Public Health
Volume 123, Issue 8 , Pages 573-574 , August 2009

Parallel evolutions of the growth rate of newly diagnosed HIV cases and the proportion of potentially infective patients in Cayenne French Guiana: Should HAART be used to curb the epidemic?

  • M. Nacher

      Affiliations

    • COREVIH Guyane, Cayenne General Hospital, Cayenne, French Guiana
    • Centre d'Investigation Clinique-Epidémiologie Clinique Antilles Guyane, Cayenne General Hospital, Cayenne, CIC EC 802, French Guiana
    • Day Hospital, Cayenne General Hospital, Cayenne, French Guiana
    • Equipe EA 3593, Université Antilles Guyane, Cayenne, French Guiana
    • Corresponding Author InformationCorresponding author. COREVIH, Cayenne General Hospital, 97300 Cayenne, French Guiana. Tel.: +594 594 39 50 24; fax: +594 594 39 50 02.
    • ,
  • V. Vantilcke

      Affiliations

    • Day Hospital, Cayenne General Hospital, Cayenne, French Guiana
    • ,
  • F. Huber

      Affiliations

    • Department of Dermatology, Cayenne General Hospital, Cayenne, French Guiana
    • ,
  • M. El Guedj

      Affiliations

    • Day Hospital, Cayenne General Hospital, Cayenne, French Guiana
    • ,
  • T. Vaz

      Affiliations

    • Day Hospital, Cayenne General Hospital, Cayenne, French Guiana
    • ,
  • C. Magnien

      Affiliations

    • Day Hospital, Cayenne General Hospital, Cayenne, French Guiana
    • ,
  • F. Djossou

      Affiliations

    • Department of Infectious Diseases, Cayenne General Hospital, Cayenne, French Guiana
    • ,
  • A. Mahamat

      Affiliations

    • Department of Infectious Diseases, Cayenne General Hospital, Cayenne, French Guiana
    • ,
  • F. Dabis

      Affiliations

    • Unité INSERM 593, Université Victor Segalen Bordeaux 2, Bordeaux, Cedex, France
    • ,
  • P. Couppié

      Affiliations

    • Department of Dermatology, Cayenne General Hospital, Cayenne, French Guiana

Received 24 July 2008 ,Revised 30 March 2009 ,Accepted 15 June 2009.

References 

  1. Montaner JS, Hogg R, Wood E, Kerr T, Tyndall M, Levy AR, et al. The case for expanding access to highly active antiretroviral therapy to curb the growth of the HIV epidemic. Lancet. 2006;9534:531–536
  2. Quinn TC, Wawer MJ, Sewankambo N, Serwadda D, Li C, Wabwire-Mangen F, et al. Viral load and heterosexual transmission of human immunodeficiency virus type 1. N Engl J Med. 2000;342:921–929
  3. Vernazza P, Hirschel B, Bernasconi E, Flepp M. HIV-positive individuals without additional sexually transmitted diseases (STD) and on effective anti-retroviral therapy are sexually non-infectious. Schweizerische Ärztezeitung/Bulletin des médecins suisses/Bollettino dei medici svizzeri. 2008;89:5
  4. Institut national de veille sanitaire HIV databases 2008. Available from: http://www.invs.sante.fr/bdd/index.htm
  5. Nacher M, El Guedj M, Vaz T, Nasser V, Randrianjohany A, Alvarez F, et al. Risk factors for late HIV diagnosis in French Guiana. AIDS. 2005;19:727–729
  6. Masse V, Dray-Spira R, Spire B, Schmaus A, Lert F. Sex life and prevention among heterosexuals living with HIV/AIDS in the French Antilles and French Guiana: results from the ANRS-VESPA study 2003. BEH. 2005;46/47:243–244
  7. Halfen S, Fiennes K, Ung B, Grémy I. Knowledge, beliefs and attitudes on HIV/AIDS in the French Antilles and French Guiana in 2004. ORS Ile de France-ANRS; 2005;
  8. Moore RD, Keruly JC. CD4+ cell count 6 years after commencement of highly active antiretroviral therapy in persons with sustained virologic suppression. Clin Infect Dis. 2007;44:441–446
  9. Kolson DL, Gonzalez-Scarano F. HIV and HIV dementia. J Clin Invest. 2000;106:11–13
  10. Hammer SM, Eron JJ, Reiss P, Schooley RT, Thompson MA, Walmsley S, et al. Antiretroviral treatment of adult HIV infection: 2008 recommendations of the International AIDS Society-USA panel. JAMA. 2008;300:555–570
  11. Fang CT, Hsu HM, Twu SJ, Chen MY, Chang YY, Hwang JS, et al. Decreased HIV transmission after a policy of providing free access to highly active antiretroviral therapy in Taiwan. J Infect Dis. 2004;190:879–885

PII: S0033-3506(09)00164-4

doi: 10.1016/j.puhe.2009.06.007

Public Health
Volume 123, Issue 8 , Pages 573-574 , August 2009

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