Tracking the HIV epidemic: Current issues, future challenges
Tracking the HIV epidemic: Current issues, future challenges
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DOI：
10.2105/ajph.90.7.1037
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发表时间：
2000-07-01
影响因子：
12.7
通讯作者：
Janssen, RS
中科院分区：
文献类型：
--
作者：
Fleming, PL;Wortley, PM;Janssen, RS
20世纪80年代初，一种新的传染病——艾滋病的出现，导致了国家艾滋病监测系统的发展。艾滋病监测数据提供了对传播风险的了解和受该流行病影响的社区特征。后来，这些数据为预防和治疗方案的资源分配提供了依据。新的治疗方法大大提高了生存率。结果：：艾滋病发病率和死亡率的下降为成功控制艾滋病毒疾病带来了希望。然而，为了在今后几十年预防和控制艾滋病毒/艾滋病，公共卫生界必须应对新的挑战。其中包括确定治疗在减少传染性方面的作用；耐药艾滋病毒流行的可能性；治疗的副作用；自满导致高危行为的复发；州和地方各级的监测和研究能力不足，无法指导卫生干预措施的发展。应对这些挑战需要对州和地方卫生部门的公共卫生能力进行再投资，重组艾滋病毒/艾滋病监测项目，以收集指导应对这一流行病所需的数据，并及时回答新出现的流行病学问题。
The emergence of a new infectious disease, AIDS, in the early 1980s resulted in the development of a national AIDS surveillance system. AIDS surveillance data provided an understanding of transmission risks and characterized communities affected by the epidemic. Later, these data provided the basis for allocating resources for prevention and treatment programs.New treatments have dramatically improved survival. Resulting:: declines in AIDS incidence and deaths offer hope that HIV disease can be successfully managed. However, to prevent and control HIV/AIDS in the coming decades, the public health community must address new challenges. These include the defining of the role of treatment in reducing infectiousness; the potential for an epidemic of treatment-resistant HIV; side effects of treatment; complacency that leads to relapses to high-risk behaviors; and inadequate surveillance and research capacity at state and local levels to guide the development of health interventions.Meeting these challenges will require reinvesting in the public health capacity of state and local health departments, restructuring HIV/AIDS surveillance programs to collect the data needed to guide the response to the epidemic, and providing timely answers to emerging epidemiologic questions.