Letters Section Editor: Robert M. Golub,
MD, Senior Editor.
To the Editor: Dr Kaul and colleagues1 again confirm that sexually transmitted infections
(STIs) are important human immunodeficiency virus (HIV) cofactors and, with
new insights on potential pathways, reinforce the importance of STI control
at the population level. Notably, the study may say more about the impact
of cumulative public health efforts on local STI/HIV transmission than about
the effectiveness of any specific intervention.
Steen R, Dallabetta G, Neilsen G. Antibiotic Chemoprophylaxis and HIV Infection in Kenyan Sex Workers. JAMA. 2004;292(8):921. doi:10.1001/jama.292.8.921-a