Contact Tracing to Identify Human Immunodeficiency Virus Infection in a Rural Community
Wykoff, Randolph F.
JAMA. 1988 Jun 24; 259(24): 3563-3566.
A report is provided of a contact investigation conducted in rural South Carolina to identify, counsel, and educate men infected with or exposed to the human immunodeficiency virus (HIV). Valuable information was gained about the demographic patterns of persons at risk for HIV in the community studied, and data from the investigation suggest that, at least in the short term, significant behavior change takes place as a result of highly-directed counseling of the high-risk persons identified. Contact tracing in this instance proved relatively cost-effective despite the large amount of professional time devoted to patient counseling. The authors believe that the obvious benefits of direct contact tracing far outweigh the remote risk that confidentiality may be breached. (KIE abstract)
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