The epidemic of HIV/AIDS in Abidjan, Côte d'Ivoire: a review of data collected by Projet RETRO-CI from 1987 to 1993
| Autor: | G, Djomand, A E, Greenberg, M, Sassan-Morokro, O, Tossou, M O, Diallo, E, Ekpini, P, Ghys, B, Soro, K, Brattegaard, A, Yapi |
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| Rok vydání: | 1995 |
| Předmět: |
Adult
Male Adolescent Sexually Transmitted Diseases HIV Infections HIV Antibodies Disease Outbreaks Age Distribution HIV Seroprevalence Pregnancy Seroepidemiologic Studies Disease Transmission Infectious Humans Pregnancy Complications Infectious Child Tuberculosis Pulmonary Retrospective Studies Acquired Immunodeficiency Syndrome Infant Newborn Infant Middle Aged Sex Work Infectious Disease Transmission Vertical Cote d'Ivoire Child Preschool Population Surveillance HIV-2 HIV-1 Female |
| Zdroj: | Journal of acquired immune deficiency syndromes and human retrovirology : official publication of the International Retrovirology Association. 10(3) |
| ISSN: | 1077-9450 1992-1993 |
| Popis: | We present a review of epidemiologic data collected by Projet RETRO-CI between 1987 and 1993 on trends in human immunodeficiency virus type 1 (HIV-1) and HIV-2 infections and on cases of AIDS in Abidjan, Côte d'Ivoire. Overall rates of HIV infection in pregnant women had already reached 10% in 1987, and have increased only modestly since then. In contrast, in 1992-1993, rates in men with sexually transmitted diseases and in female commercial sex workers reached 27 and 86%, respectively. The increases in infection rates have been largely due to transmission of HIV-1, whereas rates of HIV-2 have remained stable or have declined. Among persons with tuberculosis and hospitalized patients, rates of 46-71% have been reached, increases in recent years again being largely attributable to HIV-1. Among the 15,245 AIDS cases reported by Projet RETRO-CI, a steady decline in the male:female sex ratio has occurred over time, from 4.8:1 in 1988 to 1.9:1 in 1993. It is likely that AIDS cases were initially concentrated among a core group of female commercial sex workers and their male clients. A substantial proportion of sex workers and their clients originate from neighboring countries, and migration is likely to have contributed to the spread of HIV infection in West Africa. Including HIV-associated pulmonary tuberculosis as an AIDS-defining illness increased AIDS cases reported by Projet RETRO-CI by 13% in 1993. Despite a need for interventional research, careful description of the evolution of HIV/AIDS in this region remains essential. |
| Databáze: | OpenAIRE |
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