Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrB654)
Rockstroh JK, Loch O, Helm B, Degen O, Brockmeyer H, Kaiser R; J.K. Rockstroh, Univ. of Bonn, Medizinische Klinik und Poliklinik I, Sigmund-Freud-Str. 25, D-53105 Bonn, Germany, Tel.: +49-228-287 6558, Fax: +49-228-287-5034, E-mail: rockstroh@uni-bonn.de
Objective: To clarify the interactions between HCV- and HIV-infection in 63 HIV/HCV double-infected hemophiliacs and 342 double-infected i.v. drug users. Methods: At baseline and after 6 months, HCV-RNA-levels were determined quantitatively by the Roche Monitor PCR Assay. HIV-RNA, CD4+/CD8+ counts, ALT, AST, cholineste
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrB655)
Soriano V, Kirk O, Antunes F, Johnson M, d'Arminio Monforte A, Teglbjorg LS, Goebel F-D, Lundgren JD; V. Soriano, Service of Infectious Diseases, Hospital Carlos III, Instituto de Salud Carlos III, C/ Sinesio Delgado 10, 28029 Madrid, Spain, Tel.: +34 91 453 25 00, Fax: +34 91 733 66 14, E-mail: vsoriano@dragonet.es
Background: Co-infection with HCV may influence the clinical prognosis in HIV-infected patients. Objectives: To compare characteristics and mortality among patients testing positive/negative for HCV antibody within the EuroSIDA database, in which data from more than 8500 patients from 60 centres across Europe are recor
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrB656)
Landau A, Batisse D, Piketty C, Duong Van Huyen JP, Bloch F, Pialoux G, Belec L, Jian R, Weiss L, Kazatchkine MD; A. Landau, Hopital Broussais, 96, rue Didot, 75674 Paris Cedex 14, France, Tel.: +33 14 395 83 03, Fax: +33 14 395 95 24, E-mail: alain.landau@brs.ap-hop-paris.fr
Background: to evaluate the long term efficacy and safety of a combination therapy of interferon-alpha 2b (IFN) and ribavirin for the treatment of chronic hepatitis C in coinfected HIV-seropositive patients. Methods: Sixty patients coinfected with HCV and HIV were enrolled in an open pros
Background: The objective of the investigation was to study dynamics of virologic and serological indices in HIV infected patients co-infected with hepatitis B (HBV) and hepatitis C (HCV) viruses in response to triple antiretroviral therapy including
Background: Since 1998 HIV-infection widely spread in Moscow Region of Russia (MR). On 01.01.98 in MR were registered 618 HIV-infected persons, on 01.01.99 - 1215, on 01.01.2000 - more than 10000. About 90% of new cases HIV-infection is IVDU. The frequency of HCV markers in HIV-infected patients (pts.) in MR remains u
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrB659)
Zaltron S, Carosi G, Puoti M, Zaltron S, Zanini B, Putzolu V, Delle Foglie P, Quinzan P, Costa P, Marino R, Andreoni M, Stagni G; S.Zaltron, Clinica di Malattie Infettive, Spedali Civili, P.zza Spedali 1, 25123 Brescia, Italy, Tel.: +39 030 399 5671, Fax: +39 030 303 061, E-mail: puoti_brambilla@iol.it
Aims: To assess: efficacy , tolerability, effect on HIV infection of rIFN2a treatment in HIV-HCV coinfected patients. Design: Multicentre, open, randomised, controlled trial aimed to compare rIFNa2a 6 MIU s.c. TW for 12 months with no treatment. Methods: Inclusion criteria were: chronic
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrB702)
Galli M, Ridolfo AL, Gervasoni C, Adorni F, Ravasio L, Gianelli E, Corsico L, Pizzuto M, Piazza E, d'Arminio Monforte A, Moroni M; M. Galli, 'L.Sacco'Hospital, Via G.B. Grassi, 74, 20157 Milano, Italy, Italy, Tel.: +39(0)23560010, Fax: +39(0)23560805, E-mail: masgalli@mailserver.unimi.it
Background: Fat tissue alterations (FTAs) are frequent in women treated with antiretroviral (ARV) drugs and present pleomorphic clinical aspects. Aim of the study was to assess the role of protease inhibitors (PIs) and NRTIs in inducing FTAs in ARV-experienced and naive women. Patients and Methods: A cohort of outpati
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrB703)
Bernasconi E, Boubaker K, Sudre P, Flepp M, Furrer HJ, Haensel A, Hirschel B, Boggian K, Opravil M, Rickenbach M, Telenti A;;; E. Bernasconi, Regional Hospital Lugano, v. Tesserete 46, CH-6903 Lugano, Switzerland, Tel.: +41-91-805 60 22, Fax: +41-91-805 60 31, E-mail: enbernasconi@tinet.ch
Background: To describe the prevalence of fat redistribution and lipid disorders in relation to demographic, virologic, immunologic parameters and to the antiretroviral drugs. Methods: One-month prevalence study of adverse events in HIV-infected individuals participating in the SHCS. Data on abnormal body fat distribut
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrB704)
Lichtenstein K, Ward D, Delaney K, Moorman A, Young B, Palella F, Wood K, Holmberg S; K. Lichtenstein, Columbia Rose Medical Center, 4545 East 9th Ave, Denver, CO 80220, United States, Tel.: +1 303 393 8050, Fax: +1 303 320 1953, E-mail: didc.kal@juno.com
Objectives and Methods: To analyze factors related to physical manifestations of fat redistribution among patients in the HOPS, 1077 (89%) of patients visiting 8 clinics in 7 U.S. cities from 10/98-12/98 were interviewed and assessed by HOPS clinicians. We identified patients with fat redistribution using number and s
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrB705)
Domingo P, Francia E, Torres OH, Montiel JA, Perez A, Ordonez J, Rodriguez J, Sambeat MA, Vazquez G; P. Domingo, Hospital de la Santa Creu i Sant Pau, Av. Sant Antoni M. Claret, 167, 08025 Barcelona, Spain, Tel.: +34 93 291 93 43, Fax: +34 93 291 92 69, E-mail: pere.domingo@cc.uab.es
Objective: To compare body composition, serum lipid profile lipid, insulin secretion, and endocrine measurements in HIV-1-infected patients whose antiretroviral regime differed only in a nucleoside reverse transcriptase inhibitor (NRTI). Patients and methods: Ninety-eight HIV-infected patients on long-term highly activ
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrB709)
Moss V, Sozi C, Seruyange H, Ndaze P; V. Moss, Mildmay International, The Mildmay Centre, PO Box 24985, Kampala, Uganda, Tel.: +256 41 200862, Fax: +256 41 200861, E-mail: vronmoss@hotmail.com
Background: Palliative care is the total active care of a person with a progressive life-limiting condition (such as HIV/AIDS) which is not responsive to curative treatment. Its emphasis is on promoting quality of life through good management of symptoms and medical problems, rehabilitation using an inter-disciplinary
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrB710)
Marston J; J. Marston, Bloemfontein Hospice, PO Box 28391, Danhof, 9310, South Africa, Tel.: +27 51 447 7281, Fax: +27 51 447 7358, E-mail: richardm@intekom.co.za
Issues: Minimum standards of Palliative care for People Living with AIDS (PWAs) need to be defined and tested for the protection of both clients and carers.Whilst the Hospice Association of South Africa (HASA) has developed Hospice standards, there exists a need for evaluating palliative care within hospitals, communit
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrB711)
Raveis VH, Blum N, Aranda-Naranjo B, Alexander C, Hanna B, Patterson E, Rosefield H, Selwyn P; V.H. Raveis, Columbia University, 100 Haven Avenue Ste. 6A, New York, NY 10032, United States, Tel.: +1 212 304 55 63, Fax: +1 212 304 72 68, E-mail: vhr1@columbia.edu
Issues: Although in recent years the death rates from HIV/AIDS have fallen, each year at least 20,000 people die from AIDS in the United States . A new initiative by the HIV/AIDS Bureau in the Health Resources and Services Administration, U.S. Department of Health and Human Services is addressing the emerging challenge
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrB712)
Namulema E, Nabulya C, Baragaine J, Muinda Z; E. Namulema, Mengo Hospital, PO Box 7161, Kampala, Uganda, Tel.: +256 41 270 222, Fax: +256 41 200 861, E-mail: namulema@excite.com
Issues: The proportion of HIV/AIDS patients that become terminally ill or bedridden in Uganda is very high.If Opportunistic Infections are not adequately treated, the likelihood of being ill is high, in the long run these patients lose their jobs as constant abseteeism from duty is also high.They therfore cannot meet t
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrB713)
Mugisha Kemirembe A, Sozi C, Mugisha E, Katuntu D, Bakunda A, Bakunda A, Tumusiime M; A. Mugisha Kemirembe, MildMay International, PO Box 22616, Kampala, Uganda, Tel.: +256 41 200 866, Fax: +256 41 200 861, E-mail: mildint2@infocom.co.ug
Issue:Despite the relatively cheap Institutional support for HIV/AIDS care at Mildmay Centre, HIV/AIDS patients still shy way from the service. The aim of the study was to find out the extent to which social and psychosocial problems affect the provision of quality services at Ugandan Health centres.Description:At the
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrB747)
Hirscgel B, Fagard C, Lebraz M, Tortajada C, Garcia F, Bernasconi E, Battegay M, Gunthard H, Furrer H-J, Vernazza P, Oxenius A, Phillps R, Yerly S, Gatell J, Perneger T, Erb P, Perrin L; B. Hirscgel, Hopital Cantonal, 24, rue Micheli-du-Crest, CH-1211 Geneve, Switzerland, Tel.: +41 22 372 98 12, Fax: +41 22 372 98 20, E-mail: bernard.hirschel@hcuge.ch
Background: HIV-specific immune response (IR) weakens during HAART. Rebounds during treatment (Rx) interruption may stimulate the IR and eventually permit discontinuation of HAART. Methods: Patients on HAART (most of them ART-naive before HAART, without treatment failure, never on NNRTIs, with a viral load (VL)>50 copi
Background: HAART is useful but has also important constrains. Intermittent treatment interruption studies (ITI) may help to cope with such problems but they might represent an important cause of psychological disturbances. Methods: 12 HIV+ patients (pts) receiving antiretrovirals for >2 years were included. All had a
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrB749)
Capobianchi MR, Abbate I, Dianzani F, Turriziani O, Antonelli G, D'Offizi G, Galati V, Pierdominici M, Pandolfi F; M. R. Capobianchi, Via Portuense 292, 00149 Rome, Italy, Italy, Tel.: +39-06-55170434, Fax: +39-06-5594555, E-mail: virology@ats.it
Aim: Nine patients were tested for the presence of cellular membrane molecules (CMPs) on the surface of circulating HIV-1, both before HAART and after controlled therapy suspension. Methods: Virus embedded CMPs were tested with a new, highly sensitive immunocapture method. Plasma samples were applied to immobilized Ma
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrB750)
Altfeld M, Rosenberg ES, Mukherjee J, Eldridge RL, Poon SH, Phillips MN, Brander C, Goulder PJ, Walker BD; M. Altfeld, 149 13th Street, ID Unit, 5th floor, Charlestown, MA 02129-2000, United States, Tel.: +(1)-617-724-2461, Fax: +(1)-617-726-5411, E-mail: maltfeld@partners.org
Early intervention with HAART during acute HIV-1 infection has been shown to augment HIV-1 specific T helper cell responses, but the effects on the breadth and magnitude of CTL responses have not yet been well defined. We assessed epitope- specific CTL responses longitudinally in subjects with treated acute HIV-1 infec
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrB751)
Dithan K, Nsereko D, Male O, Damulira C, Lutaya S; K. Dithan, PO Box 22094, Kampala, Uganda, Tel.: +256 41 774 441 94, E-mail: nithan@hotmail.com
Issue: To explore and utilise potential of the family as care giver and to motivate them for active participation in home based care. Project: During the course of his illness a person suffering from AIDS may move from home to the hospital and back again. It is essential to motivate extended family members to actively
Issue: Using a modular material and problem-based methodology, the Brazilian Aids Programme is developing training courses for nurses working with HIV/AIDS. Description: In 1996 the Brazilian Aids Programme Training Team formulated a modular training course employing problem-based methodology based on the WHO/GPA Manua
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrB753)
Bingham K; K. Bingham, University of Natal, King George V Avenue, Glenwood, Durban 4041, South Africa, Tel.: +27 31 260 1192, Fax: +27 31 260 1252, E-mail: binghamk.mc.und@gwise.mc.und.ac.za
Issues: Statistical data clearly shows the vast impact HIV/AIDS is having on existing facilities in South Africa . Building types being affected include prisons, street shelters, children s homes, hospitals and mortuaties, hospices and educational facilities, while impact is being felt in terms of housing. Most facilit
Objective: To improve home based care delivery to AIDS patients by implementing a training programme facilitated by people living with AIDS. Method: A training package on home based care based on the WHO- care model was adopted for use. Ten (10) PWAs of mixed gender were recruited and trained as facilitators to facilit
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrB755)
Abdollahzadeh F, Moghadasian S; F. Abdollahzadeh, University of Tabriz, Faculty of Nursing and, Midwifery Medical Science, PO Box 1745-347, Tabriz, Iran, Tel.: +98 41 477 379, Fax: +98 41 496 969
Medical Society considers the eradication of small pox and poliomyelitis as its greatest achievement and the incidence of AIDS as its most catastrophic failure in the last half of the 20th century. This disease is not a actual problem in our country on account of the preveiling religious beliefs and moral values. Howev
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrB756)
Hancock M, Ngugi E, Gatua E, O'Keeffe C, Sims R, Rouse D; M.Hancock, Mildmay International, 1 Nelson Mews, Southend on Sea, Essex, SS1 1AL, United Kingdom, Tel.: +017 02 39 44 50, Fax: +017 02 39 44 54, E-mail: mildint@globalnet.co.uk
Issues: HBC is increasingly being seen as a way of meeting the needs of PLWAs in resource-poor countries. They way in which health workers are trained will impact on their ability to provide effective, appropriate care. Courses available are often of short duration and deal with single topic areas. This paper presents
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrB757)
Thoni G, Reynes J, Mercier J, Varray A, Baillat V, Fabre J, Fedou C; G. Thoni, Sport, Performance, Health, Faculte des sciences du sport, 700 av du pic st loup, 34090 Montpellier, France, France, Tel.: +33 4 67 41 57 30, Fax: +33 4 67 41 57 50, E-mail: gilles.thoni@sc.univ-montp1.fr
We investigated whether the two main dysmorphic changes called lipodystrophy could induce distinct metabolic exercise dysregulations. We studied 36 lipodystrophic patients (36.3±1.4 years) divided into two different groups : one group of visceral fat hypertrophic patients (H) visceral adipose tissue (VAT)/total adip
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrB758)
Aznar R, Egido M, Puzo J, Ferrer M, Berdun MA, Lasierra P, Cisneros P; R. Aznar, Hospital San Jorge, Martinez de Velasco, no36, 22071 - Huesca, Spain, Tel.: +34 974 21 11 21, E-mail: raznar@retemail.es
Background: Changes in HIV infected lipid profiles have been described in literature before the introduction of protease inhibitors. The objective of our study is to evaluate the lipid profile of asymptomatic and untreated patients in our area. Methods: Case-control study. Fasting serum samples of 40 asymptomatic HIV
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrB759)
Morlese J, Ware L, Kruger M, Pozniak A, Jackson A, Wooton S, Gazzard BG; J. Morlese, Chelsea and Westminster Hospital, 369 Fulham Road, London, United Kingdom, Tel.: +44 0181 746 5610, Fax: +44 0181 746 5610, E-mail: sandra.mead@chelwest.org
Dyslipidaemia in HIV seropositive patients treated with highly active antiretroviral therapy (HAART) has been extensively described. The underlying derangement remains unclear. We have studied The physiology of the lipid metabolism of individuals treated with HAART was studied measuring lipid absorption, gastrointestin
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrB760)
Seminari E, Pan A, Voltini G, Maserati R, Tinelli C, Meneghetti G, Carnevale G, Testa S; E. Seminari, Istituti Ospitalieri, Infectious Disease Dept, V. Concordia 1 26100, Cremona, Italy, Tel.: +390372405695, Fax: +390372405518, E-mail: ocrkl@tin.it
Background: Patients infected with HIV may be at risk of atherosclerosis, and present evidence of endothelium dysfunction. The risk of development of cardiovascular disease may increase as a consequence of the body composition and metabolic changes known as lipodistrophy , related to PIs use. In the last 2 years there
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrB761)
Mercie P, Thiebaut R, Lavignole V, Morlat P, Malvy D, Dupon M, Ragnaud J-M, Dabis F; P. Mercie, Bordeaux University Hospital, Hospital Haut Leveque, 5 av de Magellan, 33604 Pessac, France, Tel.: +33 5 56 55 64 83, Fax: +33 5 56 55 64 84, E-mail: patrick.mercie@wanadoo.fr
Objective: To study carotid intima-media thickness (IMT) in HIV-1 infected patients to assess the cardiovascular risk and its determinants with special attention to lipodystrophy (LD). Method: Cross-sectionnal survey within the Aquitaine Cohort (southwestern France ) in late 1999. Common (CCA) and bifurcation (BF) caro
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrB762)
Hadigan C, Meigs J, Corcoran C, Basgoz N, Davis B, Sax P, Stanley T, Wilson P, D'Agostino R, Grinspoon S; C. Hadigan, Massachusetts General Hospital, 55 Fruit Street, BUL 457B, Boston, MA 02114, USA, United States, Tel.: +(617) 724-6091, Fax: +(617) 726-5072, E-mail: chadigan@partners.org
Background: The HIV-lipodystrophy syndrome is characterized by increased trunk and neck fat and/or loss of extremity and facial fat. Studies suggest that fat redistribution is accompanied by multiple metabolic abnormalities. We characterized metabolic parameters of affected HIV patients compared to age, sex and body ma
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrC660)
Ettiegne Traore V, Ghys PD, Diallo MO, Vuylsteke B, Anoma C, Hoyi Y, Kadjo JC, Van Damme L, Sanogo A, Roels TH, Laga M; V. Ettiegne Traore, Projet Retro - CI, 01 BP 1712, Abidjan 01, Cote D'ivoire, Tel.: +225 212 541 11, Fax: +225 212 429 69, E-mail: vae4@cdc.gov
Introduction: Safe and effective female controlled methods of protection against HIV are needed. Abidjan is one of the trial sites of an UNAIDS-sponsored randomized double-blind study investigating the potential effectiveness of a vaginal microbicide gel that contains nonoxynol-9. Objectives: To assess socio-demographi
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrC661)
Kilmarx PH, Supawitkul S, Yanpaisarn S, Limpakarnjanarat K, Manopaiboon C, Korattana S, St Louis ME, Mastro TD; P. H. Kilmarx, HIV/AIDS Colloboration, DMS6 Bldg Moph Tivanon Road, Nonthaburi 11000, Thailand, Tel.: +665 374 4486, Fax: +665 371 1827, E-mail: pbk4@cdc.gov
Background: To perform vaginal microbicide clinical trials, potential study population rates of enrollment, condom use, follow-up, and HIV incidence must be well characterized. Methods: We enrolled women from 11 family planning clinics and one postpartum ward in upper northern Thailand into a prospective, observati
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrC662)
Srirak N, Sirirojn B-O, Rugpao S, Srisomboon J, Celentano D, Wongthanee A, Wichajarn M, Nelson K, Khamboonruang C; N. Srirak, PO Box 80 CMU, Chiang Mai 50202, Thailand, Tel.: +66 53 221 966, Fax: +66 53 221 849, E-mail: rhonsrrk@chiangmai.co.th
Background: The major risk for HIV infection in Thailand is sexual transmission. The use of a vaginal microbicide (VM) is a potentially useful prevention strategy for women. However, VM use may directly effect male partners and sexual life. We sought to determine the acceptability of BufferGel, a candidate VM, among se
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrC663)
Howett MK, Wigdahl B, Malamud D, Christensen ND, Wyrick PB, Krebs FC, Catalone BJ; M.K. Howett, M.S. Hershey Medical CenterPO Box 850, 500 University Drive, Hershey, PA 17033, United States, Tel.: +1 717 531 6523, Fax: +1 717 531 0665, E-mail: mhowett@psu.edu
Background: Our laboratories have focused on development of alternative, topical microbicides which would be less toxic than nonoxynol-9 (N-9) and offer a broad spectrum of microbicidal activity against HIV and, especially against human papillomaviruses (HPVs), etiologic agents of cervical cancer. Efforts have concentr
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrC664)
Mansergh G, Marks G, Crepaz N, Murphy S, Miller L, Appleby PR; G. Mansergh, CDC, DHAP Epidemiology, 1600 Clifton Road, Mailstop E45, Atlanta, GA 30333, United States, Tel.: +1 404 639 6135, Fax: +1 404 639 6118, E-mail: gcm2@cdc.gov
Background: HIV infection in men who have sex with men (MSM) continues to occur in many countries throughout the world. Development of an effective topical microbicide for anal intercourse in men could dramatically reduce incidence of infections. The present study examines preferences and intentions to use a potential
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrC665)
Chapman A, Peers EM, Brown CB; A. Chapman, ML Laboratories PLC, 25 Grosvenor Road, St Albans, Herts, AL1 3HW, United Kingdom, Tel.: +44 1727 73 93 00, Fax: +44 1727 83 58 67, E-mail: alanchap@aol.com
Background: Dextrin sulphate, a sulphated polysaccharide, inhibits HIV infection in vitro by binding to a cell surface molecule and blocking viral entry. Formulated as an intravaginal gel (Emmelle?), the compound is being developed as a vaginal microbicide to reduce heterosexual HIV transmission. Methods: To date, two
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrC666)
Louie B, McFarland W, Kellogg T, Liska S, Miller M, Murrill C; B. Louie, San Francisco Department of Public Health, Public Health Laboratory, 101 Grove St. 4th Fl, San Francisco, CA 94102, United States, Tel.: +1 415 554 2800, E-mail: brian_louie@ph.sf.ca.us
Background: Intravenous drug users (IDUs) accessing treatment are used as sentinel populations to monitor the HIV epidemic. Trends in HIV prevalence have been used to identify emerging trends in HIV incidence. However, trends in HIV prevalence do not necessarily reflect trends in HIV incidence. We measured HIV incidenc
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrC667)
Oliveira MT, Caiaffa W, Mingoti S, Fernandez H, Macedo LM, Mafra A, Paiva L, Picinin I, Santos L, Silva R; M. T. Oliveira, Rua Aimors, 2480 sala 604, 30140-072 Belo Horizonte, MG, Brazil, Tel.: +55-31-275-2413, Fax: +55-31-275-2413, E-mail: jelihovs@net.em.com.br
Background: It is crucial to estimate the total number of AIDS cases accurately, aiming to prioritize health actions. In order to know the underreporting of AIDS in adults residents in a City located in Southeast Brazil during 1995-1996, a capture-recapture methodology was used. Methods: Five data sources were used: (
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrC668)
Solomon SS, MCGarvey S, Rodriguez I, Amalraj E, Ganesh AK, Mayer K; S.S. Solomon, 1, Raman Street Tnagar, Chennai 600 017, India, Tel.: +91 44 626 3106, Fax: +91 44 825 6900, E-mail: yrgcare@vsnl.com
Background: We undertook a research to study the stability of Dried Blood Spots collected in the hot and humid field conditions of Southern India and compared their sensitivity and specificity to that of Serum ELISA and Western Blot.
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrC669)
Glynn JR, Buve A, Carael M, Musonda R, Kahindo M, Macauley I, Hawken M, Tembo F, Zekeng L; J.R. Glynn, London School of Hygiene and Tropical Medicine, Keppel St, London WC1E 7HT, United Kingdom, Tel.: +44 207 927 2423, Fax: +44 207 436 4230, E-mail: j.glynn@lshtm.ac.uk
Background: Much of our knowledge of HIV prevalence relies on surveillance in women attending antenatal clinics (ANC). Much less is known about HIV prevalence in men. We have evaluated the accuracy of a new method of estimating male prevalence, by asking pregnant women the age of the father of the child. Methods: HIV
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrC670)
Mekonnen Y, Tsegaye A, Rinke de Wit T, Beyene A, Fontanet A, Sanders E; Y. Mekonnen, PO Box 1242, Addis Ababa, Ethiopia, Tel.: +251 1 753 330, Fax: +251 1 756 329, E-mail: enarp@telecom.net.et
Background: Pregnant women are often used as a sentinel population for HIV surveillance. However, age distribution differs between pregnant women and women of the general population, with more pregnant women in young adult age groups (e.g., 20-30 years), where HIV prevalence tends to be higher. We have studied the effe
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrC671)
Khamboonruang C, Natpratan P, Borwornsin S, Cegielski P, Srirak N, McNeil J, Renzullo P, Benenson M, Beyrer C; C. Khamboonruang, PO Box 80 CMU, Chiang Mai 50202, Thailand, Tel.: +66 53 221 966, Fax: +66 53 221 849, E-mail: rvtu@chm.cscoms.com
Background: To measure HIV-1 incidence in preparation for community based HIV vaccine trials in northern Thailand , we identified and followed two large community cohorts comprising adult residents in districts with know high HIV-1 prevalence around Chiang Mai City. Methods: Peri-urban communities were selected that ha
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrC672)
Zuma K, Gouws E, Williams B, Campbell C, Lurie M; K. Zuma, Medical Research Councul, PO Box 17120, Congella 4013, South Africa, Tel.: +27 031 202 0777, Fax: +27 031 202 0950, E-mail: kzuma@mrc.ac.za
Objective: Migrancy status is generally known to be a risk factor for the spread of HIV. However, little information is available on migrant women. This study aims to asses HIV status amongst self-identified migrant women, to determine the risk factors for infection, and to investigate patterns of migrancy. Method: A
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrC673)
Clark K, Finlayson T, Lavinghouse R, Busch M, Steketee R, Williams A; K. Clark, Center fo Disease Control, 1600 Clifton Road, M-S E46, Atlanta, GA 30333, United States, Tel.: +1 404 639 2085, Fax: +1 404 639 2029, E-mail: kjc4@cdc.gov
Background: U.S. blood donors are screened by interview and laboratory tests. Though testing has improved, it is still possible to miss persons with early HIV infection, who are a risk to the blood supply. Methods: From 1988-98, we collected data on donations positive for HIV-1 antibody at 15 U.S. blood centers. We int
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrC674)
Khonde N, Asamoah-Adu C, Pepin J, Yeboah E, Avorkliyah M, Mensah J, Bekoe J, Homiah S, Newton K; N. Khonde, PO Box 710, Achimota, Accra, Ghana, Tel.: +233 21 241 452, Fax: +233 21 233 340, E-mail: waptcas2@ghana.com
Background: A cross-sectional study was undertaken to describe the epidemiology of HIV infection among sex workers (SW) of Accra, Ghana . Methods: 1257 SW were enrolled between March 97 and March 99. Overall, 50.0% were HIV-infected. Data were obtained on age, duration of sex work (in months), type of sex work (mobile
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrC675)
Vuylsteke B, Ghys P, Traore M, Konan Y, Mah Bi G, Maurice C, Kakou AR, Sanogo A, Diarra J, Roels TH, Laga M; B. Vuylsteke, Projet Retro - CI, 01 BP 1712, Abidjan 01, Cote D'ivoire, Tel.: +225 212 541 11, Fax: +225 212 429 69, E-mail: bbv1@cdc.gov
Introduction: From 1992 to 1998, consistent condom use with clients increased from 20% to 79% and HIV prevalence decreased from 90% to 37% among FSWs in Abidjan, where HIV prevalence in the general population was estimated at 14% in 1998. Clients of FSWs are considered an important bridge population for targeting prev
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrC676)
Soto R, Epinoza I, Meza R, Aldana N, Sevilla A, Guillen A, Jimenez S, Baum M, Amador N; R. Soto, Programa Nacinal De Sida, Calle Peatonal, Edificio Galves Barnes, 20 Piso, Tegucigalpa, Honduras, Tel.: +504 237 3155, Fax: +504 237 3174, E-mail: divsida@ns.paho-who.hn
Background: To determine HIV-1 seroincidence, biological, and behavioral risk factors associated with HIV-1 transmission, and the retention rate in a cohort of female sex workers (FSW); to build the local capacity to implement HIV prevention trials. Methods: FSW who met eligibility criteria and signed informed consents
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrC677)
Carcamo C, Minaya P, Chiong M, Flores R, Rusell K, Galvan R, Chiappe M, Segura P, Negrete M, Leiva R, Sanchez J; C. Carcamo, Procetss, Gregorio Escobedo 774 D, Jesus Maria, Lima 11, Peru, Tel.: +51 1 460 61 57, Fax: +51 1 433 62 32, E-mail: carcamo@u.washington.edu
Issues: It is necessary to determine the status and trends of the HIV epidemic in Per. Sentinel surveillance in specific populations is an affordable and adequate tool for monitoring the HIV epidemic. Description: Universal syphilis screening for mothers at first antenatal control and at time of delivery was implemente
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrC714)
Denning P, Nakashima AK, Wortley P; P. Denning, Centers for Disease Control (CDC), 1600 Clifton Road, Mailstop E47, Atlanta, GA 30333, United States, Tel.: +1 404 639 2044, Fax: +1 404 639 2980, E-mail: pbdo@cdc.gov
Background: Outbreaks of sexually transmitted diseases among HIV-infected men who have sex with men (MSM) have recently been reported in several cities in the United States , suggesting that high-risk sexual behavior may be increasing among these men. Methods: Between January 1995 and December 1998, we interviewed 5,09
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrC715)
Dukers N, de Wit J, Goudsmit J, Coutinho R; N. Dukers, Municipal Health Service Amsterdam, Nieuwe Achtergracht 100, 1018 WT, Amsterdam, Netherlands, Tel.: +31 20 555 5524, Fax: +31 20 555 5533, E-mail: ndukers@gggd.amsterdam.nl
Background: The positive effect of highly active anti-retroviral therapy (HAART) may result in a relapse in sexual risk behavior, increasing the spread of HIV and other sexually transmitted diseases (STD s). We examined among homosexual men (HM) 1) trends in sexual behavior and STD s before and after the introduction o
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrC716)
Stall R, Catania J, Osmond D, Mills T, Binson D, Pollack L, Paul J; R. Stall, CAPS, 74 New Montgomery St, 6th Floor, San Fransisco, Ca 94105, United States, Tel.: +1 415 597 91 55, Fax: +1 415 597 91 25, E-mail: rstall@psg.ucsf.edu
Objectives: To describe the distribution of HIV infection in the first household-based sample (N = 2881) of MSM residents of Chicago, Los Angeles, New York and San Francisco Methods: A household-based sample (N = 2881) of areas of the four cities shown to have a density of MSM residents of 1.6% or greater was taken usi
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrC717)
Jorge S, Russell K, Carcamo C, Negrete M, Paredes A, Galvan R, Chiappe M; S. Jorge, Peruvian STD/AIDS Control Program, Ernesto Montagne 114, Aurora - Miraflores, Lima 18, Peru, Tel.: +51 1 447 2697, Fax: +51 1 332 2295, E-mail: jsanchez@minsa.gob.pe
Issues: The HIV epidemic in Peru is almost exclusively sexually driven, and 48% of all AIDS cases reported in the country through December 1999 correspond to Men who have Sex with Men (MSM). Previous studies in Lima show that this population has a high prevalence; however no data is available for MSM in other cities o
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrC718)
Calzavara L, Burchell A, Major C, Remis R, Corey P, Myers T, Wallace E, Millson M; L. Calzavara, McMurrich Building, 3rd Floor, 12 Queen's Park Crescent West, Toronto, ON M5S 1A8, Canada, Tel.: +(416) 978-4643, Fax: +(416) 971-2704, E-mail: liviana.calzavara@utoronto.ca
Objective: To estimate incidence density by risk category among repeat testers in Ontario s diagnostic HIV-testing database. Methods: Persons who underwent voluntary, diagnostic HIV testing 2+ times in the period between 1992-98 (data unavailable before 1992) were identified using computerized and manual linkage based
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrC719)
Ostrow DG, Fox K, Chmiel JS, Silvestre A, Visscher BR, Vanable P, Jacobson LP, Strathdee SA; D. G. Ostrow, Howard Brown Health Center, 4334 N. Hazel Street, Room 106, Chicago, IL 60613, United States, Tel.: +1 773 525 0246, Fax: +1 773 525 0387, E-mail: dostrow@interaccess.com
Objective: To determine if attitudes towards HAART are associated with unprotected anal sex among HIV- and HIV+ gay men. Methods: Gay men enrolled in the MACS in 1984-85 or 1987-91 underwent semi-annual surveys, HIV tests and laboratory assays. In 1999, men completed a 20-item pre-validated scale on attitudes towards H
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrC720)
Fylkesnes K, Musonda RM, Sichone M, Ndhlovu Z, Monze M, Tembo F, Phiri S, Malamba C; K. Fylkesnes, University of Troms°, Institute of Community Medicine, Seiersbjerget 11a, 5018 Bergen, Norge, Tel.: +47 553 281 04, E-mail: knut.fylkesnes@ism.uit.no
Objectives: Examine trends in HIV prevalence and links to change in sexual behaviour in Zambia . Methods: The data stem from the core national epidemiological HIV surveillance and research system in Zambia: i) the epidemiological HIV sentinel surveillance at antenatal clinics (ESS) being operative since early 1990s; i
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrC721)
Stoneburner R; R. Stoneburner, Corpus Partners Ltd, 4 Chemin des Cotes, 1297 Founex, Switzerland, Tel.: +41 22 776 85 22, Fax: +41 22 776 87 14, E-mail: StoneburnerR@WHO.CH
Background: To perform analyses of HIV trend and behavioral data from countries in East and Southern Africa. To test the hypothesis that HIV prevalence declines in Uganda are unique and associated with different levels of AIDS attitudes and behaviors. Methods: We analyzed HIV prevalence at ANC surveillance sites betwe
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrC722)
Schwarcz S, Hsu LC, Vittinghoff E, Katz M, McFarland W; S. Schwarcz, 25 Van Ness, Suite 500, San Francisco, CA 94102, United States, Tel.: +1 415 554 9134, Fax: +1 415 431 0353, E-mail: Sandy_Schwarcz@dph.sf.ca.us
Background: Declines in AIDS deaths in the United States were first observed in 1996 and attributed in part to use of protease inhibitors (PI) and other antiretroviral therapies (ART). In 1997, the rate of decline of AIDS deaths slowed, suggesting that the effect of treatment may have waned.
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrC723)
Holmberg S, Palella F, Moorman A, Chmiel J, Chan C, Investigators H; S. Holmberg, MSE - 45 CDC, 1600 Clifton Road, Atlanta GA 30333, United States, Tel.: +404 639 61 54, Fax: +404 639 61 27, E-mail: sdh1@cdc.gov
Objectives and Methods: To evaluate recent trends in HIV morbidity and mortality we analyzed data from visits of 5006 patients to 8 private and 2 public HIV clinics (the HIV Outpatient Study [HOPS]) from 1/94 to 9/99. We calculated death and opportunistic infection (OI) rates among 1607 patients with a CD4+ cell count
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrC724)
Gupta S, Dingley SD, Evans BG; S. Gupta, Communicable Disease Surveillance Centre, 61 Colindale Avenue, London NW9 5EQ, United Kingdom, Tel.: +44 181 200 6868, Fax: +44 181 200 7868, E-mail: sgupta@phls.nhs.uk
Background: in 1995, a national CD4 surveillance scheme was initiated with the participation of 55 laboratories throughout England and Wales in order to monitor trends in immunosuppression in HIV infected adults. Methods: Adults with diagnosed HIV infection between 1990 and 1999 who had a record in the CD4 database of
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrC725)
Hanson J, Hassig SE, Rice JC, Farley TA; J. Hanson, Tulane University, 4225 Camp St, New Orleans, LA, 70115, United States, Tel.: +504-568-5013, Fax: +504-568-5760, E-mail: hans117w@yahoo.com
Background: The objective of this study was to assess the determinants of HIV seroconversion in STD clinic patients, specifically the potential role of ulcerative and non-ulcerative STD in HIV transmission. Methods: We conducted a medical record-based analysis of a cohort of individuals attending a New Orleans STD clin
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrC726)
Gwanzura L, Machekano R, Bassett M, Latif A, Mason P, Katzenstein D;;; L. Gwanzura, Dept. of Medical Laboratory Technology, UZ, Box A178, Avondale, Harare, Zimbabwe, Tel.: +263 4 79 16 31, E-mail: dmlt@healthnet.zw
Background: HSV-2 is likely the most common cause of genital ulceration in Zimbabwe and may contribute to increased transmission of HIV. We examined HIV1 and HSV2 co-infection patterns within married couples and associated risk factors. Methods: HIV and HSV2 serostatus of female partners of men participating in an HIV
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrC727)
Moses S, Ngugi EN, Costigan A, Kariuki C, Ronald AR, MacLean I, Plummer FA; S. Moses, University of Manitoba, Dept. of Medical Microbiology, 730 William Avenue, Winnipeg, Manitoba R36, Canada, Tel.: +1 204 789 3357, Fax: +1 204 789 3926, E-mail: smoses@cc.umanitoba.ca
Background: An HIV/STD surveillance program was established in 3 health centres in Nairobi to monitor the impact of an intervention program in the clinics and their catchment areas consisting of: 1) improved primary level STD services; and 2) peer-mediated community HIV/STD prevention programs for female sex workers. M
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrC728)
Kharsany AB, Mahabeer Y, Connolly C, Sturm AW; A.B.M. Kharsany, University of Natal, Dept of Medical Microbiology, Private Bag 7, Congella 4013, South Africa, Tel.: +27 31 260 4395, Fax: +27 31 260 4431, E-mail: Kharsany@med.und.ac.za
Background: GUD is an established risk factor for HIV transmission. In contrast, how HIV infection influences the transmissability of GUD pathogens is unknown. We report on a change in prevalence of GUD in STD clinic attenders from a population with a high prevalence of HIV infection. Methods: A precoded questionnaire
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrC729)
Alami K, Mahjour J, Khattabi H, Bennani A, El Aouad R, Hancali A, Ghidinelli MN; K. Alami, National AIDS Control Programme Ministry of Health, 14, rue Ibn El Haitam, Avenue Oukba, Agdal, Rabat, Morocco, Tel.: +212 7 77 86 25, Fax: +212 7 77 86 25, E-mail: kaalami@sante.gov.ma
Background: Morbidity related to STIs has been constantly increasing in recent years in Morocco , where more than two thirds of reported cases occur in women. Effectiveness of STI services has been improved by introducing syndromic management of symptomatic cases throughout the PHC system. Furthermore, the issue of RTI
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrC730)
Amin A, Sweat M; A. Amin, 30 Cottage Street, Apt. 2, New Haven, CT 06511, United States, Tel.: +1 203 562 7356, Fax: +1 203 562 7356, E-mail: aamin@jhsph.edu
Background: Prompt and effective treatment of STIs is an important intervention for STI and HIV control in India , which is experiencing a rapidly growing HIV epidemic. Among women there is low or delayed treatment-seeking for STIs because they are asymptomatic, or there is low perceived need for treatment.
