This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Related articles  • Similar articles in JAMA  Topic Collections  • Public Health, Other  • Alert me on articles by topic

	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 Editorial by Dr Fauci¹ highlighted the importance of the control of infectious disease and advocated public health measures coordinated with biomedical research. While this recommendation is much welcomed, it does not address the mounting evidence that the effective technologies generated through such studies are not reaching many of those who need them most.² A substantial proportion of this failure can be attributed to health delivery system constraints, a problem that has undergone fewer systematic assessments than have biomedical interventions.

Studies on uptake of effective interventions may generate the evidence needed for choosing appropriate strategies. Potential examples include studies of tuberculosis control,³ integrated tuberculosis-HIV/AIDS care in South Africa,⁴ and delivery of malaria drugs within national immunization campaigns or as a part of antenatal services.²

Effective infectious disease control requires rigorous evidence for strategies of intervention delivery. I would expand Dr Fauci’s recommendation: in defending humanity against the . . . [Full Text of this Article]

Yodi Mahendradhata, MD, MSc
ymahendradhata@itg.be
Department of Public Health
Institute of Tropical Medicine
Antwerp, Belgium

RELATED ARTICLES

Emerging Infectious Diseases—Reply
Anthony S. Fauci
JAMA. 2005;293(5):554.
EXTRACT | FULL TEXT  

Emerging Infectious Diseases: A Clear and Present Danger to Humanity
Anthony S. Fauci
JAMA. 2004;292(15):1887-1888.
EXTRACT | FULL TEXT