Understanding the population impact and the dynamics of infection diseases in the most affected region is critical to efforts to reduce the morbidity and mortality of such infections, and for decisions on where to use limited resources in the fight against infections.
This book aims to contribute to these efforts by offering a demographic and epidemiological perspective on emerging and reemerging infections in sub-Saharan Africa.
The authors of the book include behavioral scientists, biologists, economists, epidemiologists, health service researchers, operations researchers, policy makers, and statisticians. They present a wide variety of perspectives on the subject, including an overview of HIV prevention programs in developing countries, economic analyses that address questions of cost effectiveness and resource allocation, case studies such as Israel’s ban on Ethiopian blood donors, and descriptions of new methodologies and problems.
Case studies and examples from both the US and abroad to illustrate practical issues, and numerous tables and figures complement the text.
Based on the study results, the authors conclude that by 2002, a million and a half people may die of AIDS and more than 4 million others may be infected with the disease. They explore various scenarios--worst, best, and middle cases--demonstrating that blacks face by far the greatest risks: under the most likely scenario some 15 percent of all blacks between the ages of 15 and 50 will carry the virus by 2002. The authors propose a universal routine voluntary testing program to avert this catastrophe, enabling people to sexually self-segregate themselves based on whether or not they carry the HIV virus. While the authors concede that this program cannot completely stem the tide of infection, they argue that it offers one of the best defenses available against the epidemic. Well written and illustrated with numerous tables and figures, this volume should be required reading for anyone involved in AIDS counseling and policymaking.