HIV PREVENTION IN DEVELOPED-COUNTRIES

HIV prevention in developed countries is marked by impressive successe s and dismal failures. The successes point the way to what works; the failures highlight obstacles that must be overcome. Successes include important behavioural changes among gay and bisexual men, antiviral us e to prevent vertical transmission, and securing the safety of the blo od supply. New strategies are needed to reach the residual of individu als continuing with unsafe practices (a special hazard in high-prevale nce areas); to reach young people who are beginning to engage in sexua l relations and injection drug use; and to overcome political oppositi on to prevention strategies.