Important note: Information in this article was accurate in 2005. The state of the art may have changed since the publication date.
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Gay City News (New York) (12.08.05) - Monday, December 12, 2005
Duncan Osborne
"Let me first be clear about what we are not talking about here," Frieden said in an interview requested by Gay City News. "We are not talking about mandatory testing, we are not talking about testing without consent, we are not talking about mandatory treatment."
In 2004, 1,038 New Yorkers received simultaneous AIDS and initial HIV diagnoses, Frieden said, explaining that state testing consent and counseling requirements are actually barriers to testing. "That's just unacceptable," said Frieden. "It means they were in and out of health care facilities, homeless shelters, community organizations for 10 years on average."
Besides easier testing, Frieden proposed increasing condom distribution and syringe exchanges. "Condoms still aren't used widely enough." He supports a prevention campaign for people with HIV, "a kind of HIV stops with me campaign. That is something the community needs to take leadership on. That shouldn't come from government."
The editorial also advocated proactive contact tracing and monitoring of treatment. "We're not going to case manage 95,000 people" with HIV/AIDS in New York City, he said. "That's not the proposal, but maybe we should be better tracking some portion of them." On contact tracing, he said, "We want to go beyond 'Who did you have sex with?' to 'Who do you hang out with?' We can do it in ways that no one will ever know that you were the one."
Dr. Scott E. Kellerman, assistant commissioner for HIV/AIDS services, and city health department Drs. Moupali Das-Douglas and Kelly J. Henning were coauthors of the New England Journal of Medicine editorial, "Applying Public Health Principles to the HIV Epidemic" (2005;353(22):2397-2402).
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