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behavior. Top, a scene from Rompiendo el silencio (Breaking the Silence), a Spanish-language video linked to a safer-sex intervention among Latinas in the Washington Heights neighborhood of northern Manhattan, New York.

Secondary prevention seeks to minimize the adverse consequences of HIV disease among individuals already infected and to maintain “quality of life” throughout the course of the disease. It also seeks to reduce the transmission of HIV to noninfected persons (e.g., perinatal transmission to infants or transmission to uninfected sexual partners) and to decrease exposure to additional viral strains in someone already infected. Examples of secondary HIV interventions include HIV counseling and testing programs, HIV-seropositive support groups, programs for the prevention of relapse into unsafe sexual or drug-using behaviors, and partner notification.