SINCE 2001, THE LOCAL MANUFACTURE IN Cuba of eight antiretroviral drugs has guaranteed access to effective AIDS therapy to all Cubans who meet the clinical criteria for the disease.1 Although the incidence of HIV in Cuba has continued to increase, both the number of deaths from AIDS and the incidence of opportunistic infections related to HIV have dropped, as has the number of hospitalized AIDS patients.2 Cuba has also successfully prevented mother-to-child transmission of HIV: Since 1986, only 29 children have become infected with the virus, either during pregnancy, labor, or breast-feeding.3 This very low infection rate led UNAlDS in 2006 to call Cuba's program aimed at preventing ...

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