Yankauer A
Department of Family and Community Medicine, University of Massachusetts Medical Center, Worcester 01655-0309.
Am J Public Health. 1994 Dec;84(12):1894-7. doi: 10.2105/ajph.84.12.1894.
Sexually transmitted diseases remain uncontrolled although millions of cases occur annually in the United States. The advent of acquired immunodeficiency syndrome (AIDS), which is also a sexually transmitted disease, has not altered this situation. The major portion of federal funding for sexually transmitted diseases is allocated to a search for an AIDS vaccine or cure. State health department funding for sexually transmitted diseases, although only a small fraction of the $1.3 billion AIDS research budget of the National Institutes of Health, is largely consumed by AIDS. A single adequately funded sexually transmitted disease control program that applies well-established public health principles for the control of communicable diseases would make sense. However, a consensus to develop and support such a program does not exist in the United States.
尽管美国每年有数百万人感染性传播疾病,但这些疾病仍未得到有效控制。后天免疫机能丧失综合症(艾滋病)也是一种性传播疾病,它的出现并没有改变这种状况。联邦政府用于性传播疾病的大部分资金都用于寻找艾滋病疫苗或治疗方法。州卫生部门用于性传播疾病的资金,虽然仅占美国国立卫生研究院13亿美元艾滋病研究预算的一小部分,但大部分也被用于艾滋病方面。一个资金充足、运用完善的公共卫生原则来控制传染病的性传播疾病控制项目是有意义的。然而,美国并不存在制定和支持这样一个项目的共识。