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrC743)
Porta D, Rapiti E, Forastiere F, Perucci CA; D. Porta, Via S. Costanza, 53, 00198 Rome, Italy, Tel.: +39 0651 686 470, Fax: +39 0651 686 463, E-mail: sida_oer@sirio.regione.lazio.it
Background: After the introduction of the new highly antiretroviral therapies (HAART), differences in the rate of progression to AIDS according to the different AIDS defining event have been suggested. We analysed a HIV prevalent cohort of the Lazio Region in Italy to evaluate the extent of these differences. Methods:
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrC744)
Gaud C, Poubeau P, Contant M, Hemery P, Dessart Y, Arvin Berod C, Beral JM; C. Gaud, CISIH de la Reunion, CHD Felix Guyon, Immunologie Clinique, Route de Bellepierre, 97405 ST Denis Cedex, REunion, Tel.: +262 905 560, Fax: +262 907 726, E-mail: immuno@chd-fguyon.fr
Background: Reunion Island is an Overseas French Territory in the Indian Ocean (pop: 700.000) who benefits from the French Social Security system and of a full access to treatments registered in France . The first HIV case was registered in 1987. There are 2 types of patients: either locally contaminated
Background: It is essential that information about the uptake and impact of HAART is routinely available to those responsible for purchasing and providing health care for HIV infected persons. Accordingly, a new approach to the surveillance of known HIV infected individuals in Scotland has been adopted by the Scottish
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrC746)
Tarwater PM, Munoz A, Mellors J, Gore ME, Margolick JB, Phair J, Detels R; P.M. Tarwater, Dept. Epidemiology JHU Sch of Public Health, 615 N Wolfe Street Rm E7139, Baltimore, MD 21205, United States, Tel.: +1 410 955 4320, Fax: +1 410 955 7587, E-mail: ptarwate@jhsph.edu
Objective: In analyses of the effectiveness of ART in the Multicenter AIDS Cohort Study (MACS), we compared the results obtained by two different methods: adjusting for the duration of HIV infection vs. adjusting for baseline disease markers (HIV-1 RNA and CD4 cell count). Methods: After characterizing treatment eras b
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrC763)
Moses S, Kaul R, Nguge EN, Kimane S, Bwayo SS, Fonck K, MacDonald KS, Temmerman M, Plummer FA; S. Moses, University of Manitoba, Dept. of Medical Microbiology, 730 William Avenue, Winnipeg, Manitoba R36, Canada, Tel.: +1 204 789 3357, Fax: +1 204 789 3926, E-mail: smoses@cc.umanitoba.ca
Background: STI are common in FSWs, increase HIV susceptibility, and are often asymptomatic and difficult to treat promptly. Appropriate antibiotic prophylaxis may therefore reduce STI acquisition, thus reducing risk of HIV infection. We designed a clinical trial to assess if antibiotic prophylaxis reduces HIV acquisit
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrC764)
Deville W, Barakbah Y, Laga M, Didik Y, Trioga RS, Suesen N, Atasiati S; W. Deville, Vrije Universiteit Amsterdam, Vrije Universiteit Amsterdam, van der Boechorstraat 7, 1081 BT Amsterdam, Netherlands, Tel.: +31 20 444 81 66, Fax: +31 20 444 83 94, E-mail: w.deville.social@med.vu.nl
Background: 1-To study the STD rates over one year in Sex Workers (SWs) exposed in different degrees to a peer health education progra-mme. 2- To study the impact of a two-monthly STD screening and treatment programme in women complying with the schedule. Methods: Information was collected among Peer Health Educators
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrC765)
Kambugu FS, Jacobs B, Lwanga A, Ochwo M, Cutler JR, Tifft S, Pool R, Whitworth JA; F.S.K. Kambugu, Ministry of Health, STD/AIDS Control Programme, PO Box 7272, Kampala, Uganda, Tel.: +256 41 53 4074, Fax: +256 41 25 8981, E-mail: cutler@imul.com
Background: HIV/AIDS and sexually transmitted diseases (STDs) are epidemic in Uganda . STDs reversibly enhance the sexual transmission of HIV, hence, improved STD management is a major strategy to prevent sexual transmission of HIV. In Uganda, most men with urethral discharge syndrome (MUD) treat themselves late and se
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrC766)
Kissinger P, Niccolai LM, Miller MD, Myers L, Richardson G, Dorst D, Ayoub M, Farley TA, Peterman TA; P. Kissinger, Tulane University - School of Public Health, HOP, 136 S. Roman Street, New Orleans, Louisiana 70125, United States, Tel.: +1 504 568 7306, Fax: +1 504 568 5313, E-mail: kissing@tulane.edu
Objective: To assess changes in relationships and behaviors after partner notification (PN) for HIV, and to compare these changes to PN for syphilis. Methods: Individuals were eligible if they received PN services for a diagnosis of HIV infection or syphilis or if they were sex partners who were notified of their poten
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrC767)
Mwilima S;;; S. Mwilima, NACOP-Ministry of Health & Social Services, P.O. Box 22331-Bachbrecht, Windhoek, Namibia, Tel.: +264-61-2032198, Fax: +264-61-224155, E-mail: nacp@iafica.com.na
Objective: To evaluate a supervision tool for Syndromic Management of STD, designed by the National AIDS Co-ordination Programme of the Ministry of Health and Social Services. Method: A supervisory tool, consisting of a 2-page checklist was designed by NACOP. This tool was used during joint supervisory visits, carried
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrC768)
Gorter A, Segura Z, Zuniga E, Torrentes R, Sandiford P; A. Gorter, Inst Centroamericano de la Salud (ICAS), Apartado Postal 2691, Managua, Nicaragua, Tel.: +505-2700252, Fax: +505-2770178, E-mail: agorter@ibw.com.ni
Background: Nicaragua is still at an early stage of the AIDS epidemic, when strategies directed at groups with high rates of sexually transmitted infections (STI) are highly cost effective. Methods: In 1995 a programme was designed to increase uptake of health services by sex workers (SW) of Managua, their partners and
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrD678)
Gouws E, Abdool Karim Q, Frohlich J, Abdool Karim S; E. Gouws, Medical Research Council, P.O. Box 17120, Congella (Durban), 4013, South Africa, Tel.: +27-31-202 0777, Fax: +27-31-202 0950, E-mail: eleanor.gouws@mrc.ac.za
Issues: The feasibility of conducting phase III vaccine trials depends on high HIV sero-prevalence and incidence rates, feasibility of long-term follow-up, and the willingness of a community to participate in research.In preparation for phase III HIV vaccine trials in a rural community in South Africa , we
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrD679)
Jermano J; J. Jermano, VaxGen, Inc, 1000 Marina Blvd, 2nd Floor, Brisbane, CA, United States, Tel.: +1 650 624 10 00, Fax: +1 650 624 10 01, E-mail: jjermano@vaxgen.com
Issues: Phase II studies suggest that HIV vaccine efficacy trial volunteers may experience stigmatization (through disclosure of high-risk group membership), discrimination (from misinterpretation of HIV serologic tests), and amplification of risk-taking behavior (due to misperceptions of vaccine efficacy). Based on th
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrD680)
Whittington D, Matsui O, Freiberger J, Pattanayak S, Van Houtven G; D. Whittington, University of North Carolina at Chapel Hill, School of Public Health, Rosenau Hall CB#7400, United States, Tel.: +1 919 966 76 45, Fax: +1 919 966 76 46, E-mail: dale_whittington@unc.edu
This paper presents the first estimates of individual economic demand in a developing country for a vaccine that would provide lifetime protection against HIV/AIDS infection. The results are based on an in-person survey of 240 adults (18-60 years of age) conducted in Guadalajara, Mexico in November, 1999. Responden
Background: Since 1988, IDUs in Bangkok have experienced a severe epidemic of HIV infection with a sustained annual incidence rate of 6%. Previous studies have suggested that this population is highly motivated to participate in HIV vaccine trials. In March 1999, a phase III trial was initiated among 2500 IDUs to evalu
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrD682)
Khamboonruang C, Natpratan P, Borwornsin S, Beyrer C, Srirak N, McNeil J, Renzullo P, Benenson M, Natpratan C; C. Khamboonruang, Office of Communicable Disease Control, Region 10, 447 Lampoon Road, Muang District, Chiang Mai 50000, Thailand, Tel.: +66 53 273 361, Fax: +66 53 271 020, E-mail: chawalit@cm.ksc.co.th
Objectives: In order to mount Phase III HIV vaccine efficacy trials, large numbers of volunteers need to be approached, offered counseling, screened for HIV infection, and retained at high rates. We developed and implemented a Health Fair approach to establish large community-based seroincidence cohorts in northern
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrD683)
Wanjau E, Mays VM, Cochran SD; E. Wanjau, University of California, Department of Psychology, Box 951563, 405 Hilgard Avenue, Los Angeles, CA, United States, Tel.: +1 310 206 51 59, Fax: +1 310 206 58 95, E-mail: ewanjau@ucla.edu
Background: In the quest to develop a vaccine that will prevent new HIV infections, a major concern, in addition to biological efficacy, is that of difficulties in recruiting sufficient numbers of high risk subjects for vaccine trials. Method: We examined factors associated with intentions to volunteer for HIV-related
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrD684)
Luna-Cardena A, Saavedra-Lopez J, Mejia-Fonseca H, Egremy-Men di vil G, Uribe-Zuniga P, Moncada M; A. Luna-Cardena, Astronomos # 38-1, Col. Escandon, Mexico D.F. 11800, Mexico, Tel.: +52 527 373 08, Fax: +52 551 555 83, E-mail: anuar_luna@hotmail.com
Issues: Although the HIV epidemic in Mexico illustrates a mixed pattern of HIV infections, the predominant source of HIV infection is sexual and nearly 90% of infections are found in men. MSM still represent the highest proportion of infected persons in Mexico. Backrooms are closed social spaces that allow for anonymou
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrD685)
Bebbington M, Gray B, McInnes D, Allan B, Bollen J, Prestage G; M. Bebbington, AIDS Council of New South Wales, PO Box 350, Darlinghurst, NSW, Australia, Tel.: +61 9206 2082, Fax: +61 9206 2609, E-mail: mbebbington@acon.org.au
Issues: This action research project was established to research and develop health education interventions for men who use sex on premises venues (saunas, bathhouses and backrooms). The project consisted of three phases including research and development, trial of education strategies and evaluation of education strat
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrD686)
Calzavara L, Haubrich DJ, Ryder K, Myers T; L. Calzavara, Faculty of Medicine, University of Toronto, McMurrich Building, 3rd Floor, 12 Queen's Park Crescent West, Toronto, Ontario M5S 1A8, Canada, Tel.: +(416) 978-4643, Fax: +(416) 971-2704, E-mail: liviana.calzavara@utoronto.ca
Objective: To provide an understanding of how men appraise sex in a bathhouse and its relationship to HIV. Method: 23 men (14 HIV+, 9 HIV-) aged 21 to 59 who have had sex at a bathhouse were selected from the Polaris Seroconversion Study. Polaris is a prospective qualitative and quantitative study of recent seroconvert
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrD687)
Imperial R, Hernandez L; R. Imperial, University of the Philippines Manila, College Of Arts And Sciences, Padre Faura Street, Ermita, Manila 1000, Philippines, Tel.: +63 2 526 58 59, Fax: +63 2 526 91 65, E-mail: reyimp@mail.upm.edu.ph
Issues: While the Philippines currently maintains a low HIV/AIDS prevalence rate, epidemiological studies have shown that it is possible to spread to the general population at increased rates from among identified vulnerable groups - monogamous females and men who have sex with men. This has been shown by the fact tha
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrD688)
Caceres CF, Chequer P; C.F. Caceres, Cayetano Heredia University, Av. Honorio Delgado 430, San Martin de Porres, Lima 31, Peru, Tel.: +51 190 943 83, Fax: + 51 126 405 85, E-mail: ccaceres@upch.edu.pe
Background: The magnitude and significance of the HIV epidemic among men who have sex with men (MSM) in Latin America and the Caribbean (LAC), has not been carefully considered, and its policy implications in the region have not been assessed. Methods: Data from three sources were reviewed: (1) AIDS case reporting to P
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrD689)
Singh KV; K. V. Singh, Development, Advocacy and Research Trust (DART), 143 A, 2nd Floor, Gujar Dairy, Gautam Nagar 110 049, India, Tel.: +911 165 611 28, E-mail: kvsingh1@hotmail.com
Issue: HIV/STD risk reduction amongst resource poor MSM (males having sex with males) in Delhi, India . Description of the Project: MSM are the most discriminated and harassed group without access to medical, health, and other support services. The project methodology is based on 3 important components and principles:
Aim: The purpose of this qualitative study was to describe the caregiving experience from the perspective of girl children involved in home based care of family members living with AIDS. Method: Face to face, in-depth interviews were conducted with 23 rural girls aged 11 to 16 who were secondary caregivers of a relativ
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrD691)
Bischofberger I; I. Bischofberger, Institut of Nursing Science, University Street 25, D-33615 Bielefeld, Germany, Tel.: +49 521 106 48 14, Fax: +49 521 106 64 37, E-mail: irenbischofberger@csi.com
Humour has been discussed as a concept and an intervention strategy in health care professions such as psychotherapy, psychology, nursing, and other disciplines. However, in the HIV and AIDS family care literature, the phenomena of humour is almost non existent. Although positive appraisals for family members during c
Issue: Caring for a Person Living with AIDS is very noble and requires commitment from the caregiver. To care for someone with AIDS is handful of job. A caregiver is a case manager as well. As a caregiver, one has to be well equipped with the skills of giving the practical help and support to someone with AIDS. You oug
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrD694)
Poindexter C; C. Poindexter, Boston University, School of Social Work, 264 Bay State Road, Boston, MA 02215, United States, Tel.: +1 617 353 77 21, Fax: +1 617 353 56 12, E-mail: ccp@bu.edu
Issue: Family members are typically the primary source of emotional and physical support for adults and children with HIV in the U.S.; many of these informal caregivers are parents and grandparents over the age of who are caring for adult children or minor grandchildren with HIV disease. Elderly caregivers face the usu
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrD695)
Bayer R, Oppenheimer G; R. Bayer, Columbia University, 600 West 168th Street, New York, N.Y. 10032, United States, Tel.: +1 212 305 1957, Fax: +1 212 305 6832, E-mail: rb8@columbia.edu
Issues: Early in the AIDS epidemic those physicians who were drawn to the care of patients were motivated by deep commitments stemming from sexual identification, concern for the marginalized and an interest in confronting a grave threat to the public health. In commiting themselves, they had to confront great sufferin
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrD706)
Lloyd-Sherlock P, Barnett T; P. Lloyd-Sherlock, University of East Anglia, Norwich, NR4 7TJ, United Kingdom, Tel.: +44-1603-592 327, Fax: +44-1603-592 327, E-mail: p.lloyd-sherlock@uea.ac.uk
HIV/AIDS is rapidly altering the demographic structure of many societies and threatens to undermine traditional exchange practices. This will be particularly significant for children and older people. Both suffer from forms of vulnerability and the loss of a principal carer can have serious consequences. But older peop
Issues: Young children have become the primary Caregivers in some homes in the slums of Nairobi. The children are assuming the role of being parent in caring for their sick parent and younger siblings. How are these children to cope with all the stresses and pressures that are placed on them as being the Primary Caregi
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrD708)
Maphumulo MN; M.N. Maphumulo, Natal University, P. O. Box 2949, Durban 4000, South Africa, Tel.: +27 835 445 157, E-mail: 981201713@stu.und.ac.za
Issues: Changes in traditional household and community structures, particularly the disintegration of the extended family and kinship based communities as well as lack of supplementary/alternative support structures intensifies the impact of HIV/AIDS. Discription: The aim of this report is to scrutinise the impact of
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrD731)
Mtetwa P, Abrahams J; P. Mtetwa, AIDS Law Project, University of the Witwatersrand, Private Bag 3, WITS; 2050, South Africa, Tel.: +27 11 403 6918/9, Fax: +27 11 403 2341, E-mail: 125ph3mt@solon.law.wits.ac.za
Issues: Throughout the history of the HIV epidemic, lesbians, gay men, transgendered people and bisexuals (lgbt) have been at the forefront of educating society about HIV/AIDS, caring for the sick, burying friends and family members, and advocating for treatment. But today, a greater crisis faces the lgbt communities:
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrD732)
De Groulard M, Sealy G, Russell-Brown P, Wagner H-U, O'Neil C, Camara B; M. De Groulard, CAREC / PAHO / WHO, 16-18 Jamaica Boulevard, PO Box 164, Port of Spain, Trinidad And Tobago, Tel.: +1 868 622 2153, Fax: +1 868 622 9585, E-mail: degroumi@carec.paho.org
Background: Men play a key role in HIV transmission in the Caribbean, being the group most affected (AIDS sex ratio 2:1). Sexual contacts between men appear to be a major contributor. Homosexuality is a criminal offence, highly stigmatised and perceived as a delinquent behaviour. Individuals are driven underground, so
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrD733)
Cochran SD, Mays VM; S.D. Cochran, UCLA School of Public Health, Department of Epidemiology, Box 951772, UCLA School of Public Health, Los Angeles, CA 90095-1772, United States, Tel.: +1 310 206 9310, Fax: +1 310 206 6039, E-mail: cochran@ucla.edu
Background: Many lesbians in the United States have experienced multiple losses due to AIDS. The extent to which these women actively participate in AIDS-related community prevention efforts or experience psychological distress secondary to the epidemic has not been well documented. Method: We examined patterns of AID
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrD734)
Teh YK, Khartini S; Y.K. Teh, University Utara Malaysia, 06010 Sintok, Kedah, Malaysia
Issues: This study tries to gauge the level of HIV/AIDS and condom usage awareness among the transsexuals in Malaysia after much publicity has been given on the issue through the massmedia, and seminars, road shows and out-reach programs organised by Pink Triangle and the Malaysian AIDS Council over the last 10 years.
This study explored how the well-being of the gays and lesbians and bisexuals (GLBs) in Botswana could be promoted. The health and human rights approach that places dignity before rights was selected as a framework for investigation. The respondents ( n = 47) levels of well-being were assessed through a questionnaire
Background: HIV transmission in Chile remains predominantly homosexual. In 1999, men outnumbered women in notified HIV and AIDS cases by 9 to 1, the highest ratio in Latin America. Seroprevalence rates have been estimated at 20-25% among the gay-identified male population of the capital, Santiago. Although most prevent
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrD737)
Gapiya J; J. Gapiya, ANSS, PO Box 4152, Rohero II, Avenue Moso 28, Bujumbura, Burundi, Tel.: +257 24 15 01, Fax: +257 24 15 01, E-mail: anns@cni.cbinf.com
Issues: The National NGO for Support to PWAs in Burundi (A.N.S.S. Burundi) has chosen to have PWAs as testing counsellors. At first, our NGO had set up sensitisation programmes in which PWAs were calling for early testing. Some of our members had been living with HIV for more than ten years. They set an example that yo
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrD738)
Cruz J, Castro L, Romero J, Flores G; J. Cruz, Prosa, Paseo De La Republica 1583 - 2ND FLOOR., Lima 09 -URB. Matellini, PERU, Peru, Tel.: +511-4672502, Fax: +511-2417364, E-mail: juliocruz3@latinmail.com
The problem: Living with HIV/AIDS in Peru is characterized by lack of access to timely information for diagnosis and treatment during the process of the infection,lack of programs for emotional support,absence of a network of health services for HIV+ people;insufficient involment of the people living with HIV in the d
Issue: The low prevalence of HIV infection in the Philippines makes the role of PLHAs particularly important. More than anyone else they convey the message that HIV is real and it can affect anyone. Description: Support from UNAIDS was received by Positive Action Foundation Philippines, Inc.
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrD740)
Feldman R, Maposhere C; R. Feldman, South Bank University, 103 Borough Road, London SE1 0AA, United Kingdom, Tel.: +44 2 7815 5772, Fax: +44 2 7815 8099, E-mail: r.feldman@sbu.ac.uk
HIV positive women have identified the need to consider positive women s reproductive health beyond the context of vertical transmission and antenatal surveillance. Voices and Choices is a research and advocacy project, developed by the International Community of Women Living with HIV/AIDS which attempts to identify an
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrD741)
Tambala MA;;; M. A. Tambala, C/O Naphan, Private Bag 355, Lilongwe, 3, Malawi, Tel.: +265 781 374
Objectives: To asses the effectiveness and impact of HIV/AIDS Education in companies. Methods: 13 Volunteers are employed on a contract basis and are laced in different companies and hospitals. The volunteers are full time counselors and educators on HIV/AIDS. Their responsibilities are sharing experiences of living po
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrD742)
Johnson V, Bain J; V.Johnson, Just Cause, 46 Trinity Place, Albany, New York 12202, United States, Tel.: 518.433.0759, Fax: 518.262.2169, E-mail: vjohn@nycap.rr.com
Issue: How to increase the capacity of African American HIV positive women so that they can participate in the local HIV community planning process as effective community leaders. Description: Catch A Rising Star is a collaborative effort of the Capital District African American Coalition (on AIDS), the Albany Medical
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrD769)
Marques L, Bharti M, Purohit A; L. Marques, FXB-Asha Sadan, E-72 Chitranjarm Marg, C-Scheme, Jaipur, 32005, India, Tel.: +91.141.372.216, Fax: +91.141.360.437, E-mail: rishisaxena@hotmail.com
Issues: Though FXB-Asha Sadan s work has been valued and deemed effective by many, it must be considered an interim and band-aid solution to the real problem of inadequate attention to the issue of orphans on the part of the larger society. In the meantime, the Centre must continue to find ways and means of responding
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrD770)
Swartzendruber A, Schroeder D; A. Swartzendruber, Emory University Rollins School of Public Health, 957 Church Street, Decatur, GA, 30030, United States, Tel.: +404-373-7131, E-mail: zpi7@cdc.gov
The number of children orphaned by AIDS is increasing drastically. It is becoming increasingly difficult for traditional systems of care in sub-Saharan Africa to cope. Few published studies have examined programs to support orphans in countries severely affected by HIV/AIDS. We compare two types of care-taking programs
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrD771)
Kitonsa Namutebi E, Antivelink L, Kajura CA, Opolot JA, Kaleebu P; E. Kitonsa Namutebi, Taso/Uganda Virus Research Institute, Naki Wogo Road POBox 49 Entebbe, Entebbe, Uganda, Tel.: +256 413 200 42, Fax: +256 413 211 37, E-mail: pkaleebu@infocom.co.ug
Background: AIDS has created a number of orphans, it is estimated that there are more than one and half million AIDS orphans in Uganda . While extended families have traditionally taken care of these orphaned children, these traditional structures are increasingly burdened by the number. It is therefore important to s
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrD772)
Foster G, Makufa C; G. Foster, Family AIDS Caring Trust, Box 970, Mutare, Zimbabwe, Tel.: +263 20 616 48, Fax: +263 20 652 81, E-mail: gfoster@healthnet.zw
Background: Indicators of saturation of the extended family safety net are presented using published data. Traditionally, paternal aunts and uncles were the main caregivers. Grandparents and distant relatives are now frequently caregivers due to social change and high orphan prevalence. Measures of safety net strength
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrD773)
Reynolds H, Barnard AE; H. Reynolds, PO Box 331, Cato Ridge 3680, South Africa, Tel.: +27 31 782 14 17, E-mail: gga@wandata.com
Issues: As a result of AIDS in KwaZulu Natlal, hundreds of children are left homeless, abandoned in hospitals or living with elderly relatives who cannot give them adequate care. At present there is no formal service set up in South Africa to cope with this problem. Description: This paper discusses a project running
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrD774)
Osoo G; G. Osoo, PO Box 2381, Kisumu, Kenya, Tel.: +254 3 852 21 00
Background Information: All children in the world whether orphans or not are entitled to their rights which include Survival, Development, Participation and protection. The community structure that is immediately responsible for this is the family where the parents ensure that all the basic needs are accessible to the
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrD775)
Nassozi J, Bunnell R, Nabeta B, Mubangizi J, Musoke N, Bahizi J, Kibuuka M, Kalule J; J.Nassozi, AIDS Information Centre, Musajja Alumbwa Rd Plot 1321, P.O. Box 10446, Kampala, Uganda, Tel.: +256-77-200-529, E-mail: rbunnell@infocom.co.ug
Background: In 1998, 1549 (14%) of couples who presented for voluntary counselling and testing (VCT) at the AIDS Information Centre (AIC) after having sex together were HIV discordant. Maintaining risk reduction within discordant couples presents a special challenge for counsellors and for couples themselves. Methods:
Background: The ignorance of society and health care providers, lack of social support organisations and lethargy of the legal system causes many HIV +ve couples to face social and cultural problems which cannot be discussed and remain simmering below the surface. Method: During periodical counseling sessions at the AI
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrD777)
Sirirojn B, Srirak N, Duengsong C, Upsornthanasombut T, Nagklinkul S, Natpratan C, Khamboonruang C, Beyrer C, Celenatno D; B. Sirirojn, Research Institute for Health Sciences, Chiang Mai University, PO Box 80 CMU, Thailand, Tel.: +66-53-221966, Fax: +66-53-221849, E-mail: plange@loxinfo.co.th
Background: Stable couples rarely use condoms for HIV prevention in daily life. However, it is necessary for HIV-discordant couples to use condoms to prevent sexually transmitting HIV. The aim of this study was to promote and sustain condom use among HIV - discordant couples in a setting with a high prevalence of commu
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrD778)
Kaddu Mukasa AC, Matovu S; A. C. Kaddu Mukasa, The Aids Support Organisation TASO Mulago, PO Box 114 85, Kampala -41, Uganda, Tel.: +256 41 530 034, Fax: +256 41 541 999 Att Wandegeya, E-mail: tasomul@infocom.co.ug
Objectives: To explore the psychosocial problems sorounding discordant couples in Uganda . Method: Information was gathered from individual counselling sessions at Adult & Paediatric ISS clinics. Home visits to homes of discordant TASO clients, reading daily News papers in local & English language. Questionnair
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrD779)
Bagurukira E, Kiwanuka A, Bakaki P, Kamya M, Guay L, Mmiro F; E. Bagurukira, MU-JHU Research Collaboration, PO Box 23491, Kampala, Uganda, Tel.: +256 41 541 044, Fax: +256 41 541 044, E-mail: mujhu@afsat.com
Background: It usually takes time for HIV infection to be transmitted from the index partner to the other, therefore condom use may halt HIV transmission. And yet condom use is poorly accepted or inappropriately used in developing countries. The index partner usually passes infection to the other partner in the process
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrD780)
Gbodossou E; E. Gbodossou, BP 6134, Dakar Etoile, Senegal, Senegal, Tel.: (+221) 832-2850, Fax: (+221) 832-5749, E-mail: erickg@codata.refer.sn
Issue: In sub-Saharan Africa 85% of the population utilize the services of traditional healers. The necessity to train healers as Information, Education and Communication agents is imperative in the battle against HIV/AIDS. Description: Modern medicine is characterized by several deficiencies. WHO recommends 1 physicia
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrD781)
Kabatesi D, King R, Nakyanzi T, Mwebe D; D. Kabatesi, PO Box 21175, Kampala, Uganda, Tel.: +256 41 530 619, Fax: +256 41 530 619, E-mail: msftheta@imul.com
Issues: Traditional healers (THs) are often the first level health care providers accessible to the majority of the population in rural Africa. There is little attention paid to this cadre of health care providers to maximise efforts to control HIV/AIDS. Description: This paper will outline the findings of a consultati
Background: In June 1999 with funds from a public collections initiative coined chain of shillings Programme . TAPWAK started a Western and Traditional Herbal Medicine Clinic at TAPWAK Ugunja, Siaya District. The Programme was to help establish a combined medicinal efficacy or benefit to a population of 500 men and wo
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrD783)
Nnaluyange MS, Kiganda A, Ssebuyira E, Ssekagya Y; M. S. Nnaluyange, Concern Worldwide, PO Box 97, Buwama-Mpigi, Uganda, Fax: +256 481 205 14
Issue: With increasing costs of western drugs and decreasing availability of them in Health Units in Uganda , herbal medicine is seen as an appropriate alternative in addressing some health problems of PWAs in resource poor communities. Description: The herbal medicine project, initiated in the 2 sub-counties of Mpigi
Issue: Traditional Medicine has proven to be beneficial for HIV/AIDS prevention, care and support. Stigma, myth and mystery, however, are hindering progress in the use and development of traditional practices. This is well illustrated in collaboration programmes with modern health practioners. Description: Traditional
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrE651)
Greco D; DirceuGreco, Federal University of Minas Gerais, Rua Goitacazes, 14, 30190-050 Belo Horizonte, Brazil, Tel.: +55 31 848 98 22, Fax: +55 31 273 04 22, E-mail: greco@medicina.ufmg.br
Introduction: vaccines are urgently needed to control HIV but performing trials in the developing world is full of challenges. This urgency is being used in a seemingly concerted effort to lower the standards of the D. of Helsinki especially where it states that best proven methods must be provided to all volunteers. A
Description: HIV vaccine trials, like all medical trials, will have to incorporate the process of informed consent. But most of the guidelines for informed consent have been developed in a Western context and ignore some of the central issues of African culture, and African understandings of personhood. In addition, mu
Issues: This paper will demonstrate how a CAB can bring a community perspective to processes of volunteer recruitment, consent and retention in Phase III trials and that CABs can thereby help management among volunteers and in the community. Mandates exercised by local CABs in a multicentred phase III trial may vary fr
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrE696)
Finlay C, Lupafya E, Nundwe W, Kamanga P, Phiri M; C. Finlay, CCAP Hospital, PO Box 19 Ekwendeni, Malawi, Tel.: +265 339 339, E-mail: balaj@malawi.net
Issues: The increase of dependant children in the community, without extended family support, had been noted over the past decade by programme staff. However the community members did not identify this as a major issue related to the HIV/AIDS epidemic until 1998. The escalating numbers of orphans prompted community mem
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrE697)
Muhyila-Yamba B, Kapwepwe M, Sinyinza M; B. Muhyila-Yamba, Project Concern International, PO Box 32320, Lusaka, Zambia, Tel.: +260 1 228 118, Fax: +260 1 225 741, E-mail: brenda@zamnet.zm
Issue: Communities have begun to realize the need for a collective responsibility in coping with the increasing number of orphans and have also been able to benefit from district counterpart and external partner technical expertise.Project: Project Concern International Zambia (PCIZ) set up a Program of Support to Orph
Background: In 1991, orphan enumeration was carried out in Manicaland Province in Zimbabwe . It was estimated that 6.8% of children under 15 years were orphaned by loss of their father or mother and that there were some 47,000 orphans in the province, with over 99.5% being cared for by their extended family. In 1992 a
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrE699)
Gilborn L, Nyonyintono R, Kabumbuli R, Jaggwe-Wadda G; L. Gilborn, Horizons Population Council 4301, Connecticut Avenue, NW Suite 280, Washington DC, United States, Tel.: +202 237 94 17, Fax: +202 237 84 10, E-mail: Igilborn@pcdc.org
Backgound: As of the year 2000, there are 15.6 million children orphaned by HIV/AIDS in 23 of the most heavily affected countries. In Uganda , approximately I in 4 children under the age of 15 are orphans. This ongoing study conducted by the Horizons Project of the Population Council examines the impact of an orphan su
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrE700)
Monk N;;; N. Monk, 117 Dereham Road, Norwich, NR2 4HS, United Kingdom, Tel.: +44 1603 613 735, E-mail: n.monk@uea.ac.uk
Background: Research commissioned by AFXB will be carried out in February 2000 to assess total numbers and special needs of children orphaned as a result of AIDS mortality, in two sub-counties of Luwero District, Uganda . Methods: Studies of households including orphaned children in two areas will be undertaken to est
Issues: Community home-based care for people with AIDS has been advocated as the best alternative that could reduce hospital bed occupancy by AIDS in-patients. It is deemed that apart from reducing competition for hospital-based care against other diseases, family members and friends can provide affection and psycholog
Issues: The complexity of the HIV/AIDS context needs multi-faceted approaches and continual development. The recent holistic strategy is directed towards the inclusion of the community for full participation, the integration of prevention and care, greater involvement of people with AIDS (GIPA), aiming self-sustainabil
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrE786)
Floyd L;;; L. Floyd, Gauteng AIDS Unit, Gauteng Provincial Government, Private Bag X085, Marshalltown, 2107, Johannesburg, South Africa, Tel.: +27 11 355 33 94, Fax: +27 11 355 33 99, E-mail: anthony_kinghorn@abtassoc.co.za
Issues: While Inter-sectoral AIDS responses are currently advocated, experience with fully developed Inter-sectoral programmes is limited. The presentation aims to share the experience of the Gauteng provincial Inter-sectoral programme. Description: The paper describes the systematic development of a comprehensive, Int
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrE787)
Bonne D; D. Bonne, Northwest AIDS Foundation, Suite 200, 127 Broadway Avenue East, Seattle, WA 98102, United States, Tel.: +1 206 86 62 29, Fax: +1 26 325 26 89, E-mail: dianeb@nwaids.org
Issues: In the USA, HIV prevention system and HIV/AIDS care services system are funded by two separate federal agencies, both of which ask that local community planning groups for prevention and care collaborate with one another. Yet, there are multiple barriers to collaboration, and few models of meaningful collaborat
Issues: This approach takes into consideration that it is not only the health offices that are concerned with HIV/AIDS epidemic and that all the other actors are affected, motably those of the rural world where populations lacking in all information on the prevention and education on HIV/AIDS are concentrated. It devel
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrE789)
Rwomushana J; J. Rwomushana, Uganda AIDS Commission, PO Box 10779, Kampala, Uganda, Tel.: +256 41 273 538, Fax: +256 41 258 713, E-mail: runakuy@hotmail.com
Issue: Effective multisectoral coordination by the Uganda AIDS Commission (UAC) . contributed significantly to successes against HIV/AIDS. The UAC was established in the office of the President in 1990. Re-location of UAC to the Ministry of Health (MoH) was recommended in 1997. The new positioning has potential for gr
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrE790)
Mayorga R, Chiclayo E, Calderon C, Vasquez S, Melindez G, Nunez C, Zelaya E; R. Mayorga, 6 Avenida 1-63 Zona 1, Guatemala City 01001, Guatemala, Tel.: +502 220 13 32, Fax: +502 232 10 21, E-mail: oasis@gua.gbm.net
Issue: In 1998 most countries in Central America started a process of National Strategic Planning on HIV/AIDS, sponsored by UNAIDS and other international cooperation agencies. Involvement of the civil society and of PWAs in these plans has varied in these countries. The experience of the Intersectorial Coordination A
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrE791)
Thomas J, White B, Paxton S, Wong B, Maluwa M, Toh P; J. Thomas, Deakin University, School of Health Sciences/ FHBS, 221 Burwood Highway, Burwood, Victoria 3125, Australia, Tel.: +61 3 92 44 69 35, Fax: +61 3 92 44 65 45, E-mail: joe@deakin.edu.au
This report presents the findings of a four-country ( India , Indonesia , Philippines and Thailand ) consultation with 82 stakeholders consisting of academics, people living with HIV/AIDS, legal experts, AIDS program managers,
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrE792)
Arauz R; R. Arauz, Fundacion Nimehuatzin, UCA 1c. arriba 1c. al Sur No.68, Managua, Nicaragua, Nicaragua, Tel.: +(505) 278-00-28, Fax: +(505) 278-65-34, E-mail: nimehuat@ibw.com.ni
Topic: The promotion of anti-discrimination HIV legislation as a way to create a HHRR and provide a legal and ethical framework to facilitate an adequate response to the epidemic in Nicaragua . Description: A broad-based, participatory method aimed at consensus building was implemented throughout the entire process of
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrE793)
Panebianco Labbe S; S. Panebianco Labbe, Salud y Justicia, Ed. 29, Depto 802. Villa Olimpica, C.P. 14020, Mexico, Tel.: +52 5 606 1810, Fax: +52 5 606 1810, E-mail: petisa@laneta.apc.org
Issues: The legislation review and reform, promoted recently, in order to protect PWA s of discrimination, has proved to be insufficient. However the improvement of law, has been considered an efficient strategy to protect PWA s human rights, discrimination continues, and this changes exists only in law, but haven t af
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThOrE794)
Heywood M; M. Heywood, AIDS Law Projectprivate Bag 3, Wits, 2050, Johannesburg, South Africa, Tel.: 27 11 403 6918, Fax: 27 11 403 2341, E-mail: 125ma3he@solon.alw.wits.ac.za
Issues: In the early years of the AIDS epidemic in industrialized countries much of the discrimination against people with HIV/AIDS was based upon homophobia, moral prejudice and irrationality. By contrast, discrimination and human rights violations in developing countries are increasingly characterized by the prerogat
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB4971)
Wutoh A, Brown C, Alie N, Jones T, Powell N, Kumoji EK; A. Wutoh, Howard University, 2300 4th St. NW, Washington, DC 20059, United States, Tel.: +1 202 806 42 09, Fax: +1 202 806 44 78, E-mail: awutoh@howard.edu
Background: A study was conducted to examine the association between the use alternative therapies, adherence to prescribed antiretrovirals, and viral load among a group of older (>50 years old) HIV-infected adults.Methods: Seventy-five older HIV patients were recruited from two large metropolitan HIV clinics in Washin
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB4972)
Capozzolo A, Castanheira Loderio ER, Nemes Baptistella MI; A. Capozzolo, University of Sao Paulo Medical School, Rua Bitencourt Sampaio 210, Vila Mariana, Sao Paulo 04126-060, Brazil, Tel.: +55 11 572 58 01, Fax: +55 11 306 677 44, E-mail: angeruma@uol.com.br
Background: The visit to the physician plays a crucial role in the care of AIDS patients, and can directly influence their adherence to ARV treatment. This study is part of a broader research that evaluated ARV adherence among users from 27 AIDS outpatient clinics in the State of Sao Paulo, Brazil .Methods:
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB4973)
Nemes Baptistella MI; M. I. Nemes Baptistella, University of Sao Paulo Medical School, Rua Raul Pompeia 251, Sao Paulo - 05021-010, Brazil, Tel.: +55 11 864 85 97, Fax: +55 11 306 674 44, E-mail: mibnemes@usp.br
Background: ARV adherence is a very important issue for the control of AIDS. The Brazilian government guarantees free ARV medication to all HIV+ patients who meet the national consensus criteria.Methods: 8580 adults with at least one ARV prescription were included, involving 27 outpatient clinics. The analysis focussed
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB4974)
Castanheira Lodeiro ER, Capozzolo AA, Nemes Baptistella MI; E. R. Castanheira Lodeiro, University of Sao Paulo Medical School, Rua Raul Pompeia 251, Sao Paulo - 05025-010, , Tel.: +55 11 864 85 97, Fax: +55 11 306 674 44, E-mail: ecastanheira@sti.com.br
Background: Identification of the mechanisms whereby healthcare services affect the level of adherence to treatment might help change the nature of care provided with regard to both the organization of actions taken and the content and mechanisms used to tackle the issue. This paper is part of a broader research that e
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB4975)
Melchior R, Nemes Baptistella MI, Jordan Silva M, Okasaki E, Komatsu CL; R. Melchior, University of Sao Paulo Medical School, Rua Raul Pompeia 251, Sao Paulo - 05025-010, , Tel.: +55 11 864 85 97, Fax: +55 11 306 674 44, E-mail: ecastanheira@sti.com.br
Background: ARV treatment requires that the patient carry out a complex integration of knowledge, acceptance and attitudes. This paper is part of a broader study that evaluated adherence to ARV treatment among people with AIDS in the State of Sao Paulo, Brazil .Methods:34 semi-structured interviews with treatment adher
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB4976)
Nemes Baptistella MI, Souza Marinho MF, Kalichman A, Grangeiro A, Souza Alencar R, Castanheira Lodeiro ER, Lopes JF; M. I. Nemes Baptistella, University of Sao Paulo Medical School, Rua Raul Pompeia 251, Sao Paulo - 05021-010, Brazil, Tel.: +55 11 864 85 97, Fax: +55 11 306 674 44, E-mail: mibnemes@usp.br
Background: Patient and health care services characteristics play an important role affecting adherence. This paper is part of a broader study project that evaluated ARV adherence in 27 outpatient clinics in Sao Paulo State, Brazil .Methods: 8580 adults with at least one ARV prescription were included. A sample of 104
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB4977)
De Truchis P, Bideault H, Linard F, Lancrenon S, Katlama C, De Pina T, Croix P, Lang J-M; P. De Truchis, Hopital Raymond Poincare, Maladies Infectieuses et Tropicales, 104 Boulevard R. Poincare, 92380 Garches, France, Tel.: +33 14 710 77 58, Fax: +33 14 710 77 67, E-mail: p.de-truchis@rpc.ap-hop-paris.fr
Objectives: The objective of this survey was to construct a descriptive picture of the practical difficulties of taking treatment in HIV-infection, and then to propose recommendations for the detection and management of poor compliance observed in populations presenting with multiple adverse social factors. The survey
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB4978)
Rodrigues R, Bregido L, Oliveira D, Rossetti D, Orii N, Casseb J, Duarte A; R. Rodrigues, Universidade de Sao Paulo, Brazil, Tel.: 55 11 3066.7194, Fax: 55 11 881.7190, E-mail: rohc@usp.br
Introduction: Brazilian laws guarantees free public access to ART with over 50,000 patients being supported. Adherence to ART is considered one of the cornerstones of adequate ART. We analyzed the impact of adherence on laboratory and clinical endpoints. Methods: An open cohort of HIV infected patients were followed a
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB4979)
Rodrigues R, Bregido L, Oliveira D, Rossetti M, Orii N, Casseb J, Duarte A; R. Rodrigues, Universidade de Sao Paulo, Ave. Dr. Arnaldo 455, LIM 56 sala 2345, 01246.902, Brazil, Tel.: 55 11 3066.7194, Fax: 55 11 881.7190, E-mail: rohc@usp.br
Introduction: Brazilian laws guarantees free public access to ART with over 50,000 patients being supported. Adherence to ART is considered one of the cornerstones of adequate ART. We analyzed the impact of adherence on laboratory and clinical endpoints. Methods: An open cohort of HIV infected patients were followed a
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB4980)
Bertolli J, Reddington C, Cohen J, Baldillo A, Toye M, Smith D, Kneut C, DeMaria A, Hsu H-W; J. Bertolli, Centers for Disease Control and Prevention, Division of HIV/AIDS Prevention, MS E-46, 1600 Clifton Road, Atlanta, GA 30333, United States, Tel.: +1 404 639 6140, Fax: +1 404 639 6118, E-mail: jub7@cdc.gov
Background: Rigorous adherence to antiretroviral medication regimens is important to achieving and maintaining undetectable viral loads. This study describes current adherence patterns in a population of children with HIV infection in Massachusetts, USA. Methods: Parents/caregivers of HIV-infected children were intervi
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB4981)
Arathoon E, Morales RE, Gudiel A, Rivera BE, Samatoa BE; E. Arathoon, Asociacion de Salud Integral, 1a Avenida 11-19 Zona 1, Guatemala 01001, Guatemala, Tel.: +502 220 8506, Fax: +502 251 6531, E-mail: earathoon@intelnet.net.gt
Objective: To establish a method to monitor adherence with HAART. Material and Methods: Data from a efficacy an tolerance study to HAART, Lamiduvide 150 mg BID, Zidovudine 300 mg BID, Indinavir 800 mg q8h or 1200 mg q12h during a 6 months period.
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB4982)
Waters M, Finkelstein R, French T, Weiss L, Greenberg A, Agins B;;; M. Waters, New York State Dept. of Health AIDS Institute, 5 Penn Plaza, Office of the Medical Director, New York, New York 10001, United States, Tel.: +1 212 268 6062, Fax: +1 212 268 6077, E-mail: mdw01@health.state.ny.us
Background: To determine levels of adherence and variables affecting adherence among patients enrolled in an adherence support program. Method: The NY State Dept. of Health, AIDS Institute funded a coordinated program of 10 demonstration projects to provide innovative models of adherence support to 3000 persons with HI
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB4983)
Grimes R, Easling I, Shahjahan M, Ray S, Rossen R, Miller SM; R. Grimes, Unversity of Texas School of Public Health, RAS 345, P.O. Box 20186, Houston TX 77225-0186, United States, Tel.: +1 713 500 9195, Fax: +1 713 500 9198, E-mail: rgrimes@utsph.sph.uth.tmc.edu
Background: Failing to adhere to antiretroviral regimens is known to result in poor clinical outcomes and drug resistance. Methods: 758 patients from 3 separate cohorts starting one of 4 protease inhibitors (PI) - indinavir, saquinavir ,
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB4984)
Kleeberger C, Jacobson LP, Strathdee S, Detels R, Kingsley L, Phair J; C. Kleeberger, Johns Hopkins University, School of Public Health, 615 N. Wolfe St. Rm E7003, Baltimore, Maryland 21205, USA, United States, Tel.: 410-9554320, Fax: 410-955-7587, E-mail: ckleeber@jhsph.edu
Background: Adequate assessment of adherence to HIV antiretroviral therapy is required for studies of therapeutic effectiveness and identifying subgroups that need focused education. The goal of this study was to describe the level of ART adherence in the MACS and characterize determinants of lower adherence. Methods:
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB4985)
Lopez Martinez C, Ortiz Mondragon R, Moreno Monrroy T, Sierra B, Magis Rodriguez C, Baez Villasefor J; C. Lopez Martinez, National AIDS Council, Ex-Arzopbispado No. 22-B, Col. Observatorio, CP 11830, Mexico, DF, Mexico, Tel.: +52 5 528 58 11, Fax: +52 5 528 42 20, E-mail: clopezm@prodigy.net.mx
Background: The lack of therapeutic adherence is a multifactorial problem, where factors related to the individual, with his environment, and his customs affect. Objective: To identify in a population with HAART the presence of factors that affect the therapeutic adherence. Method: Qualitative, cross-sectional study. P
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB4986)
Jones T, Pillay D, Sabin C, Back D, Wilkins E, Lloyd J, Verbiest W; T. Jones, HIV Care Team, GlaxoWellcome UK Ltd, Stockley Park West, Uxbridge, Middlesex, UB1 1BTT, United Kingdom, E-mail: tj89721@glaxowellcome.co.uk
Background: The cause of ARV treatment failure in HIV infection is multifactorial and may involve poor adherence, low drug levels, resistant HIV strains and other demographic or clinical factors. This study considers relationships between the baseline characteristics of patients attending three adherence clinics in the
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB4987)
Andrews L, Friedland G, Mannheimer S, Morse E, Miller C, Brizz B, Matts J, Reilly N, Clax P, Choudhry N, Child C, Sweeton B; L. Andrews, Yale University School of Medicine, AIDS Program, 135 College Street, Suite 323, New Haven, CT 06510, United States, Tel.: +1 203 785 35 57, Fax: +1 203 737 40 51
Issues: Initiation of and adherence to HAART is central to achieving therapeutic success. Patient readiness to begin therapy is crucial in this therapeutic process. However, precise tools to assess and measure readiness and studies of interventions to help patients attain readiness are lacking. Description: To assess r
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB4988)
Friedland G, Kaplan E; G.Friedland, Yale University, Yale School of Medicine, AIDS Program, 135 College Street, Suite 323, New Haven, CT 06510-2483, United States, Tel.: +1 203 688 69 59, Fax: +1 203 737 40 51, E-mail: gerald.friedland@yale.edu
Background: HAART leads to drug resistance and reduced clinical benefit in nonadherent patients (NAPs). Some propose screening for adherence, and withholding HAART from those screening nonadherent. We evaluate when screening for adherence is reasonable. Methods: Decision-analytic model to evaluate HAART vs screening f
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB4989)
Klosinski LE, Mutchler MG; L.E. Klosinski, AIDS Project Los Angeles, 1313 N. Vine Street, Los Angeles, CA 90028, United States, Tel.: +1 323.993.1521, Fax: +1 323.993.1595, E-mail: mmutchler@apla.org
Objectives: To identify biological, medical, psychosocial, and behavioral factors that predict non-adherence to HIV therapies. Study Design: Cross Sectional, mail administered survey. Method: We analyzed self-reported adherence, demographic, quality of life, health status, sexual behaviors, and drug and alcohol use dat
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB4990)
Tyndall M, Yip B, Hogg R, Currie S, Montaner J, Li K, O'Shaughnessy M, Schechter M; M. Tyndall, British Columbia Centre for Excellence in HIV/AIDS, 608-1081 Burrard Street, Vancouver, British Columbia, V6Z 1Y6, Canada, Tel.: +(604) 806 85 35, Fax: +(604) 806 90 44, E-mail: tyndallm@hivnet.ubc.ca
Objectives: Concerns regarding adherence to antiretroviral therapy (ART) reduces access to treatment among injection drug users (IDUs). We determined the overall coverage, prescription patterns and sustainability of ART among a cohort of IDUs in Vancouver. Methods: The provision of free ART in the Province of British
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB4991)
Luber A, Mulnick J, Raber S, Sherman M; A. Luber, Pacific Oaks Medical Grup, 150 N. Robertson, Beverly Hills, CA 90803, United States, Tel.: +1 310 652 2562, Fax: +1 310 652 2843, E-mail: adluber@earthlink.net
Objectives: The management of HIV infection is dependent upon patient adherence for success. The purpose of this study was to compare adherence rates between BID NLF and NNRTI therapies when given in combination with dual NRTIs. Methods: Prospective, multi-center study utilizing an anonymous modified ACTG adherence sur
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB4992)
Stenzel MS, McKenzie M, Adelson-Mitty J, Flanigan T; M.S. Stenzel, Miriam Hospital/Brown University, 164 Summit Avenue, Fain 3, Providence, RI 02906, United States, Tel.: +1 401 793 5156, Fax: +1 401 455 3485, E-mail: mstenzel@lifespan.org
Background: Directly observed therapy (DOT) effectively increases adherence to tuberculosis treatment. We have developed a pilot program of modified DOT (MDOT) for antiretroviral therapy. Methods: Patients with demonstrated or anticipated non-adherence to HAART were referred by their physicians.
