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Editorial
JAMA. 1989;261(4):607-609. doi: 10.1001/jama.1989.03420040145035

Links Between Cocaine and Retroviral Infection

  1. Stanley H. Weiss, MD
  1. New Jersey Medical School University of Medicine and Dentistry of New Jersey Newark

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

Excerpt

In 1981, clinicians and epidemiologists recognized the occurrence of a new syndrome since termed acquired immunodeficiency syndrome (AIDS).1,2 Since then, parenteral and sexual transmission of an agent were implicated.3,4 The subsequent discovery of human immunodeficiency virus type 1 (HIV-1) as the cause of AIDS, and tests for its reliable detection, revealed epidemic spread of this infectious agent that was more extensive and initially more silent than most observers had guessed.5-7

Intensive epidemiologic studies of homosexual men, hemophiliacs, and blood transfusion recipients have been numerous and revealing.4 Analogous research efforts among drug abusers have been somewhat slower to bear fruit.8 In part, this reflects the challenges faced by researchers in enlisting representative samples of drug abusers. Drug abusers are frequently suspicious of "the establishment" and researchers can be perceived as being part of that establishment. Trained interviewers and attention to confidentiality are integral components in obtaining

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