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A Program to Provide Antiretroviral Prophylaxis to Health Care Personnel Working Overseas
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To the Editor: To date, 55 health care workers are known to have become infected with human immunodeficiency virus (HIV) from occupational exposures in the United States.1 Although US Public Health Service guidelines call for immediate administration of a 28-day course of antiretroviral prophylaxis to health care workers significantly exposed to HIV-infected blood or body fluids,2-3 relatively little attention has been paid to prophylaxis for medical personnel working in other areas of the world. Despite a significant risk of exposure, most of these workers do not have access to a triage system or to antiretroviral medications.
An active international health program at Yale-New Haven Hospital and the Yale University School of Medicine places 35 to 40 medical residents each year at remote sites in locations including Haiti, Zimbabwe, South Africa, Nicaragua, Russia, the Fiji Islands, China, and Cuba. In addition, medical students and residents in other Yale training programs frequently . . . [Full Text of this Article]
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