In April 1999, I wrote one of my first columns on global HIV/AIDS ("The
Global HIV/AIDS Epidemic," available at
It is now an opportune juncture to revisit this issue.
I stated then and I reiterate now that "we know what works." While the
work to develop microbicides and vaccines continues, the emphasis must be
upon the basic elements of prevention—education, behavioral change,
voluntary testing and counseling, prevention of mother-to-child transmission,
and political commitment. We must emphasize prevention yet not ignore treatment—including
palliative care, treatment of opportunistic infections, and antiretroviral
treatment. Calls for a "choice" between prevention and treatment represent
a false dichotomy; prevention and treatment are mutually reinforcing.
Satcher D. Global HIV/AIDS Revisited. JAMA. 2001;286(20):2535. doi:10.1001/jama.286.20.2535