Twenty-five years have passed since the first cases of AIDSwere recognized. During the first two decades, the epidemiologyand clinical presentation of the disease were established, andpotent antiviral therapies were developed — for use inpatients who could afford them. The progress of the past fiveyears has been less dramatic. Indeed, the most salient changewas a widening of the gap between the haves and the have-nots,so that today a single virus is responsible for two distinctpublic health calamities.
Placed against the backdrop of the global AIDS epidemic, theAIDS-related problems in developed countries seem . . . [Full Text of this Article]
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Dr. Sepkowitz is an infectious-disease specialist at Memorial Sloan-Kettering Cancer Center, New York.
An interactive AIDS timeline is available with the full text of this article at www.nejm.org.
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