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  • Title: [The epidemiology of AIDS].
    Author: Ki-zerbo G.
    Journal: Vie Sante; 1990 Oct; (5):8-10. PubMed ID: 12342928.
    Abstract:
    On April 1, 1990 the World Health Organization (WHO) stated there were 237,110 cases of AIDS among its member states, but the estimated number of cases of infected persons plus those with the disease will probably surpass 6 million by the year 2000. The modes of transmission are sexual, blood and mother to child. Sub-Saharan Africa (SSA) also has heterosexual transmission and is responsible for 80% of all new cases of AIDS worldwide. This tragedy is compounded because the majority of infected persons are women in the fertile ages who will affect the high levels of morbidity and mortality in years to come. 5-10% of infected adult cases and 25% among children are due to blood transfusions in maternity hospitals, to malnourished children and because of malaria. The problem of reusing unsterilized needles and instruments used for sacrifice, circumcision, excisions and other traditional practices has complicated the transmission of AIDS, but it is hard to estimate to what degree. In 1988 WHO stated the 9 East and Central African countries accounted for 2/3 of all infected cases in SSA. West Africa has a lower prevalence with the Ivory Coast and Guinea Bissau at 4% as compared to 12% in Uganda. The discovery of HIV-2 in this area allows for its continued surveillance. The recommended behavior to prevent AIDS until the discovery of a vaccine includes: 1) avoid high risk sex; 2) avoid multiple sex partners; 3) use a condom; 4) strong epidemiological controls in blood banks; 5) use of sterile materials in the laboratories; and 6) provide counseling to AIDS patients.
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