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Immunology and Infectious Disease Commons

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1988

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Full-Text Articles in Immunology and Infectious Disease

Coccidia (Apicomplexa: Eimeriidae) From The Subterranean Rodent Ctenomys Opimus Wagner (Ctenomyidae) From Bolivia, South America, Christine R. Lambert, Scott Lyell Gardner, Donald Duszynski Dec 1988

Coccidia (Apicomplexa: Eimeriidae) From The Subterranean Rodent Ctenomys Opimus Wagner (Ctenomyidae) From Bolivia, South America, Christine R. Lambert, Scott Lyell Gardner, Donald Duszynski

Harold W. Manter Laboratory of Parasitology: Faculty and Staff Publications

Of 35 tuco-tucos (Ctenomys opimus) collected in Bolivia, South America, 31 (88%) had eimerian oocysts in their feces at the time they were examined. Eighteen (58%) of the 31 infected animals were concurrently infected with 2 or 3 eimerian species. Four species of Eimeria were recovered and are described as new species based on the characteristics of sporulated oocysts. Oocysts of Eimeria granifera n. sp. were ellipsoidal, 21.1 x 17.2 (15-26 x 11-20), [micro]m with sporocysts ovoidal, 11.3 x 7.1 (8-14 x 5-9), [micro]m. Oocysts of Eimeria montuosi n. sp. were spheroidal, 24.2 x 22.0 (21-28 x 18-25) …


Current Issues And Future Directions In The Scientific Response To The Aids Epidemic, Anthony S. Fauci Nov 1988

Current Issues And Future Directions In The Scientific Response To The Aids Epidemic, Anthony S. Fauci

DSLS 1988-1989

(Abstract taken from the Distinguished Scientist Lecture Series Program 1988-1989).

The recording is unavailable.

Dr. Fauci, Director of the National Institute of Allergy and Infectious Diseases (NIAID) of the National Institute of Health (NIH), also serves as the Associate Director of the NIH for research on the acquired immunodeficiency syndrome (AIDS) and as Director of the NIH Office of AIDS Research. A native of Brooklyn, New York, Dr. Fauci received his M.D. degree from Cornell University Medical College in 1966. After completing an internship at Cornell Medical Center in New York City, he began his work at the NIH as …


Cestodes Of The Genus Hymenolepis Weinland, 1858 Sensu Stricto From Pocket Gophers Geomys And Thomomys Spp. (Rodentia: Geomyidae) In Colorado And Oregon, With A Discriminant Analysis Of Four Species Of Hymenolepis, Scott Lyell Gardner, Gerald D. Schmidt Nov 1988

Cestodes Of The Genus Hymenolepis Weinland, 1858 Sensu Stricto From Pocket Gophers Geomys And Thomomys Spp. (Rodentia: Geomyidae) In Colorado And Oregon, With A Discriminant Analysis Of Four Species Of Hymenolepis, Scott Lyell Gardner, Gerald D. Schmidt

Harold W. Manter Laboratory of Parasitology: Faculty and Staff Publications

Cestodes found to represent previously undescribed members of the genus Hymenolepis s. str. (Yamaguti, 1959) were recovered from pocket gophers, Geomys bursarius (Shaw), in northeastern Colorado. Hymenolepis weldensis n. sp. and Hymenolepis geomydis n. sp., not occurring together in any individual host, were found in 3 and 8%, respectively, of pocket gophers examined for helminths. The life cycle of H. weldensis was completed in the laboratory using beetles, Tenebrio molitor (L.), as intermediate hosts, and pocket gophers of three genera (Geomys, Thomomys, and Pappogeomys) as definitive hosts. Development of H. weldensis did not occur in laboratory …


Some Parasitic Helminths From The American Oystercatcher, Haematopus Palliatus Temminck, From The Texas Gulf Coast And The Common Pied Oystercatcher, H. Ostralegus Linnaeus, From New Zealand, Including Dildotaenia Latovarium N. Gen. And N. Sp. (Cestoda: Hymenolepididae), Norman O. Dronen, Gerald D. Schmidt, Bertha R. Allison, John W. Mellen Oct 1988

