Too Big, Too Small, or Just Right? Cost-Efficiency of Environmental Inspection Services in Connecticut.

Objective: To assess optimal activity size/mix of Connecticut local public health jurisdictions, through estimating economies of scale/scope/specialization for environmental inspections/services.

Data Sources/study Setting: Connecticut's 74 local health jurisdictions (LHJs) must provide environmental health services, but their efficiency or reasons for wide cost variation are unknown. The public health system is decentralized, with variation in organizational structure/size.

Predictors of HIV infection among newly sentenced male prisoners.

The prevalence of individuals with or at risk for HIV infection in prisons and jails is severalfold higher than age-adjusted rates in surrounding communities. This HIV serosurvey of 975 newly sentenced male prisoners employed a new methodology that anonymously linked individual information to HIV serologic data. The HIV prevalence was 6.

HIV testing patterns: where, why, and when were persons with AIDS tested for HIV?

Objective: To describe the location of, primary reason for, and time between the first positive HIV test and AIDS diagnosis in a sample of persons with newly diagnosed AIDS.

Design: Interviews supplementing information routinely collected through AIDS case reporting.

Setting: Eleven US states and cities.

Who are the primary caretakers of children born to HIV-infected mothers? Results from a multistate surveillance project.

Objective: To determine the primary caretakers of children born to women with human immunodeficiency virus (HIV) infection.

Methods: We interviewed women at least 18 years of age who have been reported with HIV infection or acquired immunodeficiency syndrome to local health departments in 10 cities and states regarding the primary caretaker of their children born since 1977.

Results: Of 541 HIV-infected women who had been pregnant since 1977, 88% had living children.