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Rebecca Voelker

JAMA. 2000;284:2709-2710.

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

Cairo—In rural Tugela Ferry, South Africa, Tony Moll, MD, sees a terrifying wave about to crash on a not-so-distant shore.

What began several years ago as a trickle of patients with HIV/AIDS has become a deluge. In a district of 250,000 people who are predominantly impoverished and unemployed, Moll said one third of the reproductive-age population is HIV infected. "We expect 50,000 to 70,000 patients [with HIV/AIDS] in the next few years." For Moll and nine other physicians who care for patients at the three-bed Church of Scotland Hospital, the prospect is overwhelming.

"I feel like a surfer, just bobbing up and down in the waves, looking out to the sea and seeing this huge swell coming towards me," Moll explained. "It instills fear in your heart, and I keep thinking, am I going to be able to ride the wave and survive or am I going . . . [Full Text of this Article]

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