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	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

To the Editor.—The article by Dr Gunn and colleagues¹ emphasizes the need for partnerships between public health sexually transmitted disease (STD) programs, managed care organizations, and community health care providers. It also effectively articulates the public health imperative for cross-sector collaboration, including involvement of local community organizations and agencies.

The role of community-based organizations (CBOs) as partners in the public health equation should continue to receive priority attention from practitioners and policymakers. Active involvement of CBOs in the new paradigm is essential if individual and public health goals are to be attained. Community-based organizations are a necessary ingredient for achieving community-wide prevention and control programs.^1-2 The missions of many CBOs seek to address the consequences of economic, social, and cultural constraints that make it difficult for individuals to access appropriate health care. This means these agencies share the overall goals inherent in "fulfilling society's interest in assuring conditions in . . . [Full Text of this Article]

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RELATED ARTICLE

The Changing Paradigm of Sexually Transmitted Disease Control in the Era of Managed Health Care
Robert A. Gunn, Robert T. Rolfs, Joel R. Greenspan, Robert L. Seidman, and Judith N. Wasserheit
JAMA. 1998;279(9):680-684.
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