Some Parasitic Helminths From The American Oystercatcher, Haematopus Palliatus Temminck, From The Texas Gulf Coast And The Common Pied Oystercatcher, H. Ostralegus Linnaeus, From New Zealand, Including Dildotaenia Latovarium N. Gen. And N. Sp. (Cestoda: Hymenolepididae), Norman O. Dronen, Gerald D. Schmidt, Bertha R. Allison, John W. Mellen

Harold W. Manter Laboratory of Parasitology: Faculty and Staff Publications

Acanthoparyphium spinulosum (Digenea) and Dildotaenia latovarium n. gen. and n. sp. (Eucestoda) were recovered from an American oystercatcher, Haematopus palliatus, Galveston, Texas. This is the first report of A. spinulosum from the American oystercatcher. Dildotaenia latovarium was also recovered from common pied oystercatcher, H. ostralegus, from New Zealand. The new genus can be distinguished from all other hymenolepid genera that have a copulatory stylet in lacking a cirrus. The type species is characterized by the exaggerated width of its ovary. Of the other species of hymenolepids with 8 rostellar hooks from birds, Dildotaenia latovarium most closely resembles Retinometra …


Parasitangrepp I Ögon Hos Fisk, Som Lever I Kylvatten Från Kärnkraftsreaktorer, Johan Höglund, Jan Thulin Sep 1988

Parasitangrepp I Ögon Hos Fisk, Som Lever I Kylvatten Från Kärnkraftsreaktorer, Johan Höglund, Jan Thulin

Harold W. Manter Laboratory: Library Materials

Sammanfattning

Under åren 1983 t.o.m. 1987 undersöktes förekomst, intensitet och skadeverkan av ögonsugmaskar hos fisk, som påverkats av en förhöjd vattentemperatur. Undersökningarna utfördes huvudsakligen i Biotestsjön, som är ett 1 km2 stort invallat havsområde (S o/oo salthalt), som mottager uppvärmt (ca. 8 °C) kylvatten (ca. 90 m3 / s) från Forsmarks kärnkraftverk. Både de morfologiska och experimentella undersökningarna med metacerkarier tyder på att det förekommer fyra olika arter av släktet Diplostomum i Biotestsjön, två i abborre och två i mört. Då taxonomiska revisioner pågår utomlands föredrogs att kalla dessa arter Diplostomum sp1-4. Metacerkarier av D. …


A Plea For Improved Presentation Of Type Material For Coccidia, Susan M. Bandioni, Donald W. Duszynski Aug 1988

A Plea For Improved Presentation Of Type Material For Coccidia, Susan M. Bandioni, Donald W. Duszynski

Harold W. Manter Laboratory of Parasitology: Faculty and Staff Publications

The "true" coccidia (phylum Apicomplexa, suborder Eimeriina) constitute a large and heterogeneous group of parasitic protozoa. Despite the large number of described species (ca. 1,650) and the medical and veterinary importance of some (e.g., Toxoplasma), 2 facts are clear: (1) the majority of coccidia species are probably yet undescribed, and (2) the phylogenetic relationships of those described species are poorly known. Contributing to the latter dilemma is the lack of a tradition to provide type specimens by those who describe new species, even though the International Code of Zoological Nomenclature specifically recommends the designation of a type …


Status Of The Major Oyster Diseases In Virginia 1988, Eugene M. Burreson Aug 1988

Status Of The Major Oyster Diseases In Virginia 1988, Eugene M. Burreson

Reports

No abstract provided.


