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AIDS Law Past and Future Presidential Advisory Council on HIV/AIDS - 21 June 05 Edward P. Richards, JD, MPH Director, Program in Law, Science, and Public Health Professor, Louisiana State University Law Center /cphl/slides/AIDS-com.htm Secret Sex, Drug Use Fuel Rise in AIDS Atlanta Journal-Constitution, 16 June 2005 Researchers said yesterday at CDCs 2005 National HIV Prevention Conference in Atlanta that, given a record 1.1 million people infected with HIV in the United States, the fight against the epidemic is becoming more complicated. The HIV epidemic is not over in the United States, like many people think it is, Dr. Ron Valdiserri of CDCs HIV division said at the conclusion of the biennial conference. Its an increasingly complex epidemic in the US, with multiple populations affected. Objectives Put public health in a historical context Explain the breakdown in public support for public health in the 1970s Show how that breakdown led to AIDS exceptionalism Explain why ending AIDS exceptionalism is the first step to controlling AIDS in the US Public Health Law Traditionally, public health dealt with external threats to the individual Communicable diseases Environmental hazards Many of these put the individual or business in conflict with the good of society Law was core to all public health Discussing public health meant discussing law The Roots of Public Health Law Leviticus Roman water and sewer works Early renaissance Venice Quadraginta Blackstone Death for breaking quarantine Public Health in the Colonies Most of the population lived in poorly drained coastal areas Cholera Yellow Fever Urban Diseases Smallpox Tuberculosis Average life expectancy was short Public Health Law Actions in Colonial America Quarantines, areas of non-intercourse Inspection of ships and sailors Nuisance abatement Colonial governments had and used Draconian public health powers The Police Powers Public Health in the Constitution Federal Powers Interstate commerce International trade
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