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB4993)
Machado Cardoso E, Kramer B, Costa N, Weska L, De David D, Darela A, Dalle Molle L, Leiva A, Rech A, Celia L; E. Machado Cardoso, Childrens Conceicao Hospital, 30,Auxiliadora, Porto Alegre (City), Rio Grande De Sul (State), Brazil, Tel.: +55 51 99919369 /55 51 337 345, E-mail: ecardoso@zaz.com.br
During the period between June 1st 1999 and August 5th 1999, a survey was applied to 52 adults in charge of bringing children to the Taking Care of HIV/AIDS Children Program. This program takes place at the Hospital da Crianca Conceicao, Brazil . In that sample, 22 (42.3%) had forgotten to give the childs medication at
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB4994)
Roca B, Claramonte B, Rovira RE, Edo MT, Ballester R; B. Roca, Hospital General, Catalunya, 33A, 4, 12004 Castellan, Spain, Tel.: + 34 964 2240854, Fax: unavailable, E-mail: brocav@meditex.es
Background: The determinants, measurements, and interventions to improve adherence to HAART are poorly characterized, and more research on this critical topic is needed. Patient self-report is weakly predictive of adherence; however, an estimate of poor adherence by a patient has a strong predictive value and should b
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB4995)
Unick GJ, Myles JE, Haikalis S, Wukich N, Katz M, Bamberger JD; G. J. Unick, San Francisco AIDS Foundation, 125 6th St., San Francisco, CA 94103, United States, Tel.: +415-487-3030, Fax: +415-344-0107, E-mail: junick@sfaf.org
Background: With adequate adherence, antiretroviral (ARV) medications increase life expectancy and improve quality of life. Offering ARVs to the urban poor is controversial due to fears of low adherence and the concerns of inadvertent transmission of multiple drug resistant HIV. Methods: We developed a storefront progr
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB4996)
Rosenthal S; S. Rosenthal, International AIDS Empowerment Project, 10525 Vista del Sol, #130, El Paso, TX 79925, United States, Tel.: +1 915 833 7010, Fax: +1 915 590 2127, E-mail: skiprosenthal@usa.com
Issues: Due to major strides in treatment, people infected with HIV may live longer, healthier lives. Adherence to medications is often the key factor in the success or failure of these new treatments. The traditional case management model has become obsolete. Case managers, who previously assisted clients with funeral
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB4997)
Hedge B, Stallworthy P; B. Hedge, University of Hertfordshire, Department of Psychology, University of Hertfordshire, Hatfield, Herts AL10 9BA, United Kingdom, Tel.: +44 1707 285077, Fax: +44 1707 284115, E-mail: b.hedge@herts.ac.uk
Background: High levels of adherence to antiretroviral medication regimens are important in minimising the development of drug resistant strains of HIV. For many chronic illnesses self-efficacy is an important predictor of adherence behaviours. This study investigates the predictive value of self-efficacy, relative to
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB4998)
Bartlett J, DeMasi R, Quinn J, Moxham C, Rousseau F; J. Bartlett, Duke University, Duke University Medical Center, PO Box 3238, Durham, NC 27710, United States, Tel.: +1 919 684 64 16, Fax: +1 919 681 84 74, E-mail: jab5@acpub.duke.edu
Background: We previously presented a meta-analysis of the activity of antiretroviral triple therapy regimens in HIV-1 infected, antiretroviral naive adults. Several authors have observed an association between incomplete adherence and increased risk of virologic failure. The present study was designed to evaluate in
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB4999)
Davis J, Myers R, Bay C; J. Davis, Mayo Clinic, 1439 1st ST NW, Rochester, MN 55901, United States, Tel.: +1 507 280 77 23, E-mail: davis.james@mayo.edu
Background: Recently a number of outpatient studies have identified significant factors that predict a patient s likelihood of being non-adherent to antiretroviral medications. Many patients, however, who are most non-adherent use the hospital as their primary medical contact. Methods: We report a simultaneous logistic
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5000)
Gramajo E, Hourcade Bellocq JL; E. Gramajo, A vda Las Heras 2207 4to, 1127 Buenos Aires, Argentina, Tel.: +541 148 053 477, Fax: +541 148 053 477, E-mail: spes@ciudad.com.ar
Issues: Treatment and care of people living with HIV/AIDS in Argentina is guaranteed by law through the three existing health systems: Public, social security and private. People living with HIV/AIDS have access to last generation antirretroviral treatments as well as to laboratory follow-up tests. The treatment proces
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5001)
Martin J, Escobar I, Rubio R, Gutierrez E, Puerta D, Sabugal G, Pulido F, Costa JR; J. Martin, Education and Research Unit, Centro de Salud San Andres, C/ Alberto Palacios 22, 28021, Madrid, Spain, Tel.: +34 91 798 8100, Fax: +34 917 968 409, E-mail: jmartin@gapm11.insalud.es
Objective: To measure the sensibility, the specificity and the predictive value of a test to determine the adherence to the antiretroviral treatment in HIV infected patients. Methods: Crossover study to validate a diagnostic test. We asked to the patient if they had forgotten some pill, some dose of all the medications
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5002)
Rubio R, Martin J, Escobar I, Sabugal G, Alonso JL, Pulido F, Costa JR; R. Rubio, HIV UNIT."12 DE OCTUBRE" HOSPITAL, HIV UNIT, "12 De Octubre" Hospital, Crtra De Andalucia KM 5.400, 28041 Madrid, Spain, Tel.: +34 91 390 8028, E-mail: rrubiog@meditex.es
Objective: To measure the adherence to the HAART in a sample of HIV infected patients by means of the recount of the medication in the Hospital Pharmacy. Methods: Crossover study. We studied a sample of HIV infected people which where receiving HAART for at least six months. They only could take the treatment of the Ho
Objective: To compare the potency of two standard PI including regimens in naive patients in the largest AIDS clinical setting. Methods: 159 naive patients were recruited between September 1998 and August 1999 in the largest Aids Care Unit of Buenos Aires City and 97 of them were randomized to this cohort (10 patients
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5004)
De Montaigne AB, Chauvin P, Parizot I, Lebas J; A. B. De Montaigne, Institut de l'Humanitaire, 33 boulevard de Picpus, 75012 Paris, France, Tel.: +33 1 56 95 02 20, Fax: +33 1 56 95 02 29, E-mail: ab.demontaigne@wanadoo.fr
Background: The main element of the medical care of HIV is adherence to and compliance with antiretroviral (ARV) prescriptions. However, for patients this is only a part of the greater project of living with HIV and maintaining an identity threatened by seropositivity. The aim of this sociological study is to understan
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5005)
Paiva V, Teixeira P, Teixeira P, Shimma E; V. Paiva, NEPAIDS- Univ. de Sao Paulo, av. Prof. Mello Moraes, 1721, Sao Paulo- SP- 05508-900, Brazil, Tel.: +55 11 818 4184, Fax: +55 11 818 4460, E-mail: veroca@usp.br
Issues: Brazil is one of rare countries giving free access to ARV therapy for all AIDS patients. A preliminary large study in Sao Paulo had described adherence rates and factors affecting it. As many initiatives have been conducted to improve adherence, we joined academic efforts, the AIDS State Program and private su
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5006)
Kocsis A, Dobbin D, Blacktop C, Kulasegaram R, Bradbeer C, Chadwick P; A. Kocsis, St Mary's Hospital, Dept. of Health Psychology, Praed St, London W2 1NY, United Kingdom, Tel.: +44 171 886 6640, Fax: +44 171 886 1263, E-mail: akocsis@globalnet.co.uk
Background: Behaviour change(e.g. re: smoking, exercise) is known to be problematical. Rational models cannot explain the irrationality of patients or their subjective conflict. Objective: To create a working `model of adherence for use by patients and by professionals. Method: 30 HIV+ gay males interviewed on adjustme
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5007)
Fourney A; A. Fourney, 1200 Herman Pressler, Houston, TX 77098, United States, Tel.: +1 713 500 94 86, Fax: +1 713 500 91 71, E-mail: afourney@sph.uth.tmc.edu
Background: Adherence to HIV/AIDS therapies has been an important health problem since the early 1980s when AZT was first prescribed as a treatment for HIV/AIDS and it became more important in 1995 with the advent of protease inhibitors . Non-adherence leads to ineffective treatments
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5008)
Powell-Cope G, Rathvon L, Diers A; G. Powell-Cope, James A. Haley VA Hospital, 13000 Bruce B., Downs Blvd. (151), United States, Tel.: +1 813 972 2000, ext. 7074, Fax: +1 813 972 7623, E-mail: gail.powell-cope@med.va.gov
Background: The purpose of this study, the first phase of an instrument development study, was to identify salient beliefs and attitudes about antiretroviral therapy. Methods: The study employed a descriptive design using qualitative interviews with 90 people who had taken antiretroviral medications for at least 4 week
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5009)
Lang L, Bernstein K, Jaeger S, Naggy N, Gertner M, Masci J; L. Lang, Elmhurst Hospital Center, Immunology Clinic, 79-01 Broadway, Elmhurst, NY 11373, United States, Tel.: +1 718 334 16 91, Fax: +1 212 744 25 46, E-mail: llan@pop.nychhc.org
Background: This was a community wide study in an ethnically diverse inner city. The objective was to determine and document the factors that impact on a woman s ability to care for herself and her children when confronted with an HIV+ diagnosis. Method: Anonymous questionnaires were used to gather data on issues previ
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5010)
Bonarek M, Nouts C, Morlat P, Delevaux I, Bonnet F, Lacoste D, Bernard N, Beylot J; M. Bonarek, Saint Andre Hospital, 1, rue Jean Burguet, 33075 Bordeaux Cedex, France, Tel.: +33 556 795 823, Fax: +33 556 795 822, E-mail: mojgan.bonarek@dim.u-bordeaux2.fr
Objectives: To determine prognostic factors associated to treatment failure (TF) in a cohort of advanced HIV-infected pts treated with HAART including Indinavir . Methods: A prospective cohort was set up to study all protease inhibitor-naive HIV-infected adults, who started therapy in 1996. TF time was calculated from
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5011)
Laniece I, Ndoye I, Sow K, Badiane S, Thiam A, Diakhate N, Desclaux A, Ciss M; I. Laniece, PROGRAMME NATIONAL DE LUTTE CONTRE LE SIDA, PO Box 3435, Dakar Medina, Senegal, Tel.: +221 822 9045, Fax: +221 822 1507, E-mail: laniecebissao@metissacana.sn
Issues: A follow up was set up at the pharmacy that delivers antiretrovirals, to evaluate observance and to identify the cases of incidents or accidents among patients under antiretroviral treatment. Description: When filling their monthly antiretroviral prescription (bi or tritherapy), the patients have an interview w
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5012)
Pontali E, Pedemonte P, Toscanini F, De Gol P, Feasi M, Bassetti D; E. Pontali, Department of Infectious Diseases, University of Genoa, Largo G. Gaslini, 5, 16147 Genova, Italy, Tel.: +39 010 563 6455, Fax: +39 010 377 6590, E-mail: pontals@yahoo.com
Background: Correct adherence to antiretroviral therapy is one of the most important variables which determines success of treatment. Adherence to prolonged therapy with different drugs in children presents many difficulties. Taste, palatability, formulation, easy administration, schedule, number of pills and interacti
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5013)
Silva AC, Almeida A, Da Eira M, Scott S; A.C. Silva, Instituto de Infectologia Emilio Ribas, R Fransa Pinto 1255, apto 111B, Vila Mariana, Sao Paulo, Code 04016-035, Brazil, Tel.: +55 115 729 157, Fax: +55 112 808 366, E-mail: accms@uol.com.br
Beckground: To evaluate the adherence to the antiretroviral treatment and to identify the factors that influence the inadequate use the medications. Methods: A questionnaire was applyied to HIV-infected patients followed in the IIER policlinic, evaluating the social and epidemiological profile, level of agreement on th
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5014)
Kunches L, Neill K, DeCristofaro J, Mazzullo J, Sax P, Miller-Mack E, Treadwell T, Miller L, Ramratnam M, Daily J; L. Kunches, John Snow, Inc., 44 Farnsworth Street, Boston, MA 02210, United States, Tel.: +1 617 482 94 85, Fax: +1 617 482 06 17, E-mail: lkunches@jsi.com
Background: Telephone-based interventions have improved treatment outcomes in many chronic diseases and may enhance antiretroviral (ARV) adherence, but their feasibility is untested. Methods: PLWH (N = 103) from 6 collaborating clinics were referred to a toll-free bilingual hotline staffed by nurses when starting a ne
Background: Brazil has a strong public policy that allows the access to ARV therapy to all HIV/AIDS patients that meets the National Guidelines for AIDS treatment. Evaluate the compliance of the patients to ARV therapy and the factor that could affect it is a strategic part of this policy once it will permit the develo
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5016)
Visnegarwala F, Graviss EA, Sajja P, Clinton A, White Jr, Lahart CJ; F. Visnegarwala, Baylor College of Medicine, Room #424, Thomas Street Clinic, 2015 Thomas Street, Houston, Texas-77009, United States, Tel.: +101-713-793-4069, Fax: +101-713-793-4047, E-mail: fehmidav@bcm.tmc.edu
Background/Aim: The benefits of HAART does not extend to all segments of the population. Virological Success (VLS) with HAART is dependant on strict adherence, which is influenced by psychosocial and ethnic factors. We evaluated predictors of VLS (i.e.,> 400 RNA at 6 mths) and rates of VLS among different ethnic groups
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5017)
Cook J, Grey D, Cohen M, Steigman P, Burke J, Max B, Martin E, Reinheimer C; J. Cook, University of Illinois at Chicago, 104 South Michigan Ave., Suite 900, Chicago, IL 60603, United States, Tel.: +1 312 422 8180, Fax: +1 312 422 0740, E-mail: cook@ripco.com
Background: To explore the microbehaviors comprising adherence to combination antiretroviral (ARV) therapies for HIV/AIDS, including pill taking, food/liquid intake, and drug storage requirements in a group of 111 HIV+ women attending an inner-city public hospital outpatient clinic in Chicago, IL. Methods: All women wi
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5018)
Weiss L, French PT, Finkelstein R, Waters M, Kluger M, Agins B; L. Weiss, New York Academy of Medicine, 1216 Fifth Avenue, New York, NY 10029-5293, United States, Tel.: +1 212 822 7298, Fax: +1 212 876 4220, E-mail: lweiss@nyam.org
Background: Strict adherence to HAART is crucial for suppressing HIV and for thwarting the development of resistant viral strains. An evaluation of ten demonstration projects funded by the NYS Dept. of Health AIDS Institute is being conducted to better understand which factors may affect adherence to HAART and what may
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5019)
Murri R, Ammassari A, Gallicano K, De Luca A, Cingolani A, Marconi P, Trotta MP, Wu A, Antinori A; R. Murri, Clinica delle Malattie Infettive, Catholic Univ., Clinica delle Malattie Infettive, L.go A Gemelli, 8, 00168 - Rome, Italy, Tel.: +39 6 3015 4945, Fax: +39 6 305 4519, E-mail: a.ammassari@iol.it
Background: To compare self-reported non-adherence (SRnonA) to HAART with PI plasma level and VL in HIV+ pts; to evaluate its predictive value on subsequent virological failure. Methods: Prospective cohort study on consecutive outpts treated with IDV or RTV; surveys were planned at 1-year interval. Objective measure of
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5020)
Mannheimer S, Schmitz K, Holson N, Hirsch Y, Colson P, Findley S, Hofmann A, El-Sadr W; S. Mannheimer, Columbia University, Harlem Hospital Center, 506 Lenox Avenue, Room 3101 A, New York 10039, United States, Tel.: +1 212 939 2948, Fax: +1 212 939 2968, E-mail: sbm20@columbia.edu
Objective: To determine adherence (adh) with antiretroviral (AR) therapy, reasons for nonadherence, and predictors of nonadherence among HIV-infected individuals in Harlem. Methods: Participants (pts) in an ongoing peer-centered adh intervention study completed structured interviews upon enrollment. Data collected inc
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5021)
Grahame-Smith H; H. Grahame-Smith, Nam Publications, 16a Clapham Common Southside, London SW4 7AB, United Kingdom, Tel.: +44 20 7627 3200, Fax: +44 20 7627 3101, E-mail: henry@nam.org
Issues: Numerous studies have identified the most common reason that people taking HIV therapy give for non-adherence is simply forgetting. Forgetfulness is often linked to a failure to plan for changes in routine. Problems with integrating the regimen into the daily routine and coping with changes in this routine were
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5022)
Fallas R, Herrera, Miranda; R. Fallas, Calle 10 Av.34, Cristo Rey San Jose, Costa Rica, Tel.: +506 227 7710, Fax: +506 227 7705
Background: In C.R, according to the health ministry, 1997 aids cases were reported in November of 1999. Since October, the social security system iniciated an antiretroviral therapy, with all the HIV+ patients from wich approximately 300 are in control at the HCG. A research was done to understand the relation between
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5023)
Nakashima AK, Hanson DL, Dworkin ML, Burgess DA, Wan PT, Courogen MT, Davidson AJ, Pratt JM, Sorvillo F, Jones JL; A.K.Nakashima, Centers for Disease Control & Prevention, 1600 Clifton Road, Mailstop E47, Atlanta, Georgia 30333, United States, Tel.: +1 404 639 20 50, Fax: +1 404 639 29 80, E-mail: alnl@cdc.gov
Background: Because of recent changes in antiretroviral therapy (ART), monitoring access and adherence to ART over time in the HIV-infected population is important. Self-reported data on ART and adherence obtained through surveillance should be validated to assess the reliability of this approach for program planning.
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5025)
Inoue Y, Fukutake K, Hori N, Iwamoto A, Kamiya M, Kojima K, Kuwahara T, Murakami M, Yamamoto Y; Y. Inoue, University of Tokyo, Dept. of Health Sociology, Granduate School of Medicine, 7-3-1 Hongo, 113-0033 Bunky-ku Tokyo, Japan, Tel.: +81 3 3366 3398, Fax: +81 3 3366 3398, E-mail: ship@oak.ocn.ne.jp
Backgound: Although strategy for improving adherence is often indicated to be important with HIV therapy, previous researches have been mostly focused on risk factors (barriers to adherence), not salutary factors (stimuli to adherence). Salutary factors need to be explored for better understandings of adherence. Method
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5026)
Murakami M, Fukutake K, Hori N, Inoue Y, Iwamoto A, Kamiya K, Kuwahara T, Yamamoto Y, Kojima K; M. Murakami, Institute of Medical Science, University of Tokyo, Institute of Medical Science, 4-6-1 Shiroganedai, 108-8639 Minato-ku Tokyo, Japan, Tel.: +81 3 5449 5697, Fax: +81 3 5449 5697, E-mail: odamari@tky2.3wep.ne.jp
Background: Adherence is recognized as one of the important issues in HIV management. We made an attempt to modify the Health Action Process Approach (Schwarzer), which include items for promoting health care behavior. The purpose of this report is to examine the validity of this modified model for adherence, focusing
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5027)
Stone VE, Adelson-Mitty J, Arnsten JH, Davenny K, Schoenbaum EE; V.E. Stone, Memorial Hospital of Rhode Island, 111 Brewster Steet Wood 5, Pawtucket, RI 02860, United States, Tel.: +1 401 729 23 95, Fax: +1 401 729 32 82, E-mail: valerie_stone@mhri.org
Background: Since the advent of highly active antiretroviral therapy (HAART), it has been widely acknowledged that close adherence is necessary to optimize clinical response. However, little is known about HIV providers attitudes regarding adherence and how they enhance adherence to HAART in their practices. Methods:
Background: Guidelines for the Use of Antiretroviral Agents (DHSS-USA, 5/5/1999) assert that using 2 NRTIs alone does not achieve the goal of suppressing viremia . In reality 59% of our patients (pts) in HAART achieved undetectable viremia whereas only 45% of our pts therapy with 2 NRTIs achieve this goal. We analised
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5029)
Hugen P, Burger DM, Langebeek N, Zomer B, van Leusen R, Koopmans PP, Hekster YA; P. Hugen, University Medical Centre St Radboud, 533 Department Clinical Pharmacy, PO Box 9101, Nijmegen 6500 HB, Netherlands, Tel.: +31 24 361 64 05, Fax: +31 24 354 03 31, E-mail: p.hugen@klinfarm.azn.nl
Background: Compliance to PI-containing therapy is crucial, but difficult to measure. Combination of various methods enables the most detailed and accurate analysis of compliance. Methods: Patients > 48 weeks on PIs with an undetectable viral load (non-naives, NN) and patients starting PIs (naives, NA) were included. T
Issues: Social and psychological aspects influence patient s compliance with preventive health care, and some of these aspects have been exhaustively discussed in AIDS primary prevention research. However, concerning antiretroviral drug intake behaviour, mainly the medical issues have been studied. This is important bu
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5031)
Ben Amar M, Morisset R, Ghadirian P; M. Ben Amar, University of Montreal, CHUM, Hotel-Dieu, 3850 St-Urbain, Montreal, Quebec H2W 1T8, Canada, Tel.: +1 514 525 7334, Fax: +1 514 525 4221, E-mail: benamarm@magellan.umontreal.ca
Objectives: To assess the efficacy and safety of GSPH-1, its effects on CD8+ lymphocytes and to determine if a correlation exists between CD8+ cell stimulation and the clinical outcome of HIV-infected subjects. Methods: GSPH-1, an oral vegetal preparation, was administered to 10 HIV-infected patients with CD4 counts ra
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5032)
Levy Y, Goujard C, Delfraissy JF, Aboulker JP, Capitant C, Bouchenafa K, Durier C, Viard JP; Y. Levy, Hopital Henri Mondor, 51 avenue Mal de Tassigny, 94010 Creteil, France, Tel.: +33 1 49 81 24 55, Fax: +33 1 49 81 24 69, E-mail: yves.levy@hmn.ap-hop-paris.fr
Objective: to assess the tolerance and long term immunological effect of IL-2 therapy. Methods: ANRS 048 was a randomized trial over 56 weeks of ART ( AZT + ddI ) alone (arm 1, n = 26) or in combination with I
Objectives: To assess changes in CD4 counts, plasma viral load (pVL)and CK / ChK profiles under IL-2 therapy in patients with low CD4 and multiresistant virus. Methods: 4 patients were given a total of 9 cycles of IL-2. Mean baseline (BL) CD4 was 97/ul. 3/4 had multiresistant virus and and measurable VL (300-7500)at B
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5034)
De Paoli P, Zanussi S, Bortolin MT, D'Andrea M, Tirelli U, Nasti M, Vaccher E, Giacca M; P. De Paoli, Oncology Reference Center, via Pedemontana Occidentale, 12, 33081 Aviano Pordenone, Italy, Tel.: +39 434 659 421, Fax: +39 434 659 402, E-mail: micro@ets.it
Background: The evaluation of efficacy of antiretrovirals by proviral load is dependent on how the viral burden is expressed. Measurements of HIV-1 DNA in peripheral blood (pb) and in the lymphoid tissue (lt) performed in our study, permit us to present a more extended picture of how the HIV reservoir is affected duri
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5035)
Martin T, Deresinski S, Carabasi M, Amado R, Swindells S, Scadden D; T. Martin, SyStemix, Inc., 1651 Page Mill Road, Palo Alto, CA 94304, United States, Tel.: +1 650 813 5055, Fax: +1 650 813 5094, E-mail: tyler.martin@pharma.novartis.com
Background: Hematopoietic Stem Cells (HSC) based gene therapy has the potential to treat HIV-1 infection via 2 mechanisms. The first is transgene-mediated inhibition of viral replication. The second is immune restoration as transgene-protected cells repopulate the immune system. SyStemix has developed a gene therapy p
Back ground: Pwa s have a diet problem in Zimbbabwe hence UNICEF and other NGO s prepare basic nutrition programmes which can be used by even the underprivilleged Pwa s in the community. Method: Eating for health is the vital key to long term survival. On our local community Pwa s study we find that 30% of the Pwa s o
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5037)
Cadafalch J, Remacha A, Sarda P, Barcelo M, Fuster M, Sambeat MA, Guardiola JM, Domingo P, Vazquez G; J.Cadafalch, Hospital De Sant Pau, Hospital De Sant Pau, San Antoni M Claret, 167, 08025-Barcelona, Spain, Tel.: +34 93 291 91 31, Fax: +34 93 291 91 78, E-mail: jcadafalch@hsp.santpau.es
Response to B12 and folate treatment according to homocysteine levels in HIV infected patients Background: Low vitamin B12 (LB12) and low red cell folate (LRCF) are often found in HIV-Infection patients (pts), however a real vitamin B12 deficiency is rare in the clinical setting, by contrast LRCF reflects in most cases
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5038)
Cafaro V, de Guzman C, Gary D, Hamel E, Slaker R, Lange M, Lapins D; V. Cafaro, Wellspring Medical Group, 45 Castro, San Francisco, CA 94114, United States, Tel.: +1 415 437 54 33, Fax: +1 415 437 54 34
Background: To analyze clinical outcomes for patients (pts) receiving somatropin stratified by prior treatment (tx) for AIDS-related wasting. Methods: Clinical Partners (CP) is a national disease management company providing data support and HIV case management for managed care organizations. The CP database contains c
Objective: To investigate the relationship between oral conditions and nutrition among people with HIV/AIDS in Japan . Methods: In twenty Japanease patients infected with HIV-1, the oral conditions were measured for dental caries sensitivity (by using Dentocult SM, Dentocult CA, Dentobuff Strip, chewing gum tests) and
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5040)
Estrada V, Martinez-Larrad MT, Gonzalez-Lopez A, Tellez MJ, de Villar N, Perez Barba M; V. Estrada, Medicina Interna, Hospital Clinico San Carlos, 28040 Madrid, Spain, Tel.: +34-913303538, E-mail: vestradap@medynet.com
Background: Protease inhibitors (PI) have been involved as a main cause of lipodistrophy syndrome but the exact mechanisms are still largely unknown. PI may have an independent role in metabolic disturbances, but its role in fat maldistribution is unclear. Methods: Cross-sectional study of 41 HIV patients on PI, with
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5041)
Rowland J, Jackson AA, Godfrey R, Foley E; J. Rowland, Southampton Hospitals, Dept. of GU medicine, Brinton's Terrace, Southampton, Hampshire, United Kingdom, Tel.: +44 017 0382 5152, Fax: +44 017 0382 5122, E-mail: jpr296@soton.ac.uk
Introduction: The nutritional status of HIV positive individuals is paramount, as access to ART is limited and intervention is likely to be a feasible and cost effective health measure. This study aimed to address the relationship between nutritional status,HIV infection and treatment response in a cohort of Ugandan HI
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5042)
Malaba L, Mbuya N, Miller M, Stoltzfus R; L. Malaba, ZVITAMBO PROJECT, 21 Van Praagh Avenu, Milton Park, Harare, Zimbabwe, Tel.: +263-4-781-532, Fax: +263-4-708-413, E-mail: zvitambo@icon.co.zw
Anemia is a frequent complication of HIV infection. It is associated with a 2 to 3 fold increased risk of death, which increases as the severity of the anemia increases, and which decreases when the anemia is treated and corrected. Administration of zidovudine (ZDV) to HIV+ pregnant mothers is effective in re
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5043)
Kotler D, Lan SJ, Engelson E, Agin D, Gallagher D, Wang J; D. Kotler, St. Luke's-Roosevelt Hospital Center, Room S & R 1301, 1111 Amsterdam Ave, New York, New York 10025, United States, Tel.: +1 212 523 36 70, Fax: +1 212 523 36 78, E-mail: DPKotler@aol.com
Background: Alterations in body fat distribution are a common problem in HIV-infection and may lead to adverse consequences. Computerized tomography (CT) or magnetic resonance imaging (MRI) can accurately measure fat distribution and its change. The validity of anthropometry for detecting change in fat distribution in
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5044)
Ernst J, Heiser C, Fineberg N, Cuff P, Dinu M, Chintea O, Vasile R, Mullinax M, Matusa R; J. Ernst, Indiana University School of Medicine, Ball Residence Hall 112, 1226 West Michigan Street, Indianapolis, Indiana, 46202-5180, United States, Tel.: +1 317 274 9901, Fax: +1 317 278 3940, E-mail: jernst@iupui.edu
Poor growth and wasting are common in pediatric HIV disease, especially in limited resource areas. Over 1 year, diet quality and the effect of an added 480 ml milk/d (+MILK), on growth and body composition of HIV+ children living at a family style care orphanage, were evaluated. Changes in nutrient intake and anthropom
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5046)
Musiitwa RJ, Luboobi W, Senabulya M, Kamya MJ; R. J. Musiitwa, Taso Entebbe, PO Box 235, Entebbe, Uganda, Tel.: +256 41 320 343, E-mail: tasebb@infocom.co.ug
Background: Limited medical resources, an increase in Aids patients with varying manifestation, aromatherapy was introduced with the main objective of improving the conditions of people living with HIV/AIDS. Method: In 1998 at TASO Entebbe, 240 clients were recorded and reported to have used the Therapy. To determine t
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5047)
Sommers B, Porter K; B. Sommers, AIDS Care Project, 6th Floor, 140 Clarendon Street, Boston, MA, 02116, United States, Tel.: +1 617 859 30 36, Fax: +1 617 859 09 65, E-mail: bsommers@aidscare.org
Backround: Although clinical trials evaluating efficacy remain costly and controversial, implementing other types of epidemiological studies should be explored. Study designs such as cohort approaches and outcomes research can provide valuable information and insight into the clinical utility of acupuncture treatment f
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5048)
Porter K, Sommers B; K. Porter, AIDS Care Project, 6th Floor, 140 Clarendon Street, Boston, MA 02116, United States, Tel.: +1 617 859 30 36, Fax: +1 617 859 09 65, E-mail: kporter@aidscare.org
Issue: People living with HIV/AIDS deserve equal access to holistic therapies such as acupuncture, herbs, chiropractic and massage regardless of their race, ethnicity, sexual preference, gender identitiy, language or ability to pay. Description: In response to the need for access to integreative therpies, our clinic wa
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5049)
Mealy R, Jordan R. N. D; R. Mealy, Carl Vogel Center, 1012 14th Street NW, Suite 707, Washington DC, 20005, United States, Tel.: +1 202 638 07 50, Fax: +1 202 638 07 49, E-mail: cvc@erols.com
Issue: Although allopathic or orthodox medical treatments of HIV such as Highly Active Antiretroviral Treatment (HAART) have made incredible progress in recent years, many PLWAs continue to experience adverse HIV-related impact in a variety of areas. HIV directly and indirectly effects almost every sphere of the infect
Background: Since years we know, that moderate and regularly sport activity has a positive effect on the quality of life. Earlier investigations with HIV-1 people show mixed results, that an exercise program combining aerobic and progressive resistance training provides synergistic benefits for the cardiovascular, musc
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5051)
Popov A, Kucherenko ET, Fomichev SV, Palatova LF, Cherkasov VA; A. Popov, Kuibysheva street 39, 614000 Perm, Russian Federation, Tel.: +7 3422 90 44 10, Fax: +7 3422 45 25 47, E-mail: aidscentr@psu.ru
Background: Russia faced an explosive epidemic of HIV-1 infection spreading among injecting drug users (IDUs). Majority of this risk group individuals consume artificial drugs. The use of these drugs and non sterile syringes very often lead to different infections of skin and/or subcutaneous fat in place of narcotic i
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5052)
Odongo EA, Kavaka V W; E.A. Odongo, Women Fighting AIDS in Kenya, PO Box 35168 Nairobi, Nairobi 254 02, Kenya, Tel.: +254 2 217 039, Fax: +254 2 243 164, E-mail: wofak@iconnect.co.ke
Background: Women Fighting Aids in Kenya held its 1st Seminar on Traditional Medicine and HIV/AIDS on 5th-6th november 1999 in Western Kenya. The Seminar brought together traditional healers, The Ford Foundation (Nairobi Office) Researchers, people living with HIV/AIDS and other organisations, that over 35 participants
Issue: To examine how traditional medicines (Herbs) and spirituality interact in the treatment of Kenyan Luo people living with HIV/AIDS. Decription: A cohort of 50 mixed group of people living with HIV and using alternative therapies for Treatment were sampled. Interviews, observations, and focused group discussions w
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5054)
Kendall T, Braitstein P, Chan K, Waselnuk G, O'Shaughnessy MV, Hogg RS, Montaner JG; T. Kendall, British Columbia Persons With AIDS Society, 1107 Seymour Street, Vancouver, British Columbia, V6B 5S8, Canada, Tel.: +1 11 604 893 2274, Fax: +1 11 604 893 2251, E-mail: tamilk@parc.org
Kendall TR, Braitstein P, Chan K, Waselnuk G, Montaner JG, O Shaughnessy MV, Hogg RS. BC Centre for Excellence in HIV/AIDS and BC Persons with AIDS Society, Vancouver, British Columbia Objective: To determine the sociodemographic and clinical characteristics of persons who report using meditation as a complementary the
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5055)
Braitstein P, Kendall TR, Chan K, Montaner JS, O'Shaughnessy MV, Hogg RS; P. Braitstein, British Columbia Persons with AIDS Society, 1107 Seymour Street, Vancouver, British Columbia, V5B 5S8, Canada, Tel.: +1 11 604 893 2239, Fax: +1 11 604 893 2251, E-mail: paulab@parc.org
Objective: To determine the sociodemographic and clinical characteristics of persons who report using marijuana as a complementary therapy in the 1998/99 Drug Treatment Program Participant Survey and to examine associations between participant characteristics and marijuana use. Methods: The British Columbia (BC) HIV/AI
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5056)
Kendall T, Braitstein P, Chan K, Montaner J, O'Shaugnessy M, Hogg R;;; T. Kendall, British Columbia Persons With AIDS Society, 1107 Seymour Street, Vancouver, British Columbia, Canada, Tel.: +1 11 604 893 2274, Fax: +1 11 604 893 2251, E-mail: tamilk@parc.org
Objective: To determine sources of information about complementary/alternative medicine (CAM) and patterns of accessing health care providers among 1998/99 Drug Treatment Program participants who report using CAM. Methods: The British Columbia HIV/AIDS Drug Treatment Program (DTP) distributes, at no charge, antiretrovi
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5057)
Vaidya S, Deshpande A; S. Vaidya, Grant Medical College, Sir J JHospital, B-101,Nirman Vihar, Rajmata Jijabai Road,Pump House, Andheri East, Mumbai-400 093, India, Tel.: +91 22 8354563, Fax: +91 22 3703696, E-mail: satishvaidya@hotmail.com
Background: The latently infected CD4 cells imply long-lived reservoirs of HIV where ARV fails to reach. Soon it was realized that ARV alone may not be a sufficient therapeutic option. The need for immune restoration by cytokines or other cytokine inducers/modulators is being explored. Methods: A low cost immunorestora
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5058)
Dr. Kennedy-Oji C, Dr. Coutsoudis A, Dr. Kuhn L, Dr. Pillay K, Dr. Stein Z, Dr. Coovadia H; C.Dr. Kennedy-Oji, Columbia University, 600 W. 168th Street, New York, N.Y. 10032, United States, Tel.: +718 293-8001, Fax: +212 305-2426, E-mail: cmk24@columbia.edu
Objective: Among HIV-1 infected pregnant women, nutritional factors which may influence maternal weight are not well understood. Of particular interest is the role of vitamin A. In this study we examined what effect, if any, vitamin A supplementation had on maternal weight and weight gain during pregnancy and 3 months
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5059)
Bora P, Bora A, Singh H, Bora D; P. Bora, HIV-AIDS I&G CentreMumbai-400075, Maharashtra, India, Tel.: +91 22 516 58 93, Fax: +91 22 516 35 90, E-mail: hiv_aids_igcentre@hotmail.com
Background: With the aim of finding out, an effective, affordable & accessible therapy for AIDS; clinical study was undertaken along with study of surrogate markers of CD4 CD8 counts and viral estimation to evaluate the efficacy of Ayurvedic formulation. Methods: A clinical study of efficacy was conducted in .25 pa
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5060)
Jaegel Guedes E, Wolf E, Gersbacher E, Lydtin D, Pascucci R, Moser Juenemann C, Jaeger H; E. Jaegel Guedes, KIS-Curatorium for Immunedeficiency, Mozartstr.3, 80336 Muenchen, Germany, Tel.: +49 895 998 933, Fax: +49 895 998 9353, E-mail: mucres@aol.com
Rationale/Objectives: Hydroxyurea s (HU) position in anti-HIV treatment remains controversial. Now it s to assess toxicity, immunological, virological and clinical efficacies of HU in combination with the 2 NRTIs d4T / ddI in ART-naive patients (pts) in compa
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5061)
Greiger-Zanlungo P, Blick G, Garton T, Finkelstein J; P. Greiger-Zanlungo, The Mount Vernon Hospital, 12 North Seventh Avenue, Mt. Vernon, NY 01550, United States, Tel.: +914-664-8000 ext. 3451, Fax: +914-664-2416, E-mail: greigerpmd@aol.com
Background: Several metabolic complications have been reported in HIV patients (pts) on highly active antiretroviral therapy (HAART) including body shape change, elevations in glucose levels & liver function tests (LFTs). Often pts refuse a Protease Inhibitor (PI) as part of their regimen to avoid these effects. We
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5062)
Koch J, Tuveson J, Carlson T, Schmidt J; J. Koch, University of California San Francisco, San Francisco General Hospital, 1001 Potrero Ave, 3D, San Francisco, CA 94110, United States, Tel.: +1 415 206 4753, Fax: +1 415 641 0745, E-mail: hannes@itsa.ucsf.edu
Objective: To investigate the long-term efficacy of SB-300 (SB-Normal Stool FormulaTM), a natural botanical in patients with HIV and chronic diarrhea. Methods: Subjects with HIV and pathogen-negative chronic diarrhea discontinued all anti-diarrheal agents >24-hr prior to a 48-hr screening period. Subjects with an avera
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5063)
Chakraborty J, Duggan J, Peterson W, Schutz M, Khuder S, Tinwalla A; J. Chakraborty, Medical College of Ohio, c/o Judy Suleski, Dept. of Physiology, 3035 Arlington Avenue, Toledo, OH 43614-5804, United States, Tel.: +1 419 383 41 41, Fax: +1 419 383 61 68, E-mail: jsuleski@mco.edu
Issues: Use of CAM is increasingly seen among patients with HIV. Many aspects regarding CAM use in an HIV+ population remain unknown. We investigated use of CAM among HIV+ patients. Description: We surveyed 191 patients from Aug-Nov 1998 regarding their use of CAM. 169 (88%) were male, 124 (65%) were Caucasian, and 133
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5064)
Celano A, Orofino GC, Altini P, Massarenti P, De Ferrari G, Bruschetta G; A. Celano, Associazione Arcobaleno AIDS, Via Caprera 46/D, 10136 Turin, Italy, Tel.: +39 11 363 087, Fax: +39 11 363 087, E-mail: hptel@tin.it
Issues: about 30 % of HIV-positive people assume NATC therapies often without informing their infectivologist fearing a negative reaction towards NATC remedies. A combination of HAART and anti-oxydants (AOx) seems to be effective in reducing HAART adverse drug effects. Other studies underlined the prognostic value of a
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5065)
Edwards A; A. Edwards, Alternaid Systems, 101 South Clark St., Gallup, NM 87301, United States, Tel.: +1 505 379 8494, Fax: +1 505 332 2103, E-mail: alternaid@hotmail.com
Issues: Acupuncture and Chinese Herbology have gained acceptance as supplements to standard HIV/AIDS treatments in the United States. There is currently little research documenting effectiveness for this use since it is difficult to conduct double-blind studies. Most of the current literature has not attempted to asses
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5066)
Kipanda M, Kyeyune P, Nakyanzi T; M. Kipanda, Theta Post Office, PO Box 21175, Kampala, Uganda, Tel.: +256 41 532 930/ 530 619, Fax: +256 41 530 619, E-mail: msftheta@imul.com
Issue: A baseline survey undertaken by THETA (1998) in Kamuli, a rural district of Uganda revealed that THs are largely regarded as primary health care providers by their communities. 90% of the THs interviewed also mentioned that they have herbal therapies that are effective against HIV/AIDS opportunistic infections i
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5067)
Parham D, Sharma R, Milberg J, Scott F; D. Parham, HRSA-HIV/AIDS Bureau, 5600 Fishers Lane, Suite 7-90 Parklawn Building, Rockville, MD 20857, United States, Tel.: +301-443-0493, Fax: +301-443-1839, E-mail: dparham@hrsa.gov
Background: While there is continued debate at what stage to initiate antiretroviral therapy for individuals who test HIV positive, it is generally recommended that clients enter into primary care as soon as possible after the HIV test result is known and establish contact with clinical and social service providers. Ea
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5068)
Porteiro N, Mingrone H, Daponte S, Ben A; N. Porteiro, Muniz Hospital, Ambulatory Care Division, Hidalgo 671 (1405), Buenos Aires 1405, Argentina, Tel.: +54 11 490 406 23, Fax: +54 11 490 406 23, E-mail: alejandro.patino@radar.com.ar
Background: The objective is to describe changes in the last four years about self-awareness of needing early health care. Methods: 2275 consults of HIV patients between July 1996 and July 1999 were reviewed. Time between diagnosis of HIV infection and first visit (TC-TD ) and stage of the disease at first visit were
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5069)
Wairimu K, Morris AB, Garb J; K. Wairimu, Baystate Medical Center, Infectious Diseases, 759 Chestnut Street, Springfield, MA 01199, United States, Tel.: +1 413 794 53 76, Fax: +1 413 794 41 99, E-mail: amorrismd@pol.net
Objective: To determine the level of adherence by providers to recommended guidelines for immunizations in HIV positive persons for vaccines against influenza, pneumococcus, hepatitis A , hepatitis B, and tetanus. Methods: A retrospective chart review of all HIV-positive patients was performed at two sites - an infect
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5070)
Esquivel Pedraza L, Magis Rodriguez C; L. Esquivel Pedraza, CONASIDA, National AIDS Council, Salmon 84- 6 col del Mar, Mexico, D.F. 13270, Mexico, Tel.: +52 001-5-8459770, Fax: +52 001-5-5281887, E-mail: lesquiv@cueyatl.uam.mx
Background: Despite of low risk of HIV-transmission among health care workers, dentists refuse to treat HIV-patients. The purpose of this study was to know the reasons of dental treatment refusal of HIV-patients among dentists of the National Health Ministry (SSA). Methods: Cross sectional study performed from May to D
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5071)
Goh BT, Saulsbury N, McNally I; B.T. Goh, The Royal London Hospital, Ambrose King Centre, Royal London Hospital Whitechapel, London E1 !BB, United Kingdom, Tel.: +44 171 377 7310, Fax: +44 171 377 7648, E-mail: btgoh@btinternet.com
Background: People with HIV disease on highly active antiretroviral treatment (HAART) are living longer, thus sexual problems are becoming a priority. The availability and efficacy of sildenafil raises many issues. Prescribed and recreational drug interactions have potentially serious consequences, and ethical concerns
Objective: We recently studied (AIDS 1999, 13:1727-1735) the psychometric properties of two QoL instruments for clinical research (the MOS-HIV and the MQOL-HIV). Sensitivity to change was not studied extensively, however. The aim of the present study was to examine this important characteristic for the 2 questionnaires
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5073)
Salvato P, Thompson C; P. Salvato, Diversified Medical Practice, 4120 Southwest Freeway, Ste. 200, Houston, TX 77027, United States, Tel.: +1 713 961 7100, E-mail: dmartin@son1.nur.uth.tmc.edu
Objective: To assess HAART s impact on antibody response to the influenza vaccine. Methods: Data from 136 patients with HIV disease was analyzed and compared to pre-HAART data. All patients evaluated were stable on triple drug therapy for at least 3 months. Viral Load: Range >50-98,000 mean = 40,360 CD4 cell counts: Ra
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5074)
Calles NR, Ferris MG, Raneri LG, Schwarzwald H, Simon C, Kline MW; N. R. Calles, Baylor College of Medicine, 6621 Fannin Street MC 1-4000, Houston, Texas 77030, United States, Tel.: +713-770-1330, Fax: +713-770-1281, E-mail: nrcalles@texaschildrenshospital.org
Issues: Antiretroviral therapy for HIV-infected children is more potent and efficacious than ever, but complex combination treatment regimens with strict scheduling timelines have made it difficult for children to adhere to their medications. Like many other HIV centers, many of our patients attend a summer camp for HI
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5075)
Gilmore J, Norris A, Maniglia R, Ondercin J, Kwa Kwa H, Schmidt L, Stewart G, Kostman J; J. Gilmore, Presbyterian Medical Center, Division of Infectious Diseases, Suite W-250, Wright Saunders Building, 51 N. 39th Street, Philadelphia, Pa. 19104, United States, Tel.: +1 215 662 9911, Fax: +1 215 243 3272, E-mail: jodygil@aol.com
Background: Presbyterian Medical Center is a 350 bed urban acute care teaching hospital in West Philadelphia. In 10/98, a comprehensive HIV program was started to coordinate primary and specialty care, linked to a community based primary care HIV treatment and clinical research program, with attempts to bring hospitali
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5076)
Miles M;;; M. Miles, University of North Carolina, CB 7460, Carrington, Chapel Hill, NC 27599-7460, United States, Tel.: +1 919 966 3620, Fax: +1 919 843 9969, E-mail: mmiles@email.unc.edu
Background: Research has indicated that individuals with HIV are at risk for depressive symptoms. THis may be the result of coping with the diagnosis of HIV and related treatments. Depressive symptoms also may be related to poverty and other life stresses. African American women are known to have a high rate of depress
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5077)
Page J, Somaini B, Jaccard R, Weber R; J. Page, Institute for Social and Preventive Medicine, University of Zurich, Sumatrastrasse 30, 8006 Zurich, Switzerland, Tel.: +41 1 634 46 52, Fax: +41 1 634 49 62, E-mail: page@ifspm.unizh.ch
Background: In Zurich, Switzerland , care for HIV-infected persons is provided by specialists at a university-based HIV outpatient clinic (SPCL) as well as by private primary care physicians (PPC). Objective: To compare quality of life (QoL), patients satisfaction (PS), and clinical and virological outcome of treatment
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5078)
Andrews S; S. Andrews, Brooklyn Medical Centre, 379 Koeberg Road, Rugby, Cape Town, 7405, South Africa, Tel.: +27 21 510 15 69, Fax: +27 21 510 15 90, E-mail: stevea@iafrica.com
Background: To assess the self-reported attitudes of General Practitioners in Private Practice to their abilities and knowledge regarding HIV management. Methods: 50 doctors in the Rietvlei area were involved in the study, which started in April 1999. Questionaires were completed and returned to the investigator by pos
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5079)
Wong M, Kaplowitz L, Cole M, Eastham L, Kaatz J, Fisher E; M. Wong, Harvard Medical School, Beth Israel Deaconess Medical Center, Division of Infectious Diseases, 330 Brookline Ave, Kennedy 6, Boston, MA 02215, United States, Tel.: +(617)632-0760, Fax: +(617)632-0766, E-mail: mwong@caregroup.harvard.edu
Background: Provision of HIV healthcare to populations within the criminal justice system in the United States is difficult. Models utilizing telemedicine suggest an effective means of delivering quality and complex HIV medical care to remote locations. Methods: A retrospective chart review of all HIV+ inmates within t
