ABSTRACT
This chapter proposes critical themes for the future of efforts to prevent human immunodeficiency virus infection by considering areas that will require fundamental changes. Behavior, individual and collective, is already, and will increasingly become, recognized as the major challenge for public health in the future. While knowledge about how the internal combustion engine generates exhaust that is transformed into photochemical smog is important, the more basic questions involve social attitudes about driving, economic issues about how the workforce and workplace is organized, and political philosophy. Human behavior is the key to protecting the rainforest, dealing with toxic wastes, and, to restate the obvious, preventing nuclear war. Societal action is the second area that may require a fundamentally new approach. Solidarity is fundamentally different from charity. Charity is ultimately optional, an appeal to good works in the sharing of resources.
