WILLIAM M. VALENTI, M.D.; JOSEPH P. ANARELLA
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To the editor: Although most cases of the acquired immunodeficiency syndrome have been seen in several high-risk areas, small- to medium-sized communities have been affected as well. Patients acquiring the disease in high-risk areas may come to other communities for medical care; in some cases, the disease has probably originated and been transmitted in high-risk groups in some smaller communities. As these smaller communities continue to see the "ripple effects" of the syndrome, we believe there is a need to define an endemic (locally acquired) case to provide a more uniform case definition essential to any epidemiologic investigation. We suggest
VALENTI WM, ANARELLA JP. Endemic Acquired Immunodeficiency Syndrome. Ann Intern Med. ;101:399–400. doi: 10.7326/0003-4819-101-3-399_3
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Published: Ann Intern Med. 1984;101(3):399-400.
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