Health care planning and social policy issues

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Abstract
After comment on the public health responses to the emerging pandemic of HIV to date, the authors consider how societies can respond in the future. The planning of treatment services is considered in detail, including the costs of caring for those affected in hospital and the community and the issue of ‘who pays?’ Preventive strategies are then reviewed, including case finding and community prevention and education programmes, examining the particular problems encountered in reaching intravenous drug users, homosexual men, the wider heterosexual community, health care workers and the protection of the blood supply. The authors examine the role of antibody testing. Finally, the legislative implications are reviewed, both in terms of public health law and laws concerning the rights of the individual.

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