Evans H E
Department of Pediatrics, New Jersey Medical School, University of Medicine and Dentistry of New Jersey, Newark.
Clin Perinatol. 1994 Mar;21(1):29-38.
In summary of some of the major issues raised by AIDS (Table 1), social, political, and economic forces all impact on the global outbreak of AIDS. Conversely the epidemiologic and medical realities of this disease have forced a reconsideration of moral and ethical values, prioritization of resource allocation, and pervasion of virtually every aspect of the health care delivery system. Advocates for AIDS funding have set a model for other espousing the significance of diseases ranging from rare disorders to breast cancer. As this issue was written (summer 1993), it was apparent that attention of the media had shifted to numerous other domestic and foreign concerns. Hopefully, when the Clinics next present perinatal AIDS, the pendulum will have swung back and there will be a wider variety of effective therapeutic agents available permitting longer survival of greater quality.
总结艾滋病引发的一些主要问题(表1),社会、政治和经济力量均对全球艾滋病的爆发产生影响。相反,这种疾病的流行病学和医学现实迫使人们重新审视道德和伦理价值观、资源分配的优先级,并渗透到医疗保健提供系统的几乎每个方面。艾滋病资金倡导者为其他支持从罕见疾病到乳腺癌等各种疾病重要性的人树立了榜样。在撰写本期内容时(1993年夏季),很明显媒体的注意力已转向许多其他国内外问题。希望当本诊所下次介绍围产期艾滋病时,情况会有所转变,会有更多种类的有效治疗药物可供使用,使患者能够更长久地高质量生存。