KD, ed. AIDS: A Health Care Management Response. Rockville, Maryland: Aspen Publishers, Inc.; 1988:31-55. Google Scholar7. CURRANMORGANHARDYJAFFEEDARROLDOWDLE JWAHWW. The epidemiology of AIDS: current status and future prospects. Science. 1985;229:1352-7. CrossrefMedlineGoogle Scholar8. BACCHETTIOSMONDCHAISSON PDR. Survival patterns in San Francisco AIDS patients. Programs and Abstracts of the 27th Interscience Conference on Antimicrobial Agents and Chemotherapy. Washington, D.C.: American Society for Microbiology; 1987:98. Google Scholar9. HARDY A. Characterization of long-term survivors (LTS) of AIDS. Programs and Abstracts of the 27th Interscience Conference on Antimicrobial Agents and Chemotherapy. Washington, D.C.: American Society for Microbiology; 1987:98. Google Scholar10. FISCHLRICHMANGRIECO MDM. The efficacy of azidothymidine (AZT) in the treatment of patients with AIDS and AIDS-related complex: a double-blind placebo-controlled trial. N Engl J Med. 1987;317:185-91. CrossrefMedlineGoogle Scholar11. RICHMANFISCHLGRIECO DMM. The toxicity of azidothymidine (AZT) in the treatment of patients with AIDS and AIDS-related complex: a double-blind, placebo-controlled trial. N Engl J Med. 1987;317:192-7. CrossrefMedlineGoogle Scholar12. BARRÉ-SINOUSSICHERMANNREY FJF. Isolation of a T-lymphotropic retrovirus from a patient at risk for the acquired immune deficiency syndrome (AIDS). Science. 1983;220:868-71. CrossrefMedlineGoogle Scholar13. GALLOSLAHUDDINPOPOVIC RSM. Frequent detection and isolation of cytopathic retroviruses (HTLV-III) from patients with AIDS and at risk for AIDS. Science. 1984;224:500-3. CrossrefMedlineGoogle Scholar14. CLAVELGUÉTARDBRUN-VÉZINET FDF. Isolation of a new human retrovirus from West African patients with AIDS. Science. 1986;233:343-6. CrossrefMedlineGoogle Scholar15. CLAVELMANSINHOCHAMARET FKS. Human immunodeficiency virus type 2 infection associated with AIDS in West Africa. N Engl J Med. 1987;316:1180-5. CrossrefMedlineGoogle Scholar16. KANKIM'BOUPRICARD PSD. Human T-lymphotropic virus type 4 and the human immunodeficiency virus in West Africa. Science. 1987;236:827-31. CrossrefMedlineGoogle Scholar17. JAFFEBREGMANSELIK HDR. Acquired immune deficiency syndrome in the United States: the first 1,000 cases. J Infect Dis. 1983;48:339-45. CrossrefGoogle Scholar18. Update: AIDS—United States. MMWR. 1987;36:522-6. MedlineGoogle Scholar19. FRIEDLANDKLEIN GR. Transmission of the human immunodeficiency virus. New Engl J Med. 1987;317:1125-35. CrossrefMedlineGoogle Scholar20. ZIEGLERCOOPERJOHNSONGOLD JDRJ. Postnatal transmission of AIDS-associated retrovirus from mother to infant. Lancet. 1985;1:896-8. CrossrefMedlineGoogle Scholar21. FRIEDLANDSALTZMANRODGERS GBM. Lack of transmission of HTLV-III/LAV infection to household contacts of patients with AIDS or AIDS-related complex with oral candidiasis. N Engl J Med. 1986;314:344-9. CrossrefMedlineGoogle Scholar22. Public health service guidelines for counseling and antibody testing to prevent HIV infection and AIDS. MMWR. 1987;36:509-15. MedlineGoogle Scholar23. Update: acquired immunodeficiency syndrome in the San Francisco cohort study, 1978-1985. MMWR. 1985;34:573-5. MedlineGoogle Scholar24. MCARTHUR J. Neurologic manifestations of AIDS. Medicine. 1987;66:407-437. CrossrefMedlineGoogle Scholar25. PIOT P. The natural history and clinical manifestations of HIV infection. Proceedings of the Third International Conference on AIDS. Bethesda, Maryland: Fogarty International Center, National Institutes of Health; 1987:1. Google Scholar26. HESSOLRUTHERFORDO'MALLEY NGP. The natural history of human immunodeficiency virus infection in a cohort homosexual and bisexual men: a 7-year prospective study. Proceedings of the Third International Conference on AIDS. Bethesda, Maryland: Fogarty International Center, National Institutes of