1988

Volume 3, Number 4 (1988)

Facilitating Maternal and Fetal Health: The Broader Policy Implications of 'Safe Sex
AIDS & Public Policy Journal 3, no. 4 (1988): 42-46
Paul R. Abramson and Eldridge H. Pearsall
The purpose of this paper is to suggest a more inclusive public policy strategy for advocating safe sex. The present study examines data on a sexually transmitted disease (Chlamydia trachomatous infection) that is of immediate relevance to the broader populations, especially within the context of maternal and fetal ....


Comprehensive AIDS Legislation in Social Perspective: The New Rhode Island AIDS Law
AIDS & Public Policy Journal 3, no. 4 (1988): 34-41
H. Denman Scott, Barbara DeBuono and Avery Colt
On June 3, 1988, the Rhode Island legislature enacted a comprehensive law relating to AIDS testing, confidentiality, and discrimination. The enacted legislation is substantially the same as proposed by the Department of Health, but it was strengthened in many ways during the legislative process. The bill was the ....


Approaching the Issue of Long-Term Care for Persons with AIDS in Ohio
AIDS & Public Policy Journal 3, no. 4 (1988): 31-33
Sally A. Boales
In April 1987, the AIDS Long-Term Care Task Force was established by the Ohio Department of Health. This group included representatives from the Ohio Department of Human Services (Medicaid), the Ohio Hospital Association, local health departments, task forces, three of the largest nursing home organizations, ....


AIDS and Native Americans in Montana
AIDS & Public Policy Journal 3, no. 4 (1988): 29-30
John J. Drynan
AIDS and infection with human immunodeficiency virus (HIV) are being identified in Montana s Indian population. Several risk determinants indicate the potential scope of the AIDS program among Montana s Native Americans. These factors include the prevalence of sexually transmitted diseases, intravenous drug use, ....


Funding AIDS Services and Prevention from Public and Private Sources: New Jersey's experience
AIDS & Public Policy Journal 3, no. 4 (1988): 20-28
Richard Conviser, Molly Joel Coye and Steven R. Young
The authors describe the nature of HIV infection in New Jersey, and the ways that various programs are attempting to meet the needs of persons with AIDS in that state.


The Global Program on AIDS
AIDS & Public Policy Journal 3, no. 4 (1988): 14-19
Ronald St. John et al.
The authors describe the World Health Organization s Global Program on AIDS.


Michigan's AIDS Prevention Media Campaign
AIDS & Public Policy Journal 3, no. 4 (1988): 11-13
Janice Ruff
February 12, 1987--it was a press briefing to remember. The media had turned out to hear the Michigan Department of Public Health review its annual report on AIDS and answer questions. The director told the press that we would have an AIDS media campaign ready to go in four months, and our AIDS program chief defended ....


California's Approach to AIDS
AIDS & Public Policy Journal 3, no. 4 (1988): 1-10
Kenneth W. Kizer
AIDS is emerging as the worst infectious disease epidemic of the 20th century and is likely to rank eventually as one of the worst epidemics of all time. Governmental response to the epidemic, in terms of both programmatic direction and resource commitment, has varied substantially among nations and among states in ....

Volume 3, Number 3 (1988)

AIDS and Insurance: A Response to Mark Scherzer
AIDS & Public Policy Journal 3, no. 3 (1988): 49-54
David K. Nelson
In an earlier issue of the AIDS & Public Policy Journal, New York attorney Mark Scherzer wrote a broadly based attack on human immunodeficiency virus (HIV) antibody testing by insurance companies. In the same issue, other authors presented the industry s position on this subject. It should come as no surprise that


Some Ethical Issues Associated with HIV Vaccine Trials
AIDS & Public Policy Journal 3, no. 3 (1988): 46-48
Alvin Novick
I shall not review the underlying ethical principles of respect for persons, beneficence, and justice from which we derive our procedures, as these have been discussed in detail elsewhere. The first expectation of any project is good research design. That includes such questions as these: Is the proposed vaccine promis


