[EQ] Reassessing HIV Prevention

Reassessing HIV Prevention

Malcolm Potts,1* Daniel T. Halperin,2*†  Douglas Kirby,3   Ann Swidler,4 Elliot Marseille,5 Jeffrey D. Klausner6

Norman Hearst, 7 Richard G. Wamai,2  James G. Kahn,5  Julia Walsh1

Science - 9 May 2008: Vol. 320. no. 5877, pp. 749 – 750 - DOI: 10.1126/science.1153843

 

The largest investments in AIDS prevention targeted to the general population are being made in interventions where the evidence for large-scale impact is uncertain.

 

1 School of Public Health, University of California at Berkeley, Berkeley,  USA.

2 Harvard University School of Public Health, Boston,  USA.

3 ETR Associates, Scotts Valley, CA , USA.

4 Department of Sociology, University of California at Berkeley, Berkeley,  USA.

5 Philip R. Lee Institute for Health Policy Studies, University of California at San Francisco, San Francisco, CA USA.

6 San Francisco Department of Public Health, San Francisco, CA , USA.

7 Department of Family and Community Medicine, University of California at San Francisco, San Francisco, CA, USA.

 

Available online at: http://www.sciencemag.org/cgi/content/full/320/5877/749

 

"……Several decades into the AIDS pandemic, HIV transmission in most of the world remains firmly concentrated among sex workers, men who have sex with men (MSM), injecting drug users (IDUs), and their sex partners (1). In some parts of Africa, where over two-thirds of infections occur globally, HIV has expanded outside these high-risk groups, creating generalized, predominantly heterosexual epidemics. In nine southern African countries, more than 12% of adults are infected with HIV. Such devastating epidemics have frequently been attributed to poverty, limited health services, illiteracy, war, and gender inequity. Although these grave problems demand an effective response in their own right, they do not appear to be the immediate causes of generalized epidemics (2)…."

 

The Independent: http://www.independent.co.uk/news/science/circumcision-is-the-best-weapon-in-fight-against-aids-824587.html

 

 

 

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