Health; 1987:1. Google Scholar27. Revision of the CDC surveillance case definition for acquired immunodeficiency syndrome. MMWR. 1987;36:(Suppl 1)3S-15S. Google Scholar28. HARDYRAUCHECHENBERGMORGANCURRAN AKDWJ. The economic impact of the first 10,000 cases of acquired immunodeficiency syndrome in the United States. JAMA. 1986;255:209-11. CrossrefMedlineGoogle Scholar29. SCITOVSKYRICE AD. The cost of AIDS care. In: BLANCHET KD, ed. AIDS: A Health Care Management Response. Rockville, Maryland: Aspen Publishers, Inc.; 1988:57-80. Google Scholar30. . Financing the care of AIDS patients. Ann Intern Med. 1988;108:470-473. LinkGoogle Scholar31. KOOP C: Surgeon General's report on acquired immune deficiency syndrome. JAMA. 1986;256:2783-9. CrossrefMedlineGoogle Scholar32. ZUGERMILES AS. Physicians, AIDS, and occupational risk. Historic traditions and ethical obligations. JAMA. 1987;258:1924-8. CrossrefMedlineGoogle Scholar33. . American College of Physicians Ethics Manual: II. Research, other ethical issues. Recommended reading. Ann Intern Med. 1984;101:263-74. LinkGoogle Scholar34. HENDERSONSAAHZAK DAB. Risk of nosocomial infection with human T-cell lymphotropic virus type III/lymphadenopathy-associated virus in a large cohort of intensively exposed health care workers. Ann Intern Med. 1986;104:644-7. LinkGoogle Scholar35. GERBERDINGBRYANT-LEBLANCNELSON JCK. Risk of transmitting the human immunodeficiency virus, cytomegalovirus, and hepatitis B virus to health care workers exposed to patients with AIDS and AIDS-related conditions. J Infect Dis. 1987;156:1-8. CrossrefMedlineGoogle Scholar36. MCCRAY E. Occupational risk of the acquired immunodeficiency syndrome among health care workers. N Engl Med. 1986;314:1127-32. CrossrefMedlineGoogle Scholar37. Update: human immunodeficiency virus infections in health care workers exposed to blood of infected patients. MMWR. 1987;36:285-9. MedlineGoogle Scholar38. Recommendations for prevention of HIV transmission in health care settings. MMWR. 1987;36 Suppl 2:1S-18S. MedlineGoogle Scholar39. Recommendations of the Advisory Committee on Infections in Hospitals: management of HTLV-III/LAV infections in the Hospital. Chicago: American Hospital Association; 1986. Google Scholar40. GERBERDINGHENDERSON JD. Design of rational infection control policies for human immunodeficiency virus infection. J Infect Dis. 1987;156:861-4. CrossrefMedlineGoogle Scholar41. , School attendance of children with human T lymphotropic virus III/lymphadenopathy-associated virus infection. Pediatrics. 1986;77:430-2. MedlineGoogle Scholar42. Education and foster care of children infected with human T-lymphotropic virus type III/lymphadenopathy-associated virus. MMWR. 1985;34:517-21. MedlineGoogle Scholar43. . Confronting AIDS: Directions for Public Health, Health Care and Research. Washington, D.C.: National Academy Press, 1986. Google Scholar44. WARDHOLMBERGALLEN JSJ. Human immunodeficiency virus (HIV) transmission by blood transfusion screened negative for HIV antibody. N Engl J Med. 1988. In press. CrossrefGoogle Scholar45. MEYERPAUKER KS. Screening for HIV: Can we afford the false-positive rate? N Engl J Med. 1987;317:238-41. CrossrefMedlineGoogle Scholar46. RANKIVALLEKROHN ASM: Long latency precedes overt seroconversion in sexually transmitted human-immunodeficiency-virus infection. Lancet. 1987,2:589-93. CrossrefMedlineGoogle Scholar47. OSMONDCHAISSONBACCHETTI DRP. Prognostic value of serum HIV antigen (HIV-Ag) in patients seropositive for anti-HIV. Programs and Abstracts of the 27th Interscience Conference on Antimicrobial Agents and Chemotherapy. Washington, D.C.: American Society for Microbiology; 1987:199. Google Scholar48. PHAIRCHMIELWALLEMARK JJC. HIV antigenemia and AIDS. Proceedings of the Third International Conference on AIDS. Bethesda, Maryland: Fogarty International Center, National Institutes of Health; 1987:53. Google Scholar49. LELIEHUISMAN PJ. Evaluation of first and second generation (confirmatory) assays for antibodies to HIV. Proceedings of the Third International Conference on AIDS., Bethesda, Maryland: Fogarty International Center, National Institutes of Health; 1987:77. Google Scholar50. KANELETTAU ML. Transmission of HBV from dental personnel to patients. J Am Dent Assoc. 