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Volume 355:647-649 August 17, 2006 Number 7
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Changing the Paradigm for HIV Testing — The End of Exceptionalism
Ronald Bayer, Ph.D., and Amy L. Fairchild, Ph.D., M.P.H.

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The Centers for Disease Control and Prevention (CDC) is poised to issue new recommendations for testing for HIV in adults, adolescents, and pregnant women. Frustrated that more than 25 percent of Americans with HIV infection are unaware of their status and that almost 40 percent of those with newly diagnosed AIDS discover that they are infected less than a year before diagnosis, officials have proposed that HIV screening be routinely offered in all health care settings.

The CDC already recommends routine testing among high-risk groups and in high-prevalence settings. The radical departure is the extension of routine testing to the . . . [Full Text of this Article]


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Dr. Bayer is a professor and Dr. Fairchild an associate professor at the Center for the History and Ethics of Public Health, Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York.


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