Transformation of HIV from pandemic to low-endemic levels: a public health approach to combination prevention

by Alexandra Jones, Ide Cremin, Fareed Abdullah et al.
The Lancet, Early Online Publication, 14 April 2014

8 pp. 100 kB:
http://download.thelancet.com/pdfs/journals/lancet/PIIS0140673613622308.pdf

Large declines in HIV incidence have been reported since 2001, and scientific advances in HIV prevention provide strong hope to reduce incidence further. Now is the time to replace the quest for so-called silver bullets with a public health approach to combination prevention that understands that risk is not evenly distributed and that effective interventions can vary by risk profile. Different countries have different microepidemics, with very different levels of transmission and risk groups, changing over time. Therefore, focus should be on high-transmission geographies, people at highest risk for HIV, and the package of interventions that are most likely to have the largest effect in each different microepidemic.

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