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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
The Prevalence of Infection with Human Immunodeficiency Virus over a 10-Year Period in Rural Zaire
New England Journal of Medicine, Volume 318, No. 5, Year 1988
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Description
In 1985 we tested 659 human serum samples, collected in the remote Equateur province of Zaire in 1976, for antibody to human immunodeficiency virus (HIV). Five (0.8 percent) were positive, and HIV was isolated from one of these. Follow-up investigations in 1985 revealed that three of the five seropositive persons had died of illnesses suggestive of acquired immunodeficiency syndrome (AIDS), and two remained healthy but seropositive. In 1986, a serosurvey we conducted using a cluster-sampling technique in the same region showed a seroprevalence of 0.8 percent in 389 randomly selected residents. The seroprevalence in 283 prostitutes was 11 percent. Patients with AIDS were identified in various hospitals in the province. Risk factors for AIDS included a greater than average number of sexual partners and residence outside the area. We believe that the long-term stability of HIV infection in residents of rural Zaire suggests that social change may have promoted the spread of AIDS in Africa. (N Engl J Med 1988; 318:276–9.) © 1988, Massachusetts Medical Society. All rights reserved.
Authors & Co-Authors
Nzilambi, Nzila E.
Democratic Republic Congo, Kinshasa
Mama Yemo Hospital
de Cock, Kevin M.
Democratic Republic Congo, Kinshasa
Mama Yemo Hospital
Forthal, Donald N.
Democratic Republic Congo, Kinshasa
Mama Yemo Hospital
Francis, Henry L.
United States, Atlanta
National Center for Infectious Diseases
Ryder, Robert W.
United States, Atlanta
National Center for Infectious Diseases
Malebe, Ismey
Belgium, Antwerpen
Prins Leopold Instituut Voor Tropische Geneeskunde
Getchell, Jane
Belgium, Antwerpen
Prins Leopold Instituut Voor Tropische Geneeskunde
Laga, Marie W.
United States, Bethesda
National Institute of Allergy and Infectious Diseases Niaid
Piot, Peter K.
United States, Bethesda
National Institute of Allergy and Infectious Diseases Niaid
McCormick, Joseph B.
United States, Bethesda
National Institute of Allergy and Infectious Diseases Niaid
Statistics
Citations: 139
Authors: 10
Affiliations: 4
Identifiers
Doi:
10.1056/NEJM198802043180503
ISSN:
00284793
e-ISSN:
15334406
Research Areas
Infectious Diseases
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Cohort Study