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5080)
Steinberg JL, MacNaughton K, Maisels L, Sanford S, Tobias C, Breymagnani N, Gary D, Medeiros S; J.L. Steinberg, East Boston Neighborhood Health Center, 10 Gove Street, East Boston, MA 02128, United States, Tel.: +1 617 568 4459, Fax: +1 617 568 4415, E-mail: steinbej@ebnhc.org
Issues: Ensuring quality in the rapidly evolving practice of HIV/AIDS care is essential. Continuous quality improvement (CQI) models can be implemented by HIV/AIDS programs for this purpose. Description: The HIV/AIDS service of this community health center developed and implemented a CQI program. HIV/AIDS standards of
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5081)
Anderson J, Barini-Garcia M, Schietinger H, Holloway J, O'Neill J; J. Anderson, Johns Hopkins University, Harvey 319, 600 N. Wolfe St, Baltimore, Maryland 21287, United States, Tel.: +1 410 614 44 96, Fax: +1 410 955 10 03, E-mail: janders@jhmi.edu
Issues: Women account for an increasing proportion of new AIDS cases in the US and represent 43% of all adults living with HIV/AIDS globally. In addition to the gynecologic and obstetric issues unique to women, recent studies suggest that there may be differences in the rate of HIV progression and that US women with HI
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5082)
Inoue Y, Yamazaki Y, Wakabayashi C, Seki Y, Seto S; Y. Inoue, University of Tokyo, Dept. of Health Sociology, Granduate School of Medicine, 7-3-1 Hongo, 113-0033 Bunkyo-ku Tokyo, Japan, Tel.: +81 3 3366 3398, Fax: +81 3 3366 3398, E-mail: ship@oak.ocn.ne.jp
Background: The number of people being infected with HIV in Japan was 3,985 as of Dec 1997; and 1,495 (37.5%) of them were infected via pharmaceutical products assumably between 1983 and 1988. The purpose of this study is to examine (1) the health status of the medically induced HIV patients, (2) the way of their utili
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5083)
Mingrone H, Porteiro N, Ben A, La Rosa S, Basgido A; H. Mingrone, Muniz Hospital, Ambulatory Care Division, Hidalgo 671, Buenos Aires 1405, Argentina, Tel.: +54 1 149 040 623, Fax: +54 1 149 040 623, E-mail: alejandro_patino@radar.com.ar
Background: The objective is to analyze one-year admissions and the incidence that HAART therapy on it. Methods: This is a retrospective analysis of the hospital admissions from January 1999 to December 1999. Three factors were reviewed: prior knowledge of the HIV infection treatment with HAART and adherence. Results:
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5084)
Rayapu RB, Ramaiah KA, Anand R, Ramaiaih JV, Srinivasulu P, Sarojamma K, Ramola S, Yamini CS, Raj Kumar SC; R. B. Rayapu, Bosse Cipca Organisation, 7-46 Vasavi Nagar, M.R. Palli, Tirupati - 517502, Chittoor District - A.P., India, Tel.: +91 8574 400 50, Fax: +91 8574 417 22, E-mail: rayapu@md4.vsnd.net.in
Issues: To extend a humane treatment and ensure a peaceful atmosphere for the AIDS positives. It is quite evident that the victims of HIV/AIDS are facing psycho-socio-economic problems in the society. Considering the situation the CIPCA (AIDS wing of the BOSS), after 13 years research, established HIV/AIDS POSITIVE S A
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5085)
Begovac J, Kniewald T, Lisic M, Maretic T; J. Begovac, University Hospital for Infectious Diseases, Mirogojska 8, 10000 Zagreb, Croatia, Tel.: +385 1 4603 256, Fax: +385 1 4678 235, E-mail: jbegovac@fran.bfm.hr
Background:The development of new classes of antiretroviral drugs and the concept of combination treatment dramatically changed the course of HIV disease in the past few years. HAART became available to patients in Croatia in May 1997. The aim of this analysis was to determine the impact of HAART on overall and short-
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5086)
Sarazine J, Gail C, Pulvirenti J; J. Sarazine, Cook County Hospital/CORE Center, 2020 West Harrison, Chicago, Illinois 60612, United States, Tel.: +1 312 572 46 75, Fax: +1 312 572 46 29, E-mail: jsarazine@corecenter.org
Background: To describe inpatients (IP) admitted to an HIV specialty unit in an inner-city public hospital. Methods: Data were prospectively collected on IP admitted from 9/20/99 to 12/20/99 on demographics, CD cell count, viral load, medical diagnoses and previous follow up in the outpatient clinic. Results: Of 259 co
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5087)
Dhingra R, Munsiff A; R. Dhingra, Brookdale Hospital Medical Center, 1139 Prospect Ave, #3H, Brooklyn, New York 11218, United States, Tel.: +718-832-5910, Fax: +718-832-9243, E-mail: avmunsiff@pol.net
Background: The increase in use of highly active antiretroviral therapy (HAART) has decreased the morbidity and mortality of HIV-infected patients, shifting the care from the hospital ward to outpatient clinics. Objective: To describe the type of primary care and antiretroviral therapy received prior to hospitalization
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5088)
Habib A, Thaker H, Snow MH, Ong EL; A. Habib, Department of Infectious Diseases, Newcastle General Hospital, Westgate Road, Newcastle-upon-Tyne NE4 6BE, United Kingdom, Tel.: +44 191 273 8811, Fax: +44 191 273 0900, E-mail: abdulrazaq_habib@hotmail.com
Background: HAART has been validated in trials. The objectives of this study were to evaluate the efficacy of HAART in routine clinic setting and to seek variables that affect the outcome. Methods: This study is a retrospective evaluation of first-time HAART in unselected patients (pts) who completed at least 4-6 month
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5089)
Stenzel MS, Stone VE; M.S. Stenzel, Miriam Hospital/Brown University, 164 Summit Avenue, Fain 3, Providence, Rhode Island 02906, United States, Tel.: +1 401 793 5156, Fax: +1 401 455- 485, E-mail: mstenzel@lifespan.org
Background: Potent antiretroviral therapy has shifted the focus of HIV care to the outpatient setting. The purpose of this study is to describe how medical residents are trained in ambulatory HIV care, and to determine if specific aspects of clinic structure or curriculum are associated with higher perceived quality of
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5090)
Colabelli N, Boland M, Barrett T, Davison C, D'Orlando D, Storm D, Oleske J; N. Colabelli, FXB Center for Children, University Of Medicine and Dentristy of New Jersey, FXB Center for Children, 150 Bergen Street, Newark, NJ 07107, United States, Tel.: +1 973 972 0380, E-mail: colabenb@umdnj.edu
Issues: In underserved communities in the USA, maternal substance abuse is the main reason newborns are not discharged with their mothers. Boarder Babies (BB) pose complex psychosocial and medical challenges. In Newark, NJ, women represent 32% of reported HIV/AIDS cases with injecting drug use (IDU) and heterosexual c
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5091)
Rossi L, Rapiti E, Porta D, Fusco D, Forastiere F, Perucci CA; L. Rossi, Via S. Costanza, 53, 00198 Rome, Italy, Tel.: +39 0651 686 470, Fax: +39 0651 686 463, E-mail: sida_oer@sirio.regione.lazio.it
Background: To describe temporal variations in hospitalisation and examine patterns of service utilisation of people with AIDS (PWAs) following the introduction of the new anti-retroviral therapies. Methods: A cohort of PWAs from the AIDS Surveillance System of Lazio Region- Italy- (2483 people), prevalent at December
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5092)
Primas C, Doonquah L, Delapenha R, Frederick W; C. Primas, Howard University Hospital, 6100 Cedar Post, Forestville, MD 20747, United States, Tel.: +1 301 736 4097, Fax: +1 202 865 1949, E-mail: lecca_md@hotmail.com
Background: Several reports have documented improvement in the general health and quality of life of HIV/AIDS patients since the introduction of HAART in early 1996. It is reasonable to expect that this improvement may lead to decrease in hospital admissions. To evaluate this, we performed a retrospective analysis of
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5093)
Anis A, Guh D, Skippen D, O'Shaughnessy M, Schechter M; A. Anis, Universtiy of British Columbia, 620-1081 Burrard Street, Vancouver, BC., V6Z 1Y6, Canada, Tel.: +(604) 806-8712, Fax: +(604) 806-8778, E-mail: anis@hivnet.ubc.ca
Background: Patients hospitalized with HIV/AIDS often leave Against Medical Advice (AMA). We assessed the determinants of AMA separations & re-admission rates. Methods: Hospital separations of all patients admitted to a specialized HIV/AIDS ward at St. Paul s Hospital, the largest AIDS care tertiary hospital in
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5094)
D'Alessandro D, Moscardini C; D. D'Alessandro, Staten Island University, 797 Washington Avenue, Staten Island, New York, NY 11238, United States, Tel.: +718 816 3362, Fax: +781 792 0161
Background: A large percentage of patients in the only HIV chronic care facility in New Jersey require comprehensive care. Many residents are admitted with a diagnosis of HIV associated wasting. It is well documented that patients diagnosed with HIV associated wasting have an increased predisposition to developing oppo
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5095)
Kloser P, Sun WY, Correll P; P.Kloser, University of Medicine & Dentistry of New Jersey, UH - H240, 150 Bergen Street, Newark, New Jersey 07103, United States, Tel.: +973-972-7115, Fax: +973-972-2252, E-mail: pkloser@aol.com
Issues: Many hospitals in the US are closing inpatient AIDS specialty units and patients with HIV are cared for on general medical units. Occupancy in the 24-bed AIDS specialty unit at University Hospital in Newark has exceeded 80% throughout 1999. Ongoing analysis of inpatient medical care needs reflects the importanc
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5096)
Volkwyn K, Schoeman J, Utley E, Shead G, Tsotetsi P; K. Volkwyn, Cotlands Baby Sanctuary, P O Box 74042, Turffontein, South Africa, Tel.: +27 11 683 72 00, Fax: +27 11 683 26 09, E-mail: cotlands@global.co.za
Issues: (1) The caregivers (2) The child Description: 1. The caregivers 1.1 The stresses of working with terminally ill children. 1.2 Staff support systems. 1.3 The difficulties encountered by nursing professionals to follow palliative care practices as opposed to aggressive medical intervention. 2. The child 2.1 A bri
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5097)
Gershater D; DarrylGershater, Pretoria University, Department of Community Health, Faculty of Medicine, Box 667, Pretoria, 0001, South Africa, Tel.: +27 12 339 86 04, Fax: +27 12 323 85 34, E-mail: dgershat@medic.up.ac.za
Issues: This case-study forms part of a larger study which explores the impact of the non-profit sector internationally for specific societies. The hypothesis is that the non-profit sector has a number of special functions and limitations that allow organisations to function in a particular way. In South Africa a numbe
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5098)
Theodore ME, Boss DM, Suh J, Leider J, Sharp V; M. E. Theodore, St. Luke's-Roosevelt Hospital Center, The Center for Comprehensive Care, 1000 10th. Ave 14th. Floor, New York, N Y 10019, United States, Tel.: +1 212 523 60 50, Fax: +1 212 523 60 23, E-mail: dmboss@hotmail.com
1. To identify patients who are high frequency utilizers (>4 or more visits over a 60 day period) of unscheduled, out-patient clinic visits. 2.To explore the factors that contribute to HIV positive patient s use of unscheduled visits to the outpatient clinic. 3.Address areas of potential intervention in order to minimi
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5099)
Kumar S, Wester CW, Ariga D, Singh K, Smith KY, Pulvirenti JJ; S. Kumar, 1st Floor Durand Building, Room 122-D, 1835 West Harrison Street, Chicago, Illinois 60612, United States, Tel.: +1 312 633 7429, Fax: +1 312 633 5187, E-mail: cwilliamwester@msn.com
Background and Methods: We compared inpatient hospitalization data (number of admits, ethnicity, and mortality rates) and the total number of OIs seen at a public hospital (Cook County Hospital `CCH ) versus a private university hospital (Rush-Presbyterian St. Luke s Medical Center `RPSL during the pre-HAART (1995) an
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5100)
Bugarin G, Vanzulli C, Laurido M, Caiafa D, Bottaro E, Bologna R, Cassetti I; G. Bugarin, Peru 1515, Buenos Aires 1141, Argentina, Tel.: +54 11 4300 0515, Fax: +54 11 4300 5021, E-mail: helios@overnet.com.ar
Introduction: In our country, there is little information about inpatient characteristics in the era of HAART. Objective: To assess demographic characteristics, causes of admission (adm), and outcome of HIV infected patients (pts) hospitalized between Sep/97 and Dec/99. Methods: Review of inpatient medical records. Yat
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5101)
Hudson C, Roach T; C. Hudson, Queen Elizabeth Hospital, 53 Marble Arch, 87, Ridge Road, Mayville 54091, South Africa, Tel.: +27 83 731 0808, Fax: +27 31 260 4441
Background: There is little data on the impact of co-trimoxazole prophylaxis on health service utilisation in developing nations. The gradual introduction of primary prophylaxis between 1992 and 1994 as patients returned to our specialist clinic permitted an ecological study of the relation of prophylaxis to service u
Background: When patients are admitted to hospital the management of sexual partners may be neglected. The situation in Barbados is little different to other developing countries: lack of privacy for counselling on the wards, no legal framework for protection of rights and no mandate for partner notification. Methods:
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5103)
Chettri N; N. Chettri, SHARAN-Society for Service to Urban Poverty, B 3/3 Sajdarjung Enclave, New Delhi 110029, India, Tel.: +91-11-6194841; 91-11-6196511, Fax: +91-11-6193145, E-mail: sharanindia@vsnl.com
Description: The chaotic lifestyle associated with injecting drug use often leads many IDUs to a situation of crisis in terms of health, nutrition and shelter. The Sharan Crisis Care Shelter provides IDUs (injecting drug users) who find themselves at a crisis, with the requisite nutrition, shelter, professional medical
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5104)
Cheung C, Daniel P, Thomas H, Chow M; C. Cheung, The Malaysian AIDS Council, 12 Jalan 13/48A, The Boulevard Shop Office, Of f Jalan Sentul, 51000 Kuala Lumpur, Malaysia, Tel.: +60 3 445 10 33, Fax: +60 3 442 61 33, E-mail: connie@mac.org.my
As of the 31st of May 1999, there have been reported 30,187 cases of HIV and 2,761 cases diagnosed with AIDS. These statistics do not reflect the true number of cases in Malaysia , the actual numbers are much higher. The reality is that those who are HIV positive wil progress through the natural disease process to AID
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5105)
Defilippi K; K. Defilippi, South Coast Hospice Association, PO Box 504, Port Shepstone, 4240, South Africa, Tel.: +27 39 682 30 31, Fax: +27 39 682 53 91, E-mail: schospkz@venturenet.co.za
Background: Antenatal surveys estimate the incidence of HIV infection in rural KwaZulu Natal to be excess of 32%. Formal health care services and NGO s are in danger of being overwhelmed. Method: A collaborative response in the form of the ICHC model in which HOSPITAL-HOSPICE-CLINIC jointly select, train and supervise
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5106)
Kruger M, Kunneke M, Prinsloo J, Hughes-Gibbs B, Kgapola Q, Hay I; M. Kruger, Kalafong Hospital; University of Pretoria, Dept. of Paediatrics, Kalafong Hospital, Private Bag X396, Pretoria, South Africa, Tel.: +27 12 373 8041, Fax: +27 12 373 7977, E-mail: mariana@kalafong.up.ac.za
Background: The Diana, Princess-of-Wales, Mohau Care Centre was opened in November 1997 and is divided in two separate units: An orphanage and a hospice. The mission of the hospice is to allow dying children to enjoy quality of life, while maintaining dignity of life. Patients and Methods: Children were admitted when d
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5107)
Moss V; V. Moss, Mildmay International, The Mildmay Centre, PO Box 24985, Kampala, Uganda, Tel.: +256 41 200862, Fax: +256 41 200861, E-mail: vronmoss@hotmail.com
Background: A palliative care and rehabilitation approach to HIV/AIDS care has been developed successfully at The Mildmay Centre in Uganda . Methods: A prospective collection of clinical data, including symptoms, on 200 patients registering at the Centre during the last quarter of 1999 is analysed and compared with a s
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5108)
Moss V, Sozi C, Seruyange H, Ndaze P; V. Moss, Mildmay International, The Mildmay Centre, PO Box 24985, Kampala, Uganda, Tel.: +256 41 200 862, Fax: +256 41 200 861, E-mail: vronmoss@hotmail.com
Background: A rehabiltation and palliative care approach to AIDS care without anti-retroviral drugs has been successfully developed in Uganda at The Mildmay Centre.Methods:clinical data,including presenting problems and diagnoses, with outcome measures recorded at 4 follow-up visits,was prospectively collected on 200 p
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5109)
Habsyi H, Djauzi S, Djoerban D, Suryaatmadja T; H. Habsyi, Pelita Ilmu Foundation, Jalan Kebon Baru iv no 16 Tebet, Jakarta 12830, Indonesia, Tel.: +622 183 795 480, Fax: +622 183 795 480, E-mail: ypilmu@rad.net.id
Issue: To over come ignorance, scare, and reluctance in the community in burial of PWA s corpses, a teamwork is needed. Description: Generally, the attitude of the community toward people with HIV/AIDS (PWA) is not positive yet in Indonesia . Negative myth on AIDS and PWA is still the cause of discrimination and isolat
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5110)
Browde SB; S.B. Browde, Palliative Medicine Institute, 18 Orange Road, Orchards, Johannesburg, South Africa, Tel.: +27 11 728 31 03, Fax: +27 11 483 22 60, E-mail: selma@iafrica.com
The Palliative Medicine Institute is an autonomous body situated within the Nurses College at Chris-Hani Baragwanath for the purpose of education and training in Palliative Care of doctors nurses (whether hospital, home-based or primary health) as well as volunteers from the community. The Institute offers its services
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5111)
Bakanansa S; S. Bakanansa, PO Box 11485 Kampala, Kampala 41, Uganda, Tel.: +256 53 00 34, E-mail: tasomula@infocom.co.ug
Objective: Due to rapid increase in number of people with HIV/AIDS there s also a proportionate increase in number of people who are terminally ill hence can t afford going for treatment in hospitals or clinics. This has created need to have a mobile door to door services to cater for such people. The Service include g
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5112)
Bakanansa S, Tebandeke S; S. Bakanansa, PO Box 11485 Kampala, Kampala 41, Uganda, Tel.: +256 53 00 34, E-mail: tasomul@infocom.co.ug
Objective: To explore avenues which can improve Home Care Support Programmes for PWAS in Uganda . Methods: Visits to 4 Organisations with integrated Home Care Support Programmes. Interpersonal communication with service receivers. Follow up of these CBOs namely TASO, Nsambya Home Care, Rubaga Home Care, Kibuli Home Ca
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5113)
Tumusiime M, Bakunda A, Kamba M, Moss V; M. Tumusiime, The Mildmay Centre, The Mildmay Centre, PO Box 24985, Kampala, Uganda, Tel.: +256 41 200 862, Fax: +256 41 200 861, E-mail: mildint2@infocom.co.ug
Issue: Non-industrialised countries are promoting home care provided by family members as the way to cope with the increasing burden of care for patients with chronic or terminal AIDS-related conditions.The care is often given by elderly grandparents,aunties, children or even `house-girls . The quality of care is very
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5114)
Nyanje L, Njuguna PM, Waruhiu E, Munyasya J; L. Nyanje, Anglican church of Kenya, P.O. BOX 2191 KNH, NAIROBI, Kenya, Tel.: +254 2 726 300 EXT. 44184, E-mail: ljnyanje@healthnet.or.ke
Issues: The government- Kenya has shown great concern over the increasing burden of HIV/AIDS Patients in Hospitals. Over 70% hospital beds are occupied by HIV/AIDS related problems. Therefore it is using any available resources and opportunities to curb the spread of HIV/AIDS and provide care for the patients infected
Background: In Romania live half of the HIV infected children of Europe. In the early 90 s, when the AIDS epidemic was officially disclosed in Romania, a few centers had to concentrate a lot patients in an in-patient system. Now the persons and children affected by HIV are part of special programs in hospitals and als
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5116)
Kulume -Okwanga R, Kizito F, Eriki M; R. Kulume -Okwanga, The AIDS Support Organization, Taso Mulago, PO Box 11485, Kampala, Uganda, Tel.: +256 41 530 034, E-mail: TASO-mul@infocom.co.ug
Issues: care remains an indispensable component of the response to hiv/aids persons, particularly in regions where retroviral treatment is still unaffordable. TASO in its new strategy of collaboration, advocacy, training/capacity building, has gone a long way to ensure comprehensive care. This has been done from centre
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5117)
O Connor CA, Patsdaughter CA, MacNaughton KA, Miller KH, Grindel CG; C.A. O Connor, E. Boston Neighborhood Health Ctr., 10 Gove Street, East Boston, MA 02128, United States, Tel.: 617-568-4620, Fax: 617-568-4415, E-mail: medeiros@ebnhc.org
Issues: With the advent of Highly Active Anti-Retroviral Therapy (HAART) and extended life expectancy, agency sponsored memorial services for persons who have died of AIDS have been gradually eliminated. Yet family and friends who often do not disclose the AIDS diagnosis have limited resources for grieving. Description
Objective: To evaluate the risk of occupational exposure to HIV and the efficacy of post-exposure prophylaxis in the Institute of Infection Diseases Matei Bals - Bucharest, Romania . Method: The study was performed among 12 health care workers (nurses) who were accidentally exposed to HIV and
Issue: Uganda is among the most hit countries with HIV/AIDS in Africa. On the other hand she is among the countries in the lead in fighting the epidemic. Persons infected and affected with AIDS are grappling with effects of the disease in their families by themselves causing a lot of stress and trauma to both parties.
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5120)
Unahalekhaka A, Subpaiboongid P, Lueang-a-papong S; A. Unahalekhaka, Nursing Faculty, Chiang Mai University, Faculty of Nursing, Chiang Mai University, 110 Intawaroros Road, Mueng, Chiang Mai, 50200, Thailand, Tel.: +66 53 945 018, Fax: +66 53 217 145, E-mail: akeau@mail.nurse.cmu.ac.th
Number of AIDS and HIV clients in Thailand increase obviously. These clients are very prone to infection. Their family members have to take care and support them for a long period. Family members may get HIV and other pathogenic organisms from the clients if they do not know how to protect themselves. This study aim t
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5121)
Correll P, Kloser P, Lennie T, Bernhard L, Love R; P. Correll, Ohio State University, 695 Cardinal Hill Lane, Powell, Ohio, 43065, USA, United States, Tel.: 614-847-7567, Fax: 614-847-0919, E-mail: correpat@mindspring.com
Issues: Treatment options for HIV have allowed women to live longer and experience changes associated with menopause, however, symptoms associated with HIV disease progression, ARV therapies and the menopause process can be similar. HIV symptom checklists do not address normal changes associated with aging and menopaus
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5122)
Hansell P, Budin W, Hughes CH, Russo P; P. Hansell, Seton Hall University, 400 South Orange Avenue, South Orange, New Jersey, 07079, United States, Tel.: +973-761-9015, Fax: +973-761-9337, E-mail: Hanselph@shu.edu
Background: Caregivers of Children with HIV/AIDS are confronted with numerous problems that threaten the integrity of their family systems. For them effective problem solving is essential to mitigate stress and facilitate coping. Methods: A qualitative analysis was conducted on 120 caregivers of children with HIV/AIDS
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5123)
Mokou G, Motaung P, Molate K; G. Mokou, HOPE worldwide South Africa, PO Box 553, Honeydew, 2040, South Africa, Tel.: +27 11 984 4422, Fax: +27 11 984 4422, E-mail: hope@global.co.za
Issue: Traditionally community AIDS work has involved support or prevention. Can these two community AIDS needs be intergrated? Why should they be intergrated? How should they be integrated? Description: The Soweto AIDS Project began in 1994 with community support groups for PLWAs. The demands for community prevention
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5124)
Ivantic-Doucette K, Maashao Sr, Wake M; K. Ivantic-Doucette, Marquette University College of Nursing, PO Box 1881, Milwaukee, Wisconsin, 53201-1881, United States, Tel.: +414-288-3821, Fax: +414-288-1597, E-mail: ivantick@marquette.edu
Issues: A HIV/AIDS Competency based Nursing Certificate, with attention to Care for the Caregiver strategies, has been designed for African Nurses and successfully implemented. Project: Marquette University College of Nursing, a Jesuit Institution in Wisconsin, USA, has developed and implemented a culturally relevant c
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5125)
Ncama BP; B. P. Ncama, School of Nursing, University of Natal, Durban, 4041, South Africa, Tel.: +27 31 260 22 70, Fax: +27 31 260 15 43, E-mail: ncamab@mtb.und.ac.za
A qualitative study, using phenomenology as an approach was conducted. The title of the study was Exploring the fear of contracting HIV/AIDS among trauma nurses in the province of Kwazulu-Natal . Participants were selected on the basis of category (registered nurses), workplace (level one trauma units), and work experi
Issues: Nurses have the major roles in AIDS prevention and care. The multi-specialty in modernized nursing services devided into isolated responsibilities. The complexity and devastating consequences of HIV/AIDS required the changes. Description: Since 1988, the highest HIV infection rates in Asia occurred in Chiang Ra
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5127)
Coll P, Lattner J, Luccarini M, Vesperoni F, Cahn P; P. Coll, Hospital Juan Fernandez, Angel Peluffo 3932 (1202), Buenos Aires, Argentina, Tel.: +5411 4981 7777, Fax: +5411 4982 4024, E-mail: pcahn@huesped.org.ar
Objective: To evaluate safety and efficacy of Efavirenz (EFV) in pediatric patients switched from Protease Inhibitors (PI) regimens, in a University-affiliated hospital. Methods: Between 6/99 and 12/99 we evaluate 10 patients, age 4 to 11 years (median = 9 years) previously experienced in PI for a median of 18 months
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5128)
Casanueva E, Luccarini M, Cammarieri G, Gazpio M, Sardi F, Romero D, Avila MM, Gresta C, Federico A; E. Casanueva, Consejo Nac. del Menor y la Flia., Paz Soldan 5200., (1427) Caapital Federal., Buenos Aires., Argentina, Tel.: 54 11 4 522 0738, Fax: 54 114 523 2328, E-mail: cammarierig@hotmail.com
Introduction: The evolution of children with AIDS shows significant differences between developed countries and developing countries, being observed greater mortality in these last ones. Objectives: We studied the survival rates and associated factors in children with AIDS who were under anti retroviral therapy, and th
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5129)
Ottenweller M, Cornell L; M. Ottenweller, HOPE worldwide South Africa, PO Box 553, Honeydew, 2040, South Africa, Tel.: +27 11 984 44 22, Fax: +27 11 984 44 22, E-mail: hope@global.co.za
Issue: Orphans and vulnerable children in Soweto desperately need tracking and community support due to the progression of the AIDS epidemic there. Description: The Soweto AIDS project of HOPE worldwide and the Perinatal HIV Unit of Baragwanath Hospital have developed the Siyawela program (meaning - crossing over ) to
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5130)
Ottenweller M, Phillips E; M. Ottenweller, HOPE worldwide South Africa, PO Box 553, Honeydew, 2040, South Africa, Tel.: +27 11 984 4422, Fax: +27 11 984 4422, E-mail: hope@global.co.za
Issue: The assessment of the needs of affected women and children must be undertakend to mobilize the community identify progress indicators and outputs, and develop effective interventions. Description: Focus groups were held in 12 support groups for HIV-positive women in Soweto. These groups discussed their needs an
Background: Clinically relevant immune recovery after combined antiretroviral therapy is well documented in HIV infected children, but immunological mechanism underlying such recovery remain still not completely elucidated. In order to investigate the dynamic of this reconstitution we studied prospectively a group of H
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5132)
Teeraratkul A, Simonds RJ, Vanprapar N, Punpanich W, Phuakpoonphol W, Rakwanich T, Neeyapun K, Jetsawang B, Mastro T; A. Teeraratkul, The HIV/AIDS Collaboration, DMS6 Building, MOPH, Tivanon Road, Nonthaburi 11000, Thailand, Tel.: +(66-2) 591-8358, Fax: +(66-2) 591-5443, E-mail: agt4@cdc.gov
Background: Interventions to reduce perinatal HIV transmission are being implemented nationally in Thailand . To assess their cost-benefit, estimates of costs attributed to perinatal HIV infection are needed. Methods: We used data from 18 months after birth of children enrolled in a clinical trial of late antenatal
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5133)
Calles NR, Kline MW, Ferris MG, Raneri LG, Schwarzwald H, Simon C; N. R. Calles, Baylor College of Medicine, 6621 Fannin Street MC 1-4000, Houston, Texas 77030, U.S.A., United States, Tel.: +713-770-1330, Fax: +713-770-1281, E-mail: nrcalles@texaschildrenshospital.org
Issues: The number of people living in Mexico infected with HIV is increasing. Few Mexican physicians have experience or training in caring for these patients. Description: The Mexican Pediatric AIDS Initiative of the Baylor International Pediatric AIDS Initiative (BIPAI) is a three-year program of pediatric AIDS educ
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5134)
Zar H, Hanslo D, Apolles P, Tannenbaum E, Eley B, Klein M, Argent A, Burgess J, Magnus K, Bateman ED, Hussey G; HeathertZar, University of Cape Town, Child Health Unit, 46 Sawkins Road, Rondebosch, Cape Town 7700, South Africa, Tel.: +27 21 685 41 03, Fax: +27 21 689 54 03, E-mail: heather@rmh.uct.ac.za
Background: Information on the aetiology and outcome of pneumonia in HIV-infected children in developing countries is lacking despite an increasing prevalence of these infections. The aim of this study was to investigate the aetiology, associated features and outcome of pneumonia in HIV-infected children Methods: Prosp
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5135)
Viani R, Mendez H, Schiffman G, Tizer K, Handelsmann E; R. Viani, UCSF-Fresno Medical Education Program, 2790 S. Elm Ave., Fresno, CA 93706, United States, Tel.: +1 559 233 5747, Fax: +1 559 485 3816, E-mail: rviani@ucsfresno.edu
Background: Revaccination with Pneumococcal Polysaccharide Vaccine(Pneumovax) has been recommended in HIV infected children to enhance immunogenicity but there is no data to support it. Methods: HIV-infected children were stratified in 2 groups. Group A; CD4> 20% and Group B; CD4> 20% at revaccination. Antibody respons
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5136)
Hanekom W, Hughes J, Ganiso B, Appolis P, Allin R, Goddard E, Haslett P, Hussey G, Kaplan G; W. Hanekom, Rockefeller University, Laboratory of Cellular Physiology and Immunology, 1230 York Avenue, New York, NY 10021, United States, Tel.: +1 212 327 70 97, Fax: +1 212 327 88 75, E-mail: hanekow@rockefeller.edu
Background: Thalidomide may effectively treat wasting syndrome and other HIV-associated complications through immune-modulatory effects. We evaluated safety and immune effects of low dose thalidomide in HIV-infected children. Methods: Thalidomide (3 mg/kg orally at night) was given for 28 days to healthy HIV-infected
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5137)
Lala SG, Madhi SA, Pettifor JM; S. G. Lala, Perinatal HIV Research Unit, Chris Hani Baragwanath Hosptal, P.U. Bertsham 2013, South Africa, Tel.: +271 193 839 84, Fax: +271 193 839 73, E-mail: phru@pixie.co.za
Background: Bacterial (BP) and viral pneumonia (VP) are frequent infections in HIV+ children. CRP values assist in the differentiation of BP and VP, but have not been studied in HIV+ children. The objectives of the study were: (1) to assess the effect of HIV infection on CRP responses; (2) to determine if CRP measureme
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5138)
Thirsk E, Kapongo C, Jeena P, York D, Liebescheutz S; E. Thirsk, Box 4855, Empangeni 3880, Kwa Zulu Natal, South Africa, Tel.: +0357921800, Fax: +0357921800, E-mail: iht@intekom.co.za
Background: Evidence on outcome of intensive care in children with HIV infection conflicts. At Ngwelezana, a district hospital in KwaZulu-Natal, limited resources mean that ventilation is often not possible for HIV antibody positive children in respiratory failure. However in babies under 15 months a positive antibody
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5139)
Desai N, Cibahi L, Mullen P, Mendez H; N. Desai, SUNY- Children's Med. Center of Brooklyn, 450 Clarkson AVe. Box49, Brooklyn NY, United States, Tel.: +1 718 245 4485, Fax: +1 718 245 3346, E-mail: ANDYLAMA@AOL.COM
Hypercholesterolemia, hypertriglyceridemia and body fat redistribution resulting in lipodystrophy are reported in adults on PI therapy. We studied 20 children ages 6-13 (median: 9y) attending the Ped. HIV clinic. All children were HIV infected and on combination Rx with at least one PI. The avg. duration of Rx prior to
Background: A multi- disciplinary team at the FXB house have developed various strategies for giving a quality care for the poor population affected and/or living with HIV/AIDS, to promote the best quality of life possible to the children and their families. Methods: Over the last 5 years, 39 families with 53 children
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5141)
El Hachem M, Castelli Gattinara G, Cristini S, Mardarescu M, Matusa R, Tudor G; M. El Hachem, Bambino Gesu Hospital, p. S. Onofrio 4, 00165 Rome, Italy, Tel.: +00390668592190, Fax: +00390668592508, E-mail: castelli@opbg.net
Issue: An international co-operative project aimed to improve the quality of life of Romanian HIV infected children was carried out by the Paediatric Bambino Gesu hospital of Rome, the Italian NGO AVSI and the Moschino foundation. Description: In the frame of this program (1998-99), more than 1,000 children with HIV we
Background: The objective was to evaluate the clinical impact through an integral intervention by the Francois-Xavier Foundation (FFXB) and Pediatric Hospital teams in children living with HIV, during the period of January 1995 to January 2000. Methods: We reviewed 35 clinical charts. Age was between newborn up to 10 y
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5143)
Gonzalez Ayala S, Otero R, Rubinstein A, Agosti M, Borsa A; S. Gonzalez Ayala, School of Medicine, 60 y 120, 1900 - La Plata, Argentina, Tel.: +54 221 483 26 52, Fax: +54 221 451 14 03, E-mail: socpedlp@infovia.com.ar
Background: Sexual child abuse shows an increasing trend in our environment. It is related more frequently to domestic violence than to urban / suburban assault. Objective: To describe the frequency of sexually transmitted diseases including HIV infection in order to establish the guidelines for management. Material an
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5144)
Lang L, Bernstein K, Jaeger S, Naggy N, Gertner M, Masci J; L. Lang, Elmhurst Hospital Center, 79-01 Broadway, Immunology Clinic D1-41, Elmhurst, NY 11373, United States, Tel.: +1718-334-1691, Fax: +1212-744-2546, E-mail: llan@pop.nychhc.org
Background: A community-based survey was conducted to determine and document issues affecting HIV positive women in an ethnically diverse inner-city area. One of the objectives was to gain the women s perception of the impact of their HIV status on their children and families. Method: Data was collected using anonymous
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5145)
Machado DM, Peres LV, Moraes-Pinto MI, Souza IE, Diaz RS, Succi RC; D.M. Machado, Institute of Tropical Medicine, Av. Dr. Eneas de Carvalho Aguiar, 470, CEP 05403 000 Sao Paulo, Brazil, Tel.: +55 11 3066 7020, Fax: +55 11 3066 7020, E-mail: dmmachado@originet.com.br
Background: Despite the use of HAART it has been difficult to control the viral replication in HIV-infected children. Objective: To assess the effect of HAART on viral load (VL) and CD4 count in HIV infected children after 24 to 48 weeks of treatment. Design: 26 children aged 3 to 156 months had a minimal follow-up of
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5146)
Truskier M, Boyce WT, Wara D, Chesney M; M. Truskier, 74 New Montgomery Street, Suite 600, San Francisco, California 94105, United States, Tel.: +1 415 597 92 16, Fax: +1 415 597 91 25, E-mail: MTruskier@psg.ucsf.edu
Background: The most rapidly growing group of Americans infected with HIV is women of childbearing age. Because of a precipitous drop in the rate of perinatal transmission, however, there has been a dramatic increase in the number of uninfected children born to HIV+ mothers, Methods: A cohort of 93 4-6 year old childre
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5147)
Gilada I, Bodhare S; I. Gilada, Unison Medicare & Research Centre, Maharukh Mansion, Alibhai Premji Marg, Mumbai-400007, India, Tel.: +91 22 306 1616, Fax: +91 22 386 4433, E-mail: ihoaids@vsnl.com; gilada@usa.net
Background: India is in the third wave of the epidemic. Pediatric HIV infection is increasing rapidly.Duration of survival of children with HIV is lower than adults. Natural course of infection is biphasic.Natural history of infection is not well defined in India. This paper describes our experiences in pediatric AIDS
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5148)
Marston J; J. Marston, St Nicholas Childrens' Hospice, PO Box 28391, Danhof 9301, South Africa, Tel.: +27 51 447 7281, Fax: +27 51 447 7358, E-mail: richardm@intekom.co.za
Issues: Children infected and affected by HIV and AIDS require care along a continuum that includes community involvement and support from diagnosis of the child or parent, through the disease process and into the bereavement period. Many children live in informal settlements,and in rural areas in extreme poverty and w
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5149)
Crafoord J, Ralsgard C, Bohlin A-B; J. Crafoord, Huddinge University Hospital, Dept. of Child and Adolescent Psychiatry, 141 86 Huddinge, Sweden, Tel.: +46 8 585 857 49, Fax: +46 8 774 58 93, E-mail: johanna.crafoord@bup.svso.sll.se
Issues: Approx. 45 HIV-infected children are living in Sweden and an increasing number are going through or approaching puberty. They have specific needs that can be addressed within a group-based multidisciplinary, therapeutic and pedagogic environment. The children s consciousness and understanding of their HIV infec
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5150)
Diomande F, Djomand G, Roels TH, Ebah L, Timite-Konan M, Coulibaly R, Coulibaly M, Monga B, Maurice C, Wiktor SZ, Nkengasong J, Chorba TL; F. Diomande, Projet Retro - CI, 01 BP 1712, Abidjan 01, Cote D'ivoire, Tel.: +225 212 541 11, Fax: +225 212 429 69, E-mail: vad7@cdc.gov
Background: In August 1998, a pilot program was started by UNAIDS and the Cote d Ivoire MOH to improve access to drug therapy for HIV infection, including antiretrovirals. Objective: To describe socio-demographic characteristics, types of ARV regimens prescribed, and virologic and immunologic response to ARV therapy a
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5151)
Davis McFarland E; E. Davis McFarland, 322 CHP Buildning, 171 Ashley Avenue, Charleston SC 29425, United States, Tel.: +843 792 14 65, Fax: +843 792 80 60, E-mail: davismcf@musc.edu
Background: Vertical transmission of the HIV virus from an infected mother to her child, in utero, can result in prenatal infection of the baby. In children, HIV infection can cause neurologic sequalle. HIV infection can result in impaired brain growth, intellectual deficits, and delays and loss of developmental milest
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5152)
Edge J, Van Der Merwe AE, Pieper CH, Bouic P; J. Edge, University of Stellenbosch, Department of Surgery, PO Box 19063, Tygerberg 7505, South Africa, Tel.: +27 21 938 92 75/3, Fax: +27 21 933 79 99, E-mail: jedge@gerga.sun.ac.za
Introduction: Human immunodeficiency virus (HIV) infection is a world wide and growing problem. Little is found in the literature concerning the treatment and the outcome of patients suffering from HIV infection who are treated for burns. Aim: To assess whether the outcome of HIV positive patients suffering from burn w
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5153)
Nansubuga C, Mugisha E; C. Nansubuga, Joint Clinical Research Centre, PO Box 10005, Kampala, Uganda, Tel.: +256 41 270 622, Fax: +256 41 342 632, E-mail: alvac@imul.com
Background:Due to increasing spread of HIV/AIDS in Uganda , most children have lost their parents. These orphans are left with no responsible guardians. These children are not able to go to school because of lack of money. They have no source of income, and even lack food. In the long run, these children go to streets
Issues: Children with AIDS are not only suffering as a result of their illness but are suffering and in some cases dying as a result of lack of care. Many of these children are total orphans and have no one with ability to provide the care and support they need and are therefore suffering in distress from various untre
Background: To evaluate the role of family interventions in helping adolescents avoid HIV and STD risk behaviour. Interventions that improve family communication and dynamics regarding the prevention of sexual risk bevaviours are especially needed. A community-based intervention and developed to improve knowledge and c
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5156)
Wilson L, Astemborski J, Thomas D, Manoff S, Freedman T, Vlahov D; L. Wilson, Room 455, 1830 Building, Baltimore, MD 21287, United States, Tel.: +1 410 614 04 54, Fax: +1 410 614 51 38, E-mail: lwilsond@jhmi.edu
Background: Injection drug users (IDUs) are at increased risk of infective endocarditis (IE) and HIV infection. HIV infection is known to increase the incidence of several bacterial infections. It is less clear what relationship exists between HIV and IE. Previous studies suggest that risk of IE in IDUs is related to
Issues: Formation of PLWH/A self help group for support, facilitation of life style & to meet their needs has become a mainstay of HIV/AIDS control program. Even though more than a decade has passed strategic planning is not yet evolved. However, the number of HIV positive cases, full blown AIDS cases and deaths du
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5158)
Butcher D, de Guzman C, Lange M, Hamel E, Conner W, Ruby K, Lapins D; D. Butcher, Chase Brexton Health Services, Inc., 1001 Cathedral Street, Baltimore, MD 21201, United States, Tel.: +1 410 545 4481 ext. 215, Fax: +1 410 234 0537, E-mail: dbutcher@chasebrexton.org
Background: Chase Brexton Health Services (CBHS) initiated the Prison Outreach Program in October 1998 upon receiving a HOPWA (Housing Opportunities for Persons with AIDS) outreach grant for funding. The goal of the program is to provide recently released HIV+ inmates with medical and support services to improve the qu
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5159)
Aramburu T, Aymone D; T. Aramburu, Av. Presidente Vargas, 2990, Uruguaiana - RS - Brazil, CEP 97510-430, Brazil, Tel.: +55-021-55-412-2441, Fax: +55-021-55-412-2265, E-mail: domingos.aymone@uol.com.br
Backkground: The city of Uruguaiana, in the state of Rio Grande do Sul (RS), Brazil (BR), has an important role in the MERCOSUL integration process, due to its geographic location and to being considered the largest Dry Port in the Country, with traffic of 204,633 trucks/year. The situation of the frontier and the int
Background: Prevalence of HIV infection among adolescents and associated risk factors are important determinants of the future of the epidemic. This study analyses the trend in demand for HIV testing in adolescents and the results of same over the last 14 years. Methods: The study covered adolescents, ages 13-19 years,
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5161)
Grant AD, Corbett EL, Hayes RJ, Charalambous S, Day JH, Rothwell E, Chaisson RE, Churchyard GJ; A.D. Grant, LSHTM, Keppel Street, London, WC1E 7HT, United Kingdom, Tel.: +44 20 7927 2304, Fax: +44 20 7637 4314, E-mail: alison.grant@lshtm.ac.uk
Background: HIV-related morbidity is an increasing problem in South Africa , and interventions to limit the impact of the HIV epidemic are urgently required. Clinical trials have demonstrated the efficacy of isoniazid and cotrimoxazole in preventing tuberculosis and other HIV
Background: The use of capillary blood collected in filter paper for serological tests lends itsef to widespread application in large epidemiologic field studies, specially in groups where venous puncture may be unfeasible or not well accepted. Also, venopuncture under adverse field conditions may represent a risk for
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5163)
Caiaffa W, Mingoti S, Proietti F, Carneiro-Proietti AB, Marques L, Doneda D, Silva R, Lopes A; W. Caiaffa, Federal University of Minas Gerais, School of Medicine, Av. Alfredo Balena, 190, 30130-100 Belo Horizonte, MG, Brazil, Tel.: 55-31-224-0911, Fax: 55-31-224-0911, E-mail: wcaiaffa@medicina.ufmg.br
Background: Estimation and monitoring the total number of HIV and HCVu single and co-infected IDUs is a critical public health. In order to estimate the total number of IDU who were infected with HIV/ HCV, we used a technique originally designed to estimate the wildlife population. Methods: The AjUDE-Brasil Project was
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5164)
Remafedi G; G. Remafedi, University of Minnesota, Youth and AIDS Projects, 428 Oak Grove Street, Minneapolis MN 55403, United States, Tel.: +1 612 627 6820, Fax: +1 612 627 6819, E-mail: remaf001@tc.umn.edu
Background: Prior studies suggest that young men who have sex with men (YMSM) under-utilize HIV testing, resulting in delays in the diagnosis and treatment of infection. The purpose of this study was to examine the HIV test experience of YMSM in relation to health care service characteristics. Methods: Participants wer
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5165)
Kelly A;;; A. Kelly, Macquarie University, Sociology Department, Macquarie University, NSW 2109, Australia, Tel.: 61 2 9850 8980, E-mail: akelly@laurel.ocs.mq.edu.au
Issues: Medical discourses, particularly those which address the neuropsychiatric aspects of HIV infection, have been pivotal in developing our medical understandings of AIDS Dementia. Yet, after almost two decades of this epidemic our sociological understandings of this AIDS related condition is impoverished. Such imp
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5166)
Rivera E;;; E. Rivera, BRC/ADHC, 896 Woodfield Road, West Hempstead, NY 11552, United States, Tel.: +1 212 533 20 37, Fax: +1 212 533 58 07, E-mail: elliottrivera@hotmail.com
Issues:In the New York City Correctional system (Rikers Island)inmates are released with only 3-7 days of HIV medications. Release of inmates is between the hours of 20:00hr and 0400hrs making it difficult to provide suitable pick up by community based agencies and/or family. Inmates are provided with public transporta
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5167)
Delany S, Mullick S, Nxumalo Z, Beksinska M; S. Delany, Reproductive Health Research Unit, Chris Hani Baragwanath Hospital, Johannesburg, South Africa, Tel.: +27 11 933 1228, Fax: +27 11 933 1227, E-mail: sinead@icon.co.za
Introduction: Targeted services for sex workers are a proven, cost-effective strategy for the control of sexually transmitted diseases (STDs). The participatory approach of involving sex workers in the design and development of these services is critical to the success of such an intervention. The structure of formal
