AIDS Prevention

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Abstract
In his essay on the responsibilities of people with human immunodeficiency virus (HIV) infection to their sexual partners (June 6 issue),1 Bayer concludes that personal responsibility has a central role in AIDS prevention and that “matters of sexual ethics are not moralistic diversions. They are at the heart of AIDS prevention.” However, only a minority of HIV-infected people can be expected to tell their partners about their infections.2 The effectiveness of disclosure decreases in direct proportion to the increasing number of partners.3 Bayer and Toomey earlier acknowledged that many persons who know they are infected fail to inform their sexual partners; they stated that “it will be necessary for public health departments to undertake the task of notification.”4

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