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Updated: Jul 13, 2026

Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model
Published on: October 31, 2010
Beyond the end of exceptionalism: integrating HIV testing into routine medical care and HIV prevention
Rachel Smith1, Nicola M Zetola, Jeffrey D Klausner
1School of Medicine, University of California, San Francisco, CA, USA. rachel.smith@ucsf.edu
Abstract:
In September 2006, the US CDC issued new guidelines for HIV testing. These guidelines were designed not only to simplify and expand HIV testing but also to integrate testing into routine medical care in the USA. The nationwide implementation of these guidelines is currently facing several political and legal barriers. In this article, we examine the origins of current patient-driven and risk-based HIV testing in the USA and highlight shortcomings of this strategy. We then demonstrate how the changing HIV epidemic in the USA requires routine HIV screening at all points of contact in the medical system in order to control the HIV epidemic and how novel testing strategies could increase the yield of testing in these settings.
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