Applying Public Health Principles to the HIV Epidemic — How Are We Doing?
N Engl J of Med Dec.3, 2015
MEDICINE AND SOCIETY
T.R. Frieden, K.E. Foti, and J. Mermin
From the Centers for Disease Control and Prevention, Atlanta.
A decade ago, we called for applying public health principles to the human immunodeficiency virus (HIV) epidemic in the United States.
Over the past decade, U.S. health departments, community organizations, and health care providers have expanded HIV screening and targeted testing, and as a result a greater proportion of HIV-infected people are now aware of their infection; the number of reported new diagnoses of HIV infection has decreased; and people with HIV infection are living longer.
We have more sensitive diagnostic tests; more effective medications and medications with better side-effect profiles; rigorous confirmation that treatment prevents the spread of HIV and improves the health of infected people; and documentation of the potential benefit of preexposure prophylaxis for some high-risk people….