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International Journal of Epidemiology 2003;32:189-192
© International Epidemiological Association 2003


Reprints and Reflections

Commentary: The social pathology of the HIV/AIDS pandemic

Landon Myer1,2, Chelsea Morroni1,3 and Ezra S Susser4

1 Fogarty AIDS Information, Training and Research Program, Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, USA.
2 HIV Prevention and Vaccine Research Unit, South African Medical Research Council, Hlabisa, South Africa.
3 Women’s Health Research Unit, School of Public Health & Primary Health Care, University of Cape Town, South Africa.
4 Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, USA.

Correspondence: Landon Myer, Fogarty AITRP, Department of Epidemiology, Mailman School of Public Health, Columbia University, 622 West 168th Street, PH 18 New York, New York 10032, USA. E-mail: bm436@columbia.edu

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Working in a remote region of South Africa more than 50 years ago, Sidney Kark practised what many today would think of as social epidemiology. His approach was refined and disseminated across the globe by his students in subsequent decades, thereby influencing the evolution of the modern discipline. Equally important, his commitment to the health of indigenous African populations makes him one of the earliest role models in global public health.

The paper reprinted here, The Social Pathology of Syphilis in Africans,1 is most obviously relevant to the current human immunodeficiency virus (HIV)/AIDS pandemic. There are striking parallels between the epidemic of syphilis Kark described in South Africa, and the current, devastating spread of HIV/AIDS across the continent. He was eerily prescient in his analysis of the social conditions of the region, and population mobility in particular, as providing fertile ground for the spread of sexually transmitted infections. Today, . . . [Full Text of this Article]


    Sidney Kark and the community-oriented primary care movement
 

    The spread of syphilis in South Africa
 

    Population mobility and the HIV epidemic
 

    Levels of social organization in spread of HIV/AIDS
 

    Intervening beyond the individual
 

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