[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 50.16.125.253. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Citations 0
Books, Journals, New Media
July 14, 2004

AIDS, Society

Author Affiliations
 

Books, Journals, New Media Section Editor: Harriet S. Meyer, MD, Contributing Editor, JAMA; David H. Morse, MS, University of Southern California, Norris Medical Library, Journal Review Editor.

JAMA. 2004;292(2):276-277. doi:10.1001/jama.292.2.276

Different historical periods have faced different challenges in infectious disease control and public health, yet the fundamental elements are unchanging: agent, host, environment, and the dynamic interplay among them. History is easier to write in retrospect, but the outcome of any epidemic can be readily predicted by analyzing that interplay. Mutations resulting in increased virulence of an organism, entry into new populations or species, or the development of drug resistance will all favor the spread of infection. Host immunity, risk behavior, and health care service use will all impact host vulnerability to infection. Poverty, unequal access to health care, and criminalization of socially disapproved behaviors can increase the vulnerability to disease of certain populations. With chilling predictability, the unprecedented spread of the AIDS epidemic during the past several decades can be understood—and further predicted—by an analysis of these several dimensions.

×