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CDC HIV/AIDS/Viral Hepatitis/STD/TB Prevention News Update
Community-Based Case Management of HIV Disease
Payne, Fred J. et al.
June 2, 1992
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.