A model of reporting and controlling outbreaks by public health agencies

Download A model of reporting and controlling outbreaks by public health agencies PDF Online Free

Author :
Publisher : Intl Food Policy Res Inst
ISBN 13 :
Total Pages : 48 pages
Book Rating : 4./5 ( download)

DOWNLOAD NOW!


Book Synopsis A model of reporting and controlling outbreaks by public health agencies by : Saak, Alexander E.

Download or read book A model of reporting and controlling outbreaks by public health agencies written by Saak, Alexander E. and published by Intl Food Policy Res Inst. This book was released on 2016-05-03 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt: When an outbreak of an infectious disease is suspected, a local health agency may notify a state or federal agency and request additional resources to investigate and, if necessary, contain it. However, due to capacity constraints, state and federal health agencies may not be able to grant all such requests, which may give an incentive to local agencies to request help strategically. We study a model of detection and control of an infectious disease by local health agencies in the presence of imperfect information about the likelihood of an outbreak and limited diagnostic capacity. When diagnostic capacity is rationed based on reports of symptoms, the decision to report symptoms or not creates a trade-off. On the one hand, rigorous testing allows one to make an informed disease control decision. On the other hand, it also increases the probability that the disease will spread from an untested area where fewer precautionary measures are taken. Symptoms are overreported (respectively, reported truthfully, or underreported) when the cost of disease control is sufficiently small (respectively, in some intermediate range, or sufficiently large). If the disease incidence decreases or infectiousness increases, symptoms are reported less frequently. If the precision of private signals increases, the extent of overreporting of symptoms may increase. For different values of the parameters it can be socially optimal to subsidize or tax requests for additional investigations and confirmatory testing.

Public Health Systems and Emerging Infections

Download Public Health Systems and Emerging Infections PDF Online Free

Author :
Publisher : National Academies Press
ISBN 13 : 0309183774
Total Pages : 128 pages
Book Rating : 4.3/5 (91 download)

DOWNLOAD NOW!


Book Synopsis Public Health Systems and Emerging Infections by : Institute of Medicine

Download or read book Public Health Systems and Emerging Infections written by Institute of Medicine and published by National Academies Press. This book was released on 2000-06-08 with total page 128 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Forum on Emerging Infections was created in 1996 in response to a request from the Centers for Disease Control and Prevention and the National Institutes of Health. The goal of the forum is to provide structured opportunities for representatives from academia, industry, professional and interest groups, and government to examine and discuss scientific and policy issues that relate to research, prevention, detection, and management of emerging infectious diseases. A critical part of this mission has been the convening of a series of workshops. Public Health Systems and Emerging Infections summarizes the fourth in a series of five workshops. With a focus on our knowledge and understanding of the role of private and public health sectors in emerging infectious disease surveillance and response, the participants explored the effects of privatization of public health laboratories and the modernization of public health care. The issues discussed included epidemiological investigation, surveillance, communication, coordination, resource allocations, and economic support.

The Future of Public Health

Download The Future of Public Health PDF Online Free

Author :
Publisher : National Academies Press
ISBN 13 : 0309581907
Total Pages : 240 pages
Book Rating : 4.3/5 (95 download)

DOWNLOAD NOW!


Book Synopsis The Future of Public Health by : Committee for the Study of the Future of Public Health

Download or read book The Future of Public Health written by Committee for the Study of the Future of Public Health and published by National Academies Press. This book was released on 1988-01-15 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The Nation has lost sight of its public health goals and has allowed the system of public health to fall into 'disarray'," from The Future of Public Health. This startling book contains proposals for ensuring that public health service programs are efficient and effective enough to deal not only with the topics of today, but also with those of tomorrow. In addition, the authors make recommendations for core functions in public health assessment, policy development, and service assurances, and identify the level of government--federal, state, and local--at which these functions would best be handled.

Learning from SARS

Download Learning from SARS PDF Online Free

Author :
Publisher : National Academies Press
ISBN 13 : 0309182158
Total Pages : 376 pages
Book Rating : 4.3/5 (91 download)

DOWNLOAD NOW!