On The Status Of Eimeria Nieschulzi Oocysts Embedded In Resin Eleven Years Ago: A Permanent Method For Preserving Coccidian Oocysts, Alan A. Marchiondo, Donald W. Duszynski Aug 1988

On The Status Of Eimeria Nieschulzi Oocysts Embedded In Resin Eleven Years Ago: A Permanent Method For Preserving Coccidian Oocysts, Alan A. Marchiondo, Donald W. Duszynski

Harold W. Manter Laboratory of Parasitology: Faculty and Staff Publications

Sporulated oocysts of Eimeria nieschulzi that were fixed and mounted on glass slides in polymerized resin in 1976 are examined. Size, shape, and integrity of oocysts and sporocysts are compared to similar observations we made in 1977 and reported in 1978 (Journal of Parasitology 64: 163-164). Our conclusion is that the methods we reported on in 1978 provide one opportunity to produce permanent specimens of sporulated oocysts that could be made available for deposit in nationally accredited museums.


Effects Of Corticosteroids And Of Cyclosporin A On Trypanosoma Musculi In Mice And In Culture, Philip Stephen Schuyler Jun 1988

Effects Of Corticosteroids And Of Cyclosporin A On Trypanosoma Musculi In Mice And In Culture, Philip Stephen Schuyler

Loma Linda University Electronic Theses, Dissertations & Projects

The in vivo and in vitro effects of cyclosporin A and corticosteroids on Trypanosoma musculi were examined. Mice that received continuous administration of 6 mg/liter/day of dexamethasone in drinking water and 200 mg/kg hydrocortisone acetate as a single dose 24 hrs prior to injection with T. musculi had significantly higher and longer parasitemias, than controls. Body and spleen weights and B cell responsiveness were lower in test animals and there were some deaths. Mice injected with T. musculi that received 100 mg/kg/day cyclosporin A had longer, but not higher, parasitemias than controls. Corticosteroids appear to partially inactive antibody production (i.e. …


Echinococcus Vogeli Rausch And Bernstein, 1972, From The Paca, Cuniculus Paca L. (Rodentia: Dayproctidae), In The Departamento De Santa Cruz, Bolivia, Scott Lyell Gardner, Robert L. Rausch, Otto Carlos Jordan Camacho Jun 1988

Echinococcus Vogeli Rausch And Bernstein, 1972, From The Paca, Cuniculus Paca L. (Rodentia: Dayproctidae), In The Departamento De Santa Cruz, Bolivia, Scott Lyell Gardner, Robert L. Rausch, Otto Carlos Jordan Camacho

Harold W. Manter Laboratory of Parasitology: Faculty and Staff Publications

Among approximately 2,000 mammals examined for helminths in various regions of Bolivia during 1983-1987, cysts of Echinococcus vogeli Rausch and Bernstein, 1972, were found in a single paca, Cuniculus paca L., collected at La Laguna, Departamento de Santa Cruz (lat. 16 [degrees] 36' W; long. 62 [degrees] 42' S). This record, the first from Bolivia, represents a considerable extension of the known geographic range of this species in South America. Upon analysis of the morphologic characteristics of the protoscoleces derived from the cysts, the sizes of rostellar hooks from the material from the paca were found to be well within …


Rhinebothrium Devaneyi N. Sp. (Eucestoda: Tetraphyllidea) And Echinocephalus Overstreeti Deardorff And Ko, 1983 (Nematoda: Gnathostomatidae) In A Thorny Back Ray, Urogymnus Asperrimus, From Enewetak Atoll, With Phylogenetic Analysis Of Both Species Groups, Daniel R. Brooks, Thomas L. Deardorff Jun 1988

Rhinebothrium Devaneyi N. Sp. (Eucestoda: Tetraphyllidea) And Echinocephalus Overstreeti Deardorff And Ko, 1983 (Nematoda: Gnathostomatidae) In A Thorny Back Ray, Urogymnus Asperrimus, From Enewetak Atoll, With Phylogenetic Analysis Of Both Species Groups, Daniel R. Brooks, Thomas L. Deardorff

