CDC, Other Agencies Publish Guidelines on Incorporating HIV Prevention Messages Into Medical Care of HIV-Positive People
July 18, 2003
The CDC, along with the Health Resources and Services Administration, NIH and the HIV Medicine Association of the Infectious Diseases Society of America, yesterday released in the MMWR Recommendations and Reports guidelines for doctors and other health care providers that discuss how they can incorporate HIV prevention messages into the routine medical care of their HIV-positive patients, the Atlanta Journal-Constitution reports. The guidelines suggest that providers take three steps: screen for high-risk behaviors using questionnaires and tests for other STDs; discuss proper condom and needle use; and encourage notification and counseling for sex and drug partners (Wahlberg, Atlanta Journal-Constitution, 7/18). The recommendations are "general and apply to incorporating HIV prevention into the medical care of all" HIV-positive adolescents and adults -- "regardless of age, sex, or race/ethnicity," the guidelines state. In addition, the guidelines focus on high-risk sexual and injection drug use behaviors because "these behaviors are responsible for nearly all HIV transmission in the United States," according to the guidelines (Jaffe/Janssen, MMWR Recommendations and Reports, 7/18). CDC Director Julie Gerberding said, "It's time we merge prevention services for HIV-infected persons into the mainstream of medical care" (Reuters, 7/17). Dr. Robert Janssen, head of the CDC's Division of HIV/AIDS Prevention, said, "We focused in the past on people at risk of becoming infected. Now we're trying to bring up to speed interventions for people who are infected and can transmit the virus to others" (Atlanta Journal-Constitution, 7/18).
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