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Volume 352:2137-2139 May 19, 2005 Number 20
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Cost-Effectiveness of Screening for HIV

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by Bozzette, S. A.
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by Sanders, G. D.
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by Paltiel, A. D.
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To the Editor: Sanders et al.1 and Paltiel et al.,2 in their reports on the cost-effectiveness of screening for HIV infection (Feb. 10 issue), have added another level of evidence in support of broader HIV testing. It appears that the benefits of routine counseling and testing will be enhanced if screening somehow leads to a decreased incidence of new infections. However, the frequently used procedure of one-time counseling regarding HIV3 and the awareness of being HIV-infected4 do not necessarily reduce risky behavior. Furthermore, although the recent report of 90 percent acceptance of HIV testing in urgent care settings is encouraging,5 . . . [Full Text of this Article]



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