Harold W. Manter Laboratory of Parasitology: Faculty and Staff Publications

The new species is a member of an apparently monophyletic group within the genus that includes R. flexile, R. walga, R. himanturi, R. burgeri, R. euzeti, R. hawaiiensis, R. urobatidium, R. paratrygoni, R. ditesticulum, R. tetralobatum, R. margaritense, R. biorchidum, and R. spinicephalum. All of these species have bothridia with medial longitudinal septa, a constriction at mid-bothridium, and, primitively, at least 42 loculi per bothridium and 17-22 testes per proglottid. Of the above, the new species is apparently most closely related to R. burgeri, with which …


Eimeria From Bats Of The World. Ii. A New Species In Tadarida Femorosacca From Sonora, Mexico, Donald W. Duszynski, David W. Reduker, Brent B. Parker Apr 1988

Eimeria From Bats Of The World. Ii. A New Species In Tadarida Femorosacca From Sonora, Mexico, Donald W. Duszynski, David W. Reduker, Brent B. Parker

Harold W. Manter Laboratory of Parasitology: Faculty and Staff Publications

Between 1979 and 1980, 104 bats representing 13 species in 4 families were collected in California and New Mexico, U.S.A., and Baja California and Sonora, Mexico, and were examined for coccidia; only 3 (3%) had oocysts in their feces. Bats examined and their infection rates were: Molossidae: 0 of 12 Tadarida brasiliensis, 1 of 18 (6%) T. femorosacca; Natalidae: 0 of 1 Natalus stramineus; Phyllostomatidae: 0 of 1 Choeronycteris mexicana, 0 of 2 Leptonycteris sanborni, 0 of 1 Macrotus californicus; Vespertilionidae: 0 of 9 Antrozous pallidus, 0 of 28 Eptesicusfuscus, 0 of …


Population Dynamics Of Distoichometra Bufonis (Cestoda: Nematotaeniidae) In Bufo Woodhousii, John J. Janovy Jr., Eugene Lee Hardin Apr 1988

Population Dynamics Of Distoichometra Bufonis (Cestoda: Nematotaeniidae) In Bufo Woodhousii, John J. Janovy Jr., Eugene Lee Hardin

John Janovy Publications

Prevalence, density, and variance/mean (= variance/density) ratios are reported for the cestode Distoichometra bufonis in 28 samples of the amphibian host, Bufo woodhousii, taken over a 3-yr period at two study sites on the South Platte River in Keith County, Nebraska, U.S.A. In addition, changes in host demography resulting from entry of newly metamorphosed toads into the terrestrial population are given. Prevalence and density (average number of worms per host, infected + noninfected) did not vary significantly either within or between sites and years unless newly metamorphosed toads were included in the analysis. Prevalence ranged from 70 to 100%, …


Phylogenetic Analysis Of The Bunocotylinae Dollfus, 1950 (Digenea: Hemiuridae), Virginia León-Règagnon, Gerardo Pérez Ponce De León, Daniel R. Brooks Feb 1988

Phylogenetic Analysis Of The Bunocotylinae Dollfus, 1950 (Digenea: Hemiuridae), Virginia León-Règagnon, Gerardo Pérez Ponce De León, Daniel R. Brooks

Harold W. Manter Laboratory of Parasitology: Faculty and Staff Publications

The phylogenetic analysis of the 16 recognized genera in the Bunocotylinae, based upon 30 morphological transformation series, produced two most parsimonious trees, each with a consistency index of 0.62. The monophyly of the group is supported by 6 synapomorphies. Ahemiurus, Aphanuroides, Aphanurus, Myosaccium, and Indoderogenes separate independently in the basal part of the tree. Saturnius and Bunocotyle separate next, forming a clade. Machidatrema, Duosphincter, Theletrum, and Monolecithotrema separate independently; and in the most derived part of the tree Opisthadena + Neopisthadena + Mitrostoma, Genolinea, and Neotheletrum grouped together form a clade. …


