Advancing HIV Prevention: Interim Technical Guidance for Selected Interventions
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  • Alternative Title:
    Advancing HIV Prevention: New Strategies for a Changing Epidemic
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    Since the first cases of HIV/AIDS were recognized in 1981, the Centers for Disease Control and Prevention (CDC) and its partners have worked to combat the epidemic. Our goal has always been to stop transmission and reduce the burden of HIV/AIDS. The new initiative, Advancing HIV Prevention: New Strategies for a Changing Epidemic (MMWR April 18, 2003; 52:329-356), supports the prevention work of the past two decades and expands and strengthens our efforts by modeling new strategies on proven approaches that have been used successfully in preventing other infectious diseases.

    Stable HIV-associated morbidity and mortality, concerns about possible increases in HIV incidence, and the recent availability of a simple, rapid HIV test combined with strong prevention collaborations among communities heavily affected by HIV support the need to reassess and refocus some of CDC's HIV-prevention activities. An emphasis on greater access to testing and on providing prevention and care services for persons living with HIV can reduce new infections and lead to reductions in HIV-associated morbidity and mortality. In addition, simplifying prenatal and other testing procedures can lead to more effective use of resources that CDC provides to prevent perinatal and other HIV transmission.

    CDC’s HIV prevention activities over the past two decades have focused on helping uninfected persons at high-risk for acquiring HIV change and maintain behaviors to keep them uninfected. Despite the success of these efforts in reducing HIV incidence in the late 1980’s and early 1990’s, the number of new HIV infections is estimated to have remained stable around 40,000 per year since the early 1990’s and the number of persons living with HIV continues to increase. The next decade promises new hope as three primary areas of HIV prevention are emphasized: early detection of persons who are HIV positive and referral to treatment and care services, prevention for persons living with HIV, and prevention for persons who are at high risk for HIV infection. The new initiative emphasizes the first t of these three areas broadening our prevention activities to strengthen our fight against HIV.

    CDC, other federal agencies, and the HIV prevention community will continue their work to help ensure prevention efforts in these three areas are sustained and re-energized as an integrated approach. This broad scope will bring the best prevention science to the fight against HIV/AIDS to reduce HIV transmission, including mother-to-child transmission.

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