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A Peace Corps for Health

Fitzhugh Mullan, MD

JAMA. 2007;297:744-746.

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

HIV disease is essentially the Black Death of the 21st century, killing on a massive scale and threatening to cripple economies and topple governments. However, the continued spread of the HIV epidemic and the new availability of lifesaving antiretroviral drugs have triggered an extraordinary response by governments, international organizations, philanthropies, pharmaceutical companies, religious organizations, and individuals. Campaigning against HIV/AIDS has no precedent in the history of medicine. Smallpox was eliminated by a globally coordinated strategy that required a single patient encounter to deliver the vaccine. In contrast, the directly observed therapy strategy at the core of modern tuberculosis treatment necessitates daily patient contact over much of the treatment course and, therefore, a much larger health workforce. Treating AIDS requires the daily delivery of medications as well as the clinical management of patients—for the rest of their lives. Antiretroviral medications can help control disease, but do not cure . . . [Full Text of this Article]

Author Affiliation: Department of Health Policy, George Washington University, Washington, DC.

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