Regulatory Concerns Regarding AIDS Vaccine Development
AIDS & Public Policy Journal 3, no. 3 (1988): 36-45
Leigh A. Sawyer, David A. Katzenstein, and Gerald V. Quinnan, Jr.
The pandemic of AIDS presents an unprecedented challenge to science and society. Current prevention and control strategies depend on testing, counseling and education, and screening of blood donors to protect the blood supply. However, these strategies will probably be insufficient to prevent the continued spread of th


Racial Differences and Intraracial Differences Among Blacks in Attitudes Toward AIDS
AIDS & Public Policy Journal 3, no. 3 (1988): 31-35
Richard Seltzer and Robert C. Smith
An understanding of racial differences in knowledge and attitudes toward AIDS may be important for at least two reasons. First, there is a clear consensus among experts that the dissemination of information will be a critical factor in limiting the spread of AIDS in all communities. Second, there is an emerging awarene


Arline, Chalk, the Civil Rights Restoration Act, and the AIDS Handicap
AIDS & Public Policy Journal 3, no. 3 (1988): 23-30
Ronald Turner
This article examines Arline, Chalk, and the Civil Rights Restoration Act and assesses the impact of these developments on the still-developing body of employment-related AIDS law.


Cost-Effectiveness and Cost-Benefit Approaches in Programs Designed to Prevent AIDS
AIDS & Public Policy Journal 3, no. 3 (1988): 19-22
Andreas Mielck
Programs designed to prevent the spread of AIDS are increasingly necessary. The number of AIDS cases reported to the Centers for Disease Control (CDC) continues to increase in all patient groups, although the rate of increase per year had declined. As of March 21, 1988, 54,233 AIDS cases had been reported in the U.S; a


AIDS Exclusions for Life Insurance
AIDS & Public Policy Journal 3, no. 3 (1988): 15-18
David K. Nelson
As the AIDS epidemic has progressed, the introduction of a life insurance exclusion rider for AIDS has been explored. Under such an exclusion, a death claim due to AIDS would not be paid. There are many objections to such AIDS exclusion riders. Conversely, there is something to be said for them. My intention is to set


AIDS: Reading Level Analysis of Public Information
AIDS & Public Policy Journal 3, no. 3 (1988): 11-14
Carol A. Ledbetter and Don Johnson
The only effective measure for significantly reducing the spread of infection is public education. The major aim of AIDS education is to modify certain sexual and drug use behaviors. To achieve this goal, various educational campaigns have been implemented, including dissemination of public reports on AIDS. The effecti


A Medicolegal Evaluation of Directed Blood Donation
AIDS & Public Policy Journal 3, no. 3 (1988): 4-10
Mark D. Koepke, Samuel M. Levey, and John A. Koepke
Recognizing that the human immunodeficiency virus (HIV), the virus that causes AIDS, can be spread by blood transfusions, serious concerns have arisen regarding the safety of the procedure. As of May 2, 1988, transfusion-related AIDS had developed in 1,598 persons not known to be in any other high-risk category for AID


Some Public Health Policies Arising from AIDS
AIDS & Public Policy Journal 3, no. 3 (1988): 1-3
Edward N. Brandt, Jr.
My purpose is to discuss some of the major policy issues that face society as a result of the AIDS epidemic. AIDS has opened a number of questions about the general approach to infectious disease control from the standpoints of public health, health care, and social policy. There are five major policy issues that must

Volume 3, Number 2 (1988)

Women, AIDS, and Public Policy
AIDS & Public Policy Journal 3, no. 2 (1988): 50-52.
Janet L. Mitchell
It must be recognized that the policies being formulated by federal, state, and local governmental agencies and by medical professional groups will have a direct bearing on women, even if they are aimed at the general population. Women are being targeted for many policies because, unlike men, they are more likely to en


AIDS and Intravenous Drug Users in Australia
AIDS & Public Policy Journal 3, no. 2 (1988): 47-49
Alexander Wodak and Bruce M. Whyte
The authors describe the nature of HIV infection and transmission in Australia .