Letter To The Editors: Critical Comments On A Recent Letter To The Editors Regarding The Use Of Frozen Carcasses In Parasite Surveys, Danny B. Pence, John M. Aho, Albert O. Bush, Albert G. Canaris, Joseph A. Conti, William R. Davidson, Terry A. Dick, Gerald W. Esch, Timothy Goater, Wynn Fitzpatrick, Donald J. Forrester, John C. Holmes, William M. Samuel, John M. Kinsella, Janice Moore, Robert L. Rausch, William Threlfall, Terry A. Wheeler Feb 1988

Letter To The Editors: Critical Comments On A Recent Letter To The Editors Regarding The Use Of Frozen Carcasses In Parasite Surveys, Danny B. Pence, John M. Aho, Albert O. Bush, Albert G. Canaris, Joseph A. Conti, William R. Davidson, Terry A. Dick, Gerald W. Esch, Timothy Goater, Wynn Fitzpatrick, Donald J. Forrester, John C. Holmes, William M. Samuel, John M. Kinsella, Janice Moore, Robert L. Rausch, William Threlfall, Terry A. Wheeler

Harold W. Manter Laboratory of Parasitology: Faculty and Staff Publications

Critical comments on a letter to the editors of the Journal of Parasitology regarding the use of frozen carcasses in parasite surveys.


Explorations, Vol. 4, No. 2, Carole J. Bombard, Richard G. Emerick, James A. Sherburne, Robert Brinkley, Susan Grindel, Roberta Chester, Anne P. Sherblom, Charles E. Moody, Diane Carroll, Barbara Barton Jan 1988

Explorations, Vol. 4, No. 2, Carole J. Bombard, Richard G. Emerick, James A. Sherburne, Robert Brinkley, Susan Grindel, Roberta Chester, Anne P. Sherblom, Charles E. Moody, Diane Carroll, Barbara Barton

Explorations — A Journal of Research

Articles include:

Cover: Maya—painted clay figure from Jaina Island, Campeche, Mexico, 500-700A. D., approximately 100 percent. The clay figure is from a superb assemblage of pre-Hispanic materials from Mexico and Central America donated to the University of Maine’s Hudson Museum from the estate of William P Palmer III. In addition to this fine collection, Palmer donated an extensive array of objects from the Northwest Coast. Palmer earned his undergraduate degree in history and government from the University of Maine, and remained a strong, active supporter of the institution throughout his lifetime. More examples of objects from the Palmer Collection, including …


Editor's Note, Padraig O'Malley Jan 1988

Editor's Note, Padraig O'Malley

New England Journal of Public Policy

On occasion, the New England Journal of Public Policy will devote an entire issue to consideration of a public policy matter of major importance. The AIDS epidemic is such a matter, with a likely impact of overwhelming consequence well into the twenty-first century. The epidemic raises fundamental questions regarding the nature of individual freedom, our responsibilities to others, the always delicate balance between private rights and the public interest, and society's obligation to its "out" groups — whose members it has stigmatized, discriminated against, ridiculed, and treated as less than full and equal citizens. Indeed, it requires us to ask …


The Acquired Immunodeficiency Syndrome In New England: An Epidemiological Review Of The First Six Years, Laureen M. Kunches, Jeanne M. Day Jan 1988

The Acquired Immunodeficiency Syndrome In New England: An Epidemiological Review Of The First Six Years, Laureen M. Kunches, Jeanne M. Day

New England Journal of Public Policy

Between 1981 and 1987 — the six-year period following initial recognition of the acquired immunodeficiency syndrome (AIDS) — 1,475 cases were reported among residents of the six New England states. Of nearly 40,000 cases nationwide, 3.8 percent occurred among New England residents, though the region 's population represents 5.5 percent ofthe total United States population. The groups most affected include homosexual or bisexual men (65 percent) and intravenous drug users (20 percent). However, in the two southernmost states — Rhode Island and Connecticut — 32 to 40 percent of all cases have used intravenous drugs. In these states, the male:female …


The Quest For An Aids Vaccine, Robert T. Schooley Jan 1988

The Quest For An Aids Vaccine, Robert T. Schooley

New England Journal of Public Policy

More than fifty thousand cases of AIDS have been reported in the United States since the disease wasfirst described in 1981. Many times this number of people are infected with human immunodeficiency virus (HIV), which has been identified as the agent responsible for the illness. The seriousness of the disease, coupled with the relatively rapid spread of HIV, has fueled the effort for development of an effective vaccine.

