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By Heather G. Miller, etc., C.F. Turner, L.E. Moses

Expanding at the 1989 nationwide study Council quantity AIDS, Sexual habit, and Intravenous Drug Use, this ebook studies on altering styles within the distribution of circumstances and the result of intervention efforts below manner. It specializes in very important subpopulations which are changing into an increasing number of in danger: youngsters and ladies. The committee additionally reports recommendations to guard blood offers and to enhance the standard of surveys utilized in AIDS research.
AIDS: the second one Decade updates tendencies in AIDS instances and HIV an infection one of the gay group, intravenous drug clients, girls, minorities, and different teams; offers an outline of a variety of behavioral intervention recommendations directed at particular teams; discusses discrimination opposed to individuals with AIDS and HIV an infection; and provides to be had info at the share of kids accomplishing the behaviors which can transmit the virus and on girl prostitutes and HIV infection.

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It is important to remember, however, that it is participation in high-risk behaviors and not membership in any particular group that confers a risk for HIV infection. Therefore, as with all recruitment efforts, blood donation drives directed toward minorities and other groups that bear disproportionate burdens of HIV-related illness should seek those individuals whose behavior predicts a low risk of HIV infection. The low prevalence of AIDS and HIV (and the presumably low prevalence of high-risk behavior) among the elderly and the late middle-aged segments of the population makes them an obvious focus for blood drives.

The committee recommends that researchers who conduct behavioral surveys on HIV transmission make increased use of ethnographic studies, pretests, pilot studies, cognitive laboratory investigations, and other similar developmental strategies to aid in the design of large-scale surveys. SYNOPSIS AND MAJOR RECOMMENDATIONS Throughout the report the committee reviews a variety of issues and presents a series of recommendations. Because the material is presented in some detail, the committee wishes to highlight some of the major points here.

Consequently, there has been renewed examination of appropriate uses of blood and blood components and of the mechanisms needed to support and encourage such uses. Exclusionary Procedures Over the past few years, a number of mechanisms have been developed to screen (and subsequently defer) at-risk donors to protect the safety of blood and blood products. Individuals are deferred from donation, either temporarily or permanently, for a number of reasons, including fever, anemia, a history of exposure to malaria, recent infection, signs or symptoms of HIV infection, or a history of risk-associated behavior.

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