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5168)
Mansourati F, Kotillil S, Stone VE; F. Mansourati, Brown University, 111 Brewster Street, Pawtucket, RI 02860, United States, Tel.: +1 401 729 23 95, Fax: +1 401 729 22 02, E-mail: fmansourati@worldnet.att.net
Background: Immune reconstitution with HAART has been attributed to redistribution of existing CD4+ cells as well as emergence of new cells from the thymus. A controversy exists to whether older patients have fewer thymic emigrants and thus, may have a delayed or disproportionate immune recovery. Methods: a retrospecti
Issues: HIV spread among drug users is often neglected due to difficulty in management, target-population accessibility and legal issues. There is an urgent need for paradigm shifts in response. An innovative approach of harm reduction strategy was developed for many years but multi-factorials obscure the implementatio
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5170)
Gomes M, Ferreira M, Silva C, Silva S; M. Gomes, Rua Mariz e Barros 522 ap.303, Santa Rosa, Niteroi, Rio de Janeiro 24230-121, Brazil, Tel.: +55 21 6103 508, Fax: +55 21 2402 588, E-mail: mfaira@saude.nj.gov.br
Background: There were 25.376 cases of AIDS reported in the State of Rio de Janeiro by September 30, 1999. In this group, 404 individuals were from 13 to 19 years old (1.6%) when they were reported. There are three Public Testing and Counseling Centers in the city of Rio de Janeiro and we have observed an increase in t
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5171)
Yozviak JL, Moran BP, Doerfler RE, Woodward WC; J. L. Yozviak, 3903 City Ave, Jefferson C-922, Philadelphia PA 19131, United States, Tel.: +215 877 63 19, Fax: +610 378 25 62, E-mail: joyoz@erols.com
Background: Recent studies reveal patients in clinical practice achieve viral suppression less frequently than those in clinical trials. Many variables influence the discrepancy, including patient ethnicity. This study examines ethnic variability in the effectiveness and tolerability of
Background: Asylum seekers in the UK have restricted access to housing and income below social security levels. We looked at the impact this has for those with HIV returning to live in the community. Method: We reviewed records of asylum seekers who were adult inpatients in Mildmay HIV Palliative Care Unit between 1 Ja
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5173)
Saxena S, Dafalias G, Weiler G, Jansen M, Monteiro M; S. Saxena, WHO, World Health Organization, CH-1211, Geneva 27, Switzerland, Tel.: +41 227 913 625, E-mail: saxenas@who.ch
Issues: Alcohol use and HIV infection are both common and account for a high amount of burden on communities. However, there has been little research conducted on the links between these two conditions. Association between alcohol consumption and high-risk behaviour is well established and may be significant for HIV in
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5174)
Blondin Diop A, Goujard C, Gasnault J, Nadal JM, Brosseau JP, Bourdillon F, Delfraissy JF; A. Blondin Diop, Bicetre Hospital, Department of Internal Medicine, 94275 Le Kremlin, Bicetre Cedex, France, Tel.: +33 1 4521 6354, Fax: +33 1 4521 6358, E-mail: blondin.diop@wanadoo.fr
Background: To describe characteristics of HIV+ patients coming from subsaharian Africa living in France and to compare access to antiretroviral therapy (ART) and immunovirological response with Non-African Native (NAN) HIV+ patients. Methods: The French Hospital Database on HIV (base DMI2/FHDH) is a prospective cohor
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5175)
Pollard R, Asmuth D, Onorato M, Collins G, Waterman K, Borucki M; R. Pollard, The University of Texas Medical Branch, Department of Internal Medicine, 301 University Blvd., Galveston, TX 77555-0835, United States, Tel.: +1 409 772 4979, Fax: +1 409 772 3461, E-mail: rpollard@utmb.edu
Background: Current knowledge of HIV management is derived largely from the results of clinical trials. Little information is available regarding inmate participation in controlled trials. Primary care was provided to Texas inmates (I) and non-inmates (NI) by the same group of health care workers. In this setting, acce
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5176)
Welch L, Saha R, Gant L; L. Welch, University of Michigan, 200 Observatory, #386, Ann Arbor, MI 48109, United States, Tel.: +1 34 764 8842, E-mail: welchl@umich.edu
A focus group was conducted with a group of HIV-positive African-American youth to assess the quality of services available to young adults living with HIV and AIDS under Title IV of the Ryan White Care Act. The focus group also served to gain insight into the personal issues, concerns, and challenges HIV-positive youn
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5177)
Odujinrin S, Bond L, Ifenne E, Ifenne E, Akpan T; S. Odujinrin, 1400 16th St. NW, Suite 100, Washington, DC 20036, United States, Tel.: +202-939-2651, Fax: +202-332-4496, E-mail: omclaughlin@cedpa.org
Learning Objectives: To research the impact of combining reproductive health (RH) education and services and democracy and governance (D&G) activities on reproductive health knowledge, attitude, and behaviors of in- and out-of-school youth. Background: Youth under age 24 constitute approximately 60 percent of the N
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5178)
Silberberg J, Vital T, Lubin B; J. Silberberg, Cermak Health Services of Cook County, 2800 South California Avenue, Chicago, IL 60008, United States, Tel.: +773 869-5618, Fax: +312 258-9159, E-mail: jsilberberg@worldnet.att.net
Issues: The number of women detained in American jails is increasing dramatically. These women are more likely to be mentally ill, abuse substances, and have HIV than their non-detainee counterparts in the community. Female jail detainees bring with them a complex array of biopsychosocial issues, including special repr
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5179)
Davis YM; Y. M. Davis, All Indian Pueblo Council, Inc., 3939 San Pedro N.E. Suite D, Albuqueruqe, New Mexico 87190, United States, Tel.: +1 505 291 82 49 ext.514, Fax: +1 505 830 15 18, E-mail: ydavis@ihighway.com
Issue: The government-to-government relationship between the U.S. and Native American Tribes constitute a special and unique status not shared by other minority constituents. Access and financing, the traditional difficulties faced by health care providers serving Native American tribes, are exacerbated by issues of so
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5180)
Udoh I, Dillard Smith C, Dillard Smith C; I. Udoh, CAL-PEP, 510 16th Street, Suite 200, Oakland, CA 94612, United States, Tel.: +1 510 874 78 50, Fax: +1 510 839 67 75, E-mail: calpep@aol.com
The California prostitutes education project (CAL-PEP) is an HIV prevention organization which offers comprehensive street and community based outreach programs to African Americans and other communities of color in the bay area. Our approach is peer based and non-judgemental - we hire ex prostitutes and ex-substance
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5181)
Gail C, Sarazine J, Pulvirenti J; C. Gail, The CORE Center, 2020 West Harrison Street, Chicago, Illinois 60612, United States, Tel.: +1 312 572 46 28, Fax: +1 312 572 46 29, E-mail: Gailturin@aol.com
Objectives: To determine common characteristics among HIV-infected substance abusers admitted to CCH in an effort to facilitate their entry into comprehensive outpatient HIV care. Methods: Data were prospectively collected on all HIV-infected IP admitted to the CCH HIV unit from 9/20/99 to 12/20/99. Data collected incl
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5182)
Jansen M, Monteiro M, Saxena S; M. Jansen, World Health Organization, CH 1211 Geneva, Switzerland, Tel.: +(41,22) 791-4434, Fax: +(41,22) 791-4325, E-mail: jansenm@who.ch
The WHO Drug Injecting Study and the WHO Rapid Assessment and Response methodology present opportunities and challenges for developing prevention interventions based on data from several sites around the world. These data will enable local community leaders to develop policies and practices based on scientific input co
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5183)
Hutchinson J, Sunderland J, Gibb D, Naftalin A, Fakoya A; J. Hutchinson, The Greenway Centre, Newham General Hospital, Glen Road, Plaistow, London.E13 8SL, United Kingdom, Tel.: +44 171 476 4000, E-mail: jane@cjhutch.freeserve.co.uk
Background: The HIV seroprevalence in pregnant women in Newham is one of the highest in Europe and HIV testing is recommended for all pregnant women. In addition, many HIV positive women are choosing to become pregnant.AIM To describe the management of pregnant HIV positive women at a city hospital. Design: Retrospecti
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5184)
Mullick S, Delany S, Bekinska M; S. Mullick, 108 Davenport Road, Durban 4001, South Africa, Tel.: +031 202 4061, Fax: +031 202 4090, E-mail: saiqa@rhru.co.za
Introduction: HIV prevalence in the 15-19 year old age group has increased by 65% between 1998 and 1999. The youth have been identified nationally as a priority group for intervention. This baseline study was conducted prior to introducing a package of interventions for the youth in Kopano district as part of the Natio
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5185)
Bangsberg D, Charlebois E, Robertson M, Osmond D, Moss A; D. Bangsberg, 1001 Potrero Avenue, Bldg. 1000 Room 301, San Francisco, United States, Tel.: +1 415 206 3462, Fax: +1 415 206 4360, E-mail: db@epi-center.ucsf.edu
Background: Indigent urban adults make up a substantial and growing portion of the HIV epidemic in the USA. As adherence to HAART is of concern, the impact of therapy on mortality in this population is unknown. Methods: We examined the relationship between receipt of HAART and mortality in the REACH cohort, a prospecti
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5186)
Norman A, Truax S, Webb D; A. Norman, 611 North 7th Street, Sacramento, CA. 95814, United States, Tel.: +1 916 323 7333, Fax: +1 916 322 2206, E-mail: anorman@dhs.ca.gov
Background: African Americans are disproportionately affected by HIV (CDC, 1999). IDU (injection drug use) is the second most frequently reported risk behavior associated with HIV infection (CDC, 1998). However, few investigators have examined behavioral risks that are associated with injection drug use among African A
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5187)
Shriver M; M. Shriver, AIDS Policy Research Center, AIDS Research Institutre/UCSF, 74 New Montgomery Street, 6th floor, San Francisco, CA 94105, United States, Tel.: (+1415) 597-4976, Fax: (+1415) 597-9213, E-mail: mshriver@psg.ucsf.edu
Introduction: Targeted primary HIV prevention services for HIV+ individuals based on sound intervention research are practically nonexistent in the US, in spite of the known need. San Francisco is 1 of 5 sites awarded moneys from the CDC to create such a pilot program targeting HIV+ individuals. We utilized a CAB to e
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5188)
Spradling P, McLaughlin S, Drociuk D, Ridzon R, Pozsik C, Onorato I;;; P. Spradling, Centers for Disease Control & Prevention, 1600 Clifton Rd, Mailstop E-10, Atlanta, GA 30333, United States, Tel.: +1 404 639 53 10, Fax: +1 404 639 89 59, E-mail: pps9@cdc.gov
Background: Populations at high risk for tuberculosis (TB) include incarcerated and HIV-infected individuals. In November 1998, the State of South Carolina made segregated housing for all HIV-infected inmates mandatory. In August 1999, an inmate from a prison dormitory (Dormitory A) for HIV-positive men was diagnosed
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5189)
Kiguli AR, Basirika SR; A. R. Kiguli, PO Box 26785, Kampala, Uganda, Fax: +256 41 530 412, E-mail: rjbatusa@infocom.co.ug
Issues: Most Ugandans in rural resource limited settings rely on herbal medicine. Unfortunately there has been uncertanity of which herb offers quick relief, to which symptom in a desparate situation like that of HIV/AIDS. Description: The paper shows and explains how the PLW/AIDS, botanists, berbalists, traditional he
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5190)
Chola BM;;; B. M. Chola, Bwafwano Community Home Based Care, PO Box 33155, Lusaka 10101, Zambia, Tel.: +260 1 224 921, Fax: +260 1 224 921
Issues: The rapidly increasing number of people living with HIV/AIDS most of whom have a low performance scale due to opportunistic infections requires that community efforts are mobilised to cope with the challenges of home care. In resource constrained settings however, resources are inadequate and they cannot cope w
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5191)
Luzinda IN, Ssenabulya M, Musiitwa R; I.N.Luzinda, Taso Entebbe PO Box 235 , Entebbe, Entebbe, Uganda, Tel.: +256 041 320 343, Fax: +, E-mail: tasebb@infocom.co.ug
Back ground: In Uganda , One among four People is reported to have the virus that causes H.I.V/AIDS. Unfortunately for many, hospital care is not affordable due to the economic and social impact of AIDS on families. Secondly accessibility to treatment centres is also a problem. Therefore the need for Home and Community
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5192)
Kang L-Y, Pan XZ, Yang WX, Pan QC, Yang WQ, Xue YL; L. -Y. Kang, 280 Chang Shu Road, Shanghai 200031, China, Tel.: +86 21 643 700 55, Fax: +86 21 643 388 64, E-mail: lykang63@hotmail.com
Background: To investigate and describe the kinetics in HIV RNA Copies among cases with AIDS before and during the Chinese Herbs XQ-9302 treatment to evaluate the effects in AIDS treatment.Methods: Within the period of 1996-1999, based on the national criteria for AIDS diagnosis, a total of 20 diagnosed patients with A
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5193)
Kharkar R, Vaidya S; R. Kharkar, Marzban Co-op Housing Society, Shahaji Raje Road, Vile Parle East, Mumbai 400057, India, Tel.: +91 22 821 26 90, E-mail: drrdkharkar@hotmail.com
Background: In our clinical practice we have observed that only about 1 in 100 HIV patients can afford triple therapy and therefore this affordable ayurvedic option was looked into. Cellular immune responses are being recognized to be the vital key in enhancing immunologic control in HIV disease. Therefore combination
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5194)
Nansubuga A, Byangire M, Mrs. Matovu M; A. Nansubuga, PO Box 4267, Kampala 256 041, Uganda, Tel.: +256 077 450 253, Fax: +256 041 230 804
Issue: Kibinge subcounty in Masaka District with a big population yet with a very low per capital income, is one of the areas in Uganda that has been greatly hit by and diverstated by HIV/AIDS. Health care provision from the Government is hardly heard of. Description: In 1996, 20 families formed a self-helf project to
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5195)
Lugada E, Gilks C, Whitworth J, French N, Watera C, Mukasa-Monico S, Antivelinic L; E.Lugada, PO Box 12777, Kampala, Uganda, Tel.: +256 77 50 74 10, Fax: +256 41 32 11 37, E-mail: ericlugada@yahoo.com
Background: Tuberculosis (TB) preventive therapy can reduce HIV related TB. Successful implementation in low income settings presents many problems. We set out to asses the operational aspects of a six month daily course of isoniazid (INH) therapy in HIV-1, purified protein derivative (PPD) skin test positive attending
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5196)
Pawar A; A. Pawar, Muncipal Eye Hospital, AIDS Project 2nd Floor, Maulana Shoukat Ali Road, Mumbai - 8, India, Tel.: +91 22 300 51 75, Fax: +91 22 308 02 31, E-mail: rcs@bom3.vsnl.net.in
Issues: (a) To bring down the prevalence of Sexual Transmitted Diseases in 10,000 women in prostitution. (b) To provide care and support the HIV infected women. (c) Control the HIV infection through correct condom use. Description: While dealing with women in prostitution it is important to understand and address her d
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5197)
Chan K, Wong KH; K. Chan, AIDS Unit, Dept of Health, 9/F, Integrated Treatment Centre, 9 Kai Yan St, Kowloon Bay, Hong Kong, Tel.: +852 2116 2930, E-mail: kcwchan@health.gcn.gov.hk
Background: Previous studies have established that the Chinese had a different range of CD4+ count from that of Caucasians. Different criteria have been proposed for staging human immunodeficiency virus-infected Chinese adults. It is not known to what extent the total lymphocyte count in Chinese will correlate with and
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5198)
Hekuto Yepthomi T; T. Hekuto Yepthomi, 1, Raman Street, T. Nagar (YRG Care), Chennai 600 017, India, Tel.: +91 44 826 4242, Fax: +91 44 825 6900, E-mail: yrgcare@vsnl.com
Issues: Persons living with HIV and AIDS in India readily identify discrimination by health care workers and their consecutive inability to access care as an important issue. I am a medical doctor at YRG CARE, an AIDS Service Organization, providing holistic treatment. To me HIV is more than just a disease; it is getti
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5199)
Aguais J, Horn T, Barr M, Valencia J, Aguais T, Gendin S, Ramirez D, Delgado A, Gordillo R; J. Aguais, Aid for AIDS, 515 Greenwich St, Suite 506, New York, NY 10013, United States, Tel.: +1 212 337 8043, Fax: +1 212 337 8045, E-mail: jaqua@aol.com
Background: AID FOR AIDS is a non-profit organization founded to support the clinical care of HIV-infected Latinos/as living in the United States and throughout Latin America. AIDS FOR AIDS maintains a national canvassing program to collect unused HIV/AIDS medications from patients and clinicians in the United States
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5200)
Saha A, Jana S, Banerjee S, Ghosh S, Das B, Chakrabarty P, Gupta K, Sarkar P, Islam A; A. Saha, 3J Naren Sarkar Road, Calcutta 700 008, India, Tel.: +91 33 400 4962, Fax: +91 33 241 6283, E-mail: amitrajitsaha@hotmail.com
Background: PLWA find themselves at the margins of society in developing countries like India . Access to basic health care and hospitalisation is denied them due to stigma attached to HIV infection. Awareness about HIV is lacking even among health care providers. Anti retroviral therapy is virtually unoptainable.
Issues: Uganda has participated as a pilot site of the UNAIDS HIV Drug Access Initiative (DAI) which strives to increase access to AIDS care including use of antiretroviral (ARV) drugs and drugs for treatment and prophylaxis against opportunistic illnesses in resource poor settings. In order to conduct a thorough eval
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5202)
Mendonca-Neto E, Cardoso M, Taino E, Pereira M, Gonsalves I, Rodrigues R, Brigido L; E. Mendonca-Neto, Itapecerica da Serra Health Secretary, Rua 13 de maio 27, Itapecerica da Serra, 06850, Brazil, Tel.: +55 11 495 21 35, Fax: +55 11 495 5122, E-mail: rohc@usp.br
Introduction: Itapecerica da Serra, in the Southeast Metropolitan area of Sao Paulo, has an integrated Aids program, involving education, prevention and treatment, including home visits, covering also other neighboring cities. An anonymous serological testing unit has recently being open. Methods: We describe here prel
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5203)
Thongplaew S; S. Thongplaew, Bang Kruai District Hospital, 311 Latphrao Road, Soi 101, Bangkok 10240, Thailand, Tel.: +66 2 375 6491, Fax: +66 2 374 9835, E-mail: msfbthai@asianet.co.th
Issues: In Thailand , many health care workers think that AIDS is a disease needing specialist treatment in large hospitals. We have found that many common opportunistic infections such as diarrhoea, oral candidiasis , skin disease and TB can be managed at the community level.
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5204)
Kizza C, Kintu K, Sherman J, Musoke P, Mmiro F; C. Kizza, MU-JHU Research Collaboration, PO Box 23491, Kampala, Uganda, Tel.: +256-41-541-044, Fax: +256-41-541-044, E-mail: mujhu@afsat.com
Objectives: To provide adequate care and follow up of the HIV infected mothers and their children. To obtain the mother s full participation in the care and follow up of her children. Methods: Mothers are encouraged to attend a research clinic according to routine research protocol and the Ministry of Health as regards
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5205)
Godfrey-Faussett P, Mukadi YD, Hargreaves N, Salaniponi F, Ayles H, Hausler H, Maher D, Raviglione M, Madji R; P. Godfrey-Faussett, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, United Kingdom, Tel.: +44 207 612 7804, Fax: +44 207 637 4314, E-mail: peter.godfrey-faussett@lshtm.ac.uk
Issues: The rising burden of TB due to the HIV epidemic calls for new approaches to tuberculosis control to complement the DOTS strategy. As more people choose to be tested and to acknowledge their HIV status, a strategy of prevention and care for TB can be integrated into primary care services.
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5206)
Reid A, Khumalo M, Drysdale S, Wilkinson D, Gilks C; A. Reid, Liverpool School of Tropical Medicine, 63A Upper Clapton Road, London, United Kingdom, E5 8AY, United Kingdom, Tel.: +44 208 880 0561, E-mail: alasdair.reid@btinternet.com
Background: HIV/AIDS is highly prevalent in South Africa . Our aim was to assess the impact of HIV/AIDS on hospital medical admissions over time (1991-1998), to inform planning of hospital and community services. Methods: Data were collected from case notes of patients admitted to the hospital medical wards during the
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5207)
Reid A, Shandu B, Drysdale S, Wilkinson D, Gilks C; A. Reid, Liverpool School of Tropical Medicine, 63A Upper Clapton Road, London, United Kingdom, Tel.: +44 208 880 0561, E-mail: alasdair.reid@btinternet.com
Background: HIV/AIDS is highly prevalent in South Africa and impacting on the delivery of healthcare. Our aim was to define the prevalence of HIV infection and nature of HIV-associated disease in acute medical admissions to a rural hospital in Kwazulu Natal and thus to improve district-wide HIV care. Methods: All medi
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5208)
Fonacier-Fellizar I; I. Fonacier-Fellizar, 295-A Isetann Bldg, P. Tuazon, Cubao, Quezon City 1109, Philippines, Tel.: +63 2 913 3464, Fax: +63 2 9117 867, E-mail: iff@mydestiny.net
Issue: To date, the Phililppines is one of those known to have a low and slow HIV/AIDS status. Early actions towards prevention and control may have contributed to this among others. Efforts to provide care and support have also been initiated. However, since the first case in 1984, despite the long window of opportuni
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5209)
Arendt V, Courteille O, Fonck K, Vanherp M, Waelbrook A, Robert I, Inwani C, Farah B; V. Arendt, Centre Hospitalier Luxembourg, 4, rue Barble, L-1210 Luxembourg, Luxembourg, Tel.: +352-44113091, Fax: +352-441279, E-mail: arendt.vic@chl.lu
Background: The Algo has not been evaluated at the level of a primary health care facility (HC). We tested it s performance in an urban african population in a high prevalence area in Nairobi, Kenya and compared it to a simplified diagnostic tool. Looseness=-100000 Methods: The Algo includes 3 levels of conditions : ca
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5210)
Pujari S, Mane A, Wadia RS; S. Pujari, Ruby Hall Clinic, 40 Sassoon road, Pune 411001, India, Tel.: +91 20 545 0415, Fax: +91 20 623 973, E-mail: san1@medscape.com
Background: Data about long term effectiveness of HAART amongst Indian patients is lacking. The aim of this study is to assess efficacy, safety and tolerability of HAART amongst HIV infected patients in India. Design: Prospective, on-going, observational study. Methods: Patients were offered HAART after thorough discus
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5211)
Regensberg L, Pead C, Maartens G; L. Regensberg, Medscheme, Private Bag X1003, Claremont 7735, Cape Town, South Africa, Tel.: +27-21-658 6400, Fax: +27-21-658 6426, E-mail: lregensberg@pbm.co.za
Issues: South African medical insurance companies have only recently begun offering significant benefits for HIV. Available funds are insufficient in most cases for conventional HAART regimens. Description: The Aid for AIDS program provides standardised treatment protocols for disease monitoring, treatment & prophy
Aim: To conduct a feasibility study of the provision of isoniazid preventive therapy (IPT) via voluntary counselling and testing centres (VCTs) in Lusaka, Zambia . Methods: All clients attending 6 VCTs in Lusaka are informed about IPT as part of routine pre-test counselling. Any client testing positive for HIV is offe
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5213)
Armstrong S, Babiyre R, Finnegan A, Nsubuga L, Ottenweller M, Sozi C, Towell EA; S. Armstrong, UNAIDS, 20 Avenue Appia, CH-1211 Geneva 27, United Kingdom, Tel.: [+44 131] 557 0953, Fax: [+44 131] 557 0953, E-mail: sue.armstrong@onyxnet.co.uk
Background: The strains on those caring for people with HIV infection and AIDS are enormous and wide-ranging, often overwhelming the capacity of the health and social services in many countries to cope. They are being borne increasingly by lay carers within families and communities. But care for the carers is rarely gi
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5214)
Himmich H, Kazatchkine M, Chakib A, Bensghir R, Marhoum Filaili K, Adnaoui M; H. Himmich, ALCS (Association de Lutte Contre le Sida), 17, boulevard Al Massira Al Khadra, Maarif, Casablanca, Morocco, Tel.: +212 2 994 242, Fax: +212 2 994 244, E-mail: alcs@casanet.net.ma
Background: In Morocco , a low prevalence area for HIV/AIDS infection and a limited resources country, a pilot project of access to HAART began in June 1999 and will include 63 resourceless patients. Methods: The realisation of this pilot project is due to a financial support of the Moroccan Ministry of Health and of t
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5215)
Pilyugina S, Katzenstein D, Bergen M, Usichenko N, Schapiro J; S. Pilyugina, Stanford University School of Medicine, 350 Sharon Park Dr., Apt E-34, Menlo Park, CA 94025, United States, Tel.: +1 650 233 05 63, E-mail: pilyugis@leland.stanford.edu
Purpose: To assess HIV knowledge, attitudes and Universal Precaution practices in a country with rising HIV prevalence and limited resources. Methods: An anonymous questionnaire was distributed to 321 health care workers (HCWs) in 12 hospitals in Odessa, Ukraine (Jun-Sept 99). 10% had follow-up interviews. Results: 17
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5216)
Mpoudi Ngolle E, Mbuagbaw J, Bourgeois A, Mougnoutou R, Torimiro JN, Delaporte E; E. Mpoudi Ngolle, Presica Project, Projet Presica, Hopital Militaire de Yaounde, BP 906, Yaounde, Cameroon, Tel.: +(237) 22 62 58, Fax: +(237) 22 62 58, E-mail: ankeb@camnet.cm
Background: Cotrimoxazole prophylaxis is a cheap and effective strategy to prevent opportunistic infections.In developing countries the lack of appropriate laboratory facilities and/or cost to measure CD4 count are important constraints. Based on clinical and biological characteristics of HIV out-patients we elaborate
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5217)
Corral JA, Aquilia S, Ferro A, Miglioranza C, Hualde M, Fabrizzi F; J.A. Corral, NONE, Castelli 2602, Mar del Plata (7600), Argentina, Tel.: +54 0223 4942 114, Fax: +54 0223 4942 114, E-mail: corralfuks@arnet.com.ar
Introduction: The impact of HAART on both, the decrease of hospitalizations and the mortality rate of patients with AIDS (p.) is widely known. The purpose of this work is to study its effects on our setting. Material and Methods: Patients hospitalized during the period above mentioned, causes, epidemiological character
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5218)
Lionel J; J. Lionel, Dept. of Obst. Gynae, Christian Medical College & Hospital, Vellore - 632 004, India, Tel.: +91 416 222 102 Extn. 216, Fax: +91 416 232 035, E-mail: lgnanaraj@hotmail.com
Background: Management of HIV positive women is a challenge, considering the lack of resources, the increasing prevalence and absence of a standardized protocol. Pretest, posttest counseling, option to continue or terminate pregnacy,affordability of antiviral prophylaxis, regular antenatal care, hospitals which accept
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5219)
Kong Bun Dr, Hall Dr; Dr N. Kong Bun, POBox 2318, Phnom Penh 3, Cambodia, Tel.: +855 23 882 484, Fax: +855 23 882485, E-mail: sihosp@bigpond.com.kh
Issues: Cambodia is facing probably the worst HIV/AIDS epidemic in Asia. Poverty and lack of education have led to significant stigmatization of PLWHAs, causing much misery and suffering. Project: In 1997, a Support Group was set up by staff of the Sihanouk Hospital Center of HOPE (SHCH) and a local NGO, HOPE Cambodia
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5220)
Boyana C, Smart R; C. Boyana, TEBA, PO Box 100, Kokstad 4700, South Africa, Tel.: +27 37 727-2080, Fax: +27 37 727-2555, E-mail: chrispar@webmail.co.za
Issues: Every week, migrant workers from the mining and sugar industries are repatriated home with terminal AIDS. The districts to which they return are amongst the poorest areas in the sub-continent with public health infrastructures which are already overburdened because of AIDS. What can be done to support families
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5221)
Lebethe A, Vukeya, Nstikanye B; A. Lebethe, HOPE worldwide South Africa, PO Box 553, Honeydew, 2040, South Africa, Tel.: +27 11 984 4422, Fax: +27 11 984 4422, E-mail: hope@global.co.za
Issue: Caregiver burnout seriously compromises essential community AIDS support services. Community Programs in South Africa are high risk for burnout due to violence, rape, abuse, poverty, and lack of support by government services. Description: Hope worldwide has set up commuity programs in Khayelitsha, Cato Manor an
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5222)
Burrows D; D. Burrows, Three Palms Consulting, 22 Francis St, Marrickville, NSW 2204, Australia, Tel.: +61 295 589 396, Fax: +61 298 185 675, E-mail: dbsyd@aol.com
Background: More than 1 million injecting drug users (IDUs) have been infected with HIV over the past 20 years. Yet care and support services for HIV positive IDUs are scarce, even in countries with massive epidemics of HIV among IDUs. Very few programs have been set up in resource-poor countries, despite the majority
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5223)
Wells H, Samreth S, Kong BN, Wilkinson D, Chheng K, Bhatt P;;; H. Wells, International HIV/AIDS Alliance, 2 Pentonville Road, London N1 9HF, United Kingdom, Tel.: +44 020 7841 3501, Fax: +44 020 7841 3501, E-mail: kcarovano@aidsalliance.org
Issues: In response to escalating demand for care and support services in Cambodia , a pilot Home Care Project in Phnom Penh was begun by WHO and DfID in February 1998. Eight teams were formed combining government Health Centre nurses and NGO AIDS staff. The Network of Home Care Teams visits families across the city, s
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5224)
Kenfack H, Kouanfack C, Ewane L, Abeti E, Nanfack A, Zekeng L; H. Kenfack, Laboratoire de Sante Hygiene Mobile, Labo De Sante Hygiene Mobile, PO Box 30254, Cameroon, Tel.: +237 223 837, Fax: +237 306 778, E-mail: henriette_kenfack@yahoo.com
Objectives: To identify all financial resources for the clinical care of people living with HIV/AIDS (PLWHIV) To demonstrate whether there is a need for subsidising this therapy in Cameroon Methods: Included in this cross sectional study were known patients refered to our laboratory for CD4 counts by clinician in view
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5225)
Russell M;;; M. Russell, Centre for Health Policy, SAIMR, University of Witswatersrand, Johannesburg, South Africa, Tel.: +27 011 489 9936, Fax: +27 011 489 9922, E-mail: mrussell@icon.co.za
Issues: South Africa is experiencing the fastest growing HIV/AIDS epidemic in the world. It was estimated in 1998 that 3.6 million South Africans were HIV+. As the numbers increase health facilities are being forced to ration care. Patients are turned away from hospitals due to limited beds. Households and communities
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5226)
Blyth D, Buckels NJ, Sewsunker R, Mitha AS; D. Blyth, University of Natal, Dept of Cardiothoracic Surgery, Wentworth Hospital, PB Jacobs, 4026, South Africa, Tel.: +27 31 460 51 13, Fax: +27 31 461 17 24, E-mail: welman@wwh.und.ac.za
Background: Having observed that many patients infected with the Human Immune Deficiency Virus (HIV) enjoyed a good clinical status apart from their Cardiac and Thoracic conditions requiring surgery, and the encouraging but scant literature from the Northern hemisphere, a change in policy in a Unit with limited resourc
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5227)
Marlink R, M. Ayres JR, Bloom D, Gathiram V, Mboup S, Reich M, Senaratana W, Tarantola D, Gruskin S; R. Marlink, Harvard AIDS Institute, 651 Huntington Avenue, Boston, MA 02115, United States, Tel.: +1 617 432 4114, Fax: +1 617 432 4545, E-mail: marlink@hsph.harvard.edu
Background: Approximately 90% of people with HIV/AIDS (PLWA) worldwide live in regions where access to medical care and resources is limited. The objectives of the Enhancing Care Initiative (ECI) are to analyze available care in these diverse socio-economic and cultural settings, to assess the needs of PLWA and to make
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5228)
Freedberg K, Losina E, Weinstein MC, Paltiel AD, Cohen CJ, Seage GR, Craven D, Zhang H, Kimmel AD, Goldie SJ; K. Freedberg, Boston University School of Medicine, 91 E. Concord St, Suite 200, Boston 02118, United States, Tel.: +1 617 414 7399, Fax: +1 617 414 4676, E-mail: kfreedbe@bu.edu
Background: It is difficult to prioritize among the proven therapies for HIV disease in situations with limited resources. Methods: We developed a state-transition model of HIV disease to project the clinical impact, cost, and cost-effectiveness (C-E) of different strategies for HIV care. Combinations of strategies in
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5229)
Wheeler D, Arathoon E, Pitts M, Cedillos R, Bu Figueroa E, Roman M, Herrera G, Sosa N; D. Wheeler, 3289 Woodburn Road, Suite 200, Annandale22003, United States, Tel.: +1 703 560 7900, Fax: +1 703 560 8408, E-mail: dwheel@erols.com
Background: Reductions in HIV mortality in the developed world have been related to use of ART. Access to ART in the developing world has been hampered by cost and infrastructure. Improving access to ART in CA will require an understanding of current access to ART in the 3 health systems. Methods: A leading HIV clinici
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5230)
Wiktor S, Sassan Morokro M, Maurice C, Ackah A, Abouya L, Odum R, Roels TH, Coulibaly D, Decock KM; S. Wiktor, Centers for Desease Control and Prevention, Atlanta GA 30333, United States, Tel.: +404 639 61 00, Fax: +404 639 42 68, E-mail: szw0@cdc.gov
Background: Cotrimoxazole prophylaxis reduces mortality and morbidity among HIV-infected TB patients; however little is known about the levels and determinants of drug adherence to this daily regimen. Methods: We assessed drug adherence during the first 24 months of follow-up among HIV-infected TB patients who were ran
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5231)
Weidle P, Mwebaze R, Sozi S, Bahendeka S, Moss V, Rukundo G, Katabira E, Malamba S, Downing R, Ochola D, Mermin J, Lackritz E; P. Weidle, Centers for Disease Control, 1600 Clifton Road MS E-45, Atlanta GA, United States, Tel.: +404 639 61 55, Fax: +404 639 61 27, E-mail: pew6@cdc.gov
Backgound: The UNAIDS HIV Drug Access Initiative (DAI) was implemented in 1998 to improve access to AIDS care and drugs, including antiretroviral (ARV) drugs, in developing countries. For those who access ARV drugs in Uganda the therapeutic options are limited by cost. We analyzed the baseline characteristics, follow
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5232)
Makhubele B, Pronky PM; B. Makhubele, Health Systems Development Unit, PO Box 2, Acornhoek 1360, South Africa, Tel.: +27-13-797-0076, Fax: +27-13-797-0082, E-mail: pronyk@soft.co.za
Issues: South Africa remains in the phase of exponential increase in the rate of HIV infection. The vast majority of those infected with the virus remain unaware of their status. Improved access to voluntary counselling and testing (VCT) services has been identified by the National Department of Health as an important
Issues: It is commonly understood that ACT UP style treatment activism has influenced clinical research in the US. In Europe a similar development has resulted from generally less aggressive exchange. Public and private funding account for structures of community participation (CP) in both regions. The parties involved
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5234)
Holzemer W, Nokes K, Sanzero Eller L, Corless I, Bunch E, Kemppainen J, Miramontes H, Chou F-Y; W. Holzemer, University of California, School of Nursing, PO Box 0608, 531 Parnassus, San Francisco, CA 94943-0608, United States, Tel.: +1 415 476 27 63, Fax: +1 415 476 60 42, E-mail: bill.holzemer@nursing.ucsf.edu
Background: People living with HIV/AIDS experience diarrhea due to HIV disease, side effects of medication and treatment, and co-morbidities. This study describes the frequency and correlates of self-reported diarrhea and the self-care behaviors used to manage diarrhea. Method: Data were collected in a convenience samp
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5235)
Corless I, Bunch EH, Kemppainen J, Holzemer W, Nokes K, Sanzero Eller L, Portillo C, Butensky E, Nicholas P; I. Corless, MGH Institute of Health Professions, 101 Merrimac Street, Boston, MA 02114, United States, Tel.: +1 617 726 80 18, Fax: +1 617 726 80 22, E-mail: icorless@partners.org
Background: People living with HIV/AIDS experience fatigue and weakness due to HIV disease,side effects of medication and treatment,and co-morbidities. This study describes the frquency and correlates(demographic and disease-related factors) of self-reported weakness and fatigue and the self-care behaviors used to mana
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5236)
Hekkink C, Danner SA, Wigersma L; C. Hekkink, Academic Medical Center, Department of General Practice, Meibergdreef 15, 1105 AZ Amsterdam, Netherlands, Tel.: +31 20 566 71 88, Fax: +31 20 566 92 16, E-mail: c.f.hekkink@amc.uva.nl
Background: The TAZO-study is a study into the quality of care for people infected with HIV. The objective of this study is to evaluate the effects of workagreements and of a regular communication strategy between general practitioners, HIV specialists and AIDS nursing consultants on the quality of health care for peo
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5237)
Holzemer W, Kemppainen J, Nokes K, Sanzero Eller L, Corless I, Bunch EH, Kirksey K, Miramontes H, Chou F-Y; W. Holzemer, 531 Parnassus, PO Box 0608, San Francisco, CA 94143-0608, United States, Tel.: +1 415 476 27 63, Fax: +1 415 476 60 42, E-mail: bill.holzemer@nursing.ucsf.edu
Background: People living with HIV/AIDS experience anxiety/fear due to HIV disease, side effects of medication and treatment, and co-morbidities. This study describes the frequency and correlates of self-reported anxiety/fear and the self-care behaviors used to manage anxiety/fear. Method: Data were collected in a conv
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5238)
Chiu-Bin H, Wu E, Mark S, Hewitt R, Klingman K; H. Chiu-Bin, State University of New York at Buffalo, Erie County Medical Center, HIV-Services and Infectious Diseases, 462 Grider Street, Buffalo, NY 14215, United States, Tel.: +1 716 898 41 19, Fax: +1 716 898 31 87, E-mail: chsiao@acsu.buffalo.edu
Background: Thrombocytopenia can be seen in patients (pts) with HIV infection and antiretroviral therapy improves platelet counts. Objectives: To see if thrombocytopenia in HIV infected pts is correlated with viral suppression (VL > 400 copies/ml ) while on HAART or with factors (CD4 > 300/ml, VL > 10,000 copies/ml) t
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5239)
Hsiao CB, Bearman G, Shelton M, Klingman K, Hewitt R; C.B. Hsiao, State University of New York at Buffalo, HIV-Services and Infectious Diseases, Erie County Medical Center, 462 Grider Street, Buffalo, New York, United States, Tel.: +1 716-898-4119, Fax: +1 716-898-3187, E-mail: chsiao@acsu.buffalo.edu
Background: Low CD4 counts and inverted CD4/CD8 ratio are commonly noted in pts with HIV infection. We investigated the correlation between HAART and preservation or recovery of CD4 counts and CD4/CD8 ratio > 1 in our patient population. Method: Retrospectively reviewed clinical records of HIV-infected pts (232F/609M)
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5240)
Corless I, Sanzero Eller L, Bunch EH, Kemppainen J, Holzemer W, Nokes K, Goodroad B, Portillo C, Samuels K; I. Corless, MGH Institute of Health Professions, 101 Merrimac Street, Boston, MA 02114, United States, Tel.: +1 617 726 80 18, Fax: +1 617 726 80 22, E-mail: icorless@partners.org
Background: People living with HIV/AIDS experience depression due to HIV disease, side effects of medication and treatment, and co-morbidities. This study describes frequency and correlates of self-reported depression, and the self-care behaviors used to manage depression in an HIV+ convenience sample (N = 422).Method:
Issue: Lack of support mechanism to risks and fears of HIV infected health personnel has emerged as a major constraint for health care providers cope with HIV infection and disease. This is more pronounced in resource constrained community where there is even limited access to treatment. This has caused a lot of stress
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5242)
Narayan PM, Cu-Uvin S, Durgabai G, Lush S, Mayer K, S P T, Solomon S; P.M. Narayan, YRGCARE, 1, Raman Street, T Nagar, Chennai 600017, Tamilnadu, India, Tel.: +91 44 824 03 11, Fax: +91 44 825 69 00, E-mail: yrgcare@vsnl.com
Background: Sexually Transmitted Infections (STI) remain a major health problem in developing countries. STI have been associated with higher rates of HIV transmission and acquisition. We studied the prevalence of STI among women attending an HIV clinic at YRG CARE, a tertiary HIV care centre in Tamilnadu,
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5243)
Strauss R, Rogers D, McKaig R, Eron J Jr, Patton L; R. Strauss, Department of Dental Ecology, UNC School of Dentistry, C.B. # 7450, Chapel Hill, N.C. 27599-7450, United States, Tel.: +1 919 966 2788, Fax: +1 919 966 6761, E-mail: ron_strauss@unc.edu
Background/Methods: Four validated dimensions of the diagnostic encounter were studied by interviews with 604 HIV+ adults under care in the Southeast USA. Results: 58% felt that the person who gave their HIV+ diagnosis cared a great deal about how they felt; 24% report no or low caring. 59% felt they got a high chance
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5244)
Anon AD; A. D. Anon, Teaching Hospital Bouake, PO Box 1174 Bouake, Cote d'Ivoire, Cote D'Ivoire, Tel.: +225 31 63 80 83, Fax: +225 31 63 05 40, E-mail: rsb@africaonline.co.ci
Problem: The high social stigmatization related to aids can be an obstacle to acess to medical care for PWA. Objective: to implement the impact of a day care hospital as far as quality of life is concerns Methodology: Focus-group discussions with PWA patients,and their families. Results: From November 97 to December 99
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5245)
Gomez Rodrigo J, Marco Martinez J, Barba Martin R, Plaza Canteli S, Cervero Jimenez M, Paez Pena M, Rondn P, Sols Villa J; J. Gomez Rodrigo, Hospital Severo Ochoa. I.D., Avenida de Orellana sn., 28911 Legans., Madrid, Spain, Tel.: +34 1 481 80 00, E-mail: med002703@nacom.es
Objective: To asses both the quality of care (QC) provided to our patients and their quality of life (QL) by means of a self-administered questionnaire. Setting. Infectious Diseases Outpatient Clinic of a Community- based General Hospital covering for a population of 400000. Year 1999. Results: Fourty-two patients with
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5246)
Shaikh N; N. Shaikh, provincial Administration Western Cape, 4 Dorp Street, Cape Town, 8000, South Africa, Tel.: 021 483 4661, Fax: 021 483 3277, E-mail: nshaikhpawc.wcape.gov.za
Oral morbidity due to HIV infection is an important consideration for the planning and provision of health care. The prevalence and determinants of oral HIV-related lesions was examined in this context. This was complemented by an examination of the perceptions and experiences of oral health workers(OHW) and HIV infect
Objective: The aim of the present study was to evaluate improvement in HRQOL scores in pts receiving HAART and to compare the performance on HRQOL scores in naive and pretreated pts. Methods: As part of a validation study (AIDS 1999; 13:1727-1735) we analyzed a cohort of 138 HIV-infected pts (57 naive and 81 pretreated
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5248)
Ayres JR, Plucienick A, Marques H, Franca I Jr, do R. Latorre M, Salomo ML, Gravato N, Lacerda R, della Negra M, Fraissat R, Paiva V, Segurado A, Marlink R; J.R. Ayres, University of Sao Paulo, Av. Dr. Arnaldo 455, Dept. of Preventive Medicine, 01246-900 Sao Paulo - SP, Brazil, Tel.: +55 11 8526 822, Fax: +55 11 8522 645, E-mail: segurado@usp.br
Women are being shown particularly vulnerable to HIV infection and to AIDS throughout the world. In Sao Paulo State, Brazil , increasing incidence rates and a lower impact of highly-active antiretroviral therapy (HAART)in reducing mortality due to AIDS have recently been noticed among women. In order to investigate pos
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5249)
Rubinstein E; E. Rubinstein, Hadassah University Hospital, Social Work Department, Kiryat Hadassah, PO Box 12000, 91120 Jerusalem, Israel, Tel.: +972 2642 2758, Fax: +972 2643 0255, E-mail: restelle@netvision.net.il
Issues: Since 1991 all immigrants from Ethiopia in Israel are tested for HIV soon after arrival in the country. Those who are seropositive therefore undergo the process of being told their HIV diagnosis as new immigrants, when the cross-cultural aspects of the situation are most intense. The severe stigma associated w
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5250)
Nicholas P, Kemppainen J, Holzemer W, Nokes K, Sanzero Eller L, Corless IB, Bunch E, Bain C, Kirksey K; P. Nicholas, MGH Institute of Health Professions, 101 Merrimac Street, 10th Floor, Boston, MA, United States, Tel.: +1 617 726 1872, Fax: +1 617 726 8022, E-mail: pnicholas@partners.org
Background: People living with HIV/AIDS experience perpheral neuropathy due to HIV disease, side effects of medication and treatment, and co-morbidities. This study describes the frequency and correlates (demographic and disease-related factors) of self-reported neuropathy and the self-care behaviors used to manage thi
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5251)
Watanabe M, Ikeda K, Miwa F, Nonoyama M, Ohashi M, Ishihara M, Nonoyama M; M. Watanabe, AIDS Clinical Center, International Medical Center of Japan, 1-21-1 Toyama,Shinjuku-ku,Tokyo, 162-8655, Japan, Tel.: +81 3 5273 68 29, Fax: +81 3 3208 42 44, E-mail: mwatanab@acc.imcj.go.jp
HIV Therapy, Self-defined Symptoms and Quality of Life for HIV positive patients in Japan Objectives: The aim of this study was to examine the factors related to Quality of Life(QoL) in HIV/AIDS patients in Japan. It focused on issues surrounding Antiretroviral(ARV) Therapy and self-identified symptoms. Methods: Study
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5252)
Bond V, Tihon V; V. Bond, Zambart Project, UTH School of Medicine, PO Box 50110, Lusaka, Zambia, Tel.: +260 1 25 47 10, Fax: +260 1 25 47 10, E-mail: gbond@zamnet.zm
Background: One objective of a ZAMBART study on the care and management of tuberculosis by home based care (HBC) organisations and hospices in Lusaka Urban was to explore the views and perceptions of TB patients about their disease and implications of the latter on and for care. Methods: In March and April 1999, 142
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5253)
Brooks G, Stanton F, Melvin D; G. Brooks, N/A, Co 33 Hartsfield road, Luton, Lu2, United Kingdom, Tel.: N/A, Fax: N/A, E-mail: glynnisbrooks@hotmail.com.
Issues: Children with HIV are coping with a variety of stressors , yet little is known about what they cope with or how. Since the advent of Triple Combination Therapy children must cope with complex drug routines and frequent visits to medical settings, which include invasive procedures. Their ability to cope can dete
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5254)
Gilou A, Stuer F, Kimmerlin M; A. Gilou, Family Health International, 2101 Wilson Blvd. Ste. 700, Arlington, VA 22201, United States, Tel.: +1 703 516 9779, Fax: +1 703 516 9781, E-mail: mogrady@fhi.org
Background: Qualitative research was performed assessing the perceptions of TB and cough among squatters in Phnom Penh, Cambodia , to better understand the perceptions around cough and TB and treatment-seeking for the design of behavior change messages. Methods: Twelve collective interviews were held with squatters, t
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5255)
Kizito Bulya R, Nakaggwa A, Mwanje R, Senabulya M; R. Kizito Bulya, Nkumba AIDS Community Initiative, PO Box 9964, Kampala 25641, Uganda, Tel.: +256 77 423 420, Fax: +256 41 530 412/541 999, E-mail: kizitor@yahoo.com
Issue: The study of quality of life (QOL) among HIV infected individuals is of primary importance due to the physiological manifestations of the disease. The progressive deterioration of the immune system turns into one or more chronic illnesses that greatly impact the individuals QOL. Description: The research study a
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5256)
Byamukama A, Mulindwa M, Atwiine D, Kityo C, Mugyenyi P, Mugisha E; A. Byamukama, Joint Clinical Research Centre, PO Box 10005, Kampala, Uganda, Tel.: +256 41 270 622, Fax: +256 41 342 632, E-mail: jcrc@starcom.co.ug
BackgroundHIV/AIDS pandemic has largely increased the need to access both Highly Active Anti-Retroviral Therapy (HAART) and treatment for opportunistic infections.In Uganda , this depends primarily on individual/family ability to pay, accessibility and availability of drugs. An average Ugandan earns approximately 100
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5257)
Tubonye HC, Narayanan K, Cliffe A, Hurley C; H. C. Tubonye, Bure Clinic, James Paget Healthcare NHS Trust, Great Yarmouth NR31 6LA, United Kingdom, Tel.: +44 1493 452 747, Fax: +44 1493 452 864, E-mail: tcharry@bureclinic.com
Background: There has been decline in the morbidity and mortality of HIV/AIDS patients on highly active antiretroviral therapies (HAART). Some authorities now advocate discontinuation of maintenance therapy for CMV retinitis for patients on HAART. This study was undertaken to analyse the effect of HAART on the incidenc
Introduction The impact of HIV therapeutic guidelines on prescription practices has led to impressive changes in the era of HAART. Long term toxicity of PI s, together with the availability of new drugs with similar antiviral efficacy, had determined changes in prescription habits..Objective: To describe the use of ant
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5259)
Stricker JD, Pieribone DL, Scheuer J; J.D. Stricker, Community Research Initiative on AIDS (CRIA), Initiative on AIDS, 230 West 38th Street, 17th floor, New York, NY 10018, United States, Tel.: +1 212 924 39 34, Fax: +1 212 924 39 36, E-mail: jdaniel@criany.org
Issue: People living with HIV/AIDS (PLWAs) must be informed of the myriad complexities in HIV treatments to realize optimum success in utilizing them. Medical providers frequently do not have time to adequately explain these issues, consequently PLWAs are increasingly relying on non-medical staff at community based or
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5260)
Magis Rodriguez C, Esquivel Pedraza L, Lopez-Martinez C; C. Magis Rodriguez, CONASIDA, National AIDS Council, Mexico, Tel.: 001 -5-5284848, Fax: 001-5-5281887, E-mail: cmagis@hotmail.com
Background: HIV-infected patients are frequently non adherent to antiretroviral therapy. The purpose of this study was to investigate the factors associated with non compliance to antiretroviral drugs in HIV-infected patients, in private practice and institutional services in Mexico . Methods: Cross sectional study
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5261)
Chan D, Absher D, Sabatier S; D. Chan, State of California, Department of Health Services, Office of AIDS, 611 North 7th Street, Sacramento, CA 95814, United States, Tel.: 916.322.4634, Fax: 916.327.3252, E-mail: dchan@dhs.ca.gov
Background:Individuals with HIV disease require both ongoing medical care and support services designed to ensure access to medical care. In the United States , programs funded by the Ryan White Comprehensive AIDS Resources Emergency Act (RWCA) provide not only essential medical care but also ancillary support services
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5262)
Bose D, Jana S, Singh K, Roy G, Singh R, Das S, Chakravarti A; D. Bose, 8/2 Bhawni Dutta Lane, Calcutta 700073, India, Tel.: +91 33 241 6200, Fax: +91 33 241 6283, E-mail: ship@cal.vsnl.net.in
Background: While implementing the STD/HIV intervention in red light areas in and around Calcutta, improving the quality and coverage of STD treatment became a priority in order to prevent transmission of HIV among this community with high risk behaviour. Method: Considering STD management a core component of HIV inter
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5263)
Veloso VG, Sudo EC, Santos JL, De Lima RM, Cruz JM, Carmo OP, Gonsalves JC, Castilho EA, Chequer P; V.G. Veloso, Brazilian STD/AIDS Program - MOH, Esplanada Dos Ministerios, Bloco G Sobreloja, Brasilia - DF, Brazil, Tel.: +55 61 315 21 40, Fax: +55 61 315 25 19, E-mail: aids@aids.gov.br
Background: The Brazilian STD/AIDS Programme has developed a computer aided System of Logistical Control of AIDS Medications (SICLOM) which aims to control the supply of antiretrovirals (ARV) in 424 public health services (PHS), in accordance with Brazilian guidelines on ARV therapy. In 1999 the System was implemented
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5264)
Muyingo S, Ochola D, Tugume D; S. Muyingo, Medical Access Uganda, P.O. Box 23186, Kampala, Uganda, East Africa, Tel.: 256-41-267558, Fax: 256-41-267815, E-mail: maul@infocom.co.ug
Issues: Under a public-private sector collaboration pilot project, UNAIDS in partnership with Pharmaceutical Companies established a not-for-profit Company (NPC). The objective of this NPC was to improve access to HIV related drugs through negotiating subsidies from participating companies and supply these drugs to th
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5265)
Fitzgerald B, James L; B. Fitzgerald, CMACG/NHP, 253 Summer Street, Boston, MA 02127, United States, Tel.: +1 888 897 8947, Fax: +1 617 772 5590, E-mail: bfitz38@aol.com
Issues: clients in methadone treatmentare in a unique position to receive daily contact with a healthcare provider. Adherence to HIV medication regimes may be difficult for drug treatment clients to follow. Description: clients were invited to meet with a non-clinic affiliated nurse to discuss HIV medication dispensing
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5266)
Cohen M, Stieglitz K, Moore B, Lubin B, Orange E, Harris M, Max B, Sherer R; M. Cohen, Cook County Hospital, 2020 W. Harrison, Chicago, IL 60612, United States, Tel.: +312-572-4551, Fax: +312-572-4559, E-mail: mcohen@corecenter.org
Background: A comprehensive single site service delivery model for women, their partners and children with HIV infection began in 1988 in an urban public hospital clinic. Methods: Unique patients, visits, pregnancy rates and outcomes, medications, laboratory, mortality and cost data were analyzed to determine trends in
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5267)
Njoroge A, Phillips E; A. Njoroge, P.O. Box 43058, Nairobi, Kenya, Kenya, Tel.: +254-2-811421 254-2-445447, 25, Fax: +254-2-444954, E-mail: phillips@africaonline.co.ke
Issue: With the increase of HIV/AIDS, TB has re-emerged at an alarming rate. 50% of HIV/AIDS patients in Kenya are also infected with TB. Amongst the poor in the slums, they are marginalized from the health care system. This means in many instances there is a delay in treatment for TB. Even if they are able to access
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5268)
Andrews S, David N, Roelofse M, Surdut M; S. Andrews, Brooklyn Medical Centre, 379 Koeberg Road, Rugby, Cape Town, 7405, South Africa, Tel.: +27 21 510 1569, Fax: +27 21 510 1590, E-mail: stevea@iafrica.com
Background: To assess the degree of use of established medical insurance schemes for access to antiretroviral therapy in a General Practice in Cape Town, South Africa , from January 1998 to January 2000. Methods: A records review of HIV positive patients treated at the practice was undertaken. Assessments were made of
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5269)
Stieglitz K, Narra J, Jasek J, Green L, Moore B, Shott S, Cohen M, Sherer R; K. Stieglitz, The CORE Center, 2020 West Harrison Street, Chicago, IL, United States, Tel.: +1 312 572 4570, Fax: +1 312 572 4559, E-mail: kstieglitz@corecenter.org
Methods: We studied access to & retention in HIV primary care in 1997-8 in patients with & without ancillary support services (SS), i.e. case management (CM), mental health (MH), chemical dependency (CD), & transportation (TRANS) via a retrospective analysis of clinical & admin. data bases. Results: Of
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5270)
Hourcade Bellocq J, Gramajo E; J. Hourcade Bellocq, Avda Las Heras 2207 4to, 1127 Buenos Aires, Argentina, Tel.: +541 148 072 772, Fax: +541 148 072 772, E-mail: gnplat@ciudad.com.ar
Issues: Treatment and care of people living with HIV/AIDS in Argentina is guaranteed by law through the three existing health systems: Public, social security and private. People living with HIV/AIDS have access to last generation antirretroviral treatments as well as to laboratory follow-up tests. The treatment proces
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5271)
Dhaliwal M, Lucas S, Green C; M. Dhaliwal, International HIV/AIDS Alliance, 2 Pentonville Road, London N1 9HF, United Kingdom, Tel.: +44 020 784 135 01, Fax: +44 020 784 135 01, E-mail: mdhaliwal@aidsallaince.org
Issues: Local NGOs and community groups involved in HIV/AIDS community care and support in developing countries are increasingly involved with practical questions concerning access to treatment, both for HIV-related illnesses and for other medical needs encountered by people living with HIV/AIDS. Access to medicines is
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5272)
Gregoire V, Mariot P; V. Gregoire, DuPont Pharma France, 137 rue de l'Universite, 75334 Paris Cedex 07, France, Tel.: +00 33 1 45 50 61 60, Fax: +00 33 1 45 50 63 59, E-mail: valerie.gregoire@dupontpharma.com
Efficacy and Safety of SUSTIVA ( efavirenz ) in the French ATU (Temporay Authorization for Use): a programme providing rapid access to drugs prior to registration Patient characteristics: As of 13 September 1999, 7260 patients have been included in the SUSTIVA ATU de Cohorte Program. The mean patient age is 40 years a
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5273)
Steinberg JL, Maisels L, Tobias C, Sanford S, Imbriano C, Medeiros S; J. L. Steinberg, East Boston Neighborhood Health Center, 10 Gove Street, East Boston, MA 02128, United States, Tel.: +617-568-4459, Fax: +617-568-4415, E-mail: steinbej@ebnhc.org
Background: Treatment with highly active antiretroviral therapy (HAART) decreases morbidity and mortality and reduces costs of care. Yet, many patients, for whom HAART is indicated, fail to start it. This community health center (CHC) studied the reasons why patients are not treated with HAART. Providers and policy mak
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5274)
Miller M-L, Hogg R, Anis A, Chan K, Martindale S, Craib K, Schilder A, Botnick M, Schechter M; M.-L. Miller, BC Centre for Excellence in HIV/AIDS, 608-1081 Burrard St, Vancouver, BC, Canada, Tel.: +1 604 631 5516, Fax: +1 604 631 5464, E-mail: keith@hivnet.ubc.ca
Objective: To characterize the socio-demographic, psychosocial and behavioural determinants of health care service use among young gay and bisexual men (MSM). Methods: MSM aged 15-30 living in Vancouver who had not previously tested HIV+ were recruited by the Vanguard Project through physicians, clinics and outreach. M
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5275)
Clutterbuck D, Maitland D, Barlow G, Bodasing N, Morris S, Johnman CJ, Goldberg D, Allardice G, Nandwani R, Scott GR; D. Clutterbuck, Royal Infirmary of Edinburgh, Level 4, Lauriston Building, Lauriston Place, Edinburgh Ehio 5ht, United Kingdom, Tel.: +44 131 536 2097, Fax: +44 131 229 8769, E-mail: dancluts@hotmail.com
Background: Scottish guidelines for the treatment of HIV infection recommend initiation of antiretroviral therapy at a CD4 count below 350 cells/mm3 and viral load over 10-50,000 copies/ml. The aim of this study was to establish a national cohort of patients eligible for, but not taking treatment, to monitor disease pr
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5276)
Anis A, Guh D, Skippen D, Schechter M, O'Shaughnessy M; A. Anis, Universtiy of British Columbia, 620-1081 Burrard Street, Vancouver, BC., V6Z 1Y6, Canada, Tel.: +1 604 806 87 12, Fax: +1 604 806 87 78, E-mail: anis@hivnet.ubc.ca
Background: In British Columbia (BC), despite the free availability of Highly Active Antiretroviral Therapy (HAART) for all HIV/AIDS patients, uptake rates remains variable. Our objective was to evaluate HAART uptake rates. Methods: Hospitalizations of all patients admitted between April 1997 to October1999 to a specia
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5277)
Allen W, Gilbert U, O'Rourke S, Bond L, Bond L; W. Allen, 1400 16th St. NW, Suite 100, Washington, DC 20036, United States, Tel.: +1 202 939 26 51, Fax: +1 202 332 44 96, E-mail: omclaughlin@cedpa.org
Teaching Objective: During this session, the presenter will review the results of a CEDPA-sponsored participatory evaluation of adolescent reproductive health (ARH) program conducted by in-school Peer Educators in three provinces of South Africa u Gauteng, Kwa-zulu Natal, and Western Capeu to assess the impact of ARH
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5278)
Ndoye I, Perret JL, Mboup S, Faye - Niang MA, Sow PS, Ciss M, Delaporte E, Couland JP, Badiane S; I. Ndoye, Programme National De Lutte Contre Le SIDA, BP 3435 Medina, Dakar, Senegal, Tel.: +221 822 90 45, Fax: +221 822 15 07, E-mail: ibndoye@telecomplus.sn
Background: The Senegalese governmental Initiative on antiretroviral therapy began in August 1998. Its objective was to demonstrate the feasibility and the efficacy of antiretrovirals in an African country. Description: The patients monthly selection is based on clinical and biological criteria. An evaluation of the pa
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5279)
Hernandez Tepichin G, Caso A, Uirbe Zueiga P; G. Hernandez Tepichin, National AIDS Council, CONASIDA, Calz. de Tlalpan # 4585, 2E piso, Col. Toriello Guerra, PO Box 14050., Mexico, Tel.: +52 552 818 87, Fax: +52 552 842 20, E-mail: conainfo@df1.telmex.net.mx
Issues: Health system in Mexico is divided for those with access to Social Security who are the ones with stable jobs, and general population seeking for care in Health Ministry medical units. All antiretroviral were available in Social Security Institutions since 1996, but 47.9% of the AIDS cases do not have this bene
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5280)
Morales JO, Dale EM, Estronza G, Garcia H, Gadea C; J. O. Morales, Clinical Research of Puerto Rico, 359 De Diego Avenue #602, Santurce, PR 00909, Puerto Rico, Tel.: +1 787 723 68 68, Fax: +1 787 723 69 00, E-mail: moralesmd@hotmail.com
Background: There is a mismatch between the need for patients in clinical trials and the speed in which they can be enrolled. Facts show that there may be a decrease of antiretroviral naive patients in the United States resulting in slow recruitment. There is also no real time knowledge regarding patients needs to pos
Background: In Morocco , a low prevalence area for HIV/AIDS infection and a limited resources country, a pilot project of access to HAART began in June 1999 and will include 63 resourceless patients. Methods: The realisation of this pilot project is due to a financial support of the Moroccan Ministry of Health and of t
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5282)
Aquino S, Durovni B, Saraceni V, Barreira D; S. Aquino, Secretaria Municipal of Health, Rua Caetano de Almeida, 77 Meier, Rio de Janeiro, CEP 20735310, Brazil, Tel.: +55 21 592 62 41, Fax: +55 21 293 32 10, E-mail: sergioaquino@aol.com.br
Objectives: To describe the administration model and the administration of antiretrovirals by SMS/RJ. Methodology: Descriptive study of antiretrovirals requested and the logistics of the distribution of these drugs to subjects > 12 years old, infected by HIV or with AIDS already demonstrated, in the period of January,
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5283)
Phiri P, Nzawa CE, Chimzizi RK, Godfrey Faussett P, Hargreaves NJ; P. Phiri, Malawi AIDS Counselling and Resource Org., PO Box 31308, Lilongwe, Malawi, Tel.: +265 916 936, Fax: +265 782 657, E-mail: nicky@malawi.net
Issues: The Malawi AIDS Counselling and Resource Organisation (MACRO) is a non-governmental organisation providing voluntary counselling and HIV testing (VCT) services in Malawi. It currently has two VCT centres, one in Blantyre and one in Lilongwe. Services offered to clients at the Lilongwe centre were expanded by em
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5284)
Holmes W, Pace J, Frank I; W. Holmes, University of Pennsylvania School of Medicine, 733 Blockley Hall, 423 Guardian Drive, Philadelphia, PA 19104-6021, United States, Tel.: +1 215 898 8188, Fax: +1 215 573 2346, E-mail: holmeswc@mail.med.upenn.edu
Background: HAART has greatly improved survival. Study goal was to estimate how many HIV+ individuals from a predominantly disadvantaged population are taking antiretroviral medications; of these, how many are on HAART and how many - and who - are on inappropriate combinations. Methods: Mailed (May to July 1999) survey
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5285)
Roels TH, Djomand G, Coulibaly M, Monga B, Maurice C, Nkengasong J, Ebah L, Diomande F, Konan R, Wiktor SZ, Chorba T; T. H. Roels, Projet Retro-CI, 01 BP 1712, Abidjan 01, Cote D'ivoire, Tel.: +225 212 541 11, Fax: +225 212 429 69, E-mail: tbr6@cdc.gov
Background: In August 1998, a pilot program was started by UNAIDS and the Cote d Ivoire MOH to improve access to HIV therapies through negotiation of reduced prices for antiretrovirals (ARV), accreditation of clinical centers, selection of biologic eligibility criteria, and creation of a committee to attribute price s
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5286)
McNaghten AD, Hanson DL, Dworkin MS, Jones JL; A.D. McNaghten, Centers for Disease Control and Prevention, 1600 Clifton Road, Mailstop E-47, Atlanta Georgia 30333, United States, Tel.: +404 639 51 73, Fax: +404 639 29 80, E-mail: aom5@cdc.gov
Backgound: The use of highly active antiretroviral therapy (HAART) has been associated with decreasing morbidity and mortality. However, some groups may be less likely to receive HAART. Methods: We analyzed data from the CDC s Adult/Adolescent Spectrum of Disease (ASD) project to determine factors associated with HAAR
Issue: The biggest problems of pwa s in Peru is the Access to treatment not only essentials medicines for opportunity infections but retroviral treatment. As an answer of the community it is been articulated services of Medicines Bank which want to be the canalizators of donation for alleviate the impact of the epidem
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeB5288)
Herkommer H, Bielecki-Weyenberg R, Staszewski S, Stille W; H. Herkommer, Wolfgang Goethe Universitat, Klinikum der Johann, ZIM, Haus 68, Theodor-Stern-Kai 7, 60590 Frankfurt/Main, Germany, Tel.: +49 69 6301 5409, Fax: +49 69 6301 5712, E-mail: herkommer@em.uni-frankfurt.de
From 1984 until 1998 a total of 5,796 HIV-postive and AIDS-infected outpatients were medically treated at the Frankfurt University Hospital. Patients from foreign countries accounted for 20% of the patient population. The foreign patients were from 64 different countries, 2% were from the endemic areas of Africa and As
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5289)
Coetzee N, Koppelaar D, Hoosen A, Ellertson C, Blanchard K, De Kock A; N. Coetzee, University of Cape Town, Department of Public Health, Faculty of Health Sciences, Anzio Road, 7925 Observatory, South Africa, Tel.: +27 21 406 64 86, Fax: +27 21 406 61 63, E-mail: nc@anat.uct.ac.za
Background: Objectives: (1) to determine the baseline prevalence of STIs in the study population of a vaginal microbicide (PC-515) safety trial, and (2) to assess the effectiveness of the screening method to ensure that women are free of STIs at the start of the trial. Methods: During the pilot phase of the safety tria
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5290)
Pillay S, Morar NS, Abdool Karim Q; S. Pillay, Medical Research Council, P.O. Box 17120, Congella, 4013, Durban, South Africa, Tel.: +27 31 202 0777, Fax: +27 31 202 0950, E-mail: sally.pillay@mrc.ac.za
Introduction: As part of the feasibility assessment for establishing a low risk cohort for Phase I/II microbicide trials at an urban secondary level hospital in KwaZulu Natal, knowledge and attitudes with reference to HIV/AIDS; experiences of research and willingness to participate was assessed among potential particip
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5291)
Van de Wijgert J, Fullem A, Kelly C, Mehendale S, Kumwenda N, Rugpao S, Joshi S, Taha T, Nelson K, Padian N; J. Van de Wijgert, Population Council, One Dag Hammarskjold Plaza, New York, NY 11102, USA, United States, Tel.: (212) 339-0611, Fax: (212) 755-6052, E-mail: jvandewijgert@popcouncil.org
Background & Methods: We evaluated the safety of BufferGel, a topical microbicide that buffers the vaginal pH in the presence of semen. HIV/STD negative, sexually abstinent and active women in India , Thailand , Malawi , and Zimbabwe
Background: Female-controlled methods of HIV/STD prevention are urgently needed among women at high risk for HIV/STDs. Research on user perspective is essential to development if products are to be widely used. Methods: Focus groups (FG) (n = 66 women), product trials (PT) of three inert lubricants (Lubrin R inserts `s
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5293)
Coudret S; S. Coudret, Act Up - Paris, BP 287, 45 Rue Sedaine, 75525 Paris Cedex 11, France, Tel.: +33 1 492 944 75, Fax: +33 1 480 616 74, E-mail: actup@actupp.org
Issues: Alternatives to condoms have emerged as a major need to meet present challenges to successful HIV transmission prevention. Most microbicide trials fail to offer medical taking charge of persons on trial. Yet, after more than six years of intense microbicide phase III research in developing countries there is st
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5294)
Vickerman P, Watts C, Heise L; P. Vickerman, Health Policy Unit, London Sch of Hygiene & Tropical Medicine, Keppel Street, London WC1E 7HT, United Kingdom, Tel.: +44 171 927 2176, Fax: +44 171 637 5391, E-mail: peter.vickerman@lshtm.ac.uk
Background: A number of potential microbicides are currently being developed. Even if they have a lower efficacy than condoms, they could still be used as a fall-back method of protection, when condom use is not possible. Preliminary, static modelling suggests that the protection provided by any product will depend upo
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5295)
Matovu S, Ekideit HA, Chimulwa TN, Sendi EK; S. Matovu, The AIDS Support Organisation (TASO), Mulago Near Heart Institute, PO Box 114 85, Kampala -041 11485, Uganda, Tel.: +256 41 530 034, Fax: +256 41 541 999, E-mail: tasomul@infocom.co.ug
Background: Statistics indicate that unless preventive measures are taken, 15-20% of the HIV positive women who become pregnant are expected to give birth to an HIV infected child, thereby increasing the number of HIV positive children. Methods: A group of 60 anonymous mothers who were attending the antenatal clinic in
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5296)
Gonzalez Nunez I, Diaz Jidy M; I. Gonzalez Nunez, Instituto Pedro Kouri, Autopista Novia del Mediodia, Km 6 Marianao 13 la Lisa, PO Box 601, Ciudad Habana, Cuba, Tel.: +53 7 220 451, Fax: +53 7 220 633, E-mail: jidy@ipk.sld.cu
Background: A controlled program for this purpose has been implemented at the primary health care level in Cuba since 1986 aiming to reduce the perinatal transmission of the HIV virus. Methods: Among others things the program includes the administer of antiretroviral drugs to every woman who decides to continue her pr
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5297)
Santos DF, Souga SF, Silva M, Maganha ME, Rocha L, Rodriues AR, Silva PR, Bernardi M; D.F. Santos, Rua Do Bispo 94 Bloco 01 AP 906, Rio Comprido, Rio De Janeiro - CEP 20260 - 061, Brazil, Tel.: +55 21 502 15 52, Fax: +55 21 628 40 64, E-mail: dfontenelle@openlink.com.br
Background: In order to control the mother-to-child transmission, the Brazilian Ministry of Health established in July 1996 a special program to reduce vertical transmission. The maternal and child health care providers were stimulated to offer universally HIV testing to pregnant women after counselling. Methods: Promp
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5298)
Young T, Ntobongwana M, Coetzee N; T. Young, University of Cape Town, Medical School, Public Health Unit, Anzio Road, Observatory 7925, South Africa, Tel.: +27 21 406 66 06, Fax: +27 21 406 61 63, E-mail: taryn@anat.uct.ac.za
Objectives: To evaluate participant adherence to the AZT regimen administered as part of a district service-based perinatal HIV transmission prevention project. Methods: Based on the Thai regimen (short course AZT and artificial feeds) women who come to antenatal booking are offered HIV screening, receive comprehensiv
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5299)
Vitiello M, Smeltzer S; M. Vitiello, Visiting Nurse Association of Central Jersey, 625 Bangs Avenue, Asbury Park, NJ 07712, United States, Tel.: +1 732 502 51 28, Fax: +1 732 774 60 06, E-mail: mavitiello@aol.com
AIDS is a major cause of death among women and children; it is the 3rd leading cause of death in women ages 25-44, 1st in black women 25-44 years old, and 7th in children 1-4 years of age in the US.In response to these statistics, complex clinical, legal and ethical issues have emerged. Nurses are being called upon wit
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5300)
Kreitchmann R, Kummer S, Kuchenbecker R; R. Kreitchmann, Health Municipal Secretary, Rua dos Andradas 281/601, CEP 90020 000, Porto Alegre - RS, Brazil, Tel.: +55 51 228 59 13, Fax: +55 51 331 17 65, E-mail: regisk@portoweb.com.br
Background: To evaluate the efficacy of interventions to prevent HIV perinatal transmission in the public health service of Porto Alegre Methods: We followed 175 HIV pregnant women and their babies from August 1996 to June 1999 in an AIDS Clinical Center. Results: Maternal characteristics at entry were: mean age: 25 ye
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5301)
Brown H, Solomon S, Mothi SN, Jackson TJ, Putcha M, Vallabhaneni S, McGarvey ST, Brenner SE, Mate KS, Cu-Uvin S;;; H. Brown, Brown University, Box 4592, Brown University, Providence, RI 02912, United States, Tel.: +1 401 274 6238, Fax: +1 301 365 5903, E-mail: Heidi_Brown@brown.edu
Background: Antiretroviral prophylaxis is an important public health strategy to reduce the risk of HIV-1 vertical transmission. Implementation of such therapy depends on the identification of HIV infected pregnant women. This study assessed the attitudes of pregnant women towards prenatal HIV testing and their willing
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5302)
Byangire M, Madraa E, Onyango S, Somoka C; M. Byangire, Kampala 256 041, Uganda, Tel.: +256 775 007 66, Fax: +256 41 34 08 77, E-mail: pco@uga.helathnet.org
Introduction: In Uganda , more women are HIV+ compared to men. Studies in the major hospitals indicate 30% of children born to +ve mothers become +ve too. The Ministry of Health (MOH) in cooperation with UNICEF has initiated a pilot project in five districts in which pregnant mothers are recruited during antenatal clin
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5303)
Ruiz J, Maldonado Y, Hill D, Klein M, Rasmussen H, Sun R; J. Ruiz, California Department of Health Services, 611 N. 7th Street, Sacramento, California 95814, United States, Tel.: (916)445-0700, Fax: (916)327-3252, E-mail: Jruiz1@dhs.ca.gov
Issues: The incidence of HIV infections and reported AIDS cases in California is increasing most rapidly among racial/ethnic minority groups, rural populations, and women. These populations are also the least likely to have access to basic medical care services and even less likely to have culturally and socioeconomica
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5304)
Jack N, Edwards J, Kuruvilla A, Woo J, Brewster E, Forsythe - Duke V, Lambert JS, Cleghorn F, Bartholomew C; N. Jack, Medical Research Centre, #7 Queen's Park East, Port of Spain, Trinidad And Tobago, Tel.: +868 623 58 34, Fax: +868 625 23 27, E-mail: noreenj@wow.net
Background: A pilot study to demonstrate the acceptability and the potential impact of the perinatal HIV prevention programme currently being implemented in Trinidad and Tobago . Methods: Between 1997-1999, the Medical Research Foundation of Trinidad and Tobago (MRFTT)
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5305)
Temmerman M, Fonck K, Claeys P; M. Temmerman, ICRH, Ghent University, UZ Ghent, P3, De Pintelaan 185, 9000 Ghent, Belgium, Tel.: +32 9 240 350 64, Fax: +32 9 240 38 67, E-mail: marleen.temmerman@rug.ac.be
Background: Short antiretroviral treatment (ART) late in pregnancy or in labor has shown a substantial reduction in mother-to-child transmission (MTCT) at a relatively low cost. The problem however, is that these findings obtained in strictly controlled research settings have never been field tested. The goal of this p
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5306)
Chotpitayasunondh T, Chearskul S, Vanprapa N, Waranawat N, Shaffer N, Mock P, Simonds RJ, Mastro TD; T. Chotpitayasunondh, National Institute of Child Health, The HIV/AIDS Collaboration, DMS 6 Bldg Ministry of Public Health, Tivanon Road, Nonthaburi 11000, Thailand, Tel.: +66 2 591 8358, Fax: +66 2 591 5443, E-mail: rxs5@cdc.gov
Background: Short-course zidovudine (ZDV) given in the late antenatal period can reduce mother-infant HIV transmission by half and is being implemented in developing countries. We describe the safety of this regimen over the first 18 months of life among children enrolled in a randomized, placebo-controlled trial.
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5307)
Felga M, Vermelho LL, Barreira D; M. Felga, Brazilian Std/AIDS Program - Moh, Brazilian Std/AIDS Program - Moh, Brasilia - Df, Brazil, Tel.: +55 61 315 2140, Fax: +55 61 315 2579, E-mail: aids@aids.gov.br
Objectives: Introduction of epidemiological surveillance for HIV- infected pregnant women in Brazil . Material And Methods: Discussion of national strategies regarding technical and operational standards concerning pregnant women with HIV infection resulted in the drawing up of guidelines for epidemiological surveillan
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5308)
Mendonca-Neto E, Saleni-Neto J, Souza E, Taino E, Brigido L, Cardoso MR; E. Mendonca-Neto, Itapecerica da Serra Municipal DST/Aids Program, Rua 13 de Maio 27, Itapecerica da Serra, 068245, Brazil, Tel.: +55 11 495 51 35, Fax: +55 11 494 51 22, E-mail: lbrigido@usp.br
Introduction: Itapecerica da Serra is a municipality in the Southeast Metropolitan area of Sao Paulo with an integrated Aids program, involving education, prevention and treatment. A special program for pregnant women, aiming protection of newborn was implemented Methods: A special outreach program, through neighborhoo
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5309)
Mulebeke S, Bagenda R, Lutajjumwa M, Bakaki P, Sherman J, Musoke P, Mmiro F; S. Mulebeke, MU-JHU Research Collaboration, PO Box 23491, Kampala, Uganda, Tel.: +9256-41-541-044, Fax: +256-41-541-044, E-mail: mujhu@afast.com
Objective: To prevent HIV infection through breast-feeding. Background: Breast-feeding is one of the forms of perinatal HIV transmission and substitute feeding was encouraged in favour of breast-feeding Methods: An infant feeding clinic was started to counsel, sensitize and educate HIV infected women about breast-feedi
Objective: To reduce Vertical Transmission and determine the profile of seropositive pregnant women in the city of Sorocaba,Brasil, by means of testing at public health services. Method: Offering anti-HIV tests at the 26 public health care centers with prior/post testing advisory. Infected women answered a question for
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5311)
Forbes J, Money D, Remple V, Burdge D; J. Forbes, University of British Columbia / Oak Tree Clinic, B4 West, 4500 Oak Street, Vancouver, British Columbia, Canada, Tel.: +1 604 875 2212, Fax: +1 604 875 3063, E-mail: jforbes@cw.bc.ca
OBJECTIVE: To compare HIV VTR in maternal-infant (MI) pairs from 01/93 to 06/96 and 07/96 to 12/99, and to explore the relationship between injection drug use (IDU) and use of ART. Methods: MI pairs seen at C&W from 01/93 to 12/99 were reviewed. The cohort was divided to reflect changes in prenatal care that occurr
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5312)
Kipa M, Heckert K, Bagshaw S, Fursman L, Wilson M-A; M. Kipa, Ngai Tahu Development Corporation Limited, Level 6, Te Waipounamu House, 158 Hereford Street, PO Box 13-046, CHIRSTCHURCH, New Zealand, Tel.: +64 3 371 0190, Fax: +64 3 374 9264, E-mail: mairek@ngaitahu.iwi.nz
Issues: Public health research among the indigenous people in New Zealand , Maori, has inadequately addressed the cultural dimension of health and thus offers limited understanding of and explanation for the wide disparities in health status, including reproductive health indicators. The WASH study design responds to
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5313)
Martin-Herz SP, Katzenstein D, Shetty AK, Mhazo M, Ley C, Machekano R, Moyo S, Chitibura L, Bassett MT; S.P. Martin-Herz, Stanford University School of Medicine, 4148 Byron St., Palo Alto, CA 94306, United States, Tel.: +1 650 843 14 30, E-mail: susanneh@leland.stanford.edu
Purpose: To evaluate predictors of acceptance of HIV counseling and testing (HCT) by pregnant women in Zimbabwe . Methods: 186 pregnant women (age = 24+5 yrs) attending an antenatal clinic in Chitungwiza, Zimbabwe participated. All were offered free HCT. A standardized questionnaire was administered in Shona by a bilin
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5314)
Garcia PJ, Velasquez C, Segura P, Sanchez J; P. J. Garcia, Peruvian National HIV and STD Control Program, Gregorio Escobedo 774 D, Jesus Maria, Lima 11, Peru, Peru, Tel.: +(511)460-6157, Fax: +(511)433-2761, E-mail: pattyg@u.washington.edu
Issue: The rising number of HIV infected women in Peru , along with the fact that over 90% of seropositive children are infected through vertical transmission, highlight the need for an intervention to reduce vertical transmission of HIV. Looseness=1 Description: In 1996, a program for the prevention of Vertical Tran
Issues: The use of antiretroviral agents to prevent HIV transmission from mother to child is the most breakthrough scientific innovation for the two-decades of the AIDS epidemic. The full and effective utilization of the regimens must cross many barriers and needs the effective holistic counseling for pregnant women. D
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5316)
Silva G, Barreira D, Coeli C, Ramos jr A, Martins V; G. Silva, Federal University of Rio De Janeiro, Rua Almirante Alexandrino 3780 G1/202, Santa Teresa, Rio de Janeiro, Brazil, Tel.: +55 21 826 15 53, E-mail: guidasilva@ax.apc.org
Background: We verified two main problems related to the prevention of vertical transmission of HIV in this hospital in 1998; the low covering of HIV testing of the women arriving in labor and the inefficiency of testing in our hospital (the results arrived too late in order to prevent perinatal transmission). Methods:
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5317)
Murphy G, Nicoll A, Tosswill J, Cliffe S, Parry J; G. Murphy, Virus Reference Division, Central Public Health Laboratory, 61 Colindale Avenue, London NW9 5HT, United Kingdom, United Kingdom, Tel.: +0208 200 4400 x3935, Fax: +0208 200 1569, E-mail: gmurphy@phls.nhs.uk
Background: Zidovudine is widely used in the UK to prevent HIV transmission from mother to child. By measuring the numbers of infants born to HIV infected mothers, through unlinked testing, and detecting serologically those receiving zidovudine treatment, we can show what proportion of infected mothers have been recog
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5318)
Murano FF, Dubini M, Lorenzo L, Russ C, Poretti A, Ranoy N;;; F. F. Murano, Cordero Hospital San Fernando., SAHORES 2749,FLORIDA(1.602), BUENOS AIRES, Argentina, Tel.: +54 11-4760-1260, Fax: +54-11-4795-2434, E-mail: fmurano@roche.com.ar
Background: HIV infection in San Fernando is growing fast among women in childbearing age ,with an increase on the risk of HIV infected children. Objectives: HIV testing to all pregnant women .Early intervention to reduce vertical HIV transmission. Methods: Since January 1.996 to December 1.999 we have offered HIV test
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5319)
Martin N, Karutu C, Ragi A; N. Martin, Global Strategies for HIV Prevention, 170 CORREAS STREET CA 94019, USA, United States, Tel.: +1650-712-0561, Fax: +1650-712-0562, E-mail: nlmartin@aol.com
Background: Most people affected by or infected with HIV have little or no access to treatment facilities. In areas of high risk and low resources, providing skills to local community workers has proved to be an effective approach to preventing transmission. Goals: (1) To provide regional health care workers with infor
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5320)
Kharbiati K, Sampurno D; K. Kharbiati, The Pelita Ilmu Foundation, Kebon Baru 4/16 Asem Baris, Jakarta 12830, Indonesia, Tel.: +62 21 911 6739, Fax: +62 21 837 95480, E-mail: ypilmu@rad.net.id
Issues: In Indonesia the increasing numbers of HIV infected women and babies are showed in the reported cases. Indonesian pregnant women have less opportunity to attend counseling and HIV testing since the facilities are still limited and need high costs. The fact is most of pregnant women do not know whether they have
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5321)
Ndagire L, Bakaki P, Nassali A, Bagenda R; L. Ndagire, MU-JHU Kampala Uganda, Old Mulaga, PO Box 23491, Kampala, Uganda, Tel.: +256 41 541 044, Fax: +256 41 541 044, E-mail: mujhu@afsat.com
Background: WHO recommends that HIV infected mothers make informed decisions about feeding their infants.The mean age of cessation of breast-feeding in previous cohorts is 14.5 months. Objective: To establish the age of cessation of breast-feeding and supplementary/replacement feeds given by HIV infected mothers to the
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5322)
Marins JR, Souza MJ, Lippi V, Mendonsa MF, Gongora IF, Fogasa ER, Oliveira MA, Vicentino RL, Santos M; J.R.P. Marins, Programa Muniocipal de DST/AIDS de Sorocaba- SP, Rua da Penha, 770, Cod:18010-003, Centro, Sorocab-SP-BR, Brazil, Tel.: +55 152 242 472, Fax: +55 152 242 472, E-mail: ricmarins@bol.com.br
Objective: To reduce Vertical Transmission and determine the profile of seropositive pregnant women in the city of Sorocaba, SP, Brasil, by means of voluntary testing at public health services. Method: Offering anti-HIV tests at the 26 public health care centers with prior/post testing advisory. Infected women answered
Terrence Higgins Trust and Positively Women have collaboratively developed an HIV antenatal testing video revealing the thoughts, feelings and decision-making processes of four women around HIV testing and becoming or being pregnant or recently having a child. THT managed the project, Positively Women recruited positiv
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5324)
Visconti E, Tamburrini E, Pastore Celentano L, Marinaci S, Villa P, Fundaro C; E. Visconti, Infectious Diseases-Catholic University, Lgo A. Gemelli, 8, 00168 Roma, Italy, Tel.: +39 6 3015 4945, Fax: +39 6 3054419, E-mail: iclmi@rm.unicatt.it
Issues: HIV infection is increasing among women. A remarkable number of HIV+ve women are considering to become pregnant or are just now pregnant such as effective antiretroviral therapies are available. HIV+ve pregnant women require an integrated model of assistance which takes into account not only medical care but a
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5325)
Neves F;;; F. Neves, Programa Municipal DST/Aids de Ribeirao Preto., Av. Presidente Kennedy, 2634, Lagoinha, Ribeirao Preto, Sao Paulo, CEP 14095-220, Brazil, Tel.: +55 21 16 605 50 32, Fax: +55 21 16 605 50 32, E-mail: progaids@ceterp.com.br
Problem: With the growing progress of the epidemic of the Aids among the women, he/she became urgent the creation of strategies to inhibit the vertical transmission, once epidemic data in our municipal district show us that the age group that these are discovered sick of aids they are directly related to the expected
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5326)
Novello A, Wade NA, Glaros R, Warren BL, Maiwald LL, Zielinski MA, Birkhead GS; A. Novello, New York State Department of Health, Empire State Plaza, Corning Tower, Room 412, Albany, New York 12237, United States, Tel.: +1 518 473 75 42, Fax: +1 518 486 13 15, E-mail: gsb02@health.state.ny.us
Background: Perinatal HIV prevention efforts must focus on ensuring early access to prenatal care, HIV counseling and testing (CT) in prenatal care, and provision of preventive antiretroviral therapy (ART). HIV testing in the delivery setting with provision of ART may provide an additional prevention opportunity. In NY
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5327)
Reis M, Reis G, Grillo N, Fonseca E, Goncalves J, Ruiz M, Nakamura E, Santos MH, Minelli M; M. Reis, Brazil, Tel.: +55 013 227 11 29, Fax: +55 013 386 28 55, E-mail: marcogel@iron.com.br
Background: the district of Guaruja is the state of Sao Paulo, it was one of the first ones that acquired AZT intravenous (july of 1996) beginning the program of attendance serologic for pregnant woman in 1997, we have been accomplishing annual evaluation of the seroprevalenc Background: the district of Guaruja is th
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5328)
Saraceni V, Rapparini C, Fonseca AF, Lima KR, Israel G, Lauria LM, Durovni B; V. Saraceni, Cupertino Durao 219/B/404, Rio de Janeiro, Brazil, Tel.: +55 21 5125 395, Fax: +55 21 5125 395, E-mail: valeria@ax.apc.org
Background: The intervention in mother to child transmission (MTCT) of HIV is feasible once pregnant women have access to antenatal care, anti-HIV testing and antiretrovirals. That s the case of Rio de Janeiro city, where MTCT program has been implemented since 1996. This program involves 97 antenatal public clinics an
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5329)
Bologna R, Trinidad P, Laurido M, Urquiza A, Caiafa D, Vanzulli C; R. Bologna, Peru 1515, Buenos Aires 1141, Argentina, Tel.: +54 11 4300 0515, Fax: +54 11 4300 5021, E-mail: helios@overnet.com.ar
Objectives: To evaluate the effects of antiretroviral agents (ARV) used in pregnancy, on prematurity, maternal and infant adverse events; and infant outcomes. Methods: Review of medical records of pregnant women treated with antiretroviral drugs during pregnancy, between Sep/97 to Dec/99 in an ambulatory care center wi
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5330)
Totani R, Kihara M, Kita T, Honda M, Yochino N, Nakasone T, Tsukahara Y, Takayama N, Shibata K; R. Totani, 4-1-1 Sannomaru Naka-ku, Nagoya 460-0001, Japan, Tel.: +81 52 951 1111, Fax: +81 52 951 0664
A collaborative group for studying vertical transmission of HIV-1 in pregnant women and their babies was established in Japan . As objectives in this study, vertical transmission of HIV-1 from mothers to their offsprings increased the death rate among infected children. To investigate the possibility of prevention, we
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5331)
Diaby KL, Painter TM, Sibailly TS, Kovassi KM, Lin L, Roels TH, Ekpini ER, Wiktor SZ; K.L.Diaby, Project Retro-CI, c/o American Embassy, S Rue Jessie Owens, 01 PO Box 1712 Abidjan 01, Cote D'ivoire, Tel.: +225 21 25 4467, Fax: +225 21 24 2969, E-mail: tbr6@cdc.gov
Background: New therapies can prevent MTCT in sub-Saharan Africa, but protecting mothers from HIV infection provides the best prevention. Little is known about HIV risk & prevention among clients of prenatal clinics. This paper describes HIV risk and prevention with sexual partners as reported by pregnant women. Me
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5332)
Ndagire L, Mulebeke MS, Bagenda RB, Bakaki PB, Nassali AN, Musoke PM, Miiro FM; L. Ndagire, Old Mulago, PO Box 23491, Kampala, Uganda, Tel.: +256 41 54 10 44, Fax: +256 41 54 10 44, E-mail: mujhu@af.gat.com
Background: Because of the risk of mother to child HIV transmission (MTCT) through breast-feeding WHO recommends that HIV infected mothers be helped to make informed decisions about feeding their infants according to individual circumstances. The Makerere University-Johns Hopkins Research Collaboration in Kampala is in
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5333)
Anderson JG, Anderson MM, Casebeer LL, Kristofco RE; J.G. Anderson, Purdue University, West Lafayette, Indiana 47907, United States, Tel.: +1 765 494 4703, Fax: +1 765 496 1476, E-mail: anderson@sri.soc.purdue.edu
Background: Women in the U.S.A. are the fastest growing group infected with HIV. During 1998, 88% of newly infected women were of childbearing age. Despite advances in antiretroviral therapy, recent studies have found that women who are infected with the HIV virus are more likely to receive inadequate or inappropriate
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5334)
Gonzalez Nunez I, Diaz Jidy M; I. Gonzalez Nunez, Instituto Pedro Kouri Autopista Nocia del, Mediodia Km 6 Marianao 13 la Lisa, PO Box 601 Ciudad Habana, Cuba, Tel.: +53 7 220 451, Fax: +53 7 220 633, E-mail: jidy@ipk.sld.cm
Background: A controlled program for this purpose has been implemented at the primary health care level in Cuba since 1986 aiming to reduce the perinatal transmission of the HIV virus. Methods: Among others things the program includes the administer of antiretroviral drugs to every woman who decides to continue her pr
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5335)
Yao KR, Basque M, Diabi B, Seya AM, N'Djore AM, Vazoumana B, Nioule L; K. R. Yao, PO Box 54, Adiake, Cote d'Ivoire, Tel.: +225 307 069, Fax: +225 307 040
Objective: To sensitise men in order to increase the use of preservatives in the rural area of Western Cote d Ivoire actually hosting Liberian refugees. Method: The activity has been conducted in two villages in rural zone of Western Cote d Ivoire. This area has been hosting about 300,000 refugees from Liberia for the
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5336)
Gupta D;;; D.Gupta, S. V. Institute of Medical Sciences, Department of Transfusion Medicine, Tirupati 517 507, India, Tel.: +91 85 744 14 78, Fax: +91 85 742 88 03, E-mail: debasishgupta@usa.net
Background: Sexual promiscuity is one of the prime reasons of ever-increasing incidence of HIV in a developing country like India . Poverty, illiteracy and ignorance about the disease add to the increasing trends. Usage of condoms is a total failure even after initiation of various awareness programmes.
