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Article
October 25, 1995

HIV Prevention: Community Planning Groups-Reply

Author Affiliations

University of California, San Francisco
Mobilization Against AIDS San Francisco, Calif
Beth Israel Hospital Boston, Mass

JAMA. 1995;274(16):1270. doi:10.1001/jama.1995.03530160022027
Abstract

In Reply.  —Dr Holtgrave is correct. There is no recent development in the field of HIV prevention at once both so radical and logical as the CDC community planning efforts. This development was not addressed in our recent overview of HIV prevention science and policy because of space constraints, rather than lack of interest or support.The CDC's belated support for localized community planning is an acknowledgment of one of the stark realities of the HIV epidemic—although the acquired immunodeficiency synrome is a national challenge that must concern us all, HIV disease has not blanketed the country uniformly. The HIV epidemic is best characterized as a series of localized epidemics differing from one locale to another—in some places, from one neighborhood to another.1In our federal system, it is not always a simple task to target resources to local areas most in need. Yet targeting of HIV prevention resources

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