Preface The contemporary story began silently in the early to mid- 1970s when the global spread of a virus appears to have started. In the summer of 1981 the Center for Disease Control (CDC) cited in its weekly newsletter five cases of an unusual pneumo- nia in young homosexual men in Los Angeles. Some of these patients also had a cancer rarely seen in younger persons. By the early months of 1982 the CDC was referring to cases with these symptoms as Acquired Immunodeficiency Syndrome, which quickly was understood by its acronym, AIDS. Since that time the AIDS story has become a part of our common experience. In the intervening years, the international press and electronic media have chronicled the spread of a dis- ease which has become a pandemic. Despite the medical sophis- tication which characterizes our technologically advanced so- cieties in these final decades of the twentieth century, AIDS presents us with frightening challenges. Although there are promising technical and scientific advances, at this time there is no cure for AIDS and no vaccine to prevent AIDS. AIDS has mobilized the international scientific community not only to seek a cure for the disease, but also to prevent and control its spread. The worldwide medical community was slow to recognize the broad spectrum of ways in which AIDS would affect individu- als, families, and societies. Now in the latter years of the 1980s we are beginning to assess accurately the costs in terms of hu- man suffering, health care, and social impact. People who have been exposed to the virus are uncertain about their future IV 4h healt disru clinic with year tries 1 inter~ is str~ t tude; tional to th~ tradit: and sl P (AID~ provic had p: those tice. l emoti~ AIDS ticulal need. A ence a many growtt the mc havion (1944) momel import~ ing of 1 cessity new or: In toral as guidan~
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