Intravenous Drug Use and Human Immunodeficiency Virus (HIV) Infection in Prison
AIDS & Public Policy Journal 3, no. 2 (1988): 42-46
David Vlahov and B. Frank Polk
Between 1982, when the first cases of AIDS in prison inmates were reported, and October 1986, when the National Institute of Justice (NIJ) completed a survey of 58 federal, state, and local correctional systems, 1,232 cases of AIDS have been identified in U.S. prisons. The occurrence of AIDS in the correctional setting


AIDS and Intravenous Drug Use in San Francisco
AIDS & Public Policy Journal 3, no. 2 (1988): 37-41
Andrew R. Moss and Richard E. Chaisson
In the AIDS Epidemiology Group at San Francisco General Hospital (SFGH), we began to study HIV infection among IVDUs, primarily those in treatment, in 1984. In 1985 we began a testing-and-diversion program, described below, aimed at intervening in the spread of HIV among drug users. On the basis of several years of tes


Drug Users' Organizations and AIDS Policy
AIDS & Public Policy Journal 3, no. 2 (1988): 30-36
Samuel R. Friedman and Cathy Casriel
In their response to the AIDS epidemic, gay men have greatly benefited their communities by setting up organizations to provide services for the ill and to struggle within their group for risk reduction. These groups also fight for social and medical policies to protect gays from discrimination and stigmatization. Intr


Is There a Role for Methadone in Germany?
AIDS & Public Policy Journal 3, no. 2 (1988): 23-29
Robert G. Newman
It is a privilege to join such distinguished colleagues in discussing the terribly difficult problem of drug addiction and the closely associated tragedy of AIDS. It occurred to me that perhaps a zealous advocate of methadone treatment from overseas was considered desirable as a lightning rod for the many critics of th


Prostitutes and AIDS: Public Policy Issues
AIDS & Public Policy Journal 3, no. 2 (1988): 16-22
Judith Cohen, Priscilla Alexander, and Constance Wofsy
Prostitutes have often been held responsible for the spread of AIDS into the heterosexual population in this country, and various policy recommendations and enforcement procedures have been based on this assumption about transmission. However, these actions have often been taken without direct evidence of such transmis


Intravenous Drug Abuse and AIDS in Minorities
AIDS & Public Policy Journal 3, no. 2 (1988): 5-15
Lawrence S. Brown, Jr. and Beny J. Primm
To this end, this paper will explore the role of intravenous drug abuse in the disproportionate prevalence of AIDS and human immunodeficiency virus (HIV) infection in black and Hispanic populations. We will also review some current and proposed efforts to reduce intravenous drug abuse-related HIV transmission. Finally,


Policy Issues Regarding AIDS Among Intravenous Drug users: An Overview
AIDS & Public Policy Journal 3, no. 2 (1988): 1-4
Don C. Des Jarlais
The purpose of this special issue is to examine a variety of policy issues related to AIDS among persons who inject illicit drugs. Before going into the special issues raised by AIDS among intravenous drug users, it will be helpful to consider briefly some of the policy problems related to illicit drug use that existed

Volume 3, Number 1 (Winter 1988)

Remembering Who We Are: AIDS and Law in Time of Madness
AIDS & Public Policy Journal 3, no. 1 (Winter 1988):75-78
David Schulman
Science now offers us new ways of coping with disease and civil rights theory with new ways of resisting the nightmare vision of battles in the hills over precious vials of cure. Yet we still fear disease and the social disorder which its epidemic spread can bring. We still have primal reactions in the face of somethin


Transfusion Litigation
AIDS & Public Policy Journal 3, no. 1 (Winter 1988): 74
Duncan Barr
As of May 11, 1987, 338 cases of AIDS among hemophiliacs had been reported in the United States and there were an additional 762 cases of individuals who had contracted AIDS through blood transfusions. The number of lawsuits brought to date against all manufacturers of antihemophilic factor used by hemophiliacs totals