1985;110:634-6. CrossrefMedlineGoogle Scholar51. LETTAUSMITHWILLIAMS LJD. Transmission of hepatitis B with resultant restriction of surgical practice. JAMA. 1986;255:934-7. CrossrefMedlineGoogle Scholar52. STEINBROOKLOTIRPACKDILLEYVOLBERDING RBJJP. Ethical dilemmas in caring for patients with the acquired immunodeficiency syndrome. Ann Intern Med. 1985;103:787-90. LinkGoogle Scholar53. KANOTI G. The ethical implications of AIDS. In: Blanchet, KD, ed. AIDS: A Health Care Management Response. Rockville, Maryland: Aspen Publishers, Inc.; 1988:81-98. Google Scholar54. . The public health service response to AIDS. AIDS Information Bull. 1985;(Nov):2-3. Google Scholar55. Recommendations for preventing transmission of infection with human T-lymphotropic virus type III/lymphadenopathy-associated virus in the workplace. MMWR. 1985;34:681-6, 691-5. MedlineGoogle Scholar56. Additional recommendations to reduce sexual and drug abuse-related transmission of human T-lymphotropic virus type III/lymphadenopathy-associated virus. MMWR. 1986;35:152-5. MedlineGoogle Scholar57. FISCHLDICKINSONSCOTTKLIMASFLETCHERPARKS MGGNMW. Evaluation of heterosexual partners, children, and household contacts of adults with AIDS. JAMA. 1987;257:640-4. CrossrefMedlineGoogle Scholar58. MANNQUINNPIOT JTP. Condom use and HIV infection among prostitutes in Zaire [Letter]. N Engl J Med. 1987;316:345. CrossrefMedlineGoogle Scholar59. Update: revised public health service definition of persons who should refrain from donating blood and plasma—United States. MMWR. 1985;34:547-8. MedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *This paper was authored by Theodore C. Eickhoff, M.D., and was developed for the Health and Public Policy Committee and the Infectious Diseases Society of America by the Health Promotion Subcommittee: Charles E. Lewis, M.D., Chairman; Frank M. Calia, M.D.; Edward W. Hook, M.D.; Willis C. Maddrey, M.D.; Robert H. Rubin, M.D.; Lynn B. Tepley, M.D. Members of the Health and Public Policy Committee for the 1987/1988 term include Richard G. Farmer, M.D., Chairman; F. Daniel Duffy, M.D.; Donald L. Feinstein, M.D.; Paul F. Griner, M.D.; Joseph E. Johnson III, M.D.; Charles E. Lewis, M.D.; C. S. Lewis, Jr., M.D.; Michael A. Nevins, M.D.; Steven A. Schroeder, M.D.; Quentin D. Young, M.D. Members of the Council of the Infectious Diseases Society of America for the 1987 to 1988 term include Jack S. Remington, M.D., President; Vincent T. Andriole, M.D.; Herbert L. DuPont, M.D.; David J. Drutz, M.D.; Pierce Gardner, M.D.; King K. Holmes, M.D.; Richard B. Hornick, M.D.; Calvin M. Kunin, M.D.; Robert C. Moellering, Jr., M.D.; Merle A. Sande, M.D.; P. Frederick Sparling, M.D. Principal staff support was provided by Linda Johnson White. This position paper was adopted by the Council of the Infectious Diseases Society of America on 28 December 1987 and by the Board of Regents on 15 January 1988. 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FULKS, M.D.Financing the Care of Patients with the Acquired Immunodeficiency Syndrome (AIDS)HEALTH AND PUBLIC POLICY COMMITTEE* 1 March 1988Volume 108, Issue 3Page: 460-469KeywordsAIDSHIVHealth careHealth care policyHealth promotionInfectious disease immunologyInfectious diseasesPrevention, policy, and public healthPublic policy ePublished: 1 December 2008 Issue Published: 1 March 1988 Copyright & Permissions© 1988 American College of PhysiciansPDF downloadLoading ...