Professional Documents
Culture Documents
Hiv and Aids
Hiv and Aids
Hiv and Aids
1991;66:458-60.
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4 Alderson IM. rrends in morbiditv and mortality from asthma. Population
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10 Burney PGJ. Asthma deaths in England and Wales 1931-1985: evidence for a
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21 Beasley R, Cushley M, Holgate ST. A self-management plan in the treatment
of adult asthma. Thorax 1989;44:200-4.
22 Charlton I, Charlton G, Bloomfield J, Mullee MA. Evaluation of peak flow and
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23 Bucknall CE, Robertson C, Moran F, Stevenson RD. Differences in hospital
asthma management. Lancet 1988;i:748-50.
24 Bucknall CE, Robertson C, Moran F, Stevenson RD. Management of asthma
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25 Rees PJ. I agonists and asthma. BMJ 1991;302:1166-7.
26 Maiman LA, Green LW, Gibson G, MacKenzie EJ. Education for selftreatment by adult asthmatics. JAMA 1979;241:1919-22.
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Academic Department
of Genitourinary Medicine,
University College and
Middlesex School of
Medicine, London
WIN 8AA
Anne M Johnson, MFCM,
senior lecturer in
epidemiology
BMJ 1991;303:573-6
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epidemic.
Targets for HIV infection must therefore include
service targets within the NHS. But intersectoral and
international collaboration is also needed to set targets
for statutory and voluntary education services, prison
services, travel services, drug services, and overseas
development organisations, to name but a few. As HIV
emerges as an important problem for the poorest
countries and becomes associated with urban deprivation in the West issues of equity, conspicuously
absent from discussions in the consultative document,
must be addressed.
Setting targets
IMPROVED HEALTH
The table summarises the targets for HIV prevalence in the year 2000 set by the Faculty of Public
Health Medicine. Targets for homosexual men based
on high but stable prevalence may not be sufficiently
challenging. As the epidemic matures, there is a
substantial annual death rate from HIV infection,
and maintaining a constant prevalence may imply a
considerable number of newly infected people "replacing" those who have died. (T A Kellogg et al, seventh
international conference on AIDS, Florence, 1991).
Summary ofHIV prevalence targets proposed by the Faculty ofPublic
Health Medicine for the year 2000
Prevalence/1000 population
Baseline
Year 2000
target
200
50
200
7
3
10
5
20
10
20
50
10
7 SEPTEMBER 1991
training.
IMPROVED SERVICES
7 SEPTEMBER 1991
575
ANY QUESTIONS
How should a respiratory function laboratory be made safe for
use by patients with HIV infection and AIDS?
576
(PHS) 90-50212.)
8 Brookmeyer R. Reconstruction and future trends of the AIDS epidemic in the
United States. Science 1991;253:37-42.
9 Centers for Disease Control. Mortality attributable to HIV infection/AIDSUnited States, 1981-1990. MMWR 1990;40:41-5.
10 Dunnell K. Deaths amongst 15-44 year olds. Population Trends 1991;64:38-43.
11 Ades AE, Parker S, Berry T, Holland FJ, Davison CF, Ctubitt D, et al.
Prevalence of maternial HIV-1 infection in Thames regions: results from
anonymous unlinked neonatal testing. Lancet 1991;337:1562-5.
12 Department of Health. New cases seen at NHS genitourinary medicine clitnies in
England. 1988 annual and Decetnber quarterfigures. Summart ninormnaton from
form KC60. London: DoH, 1990.
13 Working Group to Examine Workloads in Genitourinary Medicine Clinics.
Report. London: Department of Health, 1988. (Chairman A Monks.)
14 Johnson AM, Gill ON. Evidence for recent changes in sexual behaviour in
homosexual men in England and Wales. Philos Trans R Soc Lond [Btol]
1989;325: 115-25.
15 Centers for Disease Control. Progress towards achieving the 1990 objectives
for the nation for sexually transmitted diseases. MMWR 1990;39:54-7.
16 Johnson AM, Wadsworth J, Elliott P, Prior L, Wallace P, Blowers S, et al.
A pilot studv of sexual behaviour in a random sample of the population of
Great Britain. AIDS 1989;3:135-41.
17 Wellings K, Wadsworth J, Field J, Anderson RM, Bradshaw SA. Sexual
lifestyles under scrutiny. Nature 1990;348:276-8.
18 Health Education Authority. AIDS strategic monitor: report on the survev period
November 1987-December 1988. London: HEA, 1988.
19 Centers for Disease Control. Number of sex partners and potential risk of
sexual exposure to human immunodeficiency virus. MMWR 1988;37:565-8.
20 Wodak A, Mioss A. HIV infection and injecting drugs users: from epidemiology to public health. AIDS 1990;4(suppl l):S105-9.
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