Systematic Review of Reported HIV Outbreaks, Pakistan, 2000–2019

Autor: Martha Knuth, Elizabeth M. Rabold, Mirza Amir Baig, Rana Jawad Asghar, Saqib Shaikh, Oliver Morgan, Danielle Fernandez, Karl Schenkel, Hammad Ali
Rok vydání: 2021
Předmět:
Zdroj: Emerging Infectious Diseases
Emerging Infectious Diseases, Vol 27, Iss 4, Pp 1039-1047 (2021)
ISSN: 1080-6059
1080-6040
DOI: 10.3201/eid2704.204205
Popis: In the absence of robust testing programs, timely and detailed outbreak reporting is essential for HIV control.
Unsafe injection practices and injection drug use have been linked to multiple HIV outbreaks in Pakistan since 2003; however, few studies have systematically analyzed the causes of these outbreaks. We conducted a systematic review of published English-language literature indexed in bibliographic databases and search engines and a focused gray literature review to collate and analyze all reported HIV outbreaks in Pakistan during 2000–2019. Of 774 unique publications reviewed, we identified 25 eligible publications describing 7 outbreaks. More than half occurred during 2016–2019. The primary sources of transmission were iatrogenic transmission, affecting children, persons with chronic medical conditions, and the general population (4 outbreaks); injection drug use (2 outbreaks); and a combination of both (1 outbreak). In the absence of robust HIV testing and surveillance in Pakistan, timely and detailed outbreak reporting is important to understand the epidemiology of HIV in the country.
Databáze: OpenAIRE