home
***
CD-ROM
|
disk
|
FTP
|
other
***
search
/
Software Vault: The Sapphire Collection
/
Software Vault (Sapphire Collection) (Digital Impact).ISO
/
cdr16
/
med9410d.zip
/
M94A0674.TXT
< prev
next >
Wrap
Text File
|
1994-10-21
|
3KB
|
51 lines
Document 0674
DOCN M94A0674
TI The acquired immunodeficiency syndrome in the Northern Territory of
Australia: an impending Fourth World epidemic?
DT 9412
AU Heath T; Bowden F; Sheppard K; Currie B; Royal Darwin Hospital,
Casuarina, N.T.
SO Annu Conf Australas Soc HIV Med. 1993 Oct 28-30;5:45 (abstract no. FE5).
Unique Identifier : AIDSLINE ASHM5/94348981
AB Until recently HIV infection in the Northern Territory (NT) has been an
urban disease of non Aboriginal people. Risk factors for HIV infection
and indicator diseases for AIDS have been similar to those found in
other Australian States. There is concern however, given the
demographics of other sexually transmitted diseases (STD) in the NT,
that the introduction of HIV into the rural Aboriginal community may
result in the widespread heterosexual transmission seen in some
developing nations. High incidences of ulcerative STD and difficulties
in diagnosis, effective contact tracing and treatment auger poorly for
the control of HIV infection. Pneumocystis carinii pneumonia is
currently the most common opportunistic infection encountered in AIDS
patients (57%). Despite the high incidence of Cryptococcus neoformans
var. gattii, the 2 cases of cryptococcal infection complicating HIV have
been var. neoformans. Mycobacterium Avium Complex infection has been
documented in 50% of patients, but there have been no cases of HIV
associated tuberculosis to date. Numerous endemic infectious agents can
be predicted to interact unfavourably with HIV infection should it
become established in Aboriginal communities. Tuberculosis,
cryptococcosis, parasitic diseases such as scabies and strongyloidiasis,
melioidosis and other pyogenic infections and syphilis could all be
expected variously to cause unusual manifestations, hyper-infection
syndromes and difficulties in control. HTLV-1 is also endemic in central
Australian Aboriginals. HTLV-1 is known to facilitate the progression of
HIV infection. The complex interaction between HTLV-1, HIV and other
endemic infections needs further elucidation. Control of HIV infection
in the NT requires a coordinated approach, with measures for STD and
tuberculosis control especially important. The challenge is to integrate
AIDS education, contact tracing and treatment into primary care in ways
acceptable to communities.
DE Aborigines/*STATISTICS & NUMER DATA AIDS-Related Opportunistic
Infections/EPIDEMIOLOGY/PREVENTION & CONTROL/TRANSMISSION
Cross-Sectional Studies *Disease Outbreaks Human HIV
Infections/*EPIDEMIOLOGY/PREVENTION & CONTROL/TRANSMISSION Incidence
Northern Territory/EPIDEMIOLOGY Risk Factors Rural
Population/*STATISTICS & NUMER DATA Sexually Transmitted
Diseases/EPIDEMIOLOGY/PREVENTION & CONTROL/ TRANSMISSION Urban
Population/*STATISTICS & NUMER DATA MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).