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1996-01-30
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Document 0605
DOCN M9610605
TI The epidemic of HIV/AIDS in Abidjan, Cote d'Ivoire: a review of data
collected by Projet RETRO-CI from 1987 to 1993.
DT 9601
AU Djomand G; Greenberg AE; Sassan-Morokro M; Tossou O; Diallo MO; Ekpini
E; Ghys P; Soro B; Brattegaard K; Yapi A; et al; Projet RETRO-CI,
Abidjan, Cote d'Ivoire.
SO J Acquir Immune Defic Syndr Hum Retrovirol. 1995 Nov 1;10(3):358-65.
Unique Identifier : AIDSLINE MED/96027804
AB 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, Cote
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.
DE Acquired Immunodeficiency Syndrome/*EPIDEMIOLOGY/TRANSMISSION
Adolescence Adult Age Distribution Child Child, Preschool Cote
d'Ivoire/EPIDEMIOLOGY *Disease Outbreaks Disease Transmission,
Horizontal Disease Transmission, Vertical Female Human HIV
Antibodies/ANALYSIS HIV Infections/*EPIDEMIOLOGY/TRANSMISSION HIV
Seroprevalence *HIV-1/IMMUNOLOGY *HIV-2/IMMUNOLOGY Infant Infant,
Newborn Male Middle Age Population Surveillance Pregnancy Pregnancy
Complications, Infectious/EPIDEMIOLOGY Prostitution Retrospective
Studies Seroepidemiologic Methods Sexually Transmitted
Diseases/EPIDEMIOLOGY Tuberculosis, Pulmonary/TRANSMISSION JOURNAL
ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).