Here is a comment and a paper sent by readers who saw the recent posting on prevention.

[him] moderator

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"Of course, our behavior responds to all sorts of other things, such as income, aspirations, competing disease risks, equity, etc. These are domains that have not been traditionally in the HIV prevention field. Perhaps they deserve a harder look, at least a place on the table..."

What? After all this time, we are finally coming to this conclusion that HIV is NOT only a medical issue? That HIV prevention & transmission is influenced by these other wider socio-economic issues. Are we going back to the beginning only to learn this now? The magic biomedical bullet swept these factors (income, aspirations, competing disease risks, equity, etc) off the table in the first place. These factors "have not  been traditionally in the HIV prevention field" because they were not sexy enough, too broad to tackle, outside of donor funding parameters etc - basically in the too hard basket. Yes i do believe that these factors "deserve a harder look, at least a place on the table" and shame that they were swept off in the first place. It should never be one intervention or the other, HIV is too complex.