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According to the Centers for Disease Control and Prevention (CDC), one in five human immunodeficiency virus (HIV)-infected individuals are currently living without knowledge of their diagnosis. In 2006, the cost of a rapid HIV test with pre/post-test HIV counseling was anywhere between 48-64 US dollars (USD). The majority of the cost incurred was for HIV counseling, with the cost of the rapid HIV test being between 8-25 USD. Research looking at the cost-effectiveness of HIV screening shows that it is more cost-effective than routine screening for breast cancer with mammography yearly or even routine screening for diabetes mellitus with a one-time fasting blood glucose. With the cost of testing reasonably low and prevalence of undiagnosed infection high, why are our rates of HIV screening not maximized?

HIV Screening: A Review of Nationally Recommended Guidelines and Specific Instances in which HIV Screening is Often Overlooked