Hotchkiss W S
American Medical Association, Chicago, IL 60610.
Public Health Rep. 1988 May-Jun;103(3):282-8.
Since the identification of acquired immunodeficiency syndrome (AIDS) in 1981 as a distinct disease entity, the number of AIDS cases has steadily increased in the United States and throughout the world. Although the primary etiologic agent of AIDS, human immunodeficiency virus (HIV), has been identified and the major means by which the virus is transmitted--sexual contact, use of contaminated needles by IV drug abusers, perinatally, and through blood or blood products--are also known, no vaccines or specific therapies to combat the disease are available as yet. The AIDS crisis underscores the absolute necessity for the continuing support of the biomedical research enterprise in its many forms and settings and calls for an all-out effort in educating the world community about the means of preventing and controlling the disease. The American Medical Association (AMA) has accepted the challenge to be in the forefront of this war on AIDS. In two recent reports adopted by its House of Delegates, the AMA has urged that a judicious balance be established between the well-being of HIV-positive patients and the protection of the public health. Education is identified as the major weapon currently available against the spread of this disease, and physicians are urged to assume the leadership role in educating themselves, their patients, and the public. In proposing 17 recommendations for physician, governmental, community, and public involvement and presenting an aggressive action agenda for the future, the AMA emphasizes the need for concerted and cooperative efforts by all members of society in the fight against AIDS.
自1981年获得性免疫缺陷综合征(艾滋病)被确认为一种独特的疾病实体以来,美国乃至全世界的艾滋病病例数一直在稳步上升。尽管已确定艾滋病的主要病原体是人类免疫缺陷病毒(HIV),并且也已明确该病毒传播的主要途径——性接触、静脉吸毒者使用受污染的针头、母婴传播以及通过血液或血液制品传播,但目前尚无对抗该疾病的疫苗或特效疗法。艾滋病危机凸显了以多种形式和环境持续支持生物医学研究事业的绝对必要性,并呼吁全力以赴地向国际社会宣传预防和控制该疾病的方法。美国医学协会(AMA)已接受挑战,站在了这场艾滋病防治战争的前沿。在其代表大会最近通过的两份报告中,AMA敦促在HIV阳性患者的福祉与保护公众健康之间建立明智的平衡。教育被视为当前对抗该疾病传播的主要武器,AMA敦促医生在自我教育、教育患者和公众方面发挥领导作用。在为医生、政府、社区和公众参与提出17项建议并提出未来积极的行动议程时,AMA强调社会所有成员在抗击艾滋病的斗争中需要齐心协力、共同合作。