Book Synopsis Learning from SARS by : Institute of Medicine

Download or read book Learning from SARS written by Institute of Medicine and published by National Academies Press. This book was released on 2004-04-26 with total page 376 pages. Available in PDF, EPUB and Kindle. Book excerpt: The emergence of severe acute respiratory syndrome (SARS) in late 2002 and 2003 challenged the global public health community to confront a novel epidemic that spread rapidly from its origins in southern China until it had reached more than 25 other countries within a matter of months. In addition to the number of patients infected with the SARS virus, the disease had profound economic and political repercussions in many of the affected regions. Recent reports of isolated new SARS cases and a fear that the disease could reemerge and spread have put public health officials on high alert for any indications of possible new outbreaks. This report examines the response to SARS by public health systems in individual countries, the biology of the SARS coronavirus and related coronaviruses in animals, the economic and political fallout of the SARS epidemic, quarantine law and other public health measures that apply to combating infectious diseases, and the role of international organizations and scientific cooperation in halting the spread of SARS. The report provides an illuminating survey of findings from the epidemic, along with an assessment of what might be needed in order to contain any future outbreaks of SARS or other emerging infections.

Infectious Disease Surveillance

Download Infectious Disease Surveillance PDF Online Free

Author :
Publisher : John Wiley & Sons
ISBN 13 : 1118543521
Total Pages : 1139 pages
Book Rating : 4.1/5 (185 download)

DOWNLOAD NOW!


Book Synopsis Infectious Disease Surveillance by : Nkuchia M. M'ikanatha

Download or read book Infectious Disease Surveillance written by Nkuchia M. M'ikanatha and published by John Wiley & Sons. This book was released on 2013-03-11 with total page 1139 pages. Available in PDF, EPUB and Kindle. Book excerpt: This fully updated edition of Infectious Disease Surveillance is for frontline public health practitioners, epidemiologists, and clinical microbiologists who are engaged in communicable disease control. It is also a foundational text for trainees in public health, applied epidemiology, postgraduate medicine and nursing programs. The second edition portrays both the conceptual framework and practical aspects of infectious disease surveillance. It is a comprehensive resource designed to improve the tracking of infectious diseases and to serve as a starting point in the development of new surveillance systems. Infectious Disease Surveillance includes over 45 chapters from over 100 contributors, and topics organized into six sections based on major themes. Section One highlights the critical role surveillance plays in public health and it provides an overview of the current International Health Regulations (2005) in addition to successes and challenges in infectious disease eradication. Section Two describes surveillance systems based on logical program areas such as foodborne illnesses, vector-borne diseases, sexually transmitted diseases, viral hepatitis healthcare and transplantation associated infections. Attention is devoted to programs for monitoring unexplained deaths, agents of bioterrorism, mass gatherings, and disease associated with international travel. Sections Three and Four explore the uses of the Internet and wireless technologies to advance infectious disease surveillance in various settings with emphasis on best practices based on deployed systems. They also address molecular laboratory methods, and statistical and geospatial analysis, and evaluation of systems for early epidemic detection. Sections Five and Six discuss legal and ethical considerations, communication strategies and applied epidemiology-training programs. The rest of the chapters offer public-private partnerships, as well lessons from the 2009-2010 H1N1 influenza pandemic and future directions for infectious disease surveillance.

Infectious Disease Movement in a Borderless World

Download Infectious Disease Movement in a Borderless World PDF Online Free

Author :
Publisher : National Academies Press
ISBN 13 : 030915197X
Total Pages : 323 pages
Book Rating : 4.3/5 (91 download)

DOWNLOAD NOW!


Book Synopsis Infectious Disease Movement in a Borderless World by : Institute of Medicine

Download or read book Infectious Disease Movement in a Borderless World written by Institute of Medicine and published by National Academies Press. This book was released on 2010-03-10 with total page 323 pages. Available in PDF, EPUB and Kindle. Book excerpt: Modern transportation allows people, animals, and plants-and the pathogens they carry-to travel more easily than ever before. The ease and speed of travel, tourism, and international trade connect once-remote areas with one another, eliminating many of the geographic and cultural barriers that once limited the spread of disease. Because of our global interconnectedness through transportation, tourism and trade, infectious diseases emerge more frequently; spread greater distances; pass more easily between humans and animals; and evolve into new and more virulent strains. The IOM's Forum on Microbial Threats hosted the workshop "Globalization, Movement of Pathogens (and Their Hosts) and the Revised International Health Regulations" December 16-17, 2008 in order to explore issues related to infectious disease spread in a "borderless" world. Participants discussed the global emergence, establishment, and surveillance of infectious diseases; the complex relationship between travel, trade, tourism, and the spread of infectious diseases; national and international policies for mitigating disease movement locally and globally; and obstacles and opportunities for detecting and containing these potentially wide-reaching and devastating diseases. This document summarizes the workshop.

Evidence-Based Practice for Public Health Emergency Preparedness and Response

Download Evidence-Based Practice for Public Health Emergency Preparedness and Response PDF Online Free

Author :
Publisher : National Academies Press
ISBN 13 : 0309670381
Total Pages : 501 pages
Book Rating : 4.3/5 (96 download)

DOWNLOAD NOW!


Book Synopsis Evidence-Based Practice for Public Health Emergency Preparedness and Response by : National Academies of Sciences, Engineering, and Medicine

Download or read book Evidence-Based Practice for Public Health Emergency Preparedness and Response written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2020-11-28 with total page 501 pages. Available in PDF, EPUB and Kindle. Book excerpt: When communities face complex public health emergencies, state local, tribal, and territorial public health agencies must make difficult decisions regarding how to effectively respond. The public health emergency preparedness and response (PHEPR) system, with its multifaceted mission to prevent, protect against, quickly respond to, and recover from public health emergencies, is inherently complex and encompasses policies, organizations, and programs. Since the events of September 11, 2001, the United States has invested billions of dollars and immeasurable amounts of human capital to develop and enhance public health emergency preparedness and infrastructure to respond to a wide range of public health threats, including infectious diseases, natural disasters, and chemical, biological, radiological, and nuclear events. Despite the investments in research and the growing body of empirical literature on a range of preparedness and response capabilities and functions, there has been no national-level, comprehensive review and grading of evidence for public health emergency preparedness and response practices comparable to those utilized in medicine and other public health fields. Evidence-Based Practice for Public Health Emergency Preparedness and Response reviews the state of the evidence on PHEPR practices and the improvements necessary to move the field forward and to strengthen the PHEPR system. This publication evaluates PHEPR evidence to understand the balance of benefits and harms of PHEPR practices, with a focus on four main areas of PHEPR: engagement with and training of community-based partners to improve the outcomes of at-risk populations after public health emergencies; activation of a public health emergency operations center; communication of public health alerts and guidance to technical audiences during a public health emergency; and implementation of quarantine to reduce the spread of contagious illness.

The CDC Field Epidemiology Manual

Download The CDC Field Epidemiology Manual PDF Online Free

Author :
Publisher :
ISBN 13 : 0190933690
Total Pages : 529 pages
Book Rating : 4.1/5 (99 download)

DOWNLOAD NOW!


Book Synopsis The CDC Field Epidemiology Manual by : Centers for Disease Control and Prevention (U.S.)

Download or read book The CDC Field Epidemiology Manual written by Centers for Disease Control and Prevention (U.S.) and published by . This book was released on 2019 with total page 529 pages. Available in PDF, EPUB and Kindle. Book excerpt: A NEW AND ESSENTIAL RESOURCE FOR THE PRACTICE OF EPIDEMIOLOGY AND PUBLIC HEALTH The CDC Field Epidemiology Manual is a definitive guide to investigating acute public health events on the ground and in real time. Assembled and written by experts from the Centers for Disease Control and Prevention as well as other leading public health agencies, it offers current and field-tested guidance for every stage of an outbreak investigation -- from identification to intervention and other core considerations along the way. Modeled after Michael Gregg's seminal book Field Epidemiology, this CDC manual ushers investigators through the core elements of field work, including many of the challenges inherent to outbreaks: working with multiple state and federal agencies or multinational organizations; legal considerations; and effective utilization of an incident-management approach. Additional coverage includes: � Updated guidance for new tools in field investigations, including the latest technologies for data collection and incorporating data from geographic information systems (GIS) � Tips for investigations in unique settings, including healthcare and community-congregate sites � Advice for responding to different types of outbreaks, including acute enteric disease; suspected biologic or toxic agents; and outbreaks of violence, suicide, and other forms of injury For the ever-changing public health landscape, The CDC Field Epidemiology Manual offers a new, authoritative resource for effective outbreak response to acute and emerging threats. *** Oxford University Press will donate a portion of the proceeds from this book to the CDC Foundation, an independent nonprofit and the sole entity created by Congress to mobilize philanthropic and private-sector resources to support the Centers for Disease Control and Prevention's critical health protection work. To learn more about the CDC Foundation, visit www.cdcfoundation.org.

Scientific Criteria to Ensure Safe Food

Download Scientific Criteria to Ensure Safe Food PDF Online Free

Author :
Publisher : National Academies Press
ISBN 13 : 030908928X
Total Pages : 425 pages
Book Rating : 4.3/5 (9 download)

DOWNLOAD NOW!


Book Synopsis Scientific Criteria to Ensure Safe Food by : National Research Council

Download or read book Scientific Criteria to Ensure Safe Food written by National Research Council and published by National Academies Press. This book was released on 2003-09-29 with total page 425 pages. Available in PDF, EPUB and Kindle. Book excerpt: Food safety regulators face a daunting task: crafting food safety performance standards and systems that continue in the tradition of using the best available science to protect the health of the American public, while working within an increasingly antiquated and fragmented regulatory framework. Current food safety standards have been set over a period of years and under diverse circumstances, based on a host of scientific, legal, and practical constraints. Scientific Criteria to Ensure Safe Food lays the groundwork for creating new regulations that are consistent, reliable, and ensure the best protection for the health of American consumers. This book addresses the biggest concerns in food safetyâ€"including microbial disease surveillance plans, tools for establishing food safety criteria, and issues specific to meat, dairy, poultry, seafood, and produce. It provides a candid analysis of the problems with the current system, and outlines the major components of the task at hand: creating workable, streamlined food safety standards and practices.

BioWatch and Public Health Surveillance

Download BioWatch and Public Health Surveillance PDF Online Free

Author :
Publisher : National Academies Press
ISBN 13 : 030918763X
Total Pages : 252 pages
Book Rating : 4.3/5 (91 download)

DOWNLOAD NOW!


Book Synopsis BioWatch and Public Health Surveillance by : National Research Council

Download or read book BioWatch and Public Health Surveillance written by National Research Council and published by National Academies Press. This book was released on 2011-01-25 with total page 252 pages. Available in PDF, EPUB and Kindle. Book excerpt: Following the attacks of September 11, 2001 and the anthrax letters, the ability to detect biological threats as quickly as possible became a top priority. In 2003 the Department of Homeland Security (DHS) introduced the BioWatch program-a federal monitoring system intended to speed detection of specific biological agents that could be released in aerosolized form during a biological attack. The present volume evaluates the costs and merits of both the current BioWatch program and the plans for a new generation of BioWatch devices. BioWatch and Public Health Surveillance also examines infectious disease surveillance through hospitals and public health agencies in the United States, and considers whether BioWatch and traditional infectious disease surveillance are redundant or complementary.

Sustaining Global Surveillance and Response to Emerging Zoonotic Diseases

Download Sustaining Global Surveillance and Response to Emerging Zoonotic Diseases PDF Online Free

Author :
Publisher : National Academies Press
ISBN 13 : 0309137349
Total Pages : 339 pages
Book Rating : 4.3/5 (91 download)

DOWNLOAD NOW!


Book Synopsis Sustaining Global Surveillance and Response to Emerging Zoonotic Diseases by : National Research Council

Download or read book Sustaining Global Surveillance and Response to Emerging Zoonotic Diseases written by National Research Council and published by National Academies Press. This book was released on 2010-01-24 with total page 339 pages. Available in PDF, EPUB and Kindle. Book excerpt: H1N1 ("swine flu"), SARS, mad cow disease, and HIV/AIDS are a few examples of zoonotic diseases-diseases transmitted between humans and animals. Zoonotic diseases are a growing concern given multiple factors: their often novel and unpredictable nature, their ability to emerge anywhere and spread rapidly around the globe, and their major economic toll on several disparate industries. Infectious disease surveillance systems are used to detect this threat to human and animal health. By systematically collecting data on the occurrence of infectious diseases in humans and animals, investigators can track the spread of disease and provide an early warning to human and animal health officials, nationally and internationally, for follow-up and response. Unfortunately, and for many reasons, current disease surveillance has been ineffective or untimely in alerting officials to emerging zoonotic diseases. Sustaining Global Surveillance and Response to Emerging Zoonotic Diseases assesses some of the disease surveillance systems around the world, and recommends ways to improve early detection and response. The book presents solutions for improved coordination between human and animal health sectors, and among governments and international organizations. Parties seeking to improve the detection and response to zoonotic diseases-including U.S. government and international health policy makers, researchers, epidemiologists, human health clinicians, and veterinarians-can use this book to help curtail the threat zoonotic diseases pose to economies, societies, and health.

Oxford Textbook of Global Public Health

Download Oxford Textbook of Global Public Health PDF Online Free

Author :
Publisher : Oxford University Press
ISBN 13 : 019881013X
Total Pages : 1717 pages
Book Rating : 4.1/5 (988 download)

DOWNLOAD NOW!


Book Synopsis Oxford Textbook of Global Public Health by : Roger Detels

Download or read book Oxford Textbook of Global Public Health written by Roger Detels and published by Oxford University Press. This book was released on 2017 with total page 1717 pages. Available in PDF, EPUB and Kindle. Book excerpt: Sixth edition of the hugely successful, internationally recognised textbook on global public health and epidemiology, with 3 volumes comprehensively covering the scope, methods, and practice of the discipline

Public Health Intelligence

Download Public Health Intelligence PDF Online Free

Author :
Publisher : Springer
ISBN 13 : 331928326X
Total Pages : 263 pages
Book Rating : 4.3/5 (192 download)

DOWNLOAD NOW!


Book Synopsis Public Health Intelligence by : Krishna Regmi

Download or read book Public Health Intelligence written by Krishna Regmi and published by Springer. This book was released on 2016-04-26 with total page 263 pages. Available in PDF, EPUB and Kindle. Book excerpt: The first textbook on public health intelligence presents in depth the key concepts, methods, and objectives of this increasingly important competency. It systematically reviews types of evidence and data that comprise intelligence, effective techniques for assessment, analysis, and interpretation, and the role of this knowledge in quality health service delivery. The book’s learner-centered approach gives readers interactive context for mastering the processes of gathering and working with intelligence as well as its uses in informing public health decision-making. And its pragmatic framework will help establish standards for training, practice, and policy, leading to continued improvements in population health. This path-breaking resource: Offers a comprehensive, up-to-date introduction to public health intelligence, a core area of public health competency. Is suitable for both graduates’ and healthcare professionals’ training and development for national and international contexts. Helps readers apply theory to real-life scenarios, from multi-professional perspectives. Features activities, case studies, and discussion tasks for easy reader engagement. Anticipates and examines emerging developments in the field. Public Health Intelligence - Issues of Measure and Method is bedrock reading for postgraduate and advanced undergraduate students in public health, global health, health policy, health service management, nursing, medicine, statistics, epidemiology, quantitative methods, health intelligence, health inequality, and other allied healthcare fields. It is also a salient text for public health practitioners and health policymakers. "This book is a 'must-read' for students contemplating a career in Public Health or for anyone who is already in practice. The breadth of chapters from respected authors provide a detailed overview and critique of issues related to public health intelligence. A key strength of the book is that it is written with both students and practitioners in mind." Gurch Randhawa, PhD, FFPH, Professor of Diversity in Public Health & Director, Institute for Health Research, University of Bedfordshire, UK

Principles and Practice of Public Health Surveillance

Download Principles and Practice of Public Health Surveillance PDF Online Free

Author :
Publisher : Oxford University Press, USA
ISBN 13 : 0195138279
Total Pages : 422 pages
Book Rating : 4.1/5 (951 download)

DOWNLOAD NOW!


Book Synopsis Principles and Practice of Public Health Surveillance by : Steven M. Teutsch

Download or read book Principles and Practice of Public Health Surveillance written by Steven M. Teutsch and published by Oxford University Press, USA. This book was released on 2000 with total page 422 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This text presents an organized approach to planning, developing, and implementing public health surveillance systems. It has a broad scope, discussing legal and ethical issues as well as technical problems"--Jacket cover.

Prevention, Policy, and Public Health

Download Prevention, Policy, and Public Health PDF Online Free

Author :
Publisher : Oxford University Press
ISBN 13 : 0190224657
Total Pages : 409 pages
Book Rating : 4.1/5 (92 download)

DOWNLOAD NOW!


Book Synopsis Prevention, Policy, and Public Health by : Amy A. Eyler

Download or read book Prevention, Policy, and Public Health written by Amy A. Eyler and published by Oxford University Press. This book was released on 2016 with total page 409 pages. Available in PDF, EPUB and Kindle. Book excerpt: Prevention, Policy, and Public Health provides a basic foundation for students, professionals, and researchers to be more effective in the policy arena. It offers information on the dynamics of the policymaking process, theoretical frameworks, analysis, and policy applications. It also offers coverage of advocacy and communication, the two most integral aspects of shaping policies for public health.

Who Will Keep the Public Healthy?

Download Who Will Keep the Public Healthy? PDF Online Free

Author :
Publisher : National Academies Press
ISBN 13 : 0309185602
Total Pages : 320 pages
Book Rating : 4.3/5 (91 download)

DOWNLOAD NOW!


Book Synopsis Who Will Keep the Public Healthy? by : Institute of Medicine

Download or read book Who Will Keep the Public Healthy? written by Institute of Medicine and published by National Academies Press. This book was released on 2003-04-29 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bioterrorism, drug-resistant disease, transmission of disease by global travel . . . there's no shortage of challenges facing America's public health officials. Men and women preparing to enter the field require state-of-the-art training to meet these increasing threats to the public health. But are the programs they rely on provide the high caliber professional training they require? Who Will Keep the Public Healthy? provides an overview of the past, present, and future of public health education, assessing its readiness to provide the training and education needed to prepare men and women to face 21st century challenges. Advocating an ecological approach to public health, the Institute of Medicine examines the role of public health schools and degree-granting programs, medical schools, nursing schools, and government agencies, as well as other institutions that foster public health education and leadership. Specific recommendations address the content of public health education, qualifications for faculty, availability of supervised practice, opportunities for cross-disciplinary research and education, cooperation with government agencies, and government funding for education. Eight areas of critical importance to public health education in the 21st century are examined in depth: informatics, genomics, communication, cultural competence, community-based participatory research, global health, policy and law, and public health ethics. The book also includes a discussion of the policy implications of its ecological framework.

The Social Impact of AIDS in the United States

Download The Social Impact of AIDS in the United States PDF Online Free

Author :
Publisher : National Academies Press
ISBN 13 : 0309046289
Total Pages : 337 pages
Book Rating : 4.3/5 (9 download)

DOWNLOAD NOW!


Book Synopsis The Social Impact of AIDS in the United States by : National Research Council

Download or read book The Social Impact of AIDS in the United States written by National Research Council and published by National Academies Press. This book was released on 1993-02-01 with total page 337 pages. Available in PDF, EPUB and Kindle. Book excerpt: Europe's "Black Death" contributed to the rise of nation states, mercantile economies, and even the Reformation. Will the AIDS epidemic have similar dramatic effects on the social and political landscape of the twenty-first century? This readable volume looks at the impact of AIDS since its emergence and suggests its effects in the next decade, when a million or more Americans will likely die of the disease. The Social Impact of AIDS in the United States addresses some of the most sensitive and controversial issues in the public debate over AIDS. This landmark book explores how AIDS has affected fundamental policies and practices in our major institutions, examining: How America's major religious organizations have dealt with sometimes conflicting values: the imperative of care for the sick versus traditional views of homosexuality and drug use. Hotly debated public health measures, such as HIV antibody testing and screening, tracing of sexual contacts, and quarantine. The potential risk of HIV infection to and from health care workers. How AIDS activists have brought about major change in the way new drugs are brought to the marketplace. The impact of AIDS on community-based organizations, from volunteers caring for individuals to the highly political ACT-UP organization. Coping with HIV infection in prisons. Two case studies shed light on HIV and the family relationship. One reports on some efforts to gain legal recognition for nonmarital relationships, and the other examines foster care programs for newborns with the HIV virus. A case study of New York City details how selected institutions interact to give what may be a picture of AIDS in the future. This clear and comprehensive presentation will be of interest to anyone concerned about AIDS and its impact on the country: health professionals, sociologists, psychologists, advocates for at-risk populations, and interested individuals.