Sexual Behavior Change Among HIV-Seropositive Individuals
AIDS & Public Policy Journal 3, no. 1 (Winter 1988): 71-73
D. Nyanjom et al.
The principal mode of transmission of the human immunodeficiency virus (HIV) in North America is sexual. Since there is no cure for AIDS and no vaccine is available to protect high-risk groups, emphasis must be placed on education to prevent sexual transmission of HIV and needle sharing by intravenous drug uses. Severa


A Hospital-Based Program Utilizing Methadone Patients and Others to Provide Support to Inner City AIDS Patients
AIDS & Public Policy Journal 3, no. 1 (Winter 1988): 67-70
Lea Tenneriello et al.
Project BRAVE stands for Bronx AIDS Volunteer Enterprise, a volunteer project housed at Montefiore Medical Center in the Bronx, New York, designed to assist persons with AIDS (PWAs). Project BRAVE was born in February 1986 and began with four methadone patients who were trained to act as buddies for AIDS patients. Toda


Unsuspected Human Immunodeficiency Virus in Critically Ill Emergency Patients
AIDS & Public Policy Journal 3, no. 1 (Winter 1988): 61-66
J.L. Baker et al.
To determine the prevalence of unsuspected human immunodeficiency virus (HIV) infection in critically ill emergency patients, we examined the anonymous serum samples of 203 critically ill or severely injured patients with no history of HIV infection. We found that six (3 percent) were seropositive for HIV antibody by b


Housestaff Attitudes Toward the Acquired Immunodeficiency Syndrome
AIDS & Public Policy Journal 3, no. 1 (Winter 1988): 59-60
Molly Cooke
In early 1981, at San Francisco General Hospital, we saw the first patient with AIDS. In mid-1983, we undertook a study of the attitudes of the medical housestaff toward the care of patients with AIDS. The purpose of the study was to define the prevalence and to characterize the manifestations of AIDS-related dysphoria


Comprehensive Case Management: A Statewide Program
AIDS & Public Policy Journal 3, no. 1 (Winter 1988): 58
Lynne Crawford
Based on poster presentation WP.212, given by Lynne Crawford on June 3, 1998. New Mexico AIDS Services (NMAS) is the only AIDS service organization in New Mexico and offers case management for all persons with AIDS/ARC (PWAs) in this large, rural state. Our case management program is based on a holistic view of the cli


Service Characteristics of U.S. Public and Teaching Hospitals and Treating AIDS Patients
AIDS & Public Policy Journal 3, no. 1 (Winter 1988): 51-57
Virginia S. Beers et al.
The survey described herein was designed to examine the types of services provided by large public and private teaching hospitals and to identify similarities and differences among hospitals treating AIDS patients in 1985.


The Need for Innovation to Halt AIDS Among Intravenous Drug Users and Their Sexual Partners
AIDS & Public Policy Journal 3, no. 1 (Winter 1988): 43-50
Richard Conviser and John H. Rutledge
This paper reports on some of the prevention efforts among IVDU in New Jersey and other places. For several reasons, the primary focus on this paper will be descriptive rather than evaluative. Given that intravenous drug use is illegal, the population of drug users is generally difficult to track down and to involve in


The Whitman-Walker Clinic: A Community-Based Medical and Support Services Response to AIDS
AIDS & Public Policy Journal 3, no. 1 (Winter 1988): 39-42
Jim Graham
Based on remarks made during the roundtable discussion entitled Meeting Gaps in Medical Needs (Reed Tuckson, moderator) on June 3, 1998. The author, Jim Graham, describes the goals and activities of the Whitman-Walker Clinic.


Developing AIDS Policies for Nursing and Health Professions Students
AIDS & Public Policy Journal 3, no. 1 (Winter 1988): 32-38
Cheryl L. Bowles and Vicky L. Carwein
The authors describe how the University of Nevada, Las Vegas, College of Health Sciences formulated policies for nursing and health professions students regarding the care of patients who have AIDS.


