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Category: 14. Physical health, conventional medicine,
and folk medicine
DELI001. “Delivering HIV care:
take it to the community.” Contraceptive Technology Update Supplement
22.2 (December 2001): 3-4.
Publication type: Newsletter article
Electronic access: Full text available in InfoTrac OneFile
(NCLIVE)
This article describes an infectious disease
clinic established in Robeson County in January, 2001 by the University
of North Carolina at Chapel Hill's School of Medicine. When the UNC-Chapel
Hill AIDS Clinical Trials Unit saw that 10% of its patients were driving
five hours from Robeson County, the medical director applied for and received
a $100,000 grant to help fund the first year of a community-based infectious
diseases clinic for Robeson County.
Robeson County ranked 28th in the nation in new cases
of syphilis--a serious concern, since syphilis infection can increase HIV
transmission two- to fivefold. Half the syphilis cases were among African
Americans and 41% among Native Americans.
Costs of the clinic's services to indigent patients are
covered by Medicare, Medicaid, private insurance, and the federal AIDS
Drug Assistance Program. The clinic can provide much better care for AIDS
patients than can local emergency rooms, which are often used by AIDS patients
with advanced symptoms. Advanced care for AIDS is often not reimbursed
to hospitals. Robeson County's new clinic is staffed weekly by two UNC-Chapel
Hill School of Medicine faculty and by a UNC-Chapel Hill family nurse practitioner.
The clinic treats HIV only; it does not provide primary care.
Note: The article refers to a document related to syphilis
in Robeson County entitled “Eliminating Syphilis: Robeson County,
North Carolina,” available from the Centers for Disease Control
and Prevention at:
www.cdc.gov/stopsyphilis/factPDF/robeson.pdf
Note: Robeson County's syphilis rate was 18th highest
in the nation in 2000. See Table 24, “Primary and Secondary Syphilis,”
at
www.cdc.gov/std/stats/Tables/2000Table24.htm
Additional Subjects: AIDS and HIV | Syphilis
This annotation was written on: March 12, 2002; edited
on June 13, 2002.
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