Tracking the HIV Epidemic: Current Issues, Future Challenges

Fleming, Patricia L.; Wortley, Pascale M.; Karon, John M.; DeCock, Kevin M.; Janssen, Robert S.
July 2000
American Journal of Public Health;Jul2000, Vol. 90 Issue 7, p1037
Academic Journal
The emergence of a new infectious disease, AIDS, in the early 1980s resulted in the development of a national AIDS surveillance system. AIDS surveillance data provided an understanding of transmission risks and characterized communities affected by the epidemic. Later, these data provided the basis for allocating resources for prevention and treatment programs. New treatments have dramatically improved survival. Resulting declines in AIDS incidence and deaths offer hope that HIV disease can be successfully managed. However, to prevent and control HIV/AIDS in the coming decades, the public health community must address new challenges. These include the defining of the role of treatment in reducing infectiousness; the potential for an epidemic of treatment-resistant HIV; side effects of treatment; complacency that leads to relapses to high-risk behaviors; and inadequate surveillance and research capacity at state and local levels to guide the development of health interventions. Meeting these challenges will require reinvesting in the public health capacity of state and local health departments, restructuring HIV/AIDS surveillance programs to collect the data needed to guide the response to the epidemic, and providing timely answers to emerging epidemiologic questions. (Am d Public Health. 2000; 90:1037-1041)


Related Articles

  • Modeling the HIV Epidemic in Africa.  // PLoS Medicine;Jan2005, Vol. 2 Issue 1, p4 

    Presents information on the HIV epidemic in Africa. Prevalence of HIV and AIDS in 2004; Significance of concentrating on the prevention of the disease to the decrease of yearly infections; Challenges to the development of policies for the prevention of HIV and AIDS.

  • Rights-based achievements.  // Report on the Global HIV/AIDS Epidemic: UNAIDS - 2004;1/1/2004, p123 

    The article presents the achievements of the right-based methods to the AIDS epidemic. This includes, enhancing public health outcomes which has led more people to seek and receive relevant information on HIV prevention. Another one on ensuring a participatory process which has improved the...

  • Five Myths about the HIV Epidemic in Asia. Godwin, Peter; O'Farrell, Nigel; Fylkesnes, Knut; Misra, Sujaya // PLoS Medicine;Oct2006, Vol. 3 Issue 10, p1703 

    The article discusses five myths concerning the HIV epidemic in Asia. First myth is that the epidemic in several Asian countries would have the disastrous impact similar to that in sub-Saharan Africa, but on much worse scale. According to author, the epidemic risk in Asia-Pacific and Africa are...

  • AIDS epidemic at age 25 and control efforts in China. Yiming Shao // Retrovirology;2006, Vol. 3, p87 

    In the first 10 years of AIDS epidemic in China, intravenous drug users (IDUs) and Former Plasma Donors (FPDs) were hardly hit in the late 1980s and mid 1990s respectively. In the last 10 years, while IDU epidemic keeps at a fast pace, sexual transmitted cases of HIV have been steadily...

  • Is There A Cure For AIDS?  // Public Health Reports;May/Jun88, Vol. 103 Issue 3, p333 

    The article reveals that presently. there is no cure for AIDS. Medicines such as AZT have prolonged the lives of some patients with AIDS. There is no vaccine to prevent uninfected people from getting AIDS. The article reports that it may take years for an effective, safe vaccine to be found. It...

  • AIDS drugs offered free in Brazil. Downie, Andrew // Christian Science Monitor;12/6/2000, Vol. 93 Issue 9, p6 

    Discusses the distribution of antiretroviral drugs to people diagnosed with HIV in Brazil. Cost of the drugs prior to the program; Ability of the drugs to delay the onset of AIDS; Authorization of laboratories to manufacture generic versions of the drugs; Outlook for the AIDS epidemic in Brazil.,

  • Estimating the number of people at risk for and living with HIV in China in 2005: methods and results. Lu, F.; Wang, N.; Wu, Z.; Sun, X.; Rehnsfrom, J.; Poundstone, K.; Yu, W.; Pisani, E. // Sexually Transmitted Infections;Jun2006 Supplement III, Vol. 82, piii87 

    Background: No new estimates of HIV infection have been available for China since 2003. However, since then, data availability has increased dramatically. Objectives: To use internationally recommended methods to make new estimates of the number of people exposed to HIV in China, the number...

  • How to contain generalized HIV epidemics? A plea for better evidence to displace speculation. Gisselquist, D.; Potterat, J. J.; St Lawrence, J. S.; Hogan, M.; Arora, N. K.; Correa, M.; Dinsmore, W. W.; Mehta, G.; Millogo, J.; Muth, S. Q.; Okinyi, M.; Ounga, T. // International Journal of STD & AIDS;Jul2009, Vol. 20 Issue 7, p443 

    In the worst generalized HIV epidemics in East and Southern Africa, from one-quarter to three-quarters of women aged 15 years can expect to be living with HIV or to have died with AIDS by age 40 years. This disaster continues in the face of massive HIV prevention programmes based on current...

  • Estimating the number of HIV infections averted: an approach and its issues. Heaton, L M; Komatsu, R; Low-Beer, D; Fowler, T B; Way, P O // Sexually Transmitted Infections;Aug2008 Supplement 1, Vol. 84 Issue S1, pi92 

    Objective: To propose a methodology to estimate the number of new HIV infections averted. Knowledge of HIV infection has increased tremendously and modelling tools to project current epidemics into the future have greatly improved. Different types of models can be used to estimate HIV infections...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics