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[AIDS in Madagascar. I. Epidemiology, projections, socioeconomic impact, interventions]. / Le SIDA à Madagascar. I. Epidémiologie, projections, impact socio-économique, interventions.
Andriamahenina, R; Ravelojaona, B; Rarivoharilala, E; Ravaoarimalala, C; Andriamiadana, J; Andriamahefazafy, B; May, J F; Behets, F; Rasamindrakotroka, A.
Afiliación
  • Andriamahenina R; Laboratoire national de référence MST/sida, Antananarivo, Madagascar.
Bull Soc Pathol Exot ; 91(1): 68-70, 1998.
Article en Fr | MEDLINE | ID: mdl-9559168
ABSTRACT
PIP: Studies were conducted in mid-1995 and at the beginning of 1996 in six sites in Madagascar on the seroprevalences of HIV and syphilis with the goal of estimating how many people were infected with HIV countrywide. The studies were conducted in Antananarivo, Fianarantsoa, Antsiranana, Toamasina, Toliary, and Mahajanga. 3135 pregnant women seeking prenatal care were included in the study, as well as 3047 sexually transmitted disease (STD) clinic clients, and 2227 prostitutes not registered with the STD services, but recruited in bars, hotels, and on the street. Study data together with epidemiological surveillance data led to the estimation that 0.07% of adults in the country were infected with HIV as of 1995, compared with 0.02% in 1989. There were 150 people with AIDS, 5000 people infected with HIV, and 1 million people at risk of exposure to the virus. In Madagascar, HIV is transmitted sexually in 96.8% of cases, perinatally in 2.4% of cases, and through blood transfusion in 0.8% of cases. As many men as women are infected, and 64% of all people infected with HIV are 20-39 years old. Projecting the course of the epidemic into the future, 3-15% of the country¿s adults could be infected with HIV in the year 2015, bringing seriously negative demographic and socioeconomic consequences. Madagascar¿s population will, however, continue to grow even should HIV be widely disseminated throughout the country. It is not too late for Madagascar to take measures to avert a major HIV/AIDS epidemic among its peoples.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Síndrome de Inmunodeficiencia Adquirida Tipo de estudio: Health_economic_evaluation / Risk_factors_studies / Screening_studies Aspecto: Determinantes_sociais_saude Límite: Adolescent / Adult / Female / Humans / Middle aged / Pregnancy País/Región como asunto: Africa Idioma: Fr Revista: Bull Soc Pathol Exot Año: 1998 Tipo del documento: Article País de afiliación: Madagascar Pais de publicación: Francia
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Síndrome de Inmunodeficiencia Adquirida Tipo de estudio: Health_economic_evaluation / Risk_factors_studies / Screening_studies Aspecto: Determinantes_sociais_saude Límite: Adolescent / Adult / Female / Humans / Middle aged / Pregnancy País/Región como asunto: Africa Idioma: Fr Revista: Bull Soc Pathol Exot Año: 1998 Tipo del documento: Article País de afiliación: Madagascar Pais de publicación: Francia