WASHINGTON—More than four months after the Institute of Medicine issued its well-publicized report on AIDS, the disease is still outpacing federal efforts to contain and understand it.

"Since the report came out, a lot has happened as far as the epidemic spreading, but very little has been done to implement the strongly felt recommendations of the panel," said June Osborn, dean of the University of Michigan School of Public Health and a member of the group that prepared the report. The necessary federal leadership is lacking, added Irving Weissman of Stanford University, who also participated in the intensive six-month study.

Samuel Thier, president of the Institute of Medicine, said he is particularly disappointed with the slow response to the committee's recommendation to coordinate research efforts among federal agencies better. But he pointed to some movement in Congress.

Sen. Pete Wilson (R-Calif.) has just introduced a bill that directs the Institute...

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