To the Editor: The Special Report by Bayer and Healton (April 13 issue)1 on the acquired immunodeficiency syndrome (AIDS) in Cuba raises questions that should be considered in the light of the available information. Indeed, Cuba's approach to AIDS control is unique. It does not emphasize education, it has screened about 4 million persons and plans to screen the entire population of the island, and it has reported a seropositive rate that is comparable to that of Oklahoma. How a Caribbean island with a 500 percent increase in gonorrhea in the past 10 years,2 a contingent of 380,000 in Africa….
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