Document 2288
 DOCN  M94A2288
 TI    The interrelations between STDs, HIV & tuberculosis in Colombo District
       of Sri Lanka.
 DT    9412
 AU    Fernando DF
 SO    Int Conf AIDS. 1994 Aug 7-12;10(1):338 (abstract no. PC0287). Unique
       Identifier : AIDSLINE ICA10/94370287
 AB    OBJECTIVE: To explore the risks generated by high Tuberculosis incidence
       rates in Colombo District on those infected with HIV. METHODS: Analysis
       of data from the Health Ministry & other sources. RESULTS: Only 15-20%
       of STD patients each year from '82 to '92 sought treatment at Government
       clinics. HIV infections jumped from 63 in '92 to 118 in '93. Official
       estimates were 3500-4000 for '93. The Western Province, consisting of
       districts Colombo, Gampaha & Kalutara, showed the highest TB incidence
       rate during each year in 1988-'92. For '91, these districts gave the
       first 3 rankings with rates per 100,000 of 82.5 48.1 and 43.1
       respectively when the national rate was 35.7 & again in '92 Colombo gave
       the highest--81.4. Slum populations & refugees from the civil war have
       swarmed this district giving a population density of 3066 per sq. km. in
       '93! DISCUSSION AND CONCLUSIONS: These rates in overcrowded and
       insanitary pockets are aggravated by poverty, prostitution, beachboys,
       drug trafficking, labour traffic movements, tourist groups and military
       personnel. In such circumstances the risk on HIV patients will be
       disastrous. Because of the civil war & financial constraints inadequate
       attention has been given to STD & HIV infection despite the high
       incidence of TB.
 DE    AIDS-Related Opportunistic Infections/*EPIDEMIOLOGY/TRANSMISSION
       *Developing Countries  Human  HIV Infections/*EPIDEMIOLOGY/TRANSMISSION
       HIV Seroprevalence/TRENDS  Population Density  Poverty Areas  Risk
       Factors  Sexually Transmitted Diseases/*EPIDEMIOLOGY/TRANSMISSION  Sri
       Lanka/EPIDEMIOLOGY  Tuberculosis, Pulmonary/*EPIDEMIOLOGY/TRANSMISSION
       MEETING ABSTRACT

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).