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To the Editor: Mr Gostin¹ recently described the current policy of the US Centers for Disease Control and Prevention (CDC) regarding health care workers infected with the human immunodeficiency virus (HIV). The CDC policy reflects a failure to provide clear leadership on this politically sensitive public health issue. Similarly tepid stances by the CDC and other federal public health agencies on syringe exchange programs, HIV prevention for youth, and HIV surveillance contribute to continuation of a largely preventable epidemic.

As Gostin notes, the Presidential Advisory Council on HIV and AIDS has repeatedly called on the CDC, the secretary of Health and Human Services, and the president to use public health science as the basis for federal AIDS policy decisions. Instead, time and again, decisions on AIDS appear to be based more on political exigencies than on sound science.

Legislators, regulators, courts, and citizens all have a right to expect that . . . [Full Text of this Article]

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