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In a surprising reversal of longtime health gains, fewer adult Americans are aware they have high blood pressure, fewer are getting effective therapy and more are dying, federal health officials said Thursday in issuing new treatment guidelines for the ailment that affects 50 million Americans. Over the past 25 years, therapies against high blood pressure have led to significant declines in deaths from stroke and coronary heart disease. But the latest health statistics show a rise in severe kidney disease and heart failure, a slight rise in the rate of stroke, and a leveling in the death rate for Americans with coronary heart disease. These conditions often occur as complications of long-standing high blood pressure, which is also called hypertension

In a surprising reversal of longtime health gains, fewer adult Americans are aware they have high blood pressure, fewer are getting effective therapy and more are dying, federal health officials said Thursday in issuing new treatment guidelines for the ailment that affects 50 million Americans. Over the past 25 years, treatments to reduce blood pressure have led to significant declines in deaths from stroke and coronary heart disease. But the latest health statistics show a rise in severe kidney disease and heart failure, a slight rise in the rate of stroke, and a leveling in the death rate for Americans with coronary heart disease. These conditions often occur as complications of long-standing high blood pressure, also called hypertension. The reason for the abrupt reversal is not known, federal health officials and medical experts said at a news conference. But they said contributing factors could be an increase in obesity, growing complacency among doctors and patients about high blood pressure, a large number of patients who stop drug therapy because of unwanted effects, such as decreased sexual interest and fatigue, and lack of effective communication to the public

The World Bank said Monday that the AIDS epidemic is about to explode in China, India and Eastern Europe and threw its political and financial weight behind needle exchange, condom distribution and other prevention programs. In its first extensive report on AIDS, the World Bank said it was prepared to spend hundreds of millions of dollars in countries that will implement programs to help control the world epidemic that has infected 23 million people and killed 6 million others. The AIDS epidemic is increasing poverty and decreasing educational opportunities in the developing world, and, without aggressive prevention programs, the epidemic cannot be stopped, said Martha Ainsworth, a senior economist at the bank

The World Bank said today that the AIDS epidemic is about to explode in China, India and eastern Europe and threw its political and financial weight behind needle exchange, condom distribution and other prevention programs. The AIDS epidemic is increasing poverty and decreasing educational opportunities in the developing world, and without condom distribution, needle exchange and other prevention programs, the epidemic cannot be stopped, said Martha Ainsworth, a senior economist at the bank. The bank has spent $800 million on programs to control H.I.V., the AIDS virus, in developing countries since 1986 and will respond to demand from its member countries, said Richard G. A. Feachem, who oversees the bank's AIDS work. He said ''we would certainly double'' such funding but said no upper limit has been set for the amount of additional funds for such programs

AIDS is increasing poverty and decreasing educational opportunities in the developing world and, without condom distribution, needle exchange and other prevention programs, the epidemic cannot be stopped, said Martha Ainsworth, a senior economist at the bank and an author of the report. 'Failure to act now will cost millions of lives,' she told a news conference at the bank's Washington headquarters

The World Bank said Monday that the AIDS epidemic is about to explode in China, India and Eastern Europe and threw its political and financial weight behind needle exchanges, condom distribution and other prevention programs. In its first extensive report about AIDS, the bank said it was prepared to spend hundreds of millions of dollars in countries that will implement sound programs to help control the world epidemic, which has infected 23 million people and killed 6 million more. The AIDS epidemic is increasing poverty and decreasing educational opportunities in the developing world, said Martha Ainsworth, a senior economist at the bank. Without condom distribution, needle exchanges and other prevention programs, the epidemic cannot be stopped, she said

The World Bank said yesterday that the AIDS epidemic is about to explode in China, India and eastern Europe. In its first extensive report on AIDS, the bank said it was prepared to spend hundreds of millions of dollars in countries that will implement sound programs to help control the world epidemic that has infected 23 million people and killed 6 million more

The World Bank on Monday said the AIDS epidemic is about to explode in China, India and Eastern Europe and threw its political and financial weight behind needle exchange, condom distribution and other prevention programs. The AIDS epidemic is increasing poverty and decreasing educational opportunities in the developing world, and without condom distribution, needle exchange and other prevention programs, the epidemic cannot be stopped, said Martha Ainsworth, a senior economist at the bank

The World Bank said Monday that the AIDS epidemic is about to explode in China, India and eastern Europe and threw its political and financial weight behind needle exchange, condom distribution and other prevention programs. In its first extensive report on AIDS, the bank said it is prepared to spend hundreds of millions of dollars in countries that will implement sound programs to help control the world epidemic that has infected 23 million people and killed 6 million more. The AIDS epidemic is increasing poverty and decreasing educational opportunities in the developing world, and without condom distribution, needle exchange and other prevention programs, the epidemic cannot be stopped, said Martha Ainsworth, a senior economist at the bank