       Document 0097
 DOCN  M9610097
 TI    Cuba's national AIDS program. The first decade.
 DT    9601
 AU    Granich R; Jacobs B; Mermin J; Pont A; Dept of Medicine, California
       Pacific Medical Center, San; Francisco 94115, USA.
 SO    West J Med. 1995 Aug;163(2):139-44. Unique Identifier : AIDSLINE
       MED/96009354
 AB    There is a high incidence of infection with the human immunodeficiency
       virus (HIV) in many Caribbean nations. But by 1993 Cuba, with a
       population of greater than 10 million people, had fewer than 1,000
       seropositive persons and less than 200 cases of the acquired
       immunodeficiency syndrome (AIDS). To investigate Cuba's approach to the
       AIDS epidemic, we visited Cuba, reviewed published statistics, spoke
       with health care officials, interviewed HIV-positive patients, and
       toured medical facilities. Cuba established an extensive HIV
       surveillance program in 1983, and more than 15 million HIV antibody
       tests have been done. The sexual contacts of all infected persons are
       closely observed. A national education program is evolving. Since 1986,
       all known HIV-positive patients have been placed in sanitariums, which
       is the most controversial aspect of Cuba's program. We review available
       information on AIDS in Cuba and describe that nation's attempt to
       prevent the spread of disease. We discuss how the political system and
       Cuba's relative isolation have influenced this approach. Strategies have
       been developed that may be of limited efficacy and would not be
       acceptable in most Western nations.
 DE    *Acquired Immunodeficiency Syndrome/DIAGNOSIS/ECONOMICS/
       EPIDEMIOLOGY/PREVENTION & CONTROL  AIDS Serodiagnosis  Cuba/EPIDEMIOLOGY
       Female  Human  Male  Pregnancy  Pregnancy Complications,
       Infectious/PREVENTION & CONTROL  Support, Non-U.S. Gov't  JOURNAL
       ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

