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Commentary & Opinion

CDC Guidelines Should Include Comprehensive HIV Prevention Measures, Opinion Piece Says

July 25, 2003

A note from TheBody.com: Since this article was written, the HIV pandemic has changed, as has our understanding of HIV/AIDS and its treatment. As a result, parts of this article may be outdated. Please keep this in mind, and be sure to visit other parts of our site for more recent information!

Although the CDC three months ago released guidelines calling for "sweeping changes" in its HIV prevention strategy, with a focus on people who are already HIV-positive instead of on people who are at risk for contracting HIV, this approach does not "represen[t] our nation's best effort," Michael Cover, associate director for public affairs for the Washington, D.C.-based Whitman-Walker Clinic, writes in an Atlanta Journal-Constitution opinion piece. At the release of the new guidelines, HHS Secretary Tommy Thompson said, "We can no longer accept the status quo when it comes to HIV/AIDS prevention ... and it is time to expand our prevention strategies in order to more effectively reduce the number of HIV infections in the United States." But Cover says that the new guidelines combined with the 2004 budget for domestic HIV prevention programs are "not an expansion: they actually reduce or eliminate direct support for programs that have effectively prevented HIV transmission among those most at risk for nearly 20 years." He adds, "The CDC must be given the resources both to help those who are HIV-positive understand their role in HIV prevention and to continue to conduct effective health education and risk reduction programs for those HIV-negative people who are most at risk" because clinics should not be forced to choose one over the other. The number of new HIV cases each year -- about 40,000 annually -- has remained steady since 1990, a fact that some critics of comprehensive HIV prevention programs argue is a sign that the programs are not working, Cover writes. However, the data "really indicat[e]" that "[w]e aren't doing enough and we need to add to our efforts, not merely shift our focus," Cover says. He concludes that in order to stop the spread of HIV in the United States, "[w]e must integrate the new strategies proposed by the CDC into a plan that also includes effective programs that have kept the HIV transmission rate from rising" (Cover, Atlanta Journal-Constitution, 7/25).

Back to other news for July 25, 2003


Reprinted with permission from kaisernetwork.org. You can view the entire Kaiser Daily HIV/AIDS Report, search the archives, or sign up for email delivery at www.kaisernetwork.org/dailyreports/hiv. The Kaiser Daily HIV/AIDS Report is published for kaisernetwork.org, a free service of the Kaiser Family Foundation, by The Advisory Board Company. © 2003 by The Advisory Board Company and Kaiser Family Foundation. All rights reserved.

A note from TheBody.com: Since this article was written, the HIV pandemic has changed, as has our understanding of HIV/AIDS and its treatment. As a result, parts of this article may be outdated. Please keep this in mind, and be sure to visit other parts of our site for more recent information!



  
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This article was provided by Henry J. Kaiser Family Foundation. It is a part of the publication Kaiser Daily HIV/AIDS Report. Visit the Kaiser Family Foundation's website to find out more about their activities, publications and services.
 
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