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HIV surveillance, public health, and clinical medicine--will the walls come tumbling down?

机译:艾滋病毒监测,公共卫生和临床医学 - 墙壁会滚下来吗?

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摘要

The centrality of antiretroviral therapy for people with human immunodeficiency virus (HIV) infection is an established feature of the clinical response to HIV-AIDS. Now there is compelling evidence that such treatment can have a profound impact at the population level by reducing viral loads and hence infectiv-ity.As a consequence, important ethical and operational questions about the relationship between clinical medicine and public health are surfacing. Perhaps the most fundamental of these centers on the uses of surveillance.
机译:对人类免疫缺陷病毒(HIV)感染的人的抗逆转录病毒治疗的中心是对艾滋病毒艾滋病的临床反应的既定特征。 现在有令人兴奋的证据表明这种治疗可以通过减少病毒载荷来对人口水平产生深远的影响,从而减少感染性。以及关于临床医学与公共卫生之间关系的重要道德和运营问题是浮出水面。 也许是这些中心的最基本的监视用途。

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