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A New Deal in HIV Prevention: Lessons from the Global Approach

Myron S. Cohen, MD; Gina Dallabetta, MD, MPH; Marie Laga, MD, PhD; and King K. Holmes, MD, PhD
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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. Requests for Reprints: 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.

Copyright ©2004 by the American College of Physicians

Ann Intern Med. 1994;120(4):340-341. doi:10.7326/0003-4819-120-4-199402150-00014
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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 that our technology can generate a “magic bullet” to end the AIDS epidemic. Although critically important, this approach has had no immediate effect on the spread of AIDS.

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