An overview of the policies and management of the HIV / AIDS epidemic in Thailand and Singapore.
AIDS/HIV infection is pandemic. In Singapore and Thailand, however, the incidence of HIV infection has grown at an especially alarming rate due to the countries' status of being internationally recognized tourist destinations and the high prevalence of prostitution. The demographics, socioeconomics, health care systems, and geographical location also influence the course of the disease in the countries. This paper reviews the policies, management, current determinants, and distribution of HIV infection and AIDS in Singapore and Thailand. Projections for the future and prospects for prevention and control are offered. Different sections define AIDS; give the historical background of AIDS and origin of the virus; describe modes of transmission of HIV/AIDS and geographic patterns of AIDS; discuss the epidemiology of HIV/AIDS in Asia, the management of HIV/AIDS, the social impact of HIV/AIDS, future trends and projections of the HIV/AIDS epidemic, and effective policies and strategies in the prevention and control of the HIV/AIDS epidemic. Mortality and morbidity projections and the potential to manage the epidemic seem particularly grim for Thailand, although Singapore's regimental and authoritarian approach may prove more promising. Policy makers in these countries must get moving to prevent and control HIV/AIDS. The possibility of involving the World Health organization for technical assistance should be considered.