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5337)
Kakeeto Sempijja F, Kayizzi J, Nandawula B, Matovu H; F. Kakeeto Sempijja, Seeta-Nazigo AIDS Community, PO Box 8880, Kampala, Uganda, Tel.: +256 77 459 231, Fax: +256 41 530 412
Issues: There is one widely available family planning (FP) method - the latex male condom which clearly provide protection against AIDS and STDs. FP programmes have often been ambivalent about condoms and they have not usually been the 1st choice for FP. Description: FP programmes difficulties in reaching men directly
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5338)
Kakkarla Purushothaman RC; R. C.Kakkarla Purushothaman, 1369 18th Mn Road, 6th St, 'I' Blk, Anna Nagar West, Vallalar Colony, Chennai - 600 040 (Tamil Nadu), India, Tel.: +91 44 626 01 92, Fax: +91 44 628 59 19, E-mail: priyakumar@satyam.net.com
Issue: Condoms were supplied free of cost for ages adopting Social Marketing of condoms An experience in developing new fully prized condom outlets Methodology: To substained the fully condom supply, we Indian Community Welfare Organisation approached different condom manufacturing companies and worked with them on the
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5339)
Narayana Swamy PS, Amijikari Janarthanam HA; P. S. Narayana Swamy, 1369 18th Mn Road, 6th St, 'I' Blk, Vallalar Colony, Anna Nagar West, Chennai - 600 040 (Tamil Nadu), India, Tel.: +91 44 626 01 92, Fax: +91 44 628 59 19, E-mail: priyakumar@satyam.net.com
Issue: The existing condom outlets is not sufficient enough for regular condom users Project: Operation clean sweep A massive attempt to start fully priced condoms (sales) in every alternate shops at Mamallapuram (Tamil Nadu) out of 420 shops this programme had stocked in 212 shops of fully prized condoms. Condom from
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5340)
Kamya M, Kapiriri L, Kamya S, Biryabarema C, Kajubi P, Hearst N, McFarland W; M. Kamya, Department of Medicine Mulago Hospital, Kampala 256 41, Uganda, Tel.: +256 41 541 188, Fax: +256 41 533 531, E-mail: malaria@infocom.co.ug
Background: Barriers to condom use persist despite widespread knowledge that condoms can prevent HIV. Two barriers identified among young men in Kampala include limited knowledge of where to get condoms and embarrassment around obtaining them. We conducted a community outreach pilot study to identify convenient, non-em
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5341)
Ssenabulya M, Galiwango R, Luzinda I, Abaho A; M. Ssenabulya, Taso Uganda Entebbe, Entebbe, Uganda, Tel.: +256 041 320 343, Fax: +256 41 341 413, E-mail: msinabulya@hotmail.com
Issues: The rate of HIV infection among women remains the highest in Uganda . HIV prevention still remains in the hands of the males with the condom while women are left to either refrain or abstain with no clear method under their control. Despite preventive counselling done to HIV+ women the rate of HIV+ children ha
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5342)
Brook DW, Brook JS, Morojele N; D.W. Brook, Mount Sinai School of Medicine, Box 1044 A, One Gustave L. Levy Place, New York, NY 10029, United States, Tel.: +1-212-241 88 21, Fax: +1-212-423 05 48, E-mail: david_brook@mountsinai.org
Background: This longitudinal study examined the psychosocial risk and protective factors involved in condom use among a sample of 265 male IDUs. Methods: Using a structured questionnaire which assessed psychosocial measures, drug use, and condom use, subjects were individually interviewed at two points in time. The da
Background: In the 1990s, the rapid growth of the AIDS epidemic among women in Brazil reinforced the development of strategies to increase the options of female protection, as the female condom. In this context, a study was designed to provide data for the Health Ministry, regarding acceptability of the female condom
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5344)
Haddad IM, Cordeiro AL, Barrio RR, M. Souza AM, Sanchez MS, Mesquita F, Khater Fe J, Lima JR; I.M.T. Haddad, Sao Vicente Health Secretariat, Rua Martim Afonso, 214 Sala 41, Sao Vicente - SP, CEP 11310-010, Brazil, Tel.: +55 134 676 632, Fax: +55 134 676 632, E-mail: coaidssv@nutecnet.com.br
Issue: Concerning women s negotiation in the use of male condom, sometimes this attempt is not a success what results in practicing unsafe sex or even sex abstinence. In this context the female condom is a very important alternative to women to negotiate with her sex partner. Description: The STD/AIDS Program of Sao Vi
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5345)
Susser I, Ipinge P, IIpinge S, Lee RB; I. Susser, City University of New York, Department of Anthropology, Hunter College, 695 Park Ave, New York, New York 10024, United States, Tel.: +212-772-5429, Fax: +212-772-5423, E-mail: isusser@hunter.cuny.edu
Issues: In southern Africa, women have been slowly achieving education and employment gains and are beginning to exert greater control with respect to health and their bodies. However while methods of contraception under women s control are available, protection against STDs and HIV remains firmly under men s control.
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5346)
Gollub E, Brown E, Savouillan M, Waterlot J, Coruble G; E. Gollub, University of Pennsylvania, Treatment Research Ctr, Bldg 3 - 3900 Chestnut St, Philadelphia, PA 19104, United States, Tel.: +1 215 823 4533, Fax: +1 215 823 6080, E-mail: gollub_e@research.trc.upenn.edu
Background:Sexual risk reduction has not previously been used in French HIV preven-tion campaigns for women. A novel community-based intervention was piloted in Mar-seille France . Methods:Women from diverse community groups were enrolled in a 5-session group intervention built around the concept of body empowerment ,
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5347)
Garcia R, Klaskala W, Pena Y, Baum MK; R. Garcia, United Nations Joint Programme on AIDS, Carrera 13 No 32-76, Piso 5, Apartadp Aereo: 253367, Santafe de Bogota, Colombia, Tel.: +57 11 571 336 7100, Fax: +57 11 571 336 7131, E-mail: rgarcia@col.ops-oms.org
Background: To implement and evaluate a culturally sensitive behavior intervention for women at different level of risk for STD/HIV infections in Cucuta, capital city of a region where heterosexual contact has been the predominant mode of HIV transmission. Methods: A quasi-experimental design was used to enroll 60 wome
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5348)
Waller O;;; O. Waller, Stockholm County Aids Prevention Programme, LAFA, Box 4402, S-116 38 Stockholm, Sweden, Tel.: +46 8 517 781 16, Fax: +46 8 517 780 90, E-mail: olle.waller@smd.sll.se
Issue:Free, easy and wide spread access to quality condoms are important conditions if young people should have the possibilty to prevent hiv,STD s and unwanted pregnancies. They must also have sufficient knowledge about condom usage in a practical and psychological sense. Young people also need to have opportunity to
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5349)
Rees H, Beksinska M, McIntyre J, Dickson Tetteh K, Mqoqi N;;; H. Rees, Reproductive Health Research Unit, 108 Davenport Road, Durban 4001, South Africa, Tel.: +27 31 202 4061, Fax: +27 31 202 4090, E-mail: mags@rhru.co.za
Background: There is no published data on whether standard washing instructions are effective in removing potentially pathogenic organisms from barrier methods or that reused barrier methods are a source of genital infection. However, as the female condom is being promoted for the prevention of STDs and HIV it is criti
Issue: In order to promote the Female Condom (FC) as means of prevention controllable by women, we conducted an operational Research about acceptability of FC in Bangui, (Central African Republic). Methodology: Between May and July 1999, we conducted an operational study in centers of health in Bangui,
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5351)
Kuyoh M, Feldblum P, Omari M, Welsh M, Ryan K, Bwayo J; M. Kuyoh, Family Health International, PO Box 38835, Nairobi, Kenya, Tel.: +254 271 3911, Fax: +254 272 6130, E-mail: mkuyoh@fhi.or.ke
Background: We conducted a community intervention trial at Kenyan agricultural sites to measure the impact of female condom introduction on STI prevalence. Here we describe the acceptability and use consistency of female condoms among female study participants. Methods: We identified six matched pairs of tea, coffee an
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5352)
Bessah MM, Kaba F, Kone I, Kotan SD, Bahlou A, Ayokoin M, Koffi J, Sanogo A, Anoh ME; M.M. Bessah, National AIDS Control Program, 04 BP 2113, Abidjan 04, Cote D'Ivoire, Tel.: +225 21 24 30 14/21 24 87 96, Fax: +225 21 24 31 19, E-mail: suenap@hotmail.com
Background: With the advent of the female condom, comes a new era for women, as they now have at their disposal a new and effective method of controlling their sexuality. But how does one make known, accepted and instill the habit of using the female condom? Method: Three programs contributed to the gathering of data.
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5353)
Kuyoh M, Feldblum P, Bwayo J, Welsh M, Omari M, Ryan K; M. Kuyoh, Family Health International, PO Box 38835, Nairobi, Kenya, Tel.: +254 2 71 39 11, Fax: +254 2 72 61 30, E-mail: mkuyoh@fhi.or.ke
Objective: To measure the impact on STI prevalence of a female condom introduction program at Kenyan agricultural sites. Methods: We identified six matched pairs of tea, coffee and flower plantations and enrolled approximately 160 women at each site. Six Intervention sites received an information/motivation program an
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5354)
Santana A, Lemos L, Rocha M; A. Santana, Secretaria Estadual de Sande, General Valadeo, garden number 35, Center, Aracaju-SE, zip code 49100-000, , Tel.: +55 2179 224 67 44, Fax: +55 2179 224 10 06, E-mail: sesasp@prodase.com.br
Background: The distribution of condoms at random, at popular festivals, doesn t bring positive results on prevention of STD/ AIDS. We must look for creative methods of spreading out the use of condoms. Methods: In the time of pre-carnival party called Pre-Caju, we take advantage of Prevention Block , composed of 500 p
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5355)
Sam-Abbenyi A, Dibeshye T; A. Sam-Abbenyi, CARE International Rwanda, Rue du Lac Mpanga, PO Box 550, Kigali, Rwanda, Tel.: +250 72402, Fax: +250 76012, E-mail: abbenyi@rwanda1.com
Background: To determine (a) the prevalence of reported condom use, and (b)sources of procurement. Methods: On October 15-30, 1999, 30 adninistrative cells in 6 communes of Gitarama Health Region GHR)in central Rwanda were randomly selected. 10 trained experienced interviewers administered a structured questionnaire t
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5356)
Cleophas-Frisch B, Obasi A, Manchester T, Rwakatare M, Alex R, Charles J, Ross O, Hayes R; B. Cleophas-Frisch, POBox 1482, Mwanza, Tanzania, United Republic of, Tel.: +255 (0)68 500 220, Fax: +255 (0)68 500 742, E-mail: amrefmza@africaonline.co.tz
Background: A recent needs assessment in Mwanza, Tanzania demonstrated that condom accessibility for youths in rural areas is low, that condoms are overpriced, and that youths and adolescents required a targeted condom distribution mechanism. A community-based peer condom social marketing strategy was then pilot tested
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5357)
Humbles P; P. Humbles, 3510 North Peoria Ave, Peoria, IL 61603, United States, Tel.: +1 309 688 2976, E-mail: phumbll@uic.edu
Background: Condom use has demonstrated effectiveness in reducing the risk of HIV transmission. However, in Botswana many sexually active men and women do not use condoms despite a rapidly growing AIDS epidemic. The aim of this descriptive study is to examine condom use and difficulties with condom use reported by urb
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5358)
Mantell JE, Weiss E, Delano GE, Adeokun L, Udo D, Akinso S; J.E. Mantell, HIV Center for Clinical and Behavioral Studies, 1051 Riverside Drive, PI Unit 15, New York, NY 10003, United States, Tel.: +1 212 923 72 81, Fax: +1 212 543 60 03, E-mail: mantell@cnvlz.com
Issues: The acceptability of the female condom (FC) has been primarily assessed within the context of product trials, often among women with high-risk behaviours. Little is known, however, about FC adoption and continued use when it is incorporated into routine care in family planning (FP) clinic settings. The role of
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5359)
Arnaudies M, Com C, Azeuedo V, Petit F, Ballique NH, Guglielni S; M. Arnaudies, Ministre De Lemploiet De La Solidarite, 8 Avenue De Segur, 75007 Paris, France, Tel.: +014 056 56 17, Fax: +014 056 56 20, E-mail: arnaudies.michelle@sante.gouv.fr
Context: In June 1998, new European legislation allowed the French government to officially promote and support the female condom as a new contraception and HIV/other STD protection barrier. Description: The accessibility program began in October 1998. Two different means of making the FC accessibility were set-up: 1)
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5360)
Essien EJ, Linares A; E. J. Essien, Texas Southern University, College of Pharmacy, Houston, TX 77004, United States, Tel.: +1 713 313 18 39, Fax: +1 713 313 42 19, E-mail: pharejessien@tsu.edu
Objectives: Current estimates indicate that nearly 60% of AIDS cases among Hispanic women in the United States are due to unprotected sex with men. In the absence of a vaccine or cure for HIV disease, condom use remains as the primary method of HIV prevention for sexually active ethnic minority populations. However, re
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5361)
Asiamah G, Blantari J, Binka C; G. Asiamah, Ghana Police AIDS Control Program, PO Box CT 2893, Accra, Ghana, Tel.: +233 21 773 900, Fax: +233 21 761 273, E-mail: asiamah@ighmail.com
Issues: Strategies at containing the HIV epidemic include targeting core and bridge populations in the transmission of HIV for intervention. Experiences from many countries have shown the police as a bridge population in the transmission of HIV. A KABP survey on STD/HIV/AIDS conducted with the Police in
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5362)
Gyarmathy VA, Molnar A, McNutt LA, Morse DL, Ujhelyi E, Szamado SZ; V. A. Gyarmathy, 123 North Blount Street #301, United States
Background: The aim of our study was to assess whether an AIDS education curriculum based solely on published methods, results, and recommendations of existing high cost programs can be developed and evaluated at low cost, and to determine whether an evaluation of the new curriculum could achieve results comparable to
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5363)
Black K;;; K.Black, NAPHAM, Private Bag 355, Capital City Lilongwe 3, Malawi, Tel.: +265 781 172, Fax: +265 781 198, E-mail: manet@malawi.net
Ojectives: Combating isolation and fear, provide psychological, spiritual and social support to people living with HIV/AIDS in order to improve quality of life. Methods: Every Saturday NAPHAM members gather to discuss problems they face in their daily lives. These are social problems faced in the community due to HIV s
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5364)
Fisher D, Littell R, Fenaughty A, Bigelow C, Cagle H; D. Fisher, University of Alaska Anchorage, IVDU Project, ESB-207, 3211 Providence Drive, Anchorage, AK 99508, United States, Tel.: +1 907 786 18 05, Fax: +1 907 786 48 66, E-mail: afdgf@uaa.alaska.edu
Background: One hypothesis is that needle exchange programs increase drug use. We performed a study in which injection drug users (IDUs) were randomized to conditions so that the effect of needle exchange could be rigorously assessed. Methods: We recruited 652 current IDUs in Anchorage Alaska and randomly assigned 318
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5365)
Milosevic S, Stojicic P, Pantelic M; S. Milosevic, Youth of Yugoslav Association against AIDS, 27. Marta 35, 11000 Belgrade, Yugoslavia, Tel.: +381 11 3225 645, Fax: +381 11 3226 953, E-mail: mstasa@net.yu
Issues: Lowered limit of age of getting into first sexual intercourse. Increased number of abortions among high school students. Not using and vague knowledge of contraceptive means. Increased number of STD s and AIDS cases among high school population. Increased number of alcohol and drug abusing cases among high sch
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5366)
Tageyerawo M; M. Tageyerawo, AIDS information center PO Box 10 446, Kampala 041, Uganda, Tel.: +256 347 603, E-mail: aidsinfo@imul.com
1. Introduction: The idea of having Family Planning services integrated into HIV/AIDS Counselling and testing was first discussed in August, 1992 during the visit of Mrs. Mary Luke from CEDPA office in Washington. A concept paper was developed for the AIDS Information Centre (AIC) to start a women s project at the Post
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5367)
Jedlicka J, Vytlacil J, Mruskovica L, Walter G; J. Jedlicka, National institute of public health, 100 42 Prague 10, Czech Republic, Tel.: +420 267 08 2650, Fax: +420 267 08 25 32, E-mail: jdlckj@post.cz
Objective: The main objective of the nationwide monitoring system of HIV-related indicators in the Czech Republic is to improve the nationwide surveillance of indicators related to sexually transmitted infections including HIV. The secondary objective is to obtain as complete as possible overview of services related t
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5368)
Islam MN, Islam S, Hassan KM, Rahman M; M.N. Islam, Medical University, Dhaka 1000, Bangladesh, Tel.: +88 02 861 7099, E-mail: bmuvirol@bdcom.com
Background: Targetted intervention to block transmission of HIV is an widely practiced method of intervention in the CSWs. It includes condom promotion and treatment of STDs at the earliest possible opportunity. Assessment of impact of the intervention needs the estimation of prevalence of STDs and HIV-antibody, which
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5369)
Matida L, Pupo L, Pluciennik A, Gianna C; L. Matida, Program of STD/AIDS - Sao Paulo - Brazil, R. Santa Cruz, 81, CEP:04121-000, Sao Paulo, Brazil, Tel.: +55 11 302 231 36, Fax: +55 11 302 244 39, E-mail: lmatida@uol.com.br
Background: The HIV can be transmitted from mother to child during pregnancy, during delivery and by breastfeeding. The number of infected women by HIV, in fertility age, is increasing at State of Sao Paulo (SSP). At SSP (35 million inhab.) occur about 700.000 deliveries/year and the estimation of the pregnant women w
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5370)
Syed AM, Mohummed Ilyas B; A.M. Syed, AIDS Surveillance Center, Karachi 75510, Pakistan, Tel.: +92 21 510 759, E-mail: smujeeb@super.net.pk
Backgrounds: HIV/AIDS pandemic emerged in Pakistan in late 80s and by the turn of century it entered into the second decade of pandemic. Relatively few reported cases are leading false sense of complacency among the policy and opinion makers. Similar kind of complacency was noted with regard drug addiction in late 70s
Issues: the secretariat of public health of Medellin city. (Antioquia, Colombia ) is incharged of the promotion of health and prevention of illness of its 2.000.000 inhabitants. The AIDS epidemic requires a great investment and Colombia does not have access to the needed resources for health and education.
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5372)
Ngundo JM, Mutiso CN; J.M. Ngundo, University of Nairobi Medical School, PO Box 19714 Nairobi, Nairobi, Kenya, Tel.: +254 02 567 999, Fax: +254 02 725 102, E-mail: din@nbnet.co.ke
Issues: Youth are the most vulnerable group. WHO defines youth as between 15-24 years of age and this comprise 20% of the world population yet account for 60% of new infections every year. This is a time of discovery, experimetation and risk-taking. Lack of youth friendly accessible service for reproductive health and
Issues: Peer education with factory workers within the work site can positively effect HIV/AIDS education and promotion activities. Work place based HIV projects are a good way of reaching large numbers of people with HIV/STD education and services. Description: The findings from the brief qualitative study revealed th
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5374)
Aramburu T, Aymone D; T. Aramburu, Av. Presidente Vargas, 2990., CEP 97510-430, Uruguaiana - RS, Brazil, Tel.: +55 021 55 412 2441, Fax: +55 021 55 412 2265, E-mail: domingos.aymone@uol.com.br
Background: The city of Uruguaiana, in the state of Rio Grande do Sul (RS), Brazil (BR), has an important role in the MERCOSUL integration process, due to its geographic location and to being considered the largest Dry Port in the Country, with traffic of 204,633 trucks/year. Uruguaiana connects to the city of Paso de
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5375)
Chen J, Zhang L, Liu Y, Wang J; J. Chen, Institute of Child and Adolescent Health, Beijing Medical University, Beijing 100083, P. R., China, Tel.: +86 10 620 911 86, Fax: +86 10 620 911 78, E-mail: jingqi@public.east.cn.net
Background: To help young people to maintain behavior that protects them from HIV/STD infection and to prevent infection in the future. Methods: Ninety-five students (male students 54, female students 41, 90.4% of the students were 18-20 years old) from 16 college and universities in Beijing were trained. Training time
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5376)
Viens P, Alary M, Pepin J, Gomez M; P. Viens, CCISD inc, 2180 Ste-Foy, Quebec, G1k7P4, Canada, Tel.: 418 656-5525, Fax: 418 656-2627, E-mail: pierre.viens@ccisd.org
Introduction:a STD syndromic control project is being implemented in primary health care (PHC) structures serving at-risk clienteles in 7 West African countries. PHC agents are trained to the use of algorithms and generic drugs are available on a cost-recovery basis through existing provision channels. This paper attem
Background: Through general observations made by counselors some women who were positive became pregnant even after knowing their results. Many HIV positive women were exposed to domestic voilence after disclosing their sero status to their husbands/partners and this resulted into broken marriages/homes. Objectives: F
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5378)
Pandian A, Palaniappan K; A. Pandian, AIDS Prevention & Control Project, Chennai - 600113, India, Tel.: + 910 442 352 965, Fax: +910 442 355 018, E-mail: apacvhs@vsnl.com
Issues: Condoms have gained significant importance with the spread of HIV. In India , there are six leading manufacturers of condoms and together they have one of the largest production capacities in the world. However, condoms are not widely distributed and are primarily sold in chemist outlets. Retailers are embarra
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5379)
Hecht F, Colfax G, Lehman JS, Vittinghoff E, Bindman A, Chesney M, Fleming P; F. Hecht, Positive Health Program, UCSF, San Francisco General Hospital, 995 Potrero Ave, Ward 95, Room 505, San Francisco, CA 94110, United States, Tel.: +415-476-4082x431, Fax: +415-476-6953, E-mail: rhecht@itsa.ucsf.edu
Background: Home HIV test collection kits, licensed in 1996, have potential to increase HIV testing rates. We examined intent to use kits, actual kit use, and barriers to use among those at risk for HIV. Methods: Prior to kits being widely available, intent to use kits was determined in the 1995-96 HIV Testing survey (
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5380)
Denolf D, Shamavu J, Tahiri M; D. Denolf, Projet Sida, Projet Sida -, Hopital General de Kinshasa, Gombe - Kinshasa, Congo, The Democratic Republic, E-mail: projetsida@ic.cd
Background: How to implement successfully proven interventions for the prevention of mother-to-child transmission (MTCT) in developing countries still remains a huge challenge. We assess the presence of minimum requirements for introducing antiretroviral (ARV) therapy for MTCT in two sub-Saharan cities : Kinshasa (Demo
Background: HIV prevalence in South Africa continues to rise and has reached 40% in some rural areas. The effectiveness of the national Aids campaign must be questioned. We aimed to assess the impact of the campaign in a rural setting. Metho:d 100 randomly chosen young people attending health care facilities in the Ms
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5382)
Rogala C;;; C. Rogala, RFSU Clinic, Box 12128, S-102 24 Stockholm, Sweden, Tel.: +46-8-6920787, Fax: +46-8-6532821, E-mail: christina.rogala@rfsu.se
All children and adolescents need sex education that includes accurate, updated information about methods to prevent STIs, including HIV- infection and unintended pregnancies. It is important that this knowledge is available before they begin to be sexually active. However, education and knowledge is not enough, as the
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5383)
Kawichai S, Tejafong K, Jittiwutikarn J, Celentano DD, Razak MH, Nelson KE, Rungsiwaroj N, Beyrer C, Suriyanon V; S. Kawichai, Johns Hopkins University, School of Hygiene and Public Health, School of Hygiene and Public Health, Baltimore, MD 21205, United States, Tel.: +410-955-1356, Fax: +410-955-1836, E-mail: surinda@loxinfo.co.th
Background: HIVCT provides an opportunity for individual risk assessment, HIV/AIDS education, and an opportunity to reduce risk behaviors. We investigated factors associated with prior HIVCT and risk behavior change among drug users in northern Thailand where HIVCT is highly encouraged. Method: Male drug users admitte
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5384)
Bhatia V, Swami HM, Bhatia SP, Thakar JS, Ahuja R; V. Bhatia, House No 1278 Sector 15b, 160015 Chandigarh, India, Tel.: +911 727 721 64, E-mail: bhatia@satyam.net.in
Background: During the early phase of the national AIDS control programme in India from 1992 onwards, was mainly confined to urban settings. Sexually transmitted diseases (STD s) are known predisposing factor to HIV infection. Govt of India launched a nationwide programme called as Family Health Awareness Campaign wi
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5385)
Baum MK, Campa A, Miguez-Burbano M-J, Perez-Then E, Soto RJ, Bhat G, Kankasa C, Kanyengo WC, Chewe S, Campbell J, Garcia R, Vladimir M, Lindo J, Dowe G, Persaud N, Shor-Posner G; M.K. Baum, University of Miami School of Medicine, Department of Psychiatry and Behavioral Sciences, 1400 NW 10th Ave (D21), Miami, FL 33136, United States, Tel.: +1 305 243 4072, Fax: +1 305 243 4687, E-mail: mbaum@med.miami.edu
Background: For the last 12 years, the University of Miami Fogarty International Program has trained professionals from developing countries to conduct HIV-related research. The objective of this investigation was to determine the impact of technological advances and the worldwide internet services on in-country traini
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5387)
Meda H, Alary M, Gnintoungbe C, Geraldo N, Lowndes CM, Mukenge-Tshibaka L, Anagonou S; H. Meda, Project Sida2 - Benin, c/o Michael Alary, Hopital du St-Sacrement du CHA, 1050 Chemin Ste-Foy, Quebec G1S 4L8, Canada, Tel.: +1 418 682 73 87, Fax: +1 418 682 79 49, E-mail: hmeda@bow.internet.bj
Background: Interventions aimed at core groups in developing countries may have a significant impact in controlling the HIV epidemic. Within a more global HIV/STD prevention program supported by the Canadian International Development Agency, a STD clinic dedicated to FP has been set up in Cotonou, Benin
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5388)
Gibson DR, Anderson K, Brand R; D. R. Gibson, Dept. Medicine UC Davis, 4150 V Street Suite 500, Sacramento CA 95817, United States, Tel.: +191 673 432 95, Fax: +191 673 477 66, E-mail: drgibson@ucdavis.edu
Background: Numerous studies have found use of syringe exchange programs (SEP) by injecting drug users (IDU) to be associated with decreased risk of infection with HIV. This association, however, could in part be due to preexisting differences between IDU who seek vs. do not seek to use SEP. In this study we attempted
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5389)
Blanch C, Romaguera A, Casabona J; C. Blanch, Hospital Universitari Germans Trias i Pujol, Crta. de Canyet, s/n, 08916 Badalona, Spain, Tel.: +34 934 978 891, Fax: +34 934 978 889, E-mail: cblanch@ceescat.hugtip.scs.es
Objective: To identify age and sex diferences in the impact of the decline of aids mortality from 1995 to 1997. Method: From 1981 aids mortality rates, adjusted by age and sex, were analized. Data were gathered from the Catalan mortality register. Aids realted deaths were codified as (ICD-9 279,5). The survival for th
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5390)
Futterman D, Stover G, Hoffman N, Mayo L, Stroup D, Carlson L, Guttmacher S; D. Futterman, The Adolescent AIDS Program, Montefiore Medical Center, 111 e. 210th St., Bronx, NY 10467, United States, Tel.: +718 882 0322, Fax: +718 882 0432, E-mail: futterma@aecom.yu.edu
Background: To find and provide care for the estimated thousands of HIV+ minority youth in New York City who are still unaware of their HIV infection using a youth-targeted, multi-faceted social marketing campaign. Methods: Since 1997, this campaign has been implemented annually in NYC. HIV. Live with it. Get tested. u
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5391)
Futterman D, Guttmacher S, Rogers A, Rudy MD B, Peralta L, Friedman L, D'Angelo L, Belzer M; D. Futterman, Adolescent AIDS Program, Montefiore Medical Center, 111 e. 210th St., Bronx, NY 10467, United States, Tel.: +718 882 0322, Fax: +718 882 0432, E-mail: futterma@aecom.yu.edu
Background: Youth ages 13-21 years represent 25% of new HIV infections in the US, yet relatively few have been identified or linked to care. Methods: A social marketing campaign to promote HIV counseling and testing for adolescents was developed and piloted in New York City. It targets young people by using their langu
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5392)
Baba I;;; I. Baba, Community AIDS Service Penang (CASP), 54-8-16, Jalan Low Yat, Batu Ferringhi, Penang 11100, Malaysia, Tel.: +60 4 890 5777, Fax: +60 4 890 5777, E-mail: ismilba@pc.jaring.my
Children are often misinformed about HIV/AIDS because of their own parents, older siblings and teachers who are themselves do not know much about this pandemic. The Community AIDS Service Penang (CASP) has produced a children book entitled Nama Saya Mat dan Saya juga HIV+ (My name is Mat and I m HIV+)which is designed
Issues: The Ryan White CARE Act is the single largest US Federal Government Fund Appropriation to assist Cities and States, the District of Columbia and selected territories in providing services to persons living with HIV/AIDS. Funds are used to reduce gaps in coverage of health care, pharmaceuticals, and social servi
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5394)
Dorabjee J, Burrows D; J. Dorabjee, Sharan, G46 Green Park Main, New Delhi 110016, India, Fax: +91 11 622 89 31, E-mail: jimmyd@vsnl.net.in
Background: Rapid Assessment and Response (RAR) among Injecting Drug Users draft methodology developed by World Health Organisation has been used has been used to help rapidly increase the number of HIV prevention programs in several countries in Asia and Eastern Europe. Methods: We examine the process of using RAR in
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5395)
Vieira E, Fernandes ME, Cannon L, Serra AS, Bailey P, Macckey A; E. Vieira, Associacao Saude da Familia, R. Francisco Iasi 94, Sao Paulo SP, CEP 05407-050, Brazil, Tel.: +55-11-2101132, Fax: +55-11-2101132, E-mail: melfsp@attglobal.net
Issue: According to the Ministery of Health (MOH) Brazil the number of adolescents between 15 to 19 years of age giving birth increased from 611.608 in 1993 to 675.839 in 1997. Data from MOH also shows an increase of 17% of adolescents giving birth between 10 to14 years of age. In 1997 the hospitals belonging to the U
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5396)
Weir S, Morroni C, Coetzee N, Matthews C, Boerma JT; S. Weir, University of North Carolina, MEASURE/Evaluation Project, CB #8120 University Square East, Chapel Hill, NC 27516-3997, United States, Tel.: +1 919 843 94 74, Fax: +1 919 966 23 91, E-mail: sharon_weir@unc.edu
Background: Systematic rapid methods to focus interventions at the community level are urgently needed. New partnership formation plays a central role in the spread of HIV and often occurs in well-localized sites. We tested a rapid method to locate sites of new partnership formation in order to identify high transmissi
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5397)
Jani AA, Nolen RD, Tavel L, Cirelli S, Liberti T, Chesson CV, Abell N, Lewis S, Gertz C; A. A. Jani, Orange COunty Health Department, 832 West Central Boulevard, Orlando, FL 32805, United States, Tel.: +407.836.2690, Fax: +407.836.2543, E-mail: asim_jani@doh.state.fl.us
Issues: Amplified medication adherence barriers exist for HIV(+)patients receiving care in public health facilities; problems such as fiscal instability,transportation,homelessness, substance abuse, malnutrition,comorbid illnesses and lack of education. An organized approach to standardize service delivery and empower
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5398)
Monasch R, Bull N; R. Monasch, UNICEF, 3 UN Plaza, New York, NY 10017, United States, Tel.: +1 212 824 67 25, Fax: +1 212 824 64 90, E-mail: nbull@unicef.org and rmonasch@hotmail.com
Background: Why are young people still getting HIV/AIDS? The common assumption is that they have the information to protect themselves but are not changing behaviour. Consultations with young people repeatedly include requests for more information. The assumption must be challenged to better understand what they actual
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5399)
Koijane J, Faigle M; J. Koijane, 2746B East Manoa Road, Honolulu, HI 96822-1818, United States, Tel.: +1 808 988 99 41, Fax: +1 808 944 74 90, E-mail: koijane@hawaii.edu
Background: HIV education to promote safe sexual behavior is a cornerstone of most AIDS programs with large amounts of resources being dedicated to this issue. An analysis of general components of effective HIV programs from evaluated studies though is missing and vitally needed to help best use resources and impact be
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5400)
Medeiros R, Alves K, Andrao S, Souza I, Diaz R; R. Medeiros, Universidade Federal de Sao Paulo, R. Pedro de Toledo, 781, 16a., Brazil, Tel.: +57 570 82 26, Fax: +57 570 82 26, E-mail: roseporto@uol.com.br
Objectives: Access the antiretroviral therapy as a predictor of virological failure in AIDS subjects from a Public Hospital AIDS clinic in Sao Paulo. Methods: Data was analysed from a database of 6693 HIV RNA counts. Plasma virus load was mensuared by the use of a standartd assay (NASBA) or more sensitive assay (Nuclis
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5402)
Burrows D; D. Burrows, Three Palms Consulting, 22 Francis St, Marrickville, NSW 2204, Australia, Tel.: +61 295 589 396, Fax: +61 298 185 675, E-mail: dbsyd@aol.com
Background: HIV transmission is rapidly increasing among injecting drug users (IDUs) in the Russian Federation (RF), and effective HIV prevention programs are needed to prevent further transmission among IDUs. Methods: From September 1997 to January 2000, MSF-Holland (MSF-H) provided training on HIV/AIDS prevention amo
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5403)
Bastos de Paula SH, Steen R, Proto De Souza PR, Costa V, Ferreira Alaves MI; S. H. Bastos de Paula, Maximo Linhares, 651 Cidade dos Funcionarios, Fortaleza 60822-390, Brazil, Tel.: +852 711 543, Fax: +854 882 093, E-mail: silviabastos@correoweb.com
Issues: To strengthen its sustainability in the future, Brazil s National STD/AIDS Program has requested Family Health International (FHI) s IMPACT Project to develop an objective and straightforward tool kit of instruments for situation analysis and needs assessment of local programs. One of the instruments developed
Issues: the objective of this paper is to show initial results of Family Health International s (FHI) IMPACT Project, specifically the management component, which is coordinated, in Brazil , by Management Sciences for Health (MSH), a nonprofit organization, based in the United States . The geogr
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5405)
Ferreira Alves MI, Proto De Souza PR, Costa V; M. I. Ferreira Alves, Quadra 04 Conjunto D Easa 31, Sobradinho, Brazil, Tel.: +615 913 884, E-mail: valmirc@zaz.com.br
Background: The objective of this paper is to present resul ts obtained through using a participatory methodology for evaluating HIV/AIDS programs in Brazil as part of Family Health International s (FHI) IMPACT Project. This project is supported by the United States Agency for International Development (USAID),
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5406)
Lemos L, Rocha M; L. Lemos, Secretaria Municipal de Saude de SE, Aracaju- Sergipe, CEP: 49-020-050, Brazil, Tel.: +55 21 79 246 44 88, Fax: +55 21 79 241 75 56, E-mail: ligia@eribeiro.com.br
Background: The search for help from people with STD symptoms at health centers has drasti-cally increased, however not all professionals have been prepared to assist and adequately treat the diseases. A correct treatment of a STD affects directly on breaking the transmission chain and, consequently, decreasing the ris
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5407)
Watts C, Vickerman P, Kumaranayake L, Cheta C, Nama MN, Kwenthieu G, Del Amo J; C. Watts, Health Policy Unit, London Sch of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, United Kingdom, Tel.: +44 171 927 2176, Fax: +44 171 637 5391, E-mail: charlotte.watts@lshtm.ac.uk
Background: The importance of interventions working with youth is recognised, particularly in settings where HIV/AIDS is generalised. However, there is little information about the cost or potential impact of different forms of in-school youth interventions from sub-Saharan Africa. This work uses cost, behavioural and
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5408)
Kalichman AO, Gianna MC, Souza RA, S. Bueno SM, Santos NJ, Maldonado AA, Dias FN, Souza JB; A.O. Kalichman, R. Santa Cruz , #81, Vila Mariana, SP, SP, Brazil, Tel.: +55 115 084 6143, Fax: +55 115 710 855, E-mail: dstaids@seade.gov.br
Background: Brazil has a strong public policy that allows the access to ARV therapy to all HIV/AIDS patients that meets the National Guidelines for AIDS treatment. In 1997 protease inhibitors and the concept of combined therapy were added to the National Guidelines. Evaluate the improvements in the quality of life of t
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5409)
Resurreccion P; P. Resurreccion, 20 San Luis Village, KM2 Asin Road, Baguio City, Philippines, Tel.: +637 444 578 71, Fax: +637 444 382 13, E-mail: peter_resurreccion@yahoo.com
Background: ReachOut Foundation in the Philippines was commissioned by the Program for Appropriate Technology in Health (PATH) to continue a series of Public Service Announcements (PSAs) encouraging people at risk with STD to seek education, counselling and medical services. An evaluation of the intervention was conduc
Objective: To compare attitudes and practices related to HIV testing in Montrealers of Haitian origin (MHO) with those of the general population. Methods: We are using data from 2 studies . 1) We carried out a voluntary, anonymous epidemiological survey in 7 primary care clinics in Montreal to determine the prevalence
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5411)
Massella M, Bucciardini R, Tomino C, Osservatorio E, Fragola V, Galuzzo CM, Giannini G, Pirillo MF, Vella S; M. Massella, Instituto Superiore Di Sanita Lab Virologia, Via Regina Elena 299, Roma 00161, Italy, Tel.: +390 649 903 301, Fax: +390 649 387 199, E-mail: m.massella@vella.iss.it
Objective: To observe the number and the duration of hospitalisations plus cost of hospitalisation and treatment in patients with very advanced disease starting in 1996 different regimens containing a protease inhibitor (PI) Design: Observational retrospective economic analysis performed on a longitudinal randomized mu
Issues: Break the silence by denouncing with transparence the myth and problems that up till date sorround the disease and which haunt certain minds, that may be a real change. Make a consensus of perceptions and behaviours by communities in each country laking into consideration the socio-cultural environment. This ha
Issues: Female local migrant workers working in the export oriented shrimp processing factories in Rupsa, Khulna area and living in the Char Rupsa slums are very much vulnerable for HIV/AIDS. Our organization JJS (a local youth organization) taken initiative for the prevention of HIV/AIDS with this communities along wi
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5414)
Iwianska K; K. Iwianska, Res Human Foundation, 640 Piekna Street, Warsaw 00-672, Poland, Tel.: +48 22 626 8660, Fax: +48 22 626 8661, E-mail: resaids@waw.pdi.net
Background: Situation and consciousness of the HIV epidemic existence in Poland and our region started to appear in the early 80 s. With many turmoils and troubles at the very beginning, only at the turn of 1989 and 1990 the awareness of HIV epidemic development in Poland raised within Polish society.
