A Dual Approach to the AIDS Epidemic

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Abstract
Ten years ago five homosexual men in Los Angeles were reported to have acquired a mysterious and profound immune deficiency associated with pneumocystis pneumonia and other opportunistic infections. The report on these men, published in the Morbidity and Mortality Weekly Report on June 5, 1981, marked the beginning of the AIDS epidemic.1 Within weeks, similar cases were being described elsewhere.2 3 4 5 Even before the isolation of the causative virus in 1983 and the introduction of serologic testing in 1985, it was clear that a major epidemic had begun.Now, a decade later, well over 100,000 Americans have died of AIDS and . . .