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July 22, 1992

'Critical Moment' at Hand in HIV/AIDS Pandemic, New Global Strategy to Arrest Its Spread Proposed

JAMA. 1992;268(4):445-446. doi:10.1001/jama.1992.03490040013003

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MEETING IN Amsterdam, the Netherlands, this week at the VIII International Conference on AIDS, nearly 10 000 delegates from around the world are taking stock of the past decade and looking at the future of the pandemic in a new way.

"When we take into account everything we've learned scientifically, in attempts at prevention, and in the experience of fighting this epidemic for 10 years, we realize that the earlier view— which of necessity focused on the virus and on individual behavior that transmits the virus—is too limited," says Jonathan Mann, MD, conference chair.

"In fact, it's too limited to succeed."

Even as physicians, laboratory and social scientists, and untold numbers of dedicated individuals and groups gave battle, infection with the human immunodeficiency virus (HIV) and death from the acquired immunodeficiency syndrome spread to every part of the globe. It has recently been reported even from such antipodean outliers as