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A View of the Future

James R. Allen, MD, MPH; Valerie P. Setlow, PhD

JAMA. 1991;266(12):1695-1696.

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

The worldwide epidemic of the acquired immunodeficiency syndrome (AIDS) was recognized more than a decade ago. Quickly thereafter, the most common risk factors signifying probable means of infection were identified and used to describe the epidemic patterns in different areas and countries. These broad brush strokes of the epidemic, however, have made it difficult to appreciate the subtle complexities of human immunodeficiency virus (HIV) transmission that occur in different geographic areas and population subgroups. Each national epidemic is composed of multiple epidemics, each with its own rate, pattern, and trends. Some epidemics, such as new infections from contaminated blood transfusions in the United States or from clotting factor concentrates for people with hemophilia, are essentially finished. Others, such as new infections in homosexual men in New York, NY, and San Francisco, Calif, appear to be stabilizing. And some, such as heterosexual transmission in the United States, are in their early . . . [Full Text PDF of this Article]

Author Affiliations
From the National AIDS Program Office, Public Health Service, Department of Health and Human Services, Washington, DC.

Footnotes
Reprint requests to National AIDS Program Office, Hubert Humphrey Bldg, 200 Independence Ave SW, Room 738G, Washington, DC 20201 (Dr Allen).

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