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Increasing Capacity to Detect Clusters of Rapid HIV Transmission in Varied Populations-United States.
Oster, Alexandra M; Panneer, Nivedha; Lyss, Sheryl B; McClung, R Paul; Watson, Meg; Saduvala, Neeraja; Ocfemia, M Cheryl Bañez; Linley, Laurie; Switzer, William M; Wertheim, Joel O; Campbell, Ellsworth; Hernandez, Angela L; France, Anne Marie.
Afiliación
  • Oster AM; Centers for Disease Control and Prevention, Atlanta, GA 30329, USA.
  • Panneer N; U.S. Public Health Service, Atlanta, GA 30329, USA.
  • Lyss SB; Centers for Disease Control and Prevention, Atlanta, GA 30329, USA.
  • McClung RP; Centers for Disease Control and Prevention, Atlanta, GA 30329, USA.
  • Watson M; U.S. Public Health Service, Atlanta, GA 30329, USA.
  • Saduvala N; Centers for Disease Control and Prevention, Atlanta, GA 30329, USA.
  • Ocfemia MCB; U.S. Public Health Service, Atlanta, GA 30329, USA.
  • Linley L; Centers for Disease Control and Prevention, Atlanta, GA 30329, USA.
  • Switzer WM; ICF International, Atlanta, GA 30329, USA.
  • Wertheim JO; Centers for Disease Control and Prevention, Atlanta, GA 30329, USA.
  • Campbell E; Centers for Disease Control and Prevention, Atlanta, GA 30329, USA.
  • Hernandez AL; Centers for Disease Control and Prevention, Atlanta, GA 30329, USA.
  • France AM; Department of Medicine, University of California San Diego, San Diego, CA 92093, USA.
Viruses ; 13(4)2021 03 30.
Article en En | MEDLINE | ID: mdl-33808053
Molecular cluster detection analyzes HIV sequences to identify rapid HIV transmission and inform public health responses. We describe changes in the capability to detect molecular clusters and in geographic variation in transmission dynamics. We examined the reporting completeness of HIV-1 polymerase sequences in quarterly National HIV Surveillance System datasets from December 2015 to December 2019. Priority clusters were identified quarterly. To understand populations recently affected by rapid transmission, we described the transmission risk and race/ethnicity of people in clusters first detected in 2018-2019. During December 2015 to December 2019, national sequence completeness increased from 26% to 45%. Of the 1212 people in the 136 clusters first detected in 2018-2019, 69% were men who have sex with men (MSM) and 11% were people who inject drugs (PWID). State-by-state analysis showed substantial variation in transmission risk and racial/ethnic groups in clusters of rapid transmission. HIV sequence reporting has increased nationwide. Molecular cluster analysis identifies rapid transmission in varied populations and identifies emerging patterns of rapid transmission in specific population groups, such as PWID, who, in 2015-2016, comprised only 1% of people in such molecular clusters. These data can guide efforts to focus, tailor, and scale up prevention and care services for these populations.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones por VIH / VIH / Punto Alto de Contagio de Enfermedades Tipo de estudio: Prognostic_studies / Screening_studies Límite: Humans / Male País/Región como asunto: America do norte Idioma: En Revista: Viruses Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Suiza
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones por VIH / VIH / Punto Alto de Contagio de Enfermedades Tipo de estudio: Prognostic_studies / Screening_studies Límite: Humans / Male País/Región como asunto: America do norte Idioma: En Revista: Viruses Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Suiza