Much is now known about the life cycle of the virus, and about its structural components. This information, and information about methods of transmission of the virus, form the basis for a …


Aids: Prophecy And Present Reality, Victor De Gruttola, William Ira Bennett Jan 1988

Aids: Prophecy And Present Reality, Victor De Gruttola, William Ira Bennett

New England Journal of Public Policy

Mathematical modeling of the AIDS epidemic can be useful for policymakers even though precise projections are not possible at this time. Models are useful in establishing ranges for current and future prevalence of HIV infection and incidence of AIDS, as well as in predicting the effect of a given intervention strategy. Most decision makers are using models implicitly when they use epidemiological information as a basis for policy; formulating a model explicitly permits examination of the underlying assumptions. By creating and testing a variety of models, an investigator can determine whether the models reflect more the underlying assumptions or the …


Understanding The Psychological Impact Of Aids: The Other Epidemic, Marshall Forstein Jan 1988

Understanding The Psychological Impact Of Aids: The Other Epidemic, Marshall Forstein

New England Journal of Public Policy

HIV has created two epidemics, one of disease, the other the consequence of the psychological response to that disease. Thus far, behavioral change is the only effective means of interrupting the transmission of HIV. The underlying psychological dimensions of the societal and individual responses to AIDS are discussed, with suggestions for how both rational thinking and irrational fears and anxiety contribute to the development of public policy. Examples are given of how short-term solutions to reduce anxiety may actually create long-term problems, potentially increasing the risk of transmission of HIV. Specific psychological mechanisms that contribute to the epidemic of fear …


U.S. Women And Hiv Infection, P. Clay Stephens Jan 1988

U.S. Women And Hiv Infection, P. Clay Stephens

New England Journal of Public Policy

Women are inadequately provided with HIV services and education and are differentially denied access to these. Divisions of race, ethnicity, economic class, and religion, among others, are compounded by sexual discrimination within each of these categories.

Review of current data on women with AIDS reveals that the reporting methods used convey a false impression that women are not at significant risk. Moreover, the persons indirectly affected by AIDS are predominantly women — mothers, sisters, partners, family members, teachers, and human service workers. Thus, AIDS is more of a women's issue than the statistics imply.

Women, as a gender-defined class, face …


List Of Terms Jan 1988

List Of Terms

New England Journal of Public Policy

Lists and defines terms relevant to the study of HIV/AIDS that are used throughout this issue of the New England Journal of Public Policy.


Aids: An Overview, Loretta Mclaughlin Jan 1988

Aids: An Overview, Loretta Mclaughlin

New England Journal of Public Policy

"We stand nakedly in front of a very serious pandemic, as mortal as any pandemic there ever has been," said Halfdan Mahler, director-general of the World Health Organization (WHO). "I don't know of any greater killer than AIDS, not to speak of its psychological, social and economic maiming. Everything is getting worse and worse with AIDS and all of us have been underestimating it, and I in particular. We're running scared. I cannot imagine a worse health problem in this century." When asked to compare AIDS to other epidemics, such as smallpox, that have infected and killed over the course …


Other Journeys, Phillip Dross Jan 1988

Other Journeys, Phillip Dross

New England Journal of Public Policy

Phillip Dross was a writer. He was forty-three years of age when he died of AIDS in January 1987. Four years earlier, he had come to Newburyport, Massachusetts, to live and to face hard realities about himself — the legacy of a painful, confusing childhood in Florida, where he grew up, bouts with alcoholism, and his own shortcomings as a writer, for although he drove his friends to distraction talking about writing, he could not endure long hours alone, especially at the typewriter.

