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The American College Health Association said Monday a study of 19 U.S. campuses found that two out of every 1,000 students is infected with AIDS, below the national average but a figure that one official said "should cause real concern."

Officials said the study points up the need for more aggressive efforts to prevent the spread of the deadly virus on college campuses.The study - the nation's first survey attempting to determine the prevalence of AIDS among college students - tested the blood of 16,861 students who sought medical attention in their campus health centers.

Of those, 30 tested positive for the human immunodeficiency virus, or HIV, which amounts to an overall infection rate of 0.2 percent, said the association, which conducted the study with the federal Centers for Disease Control.

No student tested positive at 10 of the schools, while five of the schools had rates of 0.4 percent or higher.