STD Programs Cost-Effective in Reducing HIV-1 Incidence CDC Daily UpdateImportant note: Information in this article was accurate in 1997. The state of the art may have changed since the publication date.

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STD Programs Cost-Effective in Reducing HIV-1 Incidence

Reuters Health Information Services (12/19/97)


Abstract: To determine the impact of improving sexually transmitted disease treatment services on the rate of HIV infection, Richard Hayes and colleagues from the London School of Hygiene and Tropical Medicine randomly selected a cohort of 12,537 adults in six rural Tanzanian communities and calculated the total cost per HIV-1 infection averted and the cost per disability-adjusted life-year (DALY) saved. According to a report in the Lancet, over the course of two years--during which the team treated 11,632 cases of STDs--the incidence of HIV-1 infection was 1.16 percent in the intervention groups and 1.86 percent in the comparison groups. The researchers estimate that the program prevented 252 HIV-1 infections per year and the cost per DALY was $10.33. Given these results, the researchers suggest that a significant number of HIV infections could be prevented if STD prevention programs are improved.


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