He made progress — the slow, plodding progress that characterizes the struggle within oneself that can be …


Neuropsychiatric Complications Of Hiv Infection: Public Policy Implications, Alexandra Beckett, Theo Manschreck Jan 1988

Neuropsychiatric Complications Of Hiv Infection: Public Policy Implications, Alexandra Beckett, Theo Manschreck

New England Journal of Public Policy

The human immunodeficiency virus (HIV) infects the central nervous system (CNS), causing symptoms in most persons with AIDS-related complex (ARC) and AIDS, and in a significant proportion of those classified as asymptomatic seropositive. The most common clinical syndrome secondary to CNS infection is known as HIV encephalopathy. When sufficiently disabling, HIV encephalopathy is known as AIDS dementia, and must be reported to the Centers for Disease Control as a case of AIDS.

AIDS dementia is a complex of cognitive, affective, behavioral, and motor symptoms which varies widely in its presentation. In some persons, cognitive impairment predominates, manifesting in a loss …


Aids And A-Bomb Disease: Facing A Special Death, Chris Glaser Jan 1988

Aids And A-Bomb Disease: Facing A Special Death, Chris Glaser

New England Journal of Public Policy

In 1979 it was called "gay cancer," and it took the life of an acquaintance. Then "gay-related immune deficiency," or GRID, claimed neighbors, friends of friends, fellow activists. I began grief and death counseling with a segment of the population ordinarily concerned with life's ambitions and enjoyments: men in their twenties and thirties. Hospital visits and memorial services became more frequent.

By 1983, when it had come to be called AIDS, my own friends began to be affected. One was a man I dated in seminary, and I was devastated to learn of his illness only upon receiving a notice …


A Crisis In Insurance, Benjamin Lipson Jan 1988

A Crisis In Insurance, Benjamin Lipson

New England Journal of Public Policy

As the life and health insurance industry evaluates its long-term financial goals, the cloud of Black Monday — October 19, 1987, the day the stock market collapsed — blurs its cherished investment income projections. With investment portfolios under siege, mutual life insurance companies and stock companies alike are wary of making policy-pricing miscalculations that could prove to be disastrous. As if that weren't enough, one single disease — acquired immunodeficiency syndrome — looms as the most serious threat to life and health insurers for the remainder of this century. The spread of the new disease has caused insurers to adjust …


Aids And New England Hospitals, Jesse Green, Neil Wintfeld, Madeleine Singer, Kevin Schulman Jan 1988

Aids And New England Hospitals, Jesse Green, Neil Wintfeld, Madeleine Singer, Kevin Schulman

New England Journal of Public Policy

The Centers for Disease Control projects that nine thousand persons with AIDS will be alive in New England in 1991, representing a sevenfold increase from 1986. Our analysis indicates that more than 2 percent of medical/surgical beds in New England will be used for AIDS care by 1991, representing 766 fully occupied hospital beds. The direct cost of providing hospital care to New England's AIDS patients is projected to be $195.2 million in 1991, reflecting 3 percent of all hospital inpatient costs in the region.

AIDS treatment is very unevenly distributed among hospitals in New England. Just twenty hospitals (8 …


Medical Care Of Aids In New England: Costs And Implications, Stewart J. Landers, George R. Seage Iii Jan 1988

Medical Care Of Aids In New England: Costs And Implications, Stewart J. Landers, George R. Seage Iii

New England Journal of Public Policy

This article presents an overview of cost issues related to AIDS. Data from the Massachusetts Cost of AIDS Study are combined with epidemiological projections to estimate the cost of treating people diagnosed with AIDS in New England. Aggregate inpatient, ambulatory, and home care costs are estimated to be $96.9 million and $524.8 million through 1987 and 1991, respectively. These estimates represent a relatively small percentage of total health care costs for all illnesses over the same time period.

The authors find that the cost of treating AIDS does not affect all health care providers uniformly and therefore argue that appropriate …