Birth and Development of the AIDS Epidemic
- 1930 - 50s - HIV primates - humans
- 1960 -70 - Migration and Urbanization
- 1970's - Sexual (Gay) Liberation
- 1980's - Sex tourism and sex trade
- 1990's - National and International Security
- 2000 - AIDS Care and Treatment - Global
Adults and Children Estimated to be Living with HIV/AIDS - 2000
A global view of HIV infection 35 million adults living with HIV/AIDS
Proportion of newly reported AIDS cases by race/ethnicity,
1985-1999, United States
Global Epidemiology and Pathogenesis
- There will be more than 100 million people infected with HIV-1 in 10 years
- More than 90% will be outside of North America and Western Europe
- Infection due largely to non-B subtypes
- Transmission and pathogenesis.
- Virology and immunology
- Prevention science
- Behavioral interventions - primary prevention
- Medical Care
- Co-infections, Opportunistic Infections and Antiretroviral chemotherapy.
- Vaccines for Treatment and Prevention
- Cure
Responses and Intervention - Global epidemic
- Science - Pathogenesis, epidemiology, medicine
- Government -Education, Economics and Public Health Policy
- Industry -Diagnostics, Pharmaceuticals, Vaccines
- Communities and individuals - Empowerment, organization and activism
Responses and Intervention - Global epidemic
- Education
- Condom distribution
- Behavioral change
- Voluntary Testing and Counseling (VCT)
The Global Epidemic
- Increasing prevalence and incidence of infection.
- change in adult and infant survival and demographics.
- economic losses to individuals, families, industries and government/
- social, educational and technical losses.
