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The HIV PandemicLocal and Global Implications$
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Eduard J. Beck, Nicholas Mays, Alan W. Whiteside, and José M. Zuniga

Print publication date: 2007

Print ISBN-13: 9780199237401

Published to Oxford Scholarship Online: September 2009

DOI: 10.1093/acprof:oso/9780199237401.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 16 April 2021

Costa Rica

Costa Rica

(p.447) Chapter 30 Costa Rica
The HIV Pandemic

Jessica Salas Martínez

Ignacio Salom Echeverria

Oxford University Press

This chapter reviews Costa Rica's response to its HIV epidemic. The country's most important achievement in dealing with the epidemic thus far has been ensuring access to affordable antiretroviral drugs for all patients who need them. It must be remembered that Costa Rica is a developing country with limited resources to spend on services, and yet it prioritized and managed this problem as though it were part of the wealthier, industrialized world and did so without any foreign financial support. What made this possible was the country's focus on developing social services for its populatin and the size of the epidemic: by the time HIV patients started receiving HAART in November 1997, there were no more than 400 patients requiring it. As soon as they appeared, antiretrovirals were purchased as generics, with optimal results in terms of CD4, viral load and health recovery.

Keywords:   antiretroviral drugs, HIV epidemic, HAART, viral load, HIV infection

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