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- W2195586231 abstract "The impact of HIV-1 on Africa has been devastating, and the number of people already infected with HIV means that its impact will inevitably worsen in coming decades. However, the lessons learned from the successful responses to this problem, which have resulted in sustained reductions in HIV prevalence in some areas, demonstrate that it is possible to reduce the spread of the epidemic and to mitigate its impact. To do so requires comprehensive responses that take account not only of the heterogeneity of the epidemic but the complex social, population, and biologic dynamics that determine the course of the epidemic. There can be no shortcut substitute for broad social mobilization in responding to HIV. The two-decade-long history of responses to AIDS is already littered with failed attempts to devise one-time, universally applicable, technically driven solutions. Massive rollout of antiretroviral therapy, STD treatment, and male circumcision are merely the latest of these. Despite the intrinsic merits, at least of antiretroviral therapy and STD treatment, these interventions alone will not provide plausible solutions to the crises caused by the spread and impact of HIV in Africa. Even an effective HIV vaccine is unlikely to be universally available and acceptable, or to confer complete sterilizing immunity. For the foreseeable future, the solutions to AIDS will be developed in the complex territory formed at the intersection of politics, science, and mass mobilization. The principal determinant of the future course of the HIV epidemic in Africa will remain African leadership, from village levels and up." @default.
- W2195586231 created "2016-06-24" @default.
- W2195586231 creator A5003367619 @default.
- W2195586231 creator A5010745652 @default.
- W2195586231 date "2005-12-23" @default.
- W2195586231 modified "2023-10-16" @default.
- W2195586231 title "The Epidemiology of HIV and AIDS" @default.
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