The impact of disaster on HIV in Haiti and priority areas related to the Haitian crisis.

The impact of disaster on HIV in Haiti and priority areas related to the Haitian crisis.
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DOI:
10.1016/j.jana.2010.02.002
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发表时间:
2010-05
影响因子:
2
通讯作者:
Devieux, Jessy G.
Devieux, Jessy G.
中科院分区:
医学4区
文献类型:
--
作者:
Malow, Robert;Rosenberg, Rhonda;Lichtenstein, Bronwen;Devieux, Jessy G.

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艾滋病毒预防界基本上熟悉海地艾滋病毒高流行率的历史。然而,卫生工作者和其他人可能不知道海地对这一流行病作出了强有力的科学和临床反应,也不知道海地流行病的特殊性,这种流行病由于疟疾、结核病和几种被忽视的热带疾病的高合并感染率而变得更加复杂(NTDs; Beau de Rochars et al. 2004; Hotez,Bottazzi,Franco-Paredes,Ault,& Periago,2008; Pape,2004; Streit & Lafontant,2008)。这些感染以发达国家研究人员和从业人员罕见的方式加剧了艾滋病毒预防和治疗的挑战。例如,海地卡波西肉瘤和寄生虫感染研究小组在海地城市地区防治艾滋病毒的公共卫生工作中发挥了重要作用。事实上,GHESKIO在海地的发展使美国艾滋病毒初级保健和研究机构受益匪浅,这些机构是在发现卡波西肉瘤和首次标志着艾滋病流行的不寻常的机会性疾病后成立的。
BackgroundThe HIV prevention community is largely familiar with Haiti's history of high prevalence of HIV. However, health workers and others might not be aware of Haiti's robust scientific and clinical response to the epidemic or the particular character of the Haitian epidemic, which is complicated by high rates of co-infection with malaria, tuberculosis (TB), and several neglected tropical diseases (NTDs; Beau de Rochars et al. 2004; Hotez, Bottazzi, Franco-Paredes, Ault, & Periago, 2008; Pape, 2004; Streit & Lafontant, 2008). These infections compound the challenge of HIV prevention and treatment in ways rarely seen by researchers and practitioners in developed countries. The Haitian Study Group on Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), for example, has been instrumental in Haiti's public health efforts against HIV in urban areas. In fact, development of GHESKIO in Haiti has paralleled US institutions with regard to HIV primary care and research, having been founded after detection of Kaposi's sarcoma and the unusual opportunistic diseases that first signaled the epidemic.
DOI: 10.3844/ajidsp.2009.48.59
发表时间: 2009-01-01
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作者:
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