BMJ  2003;327:1101-1103 (8 November), doi:10.1136/bmj.327.7423.1101

Education and debate

Reframing HIV and AIDS

Lara Stabinski, medical student1, Karen Pelley, master of science candidate2, Shevin T Jacob, medical student3, Jason M Long, medical student4, Jennifer Leaning, professor of international health2

1 State University of New York at Buffalo, 45 medical Education Building, Buffalo NY 14214-3013, USA, 2 Harvard School of Public Health, 677 Huntington Ave, Boston, MA 02115, USA, 3 Oregon Health and Science University, School of Medicine, 3181 SW Sam Jackson Park Road, L102 Portland, OR 97239, USA, 4 Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA

Correspondence to: S Jacob sjacob@post.harvard.edu

Last month WHO declared the HIV/AIDS epidemic a global health emergency. Should governments go one step further and treat it as a disaster?

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

Over the past 20 years, the public health community has learnt a tremendous amount about the HIV/AIDS epidemic. Yet, despite widespread discussion about the epidemic and some measurable progress, the overall response has been insufficient: globally 42 million people are already infected with HIV, prevalence continues to rise, and less than 5% of those affected have access to lifesaving medicines.1 In the face of this growing crisis, the World Health Organization has made scaling up treatment a key priority of the new administration.2 We argue that not only is the HIV/AIDS epidemic an emergency, but its devastating effects on societies may qualify it as one of the most serious disasters to have affected humankind. As such, this crisis warrants a full disaster management response.

According to the United Nations, a disaster is any "serious disruption of the functioning of a society, causing widespread human, material or environmental losses which exceed . . . [Full text of this article]

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HIV/AIDS is indeed a colossal catastrophe
David Rasnick
bmj.com, 8 Nov 2003 [Full text]
What is there in a name?
Maulik V Baxi
bmj.com, 8 Nov 2003 [Full text]
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Frank J.J. Conijn
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AIDS a Disaster? Or AIDS Science
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Re: HIV/AIDS is indeed a colossal catastrophe
Ed Rybicki
bmj.com, 21 Nov 2003 [Full text]
Ed Rybicki chose not to refute any of the facts
David Rasnick
bmj.com, 23 Nov 2003 [Full text]
Full support for BMJ Rapid Responses
Etienne de Harven
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Re: Full support for BMJ Rapid Responses
Mike Foley
bmj.com, 24 Nov 2003 [Full text]
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HIV: hypotheses and theories.
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