The new AIDS case definition: implications for San Francisco

Article Abstract:

The Centers for Disease Control (CDC) has changed the definition of AIDS, and health care workers may find they are caring for more AIDS patients with no additional funding from the government. According to the new definition, anyone infected with HIV who has a CD4 lymphocyte count of less than 200 per microliter has AIDS. But the Social Security Administration will base these patients' eligibility for disability benefits only on their inability to function in day-to-day activities. Many AIDS patients will not be eligible. If a relatively healthy person is diagnosed with AIDS, it could have profound psychological effects. Laboratories that can assess CD4 levels are not required to keep the results confidential, and individuals diagnosed with AIDS may fear job discrimination. For these reasons, many individuals at risk for HIV infection might avoid having a CD4 test. In San Francisco, demand for AIDS services already exceeds the supply. Medical services for newly-diagnosed AIDS patients in this city would cost an additional $5.8 million a year.

Care and treatment, Laws, regulations and rules, Diagnosis, AIDS patients, AIDS (Disease), Medical case management

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Tracing a Syphilis Outbreak Through Cyberspace

Article Abstract:

Doctors describe the challenges of notifying contacts when people contract a sexually transmitted disease from a person they met through the Internet. The cases also illustrate the dangers of having sex with people you meet through the Internet. Of six gay men who developed syphilis, 67% had met their sexual partner in an online chat room for homosexuals. Only 19% of 32 gay men without syphilis had recruited their sexual partner over the Internet. The Internet service provider refused to release the names of people who visited the chat room, making contact notification difficult.

Health aspects, Risk factors, Diseases, Syphilis, Gay men, Chat rooms

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Direct access to emergency contraception through pharmacies and effect on unintended pregnancy and STIs: A randomized controlled trial

Article Abstract:

A randomized, single-blind, controlled trial of women aged between 15-24 years was conducted to evaluate the effect of direct access to emergency contraception (EC) through pharmacies on unintended pregnancy. The results indicated that while removing the requirement of going through pharmacists or clinics to obtain EC increases the use, the impact on public health might be negligible due to high rates of unprotected intercourse.

Science & research, Management dynamics, Pharmacies and Drug Stores, Pharmacists, Research, Practice, Clinical trials, Contraceptives, Postcoital, Postcoital contraceptives

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