BMJ  2003;326:1342-1343 (21 June), doi:10.1136/bmj.326.7403.1342

Editorial

Preventing HIV

Time to get serious about changing behaviour

The first 150 words of the full text of this article appear below.

It is not easy to write about preventing HIV when we are failing at it. For two decades we have known how to prevent every single route of transmission—sexual intercourse, infected blood products, intravenous drug use, accidental inoculation, perinatal transmission, and breast feeding.¹ Yet the number of people infected with HIV worldwide is estimated at 42 million, with some 5 million new infections each year.² How can this be?

Some argue that there is not enough money; others that it is too difficult to change the behaviours that contribute to the spread of HIV. But if behaviour cannot be changed then no amount of money is going to make a big difference in prevention because every successful form of prevention requires change in behaviour.

Governments must change the way they view HIV and AIDS by rearranging priorities for spending. Overall more people are killed by HIV than invading troops. Ministries . . . [Full text of this article]

Global Strategies for HIV Prevention, 104 Dominican Drive, San Rafael, CA 94901, USA (GlobalHIV@AOL.com)

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• Thielman, N. M., Chu, H. Y., Ostermann, J., Itemba, D. K., Mgonja, A., Mtweve, S., Bartlett, J. A., Shao, J. F., Crump, J. A. (2006). Cost-Effectiveness of Free HIV Voluntary Counseling and Testing Through a Community-Based AIDS Service Organization in Northern Tanzania. AJPH 96: 114-119 [Abstract] [Full text]  
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