American Journal of Public Health (06/92) Vol. 82, No. 6, P. 893
Because HIV has begun to spread within the heterosexual population, there
will be a growing need for programs at the community level that will use
expanded case-finding activities in conjunction with case-management
programs, according to Dr. Fred J. Payne et al. of the Fairfax County
Health Department in Fairfax, Va. In 1986, the Fairfax County Health
Department began an expanded program of voluntary HIV testing. In June
1987 the county established the HIV Case Management Program for residents
with asymptomatic HIV infection. The program was developed with the
low-income, high-risk heterosexual populations, especially those with
IV-drug use, in mind. The case management program involved lifestyle
counseling to slow the development of disease among the HIV-positive
individuals and provided AZT to patients to slow the development of their
disease. Programs such as these can provide an effective local focus for
large scale efforts, concludes Payne et al.