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ARTICLE |

Contact Tracing and the Control of Human Immunodeficiency Virus Infection

George W. Rutherford, MD; Jean M. Woo, MD, MPH
JAMA. 1988;259(24):3609-3610. doi:10.1001/jama.1988.03720240071038.
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Contact tracing, the practice of identifying and treating individuals exposed to certain communicable diseases, has long been a bulwark of public health practice in the United States.1,2 Originally proposed in 1937 by Surgeon General Thomas Parran for the control of syphilis, it became firmly established in syphilis control programs by the late 1940s.3-6 The central strategy in syphilis contact tracing was the early identification and treatment, first with arsphenamine and later with

See also p 3563. penicillin, of asymptomatic individuals who had been sexually exposed to the disease and were therefore at risk of being infected and infective.5 By tracing chains of syphilis transmission from a patient with known infection, and by treating all potentially infected contacts, transmission could be interrupted.

The success of contact tracing was perhaps best seen in the declining prevalence of syphilis in the 1950s and in the control of localized outbreaks of

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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