Abstract
To the Editor.— The conclusion reached by Drs Hearst and Hulley 1 that prevention of acquired immunodeficiency syndrome (AIDS) can be accomplished by ensuring that sexual partners are at low risk of human immunodeficiency virus (HIV) infection is consistent with their experience with infected individuals in San Francisco. However, the experience in New York City is very different. One of the first AIDS patients I treated was married to her second husband. After being delivered of three seronegative children during her first marriage, her child from this second marriage was seropositive. On investigation, her second husband was found to be a former intravenous drug abuser who had stopped using drugs before the couple met. Even with the intimacy of marriage and childbirth, the wife had never ascertained that her husband was at high risk of HIV infection. In socioeconomically disadvantaged areas of New York, high-risk partners are virtually indistinguishable from
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