AIDS Center Designation/AIDS Intervention Management System
AIDS & Public Policy Journal 3, no. 1 (Winter 1988): 29-31
Ira Feldman, Judith S. Simmons and Robert F. Hummel
In January 1986, New York State amended Part 405 of Title 10 of the New York State Codes, Rules and Regulations to include Section 405.40 of 10 NYCRR to ensure the provision of health care services for patients with AIDS. This section, entitled AIDS Centers, details the regulations with which hospitals must comply to b


Perceived Changes in Sexual Practices Among Homosexual Men
AIDS & Public Policy Journal 3, no. 1 (Winter 1988): 25-28
Don Johnson and H. Marie McGrath
The purpose of the study was to determine whether homosexual men had changed their sexual practices relative to their behavior during the same 30-day period one year earlier. A total of 390 subjects were recruited from AIDS foundations, gay churches, gay bars, and public health departments in Dallas, Houston, and San A


Policy Directions Suggested by Results of a National Poll on AIDS,"
AIDS & Public Policy Journal 3, no. 1 (Winter 1988): 23-24
Shirley Damrosch et al.
A survey on AIDS was conducted using a national random sample of 1,256 adults; the poll utilized random digit dialing and achieved 70 percent participation. Those with higher levels of education were somewhat more optimistic that AIDS would be under control five years from now and less pessimistic that AIDS would becom


Public Policy and AIDS
AIDS & Public Policy Journal 3, no. 1 (Winter 1988): 21-22
Alvin Novick
Vigorous debate has been focused for the past year and a half on public health programs designed to prevent the spread of HIV. These programs, of course, merit very high priority. We can now see--unfortunately, clearly--that rational programs will be implemented at a glacial pace and with maximum reluctance, while emot


Should Someone with AIDS Be Allowed to Attend School? A Statewide Survey of Adolescents
AIDS & Public Policy Journal 3, no. 1 (Winter 1988): 17-20
Lee Strunin et al.
Results of a 1986 statewide random-sample survey of 860 Massachusetts adolescents 16 to 19 years of age indicate that 23 percent of adolescents feel that someone with AIDS should not be allowed to attend school. Adolescents with this opinion were most likely to be male, to have not discussed AIDS with an adult family m


Policy Perspectives on the Implementation and Development of School-Based AIDS Prevention Education Programs in the United States
AIDS & Public Policy Journal 3, no. 1 (Winter 1988): 14-16
Ralph J. DiClemente
School-based comprehensive AIDS prevention education (CAPE) programs that provide information about risk factors associated with HIV transmission could be a significant factor in preventing the spread of infection among this population. Directly addressing this issue, two prestigious reports have recommended far-reachi


AIDS Epidemiology, Impact, Prevention, and Control: The World Health Organization Perspective
AIDS & Public Policy Journal 3, no. 1 (Winter 1988): 10-13.
Jonathan Mann
I would like to review the salient features of the global AIDS situation. However, in addition to monitoring and interpreting international trends, the World Health Organization (WHO) has a responsibility to act. Accordingly, in the second part of this talk I would like to summarize the global consensus and major eleme


Foster Care Needs of Children with HIV Infection
AIDS & Public Policy Journal 3, no. 1 (Winter 1988): 8-9
Mary G. Boland et al.
The Children s Hospital AIDS Program (CHAP) of Newark, New Jersey, has been providing comprehensive services to children and their families since 1983. As we became involved with these children, we realized that many of their families had pre-existing social problems that resulted in foster care placement of the child


The Adequacy of Hospital Reimbursement for AIDS Patients
AIDS & Public Policy Journal 3, no. 1 (Winter 1988): 1-7
John Clark and David B. McCallum
The purpose of this study is to explore the financial strain that the provision of care to AIDS patients placed on Georgetown University Hospital, a 535-bed teaching hospital in Washington, D.C., between 1982 and 1986. We sought to determine what proportion of this hospital s estimated inpatient cost for treating AIDS



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