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- A Johns Hopkins study points out the prevalence of irresponsible
behavior in the HIV-infected population. Our challenge to control this
epidemic is enormous when those infected are not part of the solution---and
when public health services are chicken to get involved.
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- As Randy Shilts reminded us, "AIDS did not just
happen to America. Instead it was allowed to happen by an array of public
institutions". By the way, why is Johns Hopkins not screaming about
the fact that public health services in their state of Maryland are not
allowed to know who is HIV infected. Partner notification is in shambles
in that state.
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- From Roland Foster <Roland.Foster@mail.house.gov
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- The question ot asked her is "how many notified
their partner of their HIV status?"
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- Study: Majority of HIV-infected Patients Had Sex Within
the Past 90 Days... More Than a Third Did Not Use a Condom During Last
Sexual Encounter
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- HIV-infected patients frequently exhibit high-risk sexual
behaviors and have a high prevalence of asymptomatic sexually transmitted
diseases (STDs), Johns Hopkins University researchers report. The findings
of their cross-sectional study of 691 HIV-infected patients suggest that
STD screening needs to be a routine part of clinical care, as do risk-reduction
counseling strategies, Dr. Emily J. Erbelding and her colleagues conclude.
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- Over a 10-month period, Dr. Erbelding's team evaluated
the prevalence of self-reported high-risk sexual behaviors and the prevalence
of STDs among patients attending a large urban HIV clinic. About half
of the subjects were women. Heterosexual sex and injection drug use were
the most common modes of HIV transmission among the women, and homosexual
sex and injection drug use were the most common modes of transmission among
the men.
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- Nearly three of every five of the subjects (58%) reported
that they had been sexually active within the last 90 days. Furthermore,
"7.4% reported multiple sexual partners in the past month, and more
than a third (34.6%) did not use a condom at last sexual encounter,"
the researchers report in the February 18th issue of AIDS.
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- The prevalence of chlamydial infection was 2.4%; the
prevalence of gonorrhea was 1.6%. The overall prevalence of having either
STD within the past year was 7.5% Dr. Erbelding's group found no relationship
between current or recent gonorrhea or chlamydial infections and age, gender,
mode of HIV transmission, CD4 cell count, viral load, symptoms or reported
risk behavior.
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- AIDS 2000, 2/18/2000;14:297-301
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