Explosive spread and effective control of human immunodeficiency virus in northernmost Thailand: the epidemic in Chiang Rai province, 1988-99

Explosive spread and effective control of human immunodeficiency virus in northernmost Thailand: the epidemic in Chiang Rai province, 1988-99
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DOI:
10.1097/00002030-200012010-00013
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发表时间:
2000-12-01
期刊:
影响因子:
3.8
通讯作者:
Mastro, TD
Mastro, TD
中科院分区:
医学2区
文献类型:
--
作者:
Kilmarx, PH;Supawitkul, S;Mastro, TD

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人类免疫缺陷病毒 1 型 (HIV-1) 在亚洲的流行比其他大多数地区晚,但随后传播非常迅速。泰国北部地区受到严重影响,是亚洲感染率最高的国家之一。描述了泰国最北部省份清帕尔省艾滋病毒流行的前 12 年。直到 1988 年,清莱才出现艾滋病毒感染的报道,但几年之内,该省一半以上的妓院女性性工作者和六分之一的 21 岁泰国皇家陆军新兵感染了艾滋病毒。经过积极的预防活动后,清莱的感染率有所下降,但艾滋病病例数量仍在增加,并对人口、社会和经济产生了深远的影响。 (C) 2000 Lippincott Williams & Wilkins。
The human immunodeficiency virus type 1 (HIV-1) epidemic began in Asia later than most in other regions but then spread very rapidly. Upper northern Thailand was severely affected, with among the highest infection rates in Asia. The first 12 years of the HIV epidemic in Chiang Pal, Thailand's northernmost province are described. HIV infection was not reported in Chiang Rai until 1988 but, within a few years more than half of the brothel-based female sex workers and one in six of 21-year-old male Royal Thai Army conscripts from the province were HIV infected. Infection rates in Chiang Rai have since declined following an aggressive prevention campaign, but the number of AIDS cases continues to mount, along with profound demographic, social and economic effects. (C) 2000 Lippincott Williams & Wilkins.