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Volume 354:877-878 February 23, 2006 Number 8
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Public Health Principles for the HIV Epidemic

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by Frieden, T. R.
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To the Editor: We commend the call by Frieden et al. (Dec. 1 issue)1 for a comprehensive public health approach to the epidemic of human immunodeficiency virus (HIV) infection. The authors' lack of evidence with regard to the relative impact of their case-finding approach, however, raises questions about the scientific basis for their conclusions. Given that there is considerable stigma against injection-drug users, men who have sex with men, and sex workers in many localities and institutions, it is important to evaluate whether the case-finding techniques would increase stigmatization of those at risk and thereby weaken HIV-prevention efforts among stigmatized . . . [Full Text of this Article]



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