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5415)
Greby S, Horsley RM, Iatesta M; S. Greby, CDC, 1600 Clifton Road, NE, Mailstop E-46, Atlanta, GA 30333, United States, Tel.: +1 404 639 4488, Fax: +1 404 639 2029, E-mail: sig6@cdc.gov
Background: The pretest/posttest client-centered HIV prevention counseling model was proven effective. Benefits of this model may be limited by the failure to complete posttest counseling in clinic settings. We investigate the completion of posttest counseling in publicly-funded CT sites in the United States
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5416)
Ludo S, Ligorio H, Careno E, Guerrero S, Lavarello D, Agostini M, Palazzi J; S. Ludo, Rodriguez 1215, Rosario 2000, Argentina, Tel.: +54 3 414 248 045, E-mail: slupo@caeci.com.ar
Background: Rosario is the second city of Argentina , with an AIDS prevalence rate of 8 per 100.000 persons. The HIV infection rate is unknown. The Argentinean AIDS Society (SAS), an affiliate to IAS, organized the first voluntary HIV detection campaign, called Seven Days for Life , which had as objectives; to favor g
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5417)
Ventura-Filipe E, Pacca JC; E. Ventura-Filipe, Sao Paulo State STD/AIDS Programme, Rua Santa Cruz 81, Sao Paulo - SP 04121-000, Brazil, Tel.: +55 11 5084 0777, Fax: +55 11 5084 5236, E-mail: efilipe@cebinet.com.br
Background: The Sao Paulo state STD/AIDS programme has over the years promoted HIV/AIDS prevention initiatives in cities across the state. The aim of this study was to evaluate the number of cities in Sao Paulo where HIV prevention projects have been conducted and to identify prevention strategies used with different p
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5418)
Sogolow E, Kay LS, Neumann MS, Eken AN, Tate RL, Yamaguchi K, Dietz SE; E. Sogolow, 1600 Clifton Road NE, Mailstop E-37, Atlanta Georgia 30333, United States, Tel.: +404 639 19 37, Fax: +404 639 19 50, E-mail: eds0@cdc.gov
Issue: Traditionally, public health agencies have funded prevention research apart from prevention programs. Funding requirements have not emphasized how research results should be used to shape program practices. Discussion: To address this issue, the US Centers for Disease Control and Prevention (CDC) established ong
Issues: Uganda s efforts to confront the HIV/AIDS epidemic have yielded new experiences. The Sexually Transmitted Infections Project (STIP) in Uganda has had an impact and provided new lessons to learn in combating the epidemic. Description: The multidonor 5 year STI Project has provided the bulk of support for Uganda
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5420)
Nelson K, Nantachit N, Robison V, Tansuhaj A, Kamtorn N, Suriyanon V;;; K. Nelson, John Hopkins Department of Epidemiology, 615 N Wolfe Street E7132, Baltimore Maryland 21205, United States, Tel.: +1 410 955 1296, Fax: +1 410 955 1836, E-mail: kenelson@jhsph.edu
Objective: The HIV epidemic in Thailand started in 1988-89. Routine screening of blood donors for HIV began in 1989. Paid donors have not been used since 1992. The HIV epidemic in Thailand primarily involves heterosexual adults and 3-5% of adults in N. Thailand are HIV positive. Methods: We evaluated the trends in HIV
The Issues: The AIDS pandemic has highlighted the need to make AIDS prevention programmes available to young people (a particularly vulnerable group). There has, however been less success in encouraging any modification in behavior, and young people remain at considerable risk of HIV infection. Peer education has there
Background: The antiretroviral treatment (ART) strategies have significantly changed during the last eight years in Hungary from the mono nucleoside reverse transcriptase (1N) ART throughout the double (2N) ART to the triple, HAART ( protease inhibitors included ARTs) introduce
Issues: For almost 20 years this disease has been destroying lives despite our attempts to control it, which have not been truly effective. We are part of the legion of people who daily fight this scourge. From our workplaces at Hospital of Infectious Diseases Fco. J. Mu±iz , we want to provide the data which is th
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5424)
Fernyak S, Page-Shafer K, Kellogg T, McFarland W, Katz M; S. Fernyak, San Francisco Dept of Public Health, Communicable Disease Prevention Unit, 25 Van Ness Ave. 7th Floor, San Francisco, CA 94102, United States, Tel.: (415)554-9081, E-mail: susan_fernyak@dph.sf.ca.us
Objective: As one-third of HIV tests in the U.S. are in individuals who have previously been tested, we sought to characterize risk for HIV seroconversion among repeat testers using data from San Francisco s publicly funded HIV Counseling and Testing (C&T) sites. Methods: Records of HIV tests from 1995-97 (n = 57,5
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5425)
Matshaka M, Jeche M, Mzezewa V, Bassett MT; M. Matshaka, Zimbabwe AIDS Prevention Project, 103 Rotten Row, Harare, Zimbabwe, Tel.: +263 4 77 06 10, Fax: +263 4 74 98 65, E-mail: matshaka@zappuzz.co.zwz
Issue: Continuation of AIDS prevention in private sector workplaces beyond special projects requires companies not only to cooperate but contribute financially. In 1998, government mandated workplace AIDS prevention under law. We began a cost sharing initiative for training of peer educators (PE) in greater Harare. By
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5426)
Grimes RM, Goodly JL, Cardenas de la Luz M; R.M. Grimes, University of Texas School of Public Health, RAS 345, PO Box 20186, Houston TX 77225-0185, United States, Tel.: +1 713 500 9195, Fax: +1 713 500 9198, E-mail: rgrimes@utsph.sph.uth.tmc.edu
Background: Five drugs, indinavir (IND), saquinavir soft gel capsule (SAQ), ritonavir (RIT), nelfinavir (NL
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5428)
Postma M, Beck E, Coutinho R, Hankins C, Van den Hoek A, Mandalia S, Walters S, Sherr L, Jager H; M. Postma, Antonius Deusinglaan 2, 9713 AW Groningen, Netherlands, Tel.: +31 50 363 2607, Fax: +31 50 363 3311, E-mail: m.postma@farm.rug.nl
Background: Recently English and Dutch health authorities announced the introduction of voluntary HIV screening in early pregnancy. We argue that expansion of HIV screening is justifiable on pharmacoeconomic terms in both London and Amsterdam. Methods: Incremental cost-effectiveness was estimated comparing selective an
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5429)
Miners A, Edmunds WJ, Sabin CA, Mandalia S, Youle M, Pillay D, Beck EJ; A. Miners, Royal Free and University College Medical School, Rowland Hill Street, NW3 2PF London, United Kingdom, Tel.: +44 171 794 0500 x 6758, Fax: +44 171 794 1224, E-mail: alec@rfhsm.ac.uk
Background: The aim of this study was to assess the potential costs of removing maintenance therapy for CMV in the era of HAART and to explore the possible impact on these costs of introducing a test based on CMV viral load. Methods: The analysis was performed using a Markov model which was run over 24 monthly periods
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5430)
Msumi Z, Kikuli L, Moshi A, Kaboja J, Lengaki L, Kaluwa S; Z. Msumi, National AIDS Control Programme, PO Box 11857, Dar es Salaam, Tanzania, United Republic of, Tel.: +255 118 581, Fax: +255 138 282, E-mail: admin.nacp@raha.com
Background: AIDS epidemic is over-stretching the meager resources available at the household and health facility level in Tanzania . To mitigate this impact, the government is developing a HBC model for chronically ill individuals due to AIDS and other causes. This research is conducted to ascertain the feasibility an
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5431)
Kumaranayake L, Watts C, Mangtani P, Njoumemi Z, Cheta C, Boupda-Kuate A, Foumena Abada J-C, Vickerman P; L. Kumaranayake, Health Policy Unit, London School of Hygiene and Tropical Medicine, Keppel Street, London WC 1E 7HT, United Kingdom, Tel.: +44 171 927 2176, Fax: +44 171 637 5391, E-mail: lilani.kumaranayake@lshtm.ac.uk
Background: Interventions focused upon sex workers and their clients have an important role to play in averting HIV infection, but are not implemented on a sufficient scale to have substantial impact. It is important to learn from existing activities and to replicate successful initiatives. Replication may have many b
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5432)
de Oliveira Cruz V; V. de Oliveira Cruz, LSHTM Msc Student, C/o Lillian Penson Hall Room 429, Talbot Square, London W2 1TT, UK, Brazil, Tel.: +44 171 685 2465, Fax: +44 171 724 1258, E-mail: valeria.oliveira-cruz@lshtm.ac.uk
Cost-effectiveness analysis (CEA) is a type of economic evaluation widely used in the health sector. It is an important tool for decision making which estimates the costs of health outcomes and shows the trade-offs involved in choosing between different interventions (Russel et al., 1996). Studies carried out in
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5433)
Varghese B, Branson BM; B. Varghese, CDC, 1600 Clifton Rd, MS E-46, Atlanta, GA 30333, United States, Tel.: +1 404 639 61 71, Fax: +1 404 639 20 29, E-mail: bav7@cdc.gov
Backgound: Oral mucosal transudate (OMT) tests are less invasive than serum tests, but test kits cost more. We compared the cost and cost-effectiveness (CE) of OMT testing in outreach settings with in-clinic serum testing. Methods: Michigan department of community health introduced OMT testing in 1997 and collected dat
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5434)
Holtgrave D, Merson M, Dayton J, Pinkerton S, Anderson J; D. Holtgrave, Centers for Disease Control & Prevention, 1600 Clifton Rd, NE, Mailstop E-35, Atlanta, GA 30333, United States, Tel.: +1 404 639 52 00, Fax: +1 404 639 08 97, E-mail: dyn6@cdc.gov
Background: Several types of HIV prevention interventions (including individualized counseling, small group interventions, and community-level interventions) have been shown to modify HIV-related sexual and drug use risk behaviors. An important challenge is estimating the cost of delivering such state-of-the-art interv
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5435)
Broadhead RS, van Hulst Y, Heckathorn DD; R. S. Broadhead, University of Connecticut, Department of Sociology, U-68, Storrs, CT 06269, United States, Tel.: +1 860 486 41 84, Fax: +1 860 486 63 56, E-mail: robert.broadhead@uconn.edu
Issues: We offer an analysis of the claims-making process that succeeded in defining a state-sponsored needle exchange in Windham, Connecticut as a public health hazard that led to its closure after several years of operation. Based on data collected at public meetings, local news coverage, and interviews, we detail t
Sexual Health Awareness Pilot Project is working in Gujranwala to increaes awareness regarding Sexual Health Issues among unmarried Girls of low income social groups of Gujranwala. Pilot Phase of the Project is completed in December 1999. Though the Project was launched in a conservative society But it was widely accep
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5437)
Otaya M, Lopez P, Qian D, Jones B; M. Otaya, LAC/USC/MC, 1300 N Mission Road, Los Angeles, CA 90033, United States, Tel.: +1 323 343 82 68, Fax: +1 323 226 20 83, E-mail: otaya@hsc.usc.edu
Background: The interaction of tuberculosis (TB) and HIV has made TB screening of all HIV positive patients critical to appropriate clinical care and public health control of TB and HIV infection. The objective of the study is to determine the rate of tuberculin skin test (TST) screening of new patients in an HIV cli
Background: Although AIDS epidemic has established in China , Relatively little is known about the acceptability of voluntary HIV testing and result disclosure in rural areas with high HIV prevalence. This study examines the determinants of an individual s acceptability of voluntary HIV testing and the patterns of resu
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5440)
Kurth A, Spielberg F, Gorbach P, Goldbaum G; A. Kurth, University of Washington, Center for AIDS and STD, Box: 359931, 325 9th Avenue, 3EC44, United States, Tel.: +1 206-731-3627, Fax: +1 206-731-3693, E-mail: akurth@u.washington.edu
Background: A qualitative study was conducted to identify factors that influence decisions to test for HIV among three high-risk populations: men who have sex with men (MSM), injecting drug users (IDUs), and individuals with sexually transmitted diseases (STDs). Methods: Focus groups and intensive interviews were condu
Background: Often the parents wish their children don t know the diagnosis of HIV/AIDS infection. The changes happened in their lives, like: frequently visits to physician, multiple treatments, very often hospitalizations - make children to answer themselves regarding their health status and different changes happend i
Background: Epidemiological studies focusing individual have been largely applied. These approaches, however, did not consider the relationship among individuals, social groups - including behavior and values - and the environment on the development of processes of health/disease. On this perspective, particularly in
Issues: Kenya is a high HIV/AIDS prevalence country although there are intra-country differences. Western Kenya has a high prevalence for HIV/AIDS compared to other provinces. It appears that the HIV epidemic started in urban areas and highway commercial points and unfortunately has spread to the rural areas. Descripti
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5444)
Ghosh D, Mallik D; D. Ghosh, Human Development and Research Institute, 45 Beniatola Lane, Calcutta - 700 009, India, Tel.: +91 33 219 29 02, Fax: +91 33 219 29 02, E-mail: hdri@cal2.vsnl.net.in
Issues: High-risk activity, the root-cause of Sexually transmitted diseases ( STDs ) and HIV, is quite prevalent among migrant labourers in large trade-centre of Calcutta. This project, undertaken in April 97, aims to offer them sexual health services. Description: Clinics, with location and timings suiting the migrant
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5445)
Mitchell K, Kamali A, Whitworth J; K. Mitchell, Uganda Virus Research Institute, PO Box 49, Entebbe, Uganda, Tel.: +256 41 320 042, Fax: +256 41 321 137, E-mail: mrc@starcom.co.ug
Background: A randomised controlled community trial is being conducted in rural Uganda to assess the impact of an IEC intervention on HIV infection. The outcome of the trial is measured by an HIV sero-survey. This study explores the acceptability of the intervention and control arm activities to the participants. Metho
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5446)
Del Rio C, Mohanan S, Cesarz K, Larsen N, Corbie-Smith G, Green S, Williams M, Withum D, Branson B, Peterman T; C. Del Rio, Emory University School of Medicine, 69 Butler St. SE, Atlanta, GA 30303, USA, United States, Tel.: 404-616-4634, Fax: 404-880-9305, E-mail: cdelrio@emory.edu
Objective: To determine the acceptability and feasibility of routinely recommending Standard (ST) vs. Rapid (RT) HIV testing and to assess logistical impact at a UCC. Methods:We conducted a pilot study during July 1999. Patients 18 years and older who presented to the UCC during the one-week periods (one ST and one RT)
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5447)
Saple S, Jujar S; S. Saple, 11-C, Oliver Mansion,Mogul Lane, Mahim, Mumbai-400 016, India, Tel.: +91 22 422 4312, Fax: +91 22 208 3184, E-mail: asaple@bom3.vsnl.net.in
Issues: Intervention in Vertical Transmission plays a major role in the prevention of HIV transmission. This will consist of motivating the pregnant women to undergo Voluntary Consent Test for HIV. Description: 100 pregnant women attending HIV/AIDS referral center, G.T. Hospital and private Maternity Homes in Central M
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5448)
Yang F, Wu Z, Xu C, Zhang Y, Rou K; F. Yang, Chinese Academy of Preventive Medicine, 27 Nanwei Road, Beijing 100050, China, Tel.: +86-10-6315 2573, Fax: +86-10-6315 2573, E-mail: wuzy@public.bta.net.cn
Background: Majority of HIV infected persons are rural residents but condoms are hardly used in rural China . This study evaluates the feasibility of promoting condom use among HIV infected couples in rural China. Methods: HIV infected couples were selected from HIV surveillance program in Anhui Province. Information
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5449)
Chibwesha C, Luo C, Chomba E, McGarvey S, Cu-Uvin S; C. Chibwesha, Brown University, 201 Angell St., #12, Providence, RI 02906, USA, United States, Tel.: (1-401) 453-0565, Fax: As above, E-mail: chibwesha@yahoo.com
Background: Mother-to-child transmission of HIV-1 can be reduced by antiretroviral prophylaxis. To achieve such reductions it is important to know the HIV status of pregnant women. In Zambia , the prevalence of HIV-1 among pregnant women was reported to be 24% in 1998. We examined attitudes towards HIV counselling and
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5450)
Silva T, Magalhaes F, Cavalcante M, Moura M, Farias R, Coelho I; T. Silva, Federal University of Ceara, Rua Dr. Alfredo Weyne 55/1001-A, Fortaleza-CE, 60415520, Brazil, Tel.: +55 85 256 11 55, Fax: +55 85 288 80 50, E-mail: tsilva@ufc.br
Despite the efforts of the government prevention programs, Brazil is still a country with an increasing number of AIDS cases. Presently, the spreading of Sexually Transmitted Disease (STD) is contributing to the difficulty on AIDS control. We applied a questionnaire from June 1998 to October 1999 to patients of an STD
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5451)
Heckert KA, Bagshaw S, Kipa M, Fursman L, Wilson M-A; K.A. Heckert, University of Otago, Christchurch School of Medicine, Department of Public Health & General Practice, PO Box 4345, Christchurch, New Zealand, Tel.: +64 3 364 02 67, Fax: +64 3 364 04 25, E-mail: karen.heckert@chmeds.ac.nz
Background: It is now possible to significantly reduce the risk of HIV transmission from mother to child, provided the woman s HIV status is known. HIV screening is not part of routine antenatal care in New Zealand . Few antenatal care providers discuss HIV with their clients. The investigation of women s acceptability
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5452)
Cowan F, Langhaug L, Bassett M; F. Cowan, University of Zimbabwe, Zapp Office, 105 Rotten Row, Harare, Zimbabwe, Tel.: +00-263-4-770610, Fax: +00-263-4-770170, E-mail: frances@zappuz.co.zw
Background: There are many methodological and ethical challenges to conducting randomised behavioural intervention trials in developing countries. The long term aim of this study is to conduct a CRT to determine the effectiveness of a school-based ARHI in reducing the cumulative incidence of HIV, sexually transmitted i
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5453)
Viela W; W. Viela, Institute of Health, Rua Santo Antonio, 590 2° andar, Bela Vista - Sao Paulo, 01314-000, Brazil, Tel.: +55 11 3104 9047 ext 211, Fax: +55 11 3105 2772, E-mail: wilzavi@usp.br
Issues: Although the consensus about the importance to integrate STD/AIDS prevention into women s health activities, there is a lack of concrete experience related to this. So, a pilot project aiming to test a model of integrating std/aids prevention into women s health activities in two family health units in Sao Paul
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5454)
Padian N; N. Padian, University of California, San Francisco, Center for Reproductive Health Research & Policy, 3333 California Street, Suite 335, San Francisco, CA 94118, United States, Tel.: +1 415 502 82 41, Fax: +1 415 502 84 79, E-mail: nancyp@raven.ucsf.edu
Background: As part of a study of the acceptability of female-controlled barrier contraceptives (female condoms, foam, suppositories, and cream or gel), plus male condoms, we examined the association between product acceptability and choice. Our goal was to determine whether acceptability predicted use. Methods: Analys
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5455)
Zacarias F, Martin D, Cuche P; F. Zacarias, Pan American Health Organization, 525 23rd Street N.W., Washington, D.C. 20037, United States, Tel.: +1 202 974 38 80, Fax: +1 202 974 36 95, E-mail: zacariaf@paho.org
Issues: Syndromic STD management is an effective and important strategy to prevent the sexual transmission of HIV, improve reproductive health, and strengthen mechanisms to interrupt STI transmission in the community. However, and with notable exceptions, the strategy has not been widely adopted by most countries in th
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5456)
Loo Mendez E, Hernandes Tepichini G, Teran Toledo X; E. Loo Mendez, National AIDS Council, CONASIDA, Calz. de Tlalpan # 4585, 2E piso, Col. Toriello Guerra, PO Box 14050., Mexico, Tel.: +52 552 818 87, Fax: +52 552 842 20, E-mail: conainfo@df1.telmex.net.mx
Objetive: To analize the Sexual transmission Infections (STI) and Virus of human inmunodeficiency ( HIV) AIDS prevalence, in male and female sex workers in a center of integral attention of diagnosis in 1999. Method: The present study this based on 12 months of experience in Mexico city t in a population of 2340 wo
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5457)
Liborio M, Gerlero S, Lavarello D, Sanchez G, Menna S, Sobol A, Gutierrez N; M. Liborio, Sria. Salud Publica, Municipalidad de Rosario, Rioja 2051, Rosario, Santa Fe, Argentina, Tel.: +54 0341 4802 200, Fax: +54 0341 4802 202, E-mail: sgerlero@fortnet.org
Background: Accessibility to HIV tests is a key strategy for primary and secondary prevention. In 1998, the AIDS Program of Rosario (PMS), Argentina , implemented nine VCTS; 3 in Hospitals and 9 in Primary Care Health Centers. We analyze the demand from Jan 98 up to Dec 99 and its motivations. Methodology: A form was
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5458)
Chete H, Chiclayo Salas-Corneja E, Cu Choc I, Lopez De Ruano OM; H. Chete, GENTE POSITIVA, 6a. avenida 14-33 oficina 209 zona 1, Ciudad de Guatemala., Guatemala, Tel.: +502 221 0475 - +502 221 0476, Fax: +502 232 9179, E-mail: gentepositiva@gua.gbm.net
Background: In our organization we attend women living with HIV/AIDS who are rejected by their family who don t want to take care of their sons and daughters anymore when they are workers. They think that their sexual life has finished, the access to attention is very poor (in spite of being workers who are paying for
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5459)
Bajwa MA, Habib A; M. A. Bajwa, OPD Rehmat OPP Galla, Ghoray Shah, Naushehra Road, Gujranwala 52250, Pakistan, Tel.: +092 431 231 573, Fax: +092 431 216 778, E-mail: opd@paknet4.ptc.pk
Sexual Health Awareness Raising project was commenced from December 1998 to address the Sexual Health Issues (menstrual problems, vaginal discharge, STDs & HIV/AIDS) of Unmarried Girls of Low Income Community. Methodology of Project consist of Girls Club, Training of Local Health Providers & IEC Material. Commu
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5460)
Supawitkul S, Kilmarx PH, Young NL, Yanpaisarn S, Limpakarnjanarat K, Korattana S, Mastro TD; S. Supawitkul, Chiang Rai Public Health Office, C/o HIV/AIDS Colloboration DMS6, BLDG MOPH Tivanon Road, Nonthaburi 11000, Thailand, Tel.: +665 374 4486, Fax: +665 371 1827, E-mail: pbk4@cdc.gov
Background: Rapid HIV antibody tests of finger-stick specimens could expand HIV counseling and testing in areas where delays in learning test results and fear of venipuncture are barriers. However, there is little information on use of these tests in HIV-endemic areas. Methods: We used the Hema⢠Strip HIV-1/2 test
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5461)
Elouardighi K; K. Elouardighi, Act Up - Paris, BP 287, 45 Rue Sedaine, 75525 Paris Cedex 11, France, Tel.: +33 1 492 944 75, Fax: +33 1 480 624 76, E-mail: actup@actupp.org
Issues: With antiretroviral therapy, mortality and morbidity have plummeted twentyfold in the North, while in the South the epidemic has never been more violent. A few middle-income countries have started ARV therapy, but in most of the world even antibiotic prophylaxis is not well assured. Yet, the global HIV & AI
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5462)
Miti M;;; M. Miti, Network of Zambian People Living With HIV/AIDS, PO Box 32717, Lusaka 10101, Zambia, Tel.: +206 1 223 152, Fax: +206 1 223 191, E-mail: napnzp@zamnet.zm
Issue: People living with HIV/AIDS - PLWHAS - Who do public announcing their HIV/AIDS sero-postive status has emerged to be one of the Major factor which has helped out in reducing stigma and discrimination in Zambia . In Zambia out of 100% of PLWHAs about 80% has never reviewed their status to any one, while 25% are
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5463)
Eroglu D, Lauby JL, Bond L, Latesta M, Peterman TA; D. Eroglu, CDC, 1600 Clifton Road, NE, E-46, Atlanta, GA 30333, United States, Tel.: +1 404 639 2096, Fax: +1 404 639 2029, E-mail: dde7@cdc.gov
Background: This study investigated the consumer appeal for HIV tests with different attributes such as saliva versus blood, or rapid results versus longer wait for results. Methods: High risk persons from 8 zip codes with the highest rates of AIDS in Philadelphia were randomly sampled using a two-stage design. Six HIV
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5464)
Bartholow B, Metzger D, Davis-Vogel A, Goli V, McLellan E; B. Bartholow, 1600 Clifton Road M/S-E4 5, Atlanta Georgia 30333, United States, Tel.: +404 639 61 64, Fax: +404 639 61 18, E-mail: bnb1@cdc.gov
Objective: To determine if HIV testing modality is associated with getting HIV tested and receiving test results among injecting drug users at-risk of HIV infection. Methods: HIV seronegative, in-treatment methadone patients (n = 159), transitional detox patients (n = 196), and out-of-treatment syringe exchange clients
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeC5465)
Stone VE, Moore DE; V.E. Stone, Memorial Hospital of Rhode Island, 111 Brewster Steet Wood 5, Pawtucket, RI 02860, United States, Tel.: +1 401 729 23 95, Fax: +1 401 729 32 82, E-mail: valerie_stone@mhri.org
Background: Current reported HIV seroprevalence rates in Brooklyn are among the highest in the U.S. While there is a very large Caribbean immigrant community in Brooklyn, little is known about the the specifics of HIV-related attitudes, behaviors and prevalence in this population. Methods: During a major Caribbean cult
A situational rapid assessment was conducted in a city, in Guangxi Province, China , in October 1999, as part of the first phase of a drug user intervention project. Data from the rapid assessment would later be used to develop a baseline survey, and to determine the feasibility and types of interventions to reduce dr
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeD5467)
Trullen Gas J, Calero Martinez MJ, Polo Esteve A, Fenosa Salillas A, Altava Padilla C, Tombs Dolz S; J. Trullen Gas, Conselleria de Sanitat (Generalitat Valenciana), Avgda. de la Mar, 12, 12003, Castellon, Spain, Tel.: +34 64 23 99 22, Fax: +34 64 23 94 91, E-mail: josep.trullen@sanidad.m400.gva.es
Issues: One-year results of the syringe exchange program (SEP) of Castellon. Description: The SEP of Castellon started on March 1999 with non-governmental execution and public financing. From March to December, 68 intravenous drug users (IDU) joined the program and answered to a questionnaire. We describe here the resu
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeD5468)
Perez K, Rodes A, Vall M, Merono M, Mata L, Casabona J; K. Perez, Hospital Universitari Germans Trias i Pujol, Ctra de Canyet sn, E-08916 Badalona, Spain, Tel.: +34 93 497 88 91, Fax: +34 93 497 88 89, E-mail: kperez@ceescat.hugtip.scs.es
Background: Spain has one of the highest AIDS incidence rate in Europe, drug injectors being the most affected population. Until September 1999, 55 711 cases were diagnosed, and 64 % of whom were intravenous drug users. In 1993 a behavioral surveillance project started to monitor HIV prevalence and risk behaviours amo
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeD5469)
Magis-Rodriguez C, Ruiz-Badillo A, Ortiz Mondragon R, Lozada R, Ramos R, Ramos ME, Ferreira-Pinto J; C. Magis-Rodriguez, Conasida national AIDS council, Mexico, Tel.: +55 28 18 87, Fax: +55 28 45 98, E-mail: cinvesti@df1.telmex.net.mx
Objective: To know the HIV and IDU prevalence HIV and to identify conducts risk practices in two different jails. Methodology: The study was made in the jails of Tijuana, Baja California, and Juarez, Chihuahua, both border states with USA. The participants were chosen using a simple random sampling, with the list of me
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeD5470)
Slatvickis A; A. Slatvickis, Klaipeda Drug and AIDS Prevention Group, Taikos prosp. 46, LT-5802 Klaipeda, LITHUANIA, Lithuania, Tel.: + 370 6 382044, Fax: + 370 6 410648, E-mail: kplc@klaipeda.omnitel.net
Issues: Last decade injecting of drugs added to other problems of public health services in new independent states of Central and Eastern Europe, including Lithuania . Inaccessibility of injecting drug users (IDUs) population, lack of basic knowledge on health preservation among this group of people, obviously insuffic
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeD5471)
Brahmbhatt H, Sarin E, Samson L, Dorabjee J, Sweat M, Strathdee S; H. Brahmbhatt, Johns Hopkins School of Public Health, 307 East 33rd Street, Baltimore, MD 21218, United States, Tel.: +1 410 467 33 97, Fax: +1 410 614 99 10, E-mail: hbrahmbh@jhsph.edu
Background: Due to diffusion of injection drug use in the Indian subcontinent, there is an urgent need for targeted interventions. We describe HIV risk behaviors among injecting drug users (IDUs) attending a harm reduction program with both needle exchange and sublingual buprenorphine (SB) in a Delhi slum. Methods: IDU
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeD5472)
Tyndall M, Craib K, Currie S, Li K, O'Shaughnessy M, Schechter M; M. Tyndall, British Columbia Centre for Excellence in HIV/AIDS, 608-1081 Burrard Street, Vancouver, British Columbia, V6Z 1Y6, Canada, Tel.: +1 604 806 85 35, Fax: +1 604 806 90 44, E-mail: tyndallm@hivnet.ubc.ca
Objectives: Mortality rates among injection drug users (IDUs) are high due to social and environmental factors that negatively effect health. We identified the causes of death and the impact of HIV infection on IDUs in Vancouver. Methods: The Vancouver Injection Drug Users Study (VIDUS) is a prospective cohort of 1400
Objectives: To characterise HIV, Hepatitis B (HBV) and Hepatitis C (HCV) epidemics in injecting drug users (IDU) in Georgia. Methods: A total of 926 IDU, 18 years or older, enrolled in a prospective study of HIV infection and Hepatitis B and C. The collected blood was tested for HIV and seromarkers of HCV and HBV (HBsA
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeD5474)
Sherman S, Latkin C; S. Sherman, Johns Hopkins University, 1629 East Baltimore Street, Baltimore, MD 21231, United States, Tel.: +1 410 502 5368, Fax: +1 410 502 5385, E-mail: ssherman@jhsph.edu
Background: Examining the social environment in which needle sharing occurs is useful in understanding the complex nature of HIV risk. Few studies have focused on the relationship between syringe sharing among pairs of injection drug users (IDUs), or injecting dyads. This study s aim is to compare characteristics of a
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeD5475)
Schensul J, Radda K, Weeks M; J. Schensul, Institute for Community Research, 2 Hartford Square West, Ste. 100, Hartford, CT. 06106, United States, Tel.: +1 860 278 2044, Fax: +1 860 278 2141, E-mail: jschensu@aol.com
Study background: Risk of HIV has been understudied in older injecting drug users. Social networks, a critical factor in HIV risk transmission among younger drug users may play the same role in transmission among older users as well. Methods: This paper uses NIA and NIDA-funded survey data (N = 220) and indepth intervi
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeD5476)
Razak MH, Jittiwutikarn J, Srirak N, Intarat S, Supreeda B, Tansuhaj A, Celentano DD, Suriyanon V; M.H. Razak, 615 North Wolfe Street, Suite E7132, Baltimore, MD 21205, United States, Tel.: +1 410 955 13 56, Fax: +1 410 955 18 36, E-mail: our@loxinfo.co.th
Background: We conducted an investigation to differentiate the roles of heroin use itself and injecting drug use (IDU) usually associated with it, as major HIV risk factors among Lowland Thai and hilltribe drug users in northern Thailand . Methods: Starting Feb. 1, 1999, we began our one year recruitment by enrolling
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeD5477)
Hagan H, Thiede H; H. Hagan, Public Health - Seattle & King County, 106 Prefontaine Place South, Seattle, WA 98104, United States, Tel.: +1 206 296 78 79, Fax: +1 206 205 52 43, E-mail: holly.hagan@metrokc.gov
Background: We studied the association between use of a needle exchange program and sharing of drug injection equipment to identify potential gaps in HIV risk reduction programming and to more fully understand the lack of an association between use of the Seattle needle exchange and risk of
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeD5478)
Hagan H, Thiede H, Hopkins S, Duchin J; H. Hagan, Public Health - Seattle & King County, 106 Prefontaine Place South, Seattle, WA 98104, United States, Tel.: +1 206 296 78 79, Fax: +1 206 205 52 43, E-mail: holly.hagan@metrokc.gov
Background: Although transmission of HIV and hepatitis C virus (HCV) via the sharing of drug-injection syringes has been documented, sharing of other drug-use equipment as a route of transmission of a blood-borne virus has not been previously demonstrated in an incidence study after controlling for syringe sharing.
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeD5479)
Serraino D, Aloisi MS, Girardi E, D'Arminio Monforte A, Angarano G, Caggese L, Chirianni A, De Rienzo B, Ippolito G;;; D. Serraino, IRCCS "Lazzaro Spallanzani", Via Portuense 292, Rome 00149, Italy, Tel.: +39 065 594 223, Fax: +39 065 594 224, E-mail: ljucl@tin.it
Background: Evidence from cross-sectional studies indicate a decline in the practice of needle sharing among injecting drug users (IDU), but information on changes in their sexual behaviours remains scarce. We analysed behaviour changes in a cohort of HIV- infected individuals naive to antiretrovirals. Methods: ICONA i
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeD5480)
Latka M, Sohler N, Cuevas Y, Edwards V, Vlahov D; M. Latka, NY Academy of Medicine, 1216 Fifth Ave, CUES-Rm 556, New York, NY 10029, USA, United States, Tel.: +212-822-7284, Fax: +212-876-6220, E-mail: mlatka@nyam.org
Background: While IDUs are at risk for HIV from unsafe injection, they may also be at risk from sexual practices. To evaluate this, we examined risk factors for STD in a sample of 209 young (18-30yrs) or recently initiated (injecting >3yrs) IDUs from Harlem, New York City. Methods: We estimated the prevalence of gonorr
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeD5481)
Beuker R, Berns M, Ameijden van E, Houweling H, Laar van de M; R. Beuker, PO Box 1, 3720 BA Bilthoven, Netherlands, Tel.: +31 30 2742009, Fax: +31 30 2744409, E-mail: roelien.beuker@rivm.nl
Background: Injecting drug users (IDU) have an increased risk of contracting an HIV infection. Surveillance of HIV infection among IDU is important to get an insight into the prevalence of infection and the level of injecting and sexual risk behaviour in this group, that may enhance further spread of HIV within and out
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeD5482)
Siushansian J, Archibald CP, Lior LY, Sutherland D, Hudson S, Vooght M, Young E; J. Siushansian, Health Canada, Room 0108B, Bureau of HIV/AIDS, Brooke Claxton Building, Tunney's Pasture PL 0900B1, Ottawa K1A 0L2, Canada, Tel.: +1 613 954 8501, Fax: +1 613 954 5414, E-mail: jennifer_siushansian@hc-sc.gc.ca
Background: In 1997, a cluster of new HIV cases was identified among injection drug users (IDUs) and their sex partners (SPs) in the Prince Albert Health District (PAHD) of northern Saskatchewan, Canada . We conducted a cross-sectional study of HIV and hepatitis C (HCV) ser
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeD5483)
Clatts MC; M. C. Clatts, National Development and Research Institutes, Inc., 2 World Trade Center, 16th Floor, New York, N.Y. 10048, United States, Tel.: +1 212 845 4459, Fax: +1 212 845 4698, E-mail: michael.clatts@ndri.org
Background: This paper describes variability in the behavioral practices used to prepare and inject illegal drugs and demonstrates how this variability may account for regional differences in the prevalence of HIV-1 among IDU s. Ethnographic observation took place in New York and Denver, U.S. cities with large IDU pop
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeD5484)
Diaz T, Vlahov D, Edwards V; T. Diaz, New York Academy of Medicine, 1216 Fifth Ave, NY, NY 10029, United States, Tel.: +1 212 822 7384, Fax: +1 212 876 6220, E-mail: txd1@cdc.gov
Background: Little research has been done to examine circumstances of initiation and risk for HIV among Latino injection drug users (IDUs) in the United States . Methods: We used baseline data from a cohort study of young (18 to 29 years of age) IDUs in Harlem, New York City conducted from 1997 through 1999. Participa
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeD5485)
Clatts MC, Goldsamt LA, Heimer R, Abdala N; M. C. Clatts, National Development and Research Institutes, Inc., 2 World Trade Center, 16th Floor, New York, N.Y. 10048, United States, Tel.: +212-845-4459, Fax: +212-845-4698, E-mail: michael.clatts@ndri.org
Background: This paper describes variability in the behavioral practices used to prepare and inject illegal drugs and demonstrates how this variability may account for regional differences in the prevalence of HIV-1 among IDU s. Ethnographic observation took place in New York and Denver, U.S. cities with large IDU pop
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeD5486)
Freeman R, Parillo K; R. Freeman, NOVA Research Company, 4600 East-West Highway, Suite 700, Bethesda, Maryland 20814, United States, Tel.: +1 301-986-1891, Fax: +1 301-986-4931, E-mail: bfreeman@novaresearch.com
Background: To assess primary amphetamine injection drug users (IDUs) risk for HIV in comparison to that of primary heroin IDUs. Methods: The analytical sample comprises 4,283 not-in-treatment IDUs, 18+ years of age, recruited from street settings in 16 U.S. cities in 1988- 92. IDUs who reported injecting amphetamines
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeD5487)
Deren S, Shedlin M, Caceres F; S. Deren, National Development and Research Institutes, Inc., Two World Trade Center, 16th Floor, New York, NY 10048, United States, Tel.: +1 212 845 4400, Fax: +1 212 845 4698, E-mail: deren@ndri.org
Background: The Dominican Republic (DR) has long been identified as a drug bridge to the US from Latin America and the Caribbean. Recent reports indicate that it has also become a drug consumer country. Information on drug use and the link between drug use and HIV was needed. An exploratory study was undertaken by US
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeD5488)
Carvalho H, Seibel S, Santos V, Saconi R, Finianos A, Burattini M, Massad E; H. Carvalho, Med.Prev.Depto.FMUSP - SP, Av. Dr Arnaldo, 455 2o.andar, Cerqueira Cezar - Sao Paulo SP, Brazil, Tel.: +55 011 881 7717, Fax: +55 011 881 7717, E-mail: heracc@usp.br
Background: The drug users (Dus) are particularly exposed to the risk of sexually and parentally transmitted infections. Federal and state authorities information as well as field studies and clinical reports suggest a rise in crack abuse. Isolates accounts by injecting drug users suggest that the use of injecting dru
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeD5489)
Arria A, Shah N, Latkin C, Fuller C, Vlahov D, Strathdee S; A. Arria, Johns Hopkins University, 615 North Wolfe Street, Baltimore, MD 21205, United States, Tel.: +1 410 614 42 55, Fax: +1 410 955 13 83, E-mail: aarria@jhsph.edu
Objectives: To estimate the proportion of recent drug treatment utilization among young injection drug users (IDUs) and non-injecting drug users (NIDU) in a community sample, and to identify correlates of treatment utilization. Methods: 226 IDUs and 179 NIDUs aged 15-30 enrolled in a longitudinal study. A structured in
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeD5490)
Fuller C, Vlahov D, Arria AM, Ompad DC, Shah N, Strathdee SA; C. Fuller, Johns Hopkins University, 615 North Wolfe Street, Rm E6005, Baltimore, MD, United States, Tel.: +410-614-6866, Fax: +410-955-1383, E-mail: cfuller@jhsph.edu
Objective: To identify risk factors associated with transition from non-injection to injection drug use (IDU) among young drug users in Baltimore, Maryland. Methods: Between 1997-1999, IDU cases and non-IDU controls aged 15-30 were selected from a cohort study at baseline. Cases had reported injecting for u 2 years. Co
The project for HIV and blood contacted hepatitis (BCH) prophylaxis among intravenous drug users (IDU s) in small russian town exists one year. This project is first initiative on our area territory. The prophylaxis work began before HIV penetrating in IDU s surrounding. Outreach work composes of basis of this project.
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeD5492)
Nessel JT;;; J.T. Nessel, Addiction Research & Treatment Corporation, P.O. Box 266, Triborough Station, New York, New York 10035, United States, Tel.: +1 212 568 74 72, Fax: +1 718 260 94 92, E-mail: jnesselmdsprynet.com
Background: To analyze 641 HIV Antibody tests given on the streets of New York City (NYC), in high prevalence areas, for rates of infection, rates of return for results, epidemiological data and other factors. Methods: Presently and for the last 3 years, a large bus converted for anonymous, oral, HIV Antibody testing w
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeD5493)
Navaline H, Metzger D, Davis-Vogel A, Fiore D, Fields G, Meyers J, Oglesby P, Russell A, Scotti R, Wilson G, Porter J, Woody G; H. Navaline, Penn/VA Center for Studies of Addiction, University of Pennsylvania, 3900 Chestnut Street, Philadelphia, Pennsylvania 19104, United States, Tel.: +215-823-6079, Fax: +215-823-6080, E-mail: navaline@research.trc.upenn.edu
Background: Syringe exchange programs (SEP) are widely recognized as effective in preventing HIV infection among injection drug users (IDUs). Understanding the characteristics and utilization patterns of consumers is important to improving the quality and effectiveness of SEP services. Methods: As part of a National In
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeD5494)
Nyamathi A, Gelberg L, Morisky D, Leake B; A. Nyamathi, University of California, Los Angeles, Room 2-250, Factor Building, Box 951702, Los Angeles, Califorinia 90095-1702, United States, Tel.: +(310) 825-8405, Fax: +(310) 206-7433, E-mail: anyamath@sonnet.ucla.edu
Background: Nationwide, the homeless are at high risk for HIV and Hepatitis C Virus (HCV); with 10% of HCV-infected individuals co-infected with HIV. Sexual transmission of HCV is still unclear and controversial. In this study we seek to determine: 1) the prevalence of HCV in homeless women and among their sexual partn
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeD5495)
Hunter A, McLauchlan L; A. Hunter, Brisbane Youth Service Inc., PO Box 1389, Fortitude Valley,QLD4006, Australia, Tel.: +61 7 32 52 37 50, Fax: +61 7 32 52 21 66, E-mail: healthteam@brisyouth.org
Issues: The Sweeps project addresses the issues of removing discarded injecting drug equipment from places where it puts injectors and non-injectors at risk of needle stick injury and aims to meet the education needs of IDU s and the community re disposal, HIV and HCV. Description: This project uses trained peer educat
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeD5496)
Walker D, Kumaranayake L, Zviagin V, Samoshkin S, Romantsov V; D. Walker, Health Policy Unit, London Sch of Hygiene and Tropical Medicine, Keppel Street, WC1E 7HT, United Kingdom, Tel.: +44 0171 927 2104, Fax: +44 0171 637 5391, E-mail: damian.walker@lshtm.ac.uk
Background: HIV infection has spread rapidly among injecting drug users (IDUs) in Eastern Europe. Despite the importance of IDU projects in these settings, there is little information available on the costs of HIV prevention for IDUs in a developing or transitional country context. Since 1997, a needle exchange program
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeD5497)
Onstott M; M. Onstott, National AIDS Nutrient Bank, PO Box 2187, 14230 McLane Ave., Guerneville, CA 95446, United States, Tel.: +1 707 869 1996, Fax: +1 707 869 2562, E-mail: michaelo@slip.net
Issues: Studies have shown that micronutrient deficiencies are common in people with HIV/AIDS. Anecdotal and scientific evidence indicate that nutrient and herbal supplements may be helpful in reversing some deficiencies and ameliorating adverse side effects from antiretroviral drugs. Meanwhile, supplement use among so
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeD5498)
Sweat M, Samson L, Sarin E, Dorabjee J, Brahmbhatt H, Strathdee S; M. Sweat, Johns Hopkins University, School of Hygiene and Public Health, 615 North Wolfe St. Room 7140, Baltimore, Maryland, United States, Tel.: +1 410 614 45 36, Fax: +1 703 995 06 15, E-mail: msweat@jhsph.edu
Background: Buprenorhine injection is a significant drug use problem in the Indian subcontinent yet here is little information on the prevalence of HIV-1, Hepatitis and Syphilis infection among buprenorphine injectors.We assessed the prevalence and risk factors for infection with HIV-1, Hepatitis B and C, and syphilis
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeD5499)
Djoerban Z, Wydiatna W, Solehudin U, Wahyuningsih S; Z. Djoerban, Pelita Ilmu Foundation, Tebet Timur Dalam VIIIQ No.6, Jakarta Selatan 12820, Indonesia, Tel.: +62 21 835 46 91, Fax: +62 21 829 55 83, E-mail: zubairi@pacific.net.id
Issues: Teenagers are in a period of their lives which they often experiment with drugs and behaviours. Those activities can expose them to HIV/AIDS. Descriptions: Some teenagers spend their time with their friends after school in plaza and malls in South Jakarta. A cross sectional survey has been conducted in 1999 on
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeD5500)
Vickerman P, Watts C; P. Vickerman, Health Policy Unit, London Sch of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, United Kingdom, Tel.: +44 171 927 2176, Fax: +44 171 627 5391, E-mail: peter.vickerman@lshtm.ac.uk
Background: In many countries, injecting drug use (IDU) plays an important role in HIV transmission. However, it can be difficult to estimate the likely impact on HIV transmission of IDU interventions. We present a user-friendly simulation model (IDU) that can be used to estimate the impact of IDU activities on HIV tra
Int Conf AIDS 2000 Jul 9-14; 13:(abstract no. ThPeD5501)
Riley ED, Vlahov D, Wu A, Beilenson P, Chaisson RE; E.D. Riley, Johns Hopkins School of Public Health, 627 N. Washington St., 3rd Floor, Baltimore, MD 21205, United States, Tel.: +1 410 614 4412, Fax: +1 410 614 9910, E-mail: eriley@jhsph.edu
Objective: Despite increasing research on quality of life and HIV, active injection drug users (IDUs) have received less attention. We studied characteristics associated with reduced physical functioning (PF) and overall health among HIV+ and HIV- IDUs. Methods: Between 6/98 and 5/99, participants (N = 285) requesting
