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Document 2295
DOCN M94A2295
TI AIDS and tuberculosis in Asia: a public health priority for the region.
DT 9412
AU Narain JP; Pattanayak S; WHO South-East Asia Regional Office, New Delhi,
India.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):337 (abstract no. PC0284). Unique
Identifier : AIDSLINE ICA10/94370280
AB OBJECTIVES: To review available data on the association between Human
Immunodeficiency Virus (HIV) and Tuberculosis (TB) in Asia and describe
the programmatic implications of this association. METHODS: We reviewed
both published and unpublished data in South and South-East Asia on the
epidemiological and clinical aspects of the HIV/TB association. Using
WHO estimates and projections on HIV and the published data on
tuberculosis infection rates. an assessment was made of the future
impact of the association on the tuberculosis disease incidence in the
region. RESULTS: WHO estimates that more than 2 million people are
already infected with HIV in south and south-east Asia. of which 850,000
are also infected with tuberculosis; the latter figure is expected to
reach 4 million by the year 2000. The presently available trend data
show rapid increases in HIV infection rates among patients with
tuberculosis. In Chiang Mai. Northern Thailand. 5 per cent of the TB
patients in 1989 were HIV positive, which increased to 25 per cent in
1993. In Bombay, 2.3 per cent were seropositive in 1989 compared to 9
per cent in 1993. In Chiang Rai, Thailand. the rates were 1.5 per cent
in 1990, and nearly 30 per cent in 1993. Tuberculosis is now the most
common life-threatening opportunistic infection associated with HIV; 82
per cent of patients with AIDS in Myanmar, 56 per cent in India. 52 per
cent in Thailand have tuberculosis. DISCUSSION AND CONCLUSIONS: The
association between AIDS and tuberculosis is likely to present as a
major problem in Asia thereby emphasizing the need for preventing both
the infections. To address this potentially serious crisis, a greater
degree of Government commitment and enhanced collaboration between the
National AIDS and Tuberculosis Programmes both in the areas of
prevention and care, are urgently needed.
DE Acquired Immunodeficiency Syndrome/*EPIDEMIOLOGY/PREVENTION & CONTROL
AIDS-Related Opportunistic Infections/*EPIDEMIOLOGY/PREVENTION &
CONTROL *Developing Countries Forecasting Health Priorities/*TRENDS
Human HIV Seroprevalence/*TRENDS India/EPIDEMIOLOGY
Thailand/EPIDEMIOLOGY Tuberculosis, Pulmonary/*EPIDEMIOLOGY/PREVENTION
& CONTROL MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).