Kizer K W, Conant M A, Francis D P, Fraziear T
West J Med. 1988 Oct;149(4):481-5.
Since first reported in 1981, about a fourth of all cases of the acquired immunodeficiency syndrome in the United States have occurred in California. In response to the human immunodeficiency virus (HIV) epidemic, California has developed a five-point strategy consisting of epidemiologic surveillance; prevention education; the provision of medical treatment and supportive services; research; and continuous planning, evaluation, and coordination of programs. Given the size and tremendous environmental and cultural diversity of California, as well as the variable local impact of HIV disease local jurisdictions need to develop HIV disease prevention and treatment plans specifically tailored to the circumstances of their communities. At a minimum, these plans should include central participatory planning, epidemiologic surveillance, HIV antibody testing and prevention education programs, provision for medical treatment and social support services, and coordination of financing mechanisms. We present a model for such plans.
自1981年首次报告以来，美国约四分之一的获得性免疫缺陷综合征病例发生在加利福尼亚州。为应对人类免疫缺陷病毒（HIV）疫情，加利福尼亚州制定了一项五点战略，包括流行病学监测；预防教育；提供医疗治疗和支持服务；研究；以及对各项计划进行持续规划、评估和协调。鉴于加利福尼亚州的规模、巨大的环境和文化多样性，以及HIV疾病在当地的不同影响，地方司法管辖区需要制定专门针对其社区情况的HIV疾病预防和治疗计划。这些计划至少应包括中央参与式规划、流行病学监测、HIV抗体检测和预防教育计划、医疗治疗和社会支持服务的提供，以及融资机制的协调。我们展示了此类计划的一个模型。
