There is a need for new hypotheses to supplement existing explanations
for the observed differences in HIV prevalence between countries and
within countries. Due to high levels of viraemia during the initial ph
ase of HIV infection, networks of concurrent regular partnerships in a
community could be the determining factor in the development of an AI
DS epidemic. If this hypothesis is true, projections of the future dev
elopment of the epidemic could be altered. Simple health education mes
sages based on the hypothesis might make a major contribution to the p
revention and control of AIDS epidemics.