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Journal of Public Health Policy

, Volume 33, Issue 3, pp 290–300 | Cite as

Deadly AIDS policy failure by the highest levels of the US government: A personal look back 30 years later for lessons to respond better to future epidemics

  • Donald P Francis
Commentary

Abstract

Successful control of any dangerous epidemic requires: (i) early understanding of the epidemiology of the disease and (ii) rapid applications of preventive interventions. Through the lack of both policy and financial support, the United States Centers for Disease Control (CDC) was severely handicapped during the early years of the AIDS epidemic. Senior staff of the Reagan Administration did not understand the essential role of Government in disease prevention. Although CDC clearly documented the dangers of HIV and AIDS early in the epidemic, refusal by the White House to deliver prevention programs then certainly allowed HIV to become more widely seeded. As much of the international health community relies on CDC for up-to-date prevention advice, these actions by the White House surely increased the spread of HIV around the world. To respond better to future epidemics, we need to understand the deadly forces that inhibited CDC at that time.

Keywords

HIV AIDS epidemic history public health government failure 

References

  1. De Cock, K.M., Jaffe, H.W. and Curran, J.W. (2011) Reflections on 30 years of AIDS. Emerging Infections Diseases 17 (6): 1044–1048.CrossRefGoogle Scholar
  2. Andriote, J.M. (2011) Victory deferred: How AIDS changed gay life in America, 2nd edn. Chicago: University of Chicago Press, p. 137.Google Scholar
  3. Talbot, D. and Bush, L. (1985) At risk. Mother Jones, pp. 29–37.Google Scholar
  4. Koop, C.E. (1991) The Memoirs of America's Family Doctor. New York: Random House.Google Scholar
  5. Morris, E. (1999) Dutch – A Memoir of President Reagan. New York: Random House, p. 816.Google Scholar

Copyright information

© Palgrave Macmillan, a division of Macmillan Publishers Ltd 2012

Authors and Affiliations

  • Donald P Francis
    • 1
  1. 1.Global Solutions for Infectious DiseasesSouth San FranciscoUSA

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