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    CDC: Everyone to Get HIV Test

    Call for Routine HIV Testing on 25th Anniversary of U.S. AIDS Epidemic

    U.S. AIDS at 25

    The CDC news conference focused on AIDS in America. But Curran stressed that HIV is a continuing worldwide disaster on an unprecedented scale. We forget this at our peril, he says.

    "It is difficult to reflect after 25 years, back to June of 1981, to understand how something that began so quietly can be the fourth leading cause of death in the world," Curran said. "[AIDS is] something that is continuing to grow, with 2 million more people that are dying each year. It is something that seems to know no bounds in its stretch around the world -- causing 40 million human incubators carrying other infectious diseases. Something we thought was a small problem back then."

    It's been 25 years of unprecedented scientific advances -- and 25 years of unprecedented suffering.

    "I'm amazed by the scientific progress, but even more amazed by the insidious, inexorable progress of the virus around the world," Curran said.

    Living With AIDS

    Five hundred thousand Americans are among the 25 million dead from AIDS. A million more Americans now carry the virus -- and nearly 16,000 died in 2004. If you think it's easy to live with the AIDS virus, if you think AIDS drugs are a cure, think again.

    "Living with HIV is not easy," Fenton said. "The drugs can cause serious side effects and sometimes don't work for the long term. We need to reduce the number of people who become infected in the first place. Twenty-five years into the epidemic, prevention is the only cure we have."

    There are still an estimated 40,000 new HIV infections every year in the U.S. Even though AIDS drugs can prevent mother-to-child transmission, 300 U.S. babies are born with HIV infection every year.

    New Face of AIDS

    The epidemic is changing. The face of AIDS is becoming increasingly that of a black American man or woman.

    "New infections hit African-American men and women hardest," Fenton said. "They account for half of all new HIV diagnoses and more than a third of AIDS deaths. African-American men who have sex with men are especially hard hit. Recent data show significant declines in AIDS diagnoses in nearly every group of African-Americans except in black men who have sex with men. A recent study in five U.S. cities found half of black men who have sex with men are infected with HIV."

    White or black, men who have sex with men still make up half of all Americans with HIV. But infections among women are on the rise. In 2004, 26% of all new HIV infections -- more than one in four -- were in women.

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