Both a 'magic bullet' and good aim are required to link public health interests and health care needs in HIV infection
G.P. Garnett, L.M. Bartley, D.W. Cameron
& R.M. Anderson
Wellcome Trust Centre for the Epidemiology of Infectious Disease Department of Zoology University of Oxford South Parks Road Oxford OX13FY UK. bill.cameron@wellcome-epidemiology.oxford.ac.uk
The incomplete distribution of HIV therapy, coupled with uneven HIV transmission rates throughout a population, seem to predict a failure of commodity health care to reduce HIV incidence. Paradoxically, heterogeneity in HIV transmission risk combined with the appropriately targeted antiretroviral therapeutic strategy may offer a substantial public health benefit if HIV surveillance and treatment can be coordinated.
