To the Editor: The recent article by Pilcher et al. (May 5 issue)1described successful public health methods to control HIV transmission,but the authors' findings may not be generalizable to statesthat do not have confidential HIV-reporting systems, such asCalifornia. In the fall of 2003, we initiated a program of RNAscreening, routine patient interviewing, and HIV genotypic-resistancetesting at the San Francisco municipal sexually transmitteddisease (STD) clinic.
During 2004, we identified 136 of 3789 persons (3.6 percent)as having an HIV infection, among them 11 (0.3 percent) whohad an acute infection. HIV RNA screening increased . . . [Full Text of this Article]
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(2008). HIV is hyperendemic among men who have sex with men in San Francisco: 10-year trends in HIV incidence, HIV prevalence, sexually transmitted infections and sexual risk behaviour. Sex. Transm. Infect.
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