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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