Document 2723 DOCN M94A2723 TI Anonymous antenatal HIV seroprevalence surveys in rural South Africa. DT 9412 AU Wilkinson D; Hlabisa Hospital, Kwa Zulu Dept. Health. SO Int Conf AIDS. 1994 Aug 7-12;10(1):24 (abstract no. 070C). Unique Identifier : AIDSLINE ICA10/94369852 AB HIV seroprevalence surveys are an important method for monitoring the progress of the epidemic. Antenatal clinic attenders have been identified as a group reasonably representative of the general population. Hlabisa Health District is situated in a rural area of north-eastern South Africa. The first cases of HIV infection were recognised in the area in 1989. In March 1992 884 women attending the various antenatal booking clinics in the district were tested anonymously for HIV infection [ELISA and confirmatory Western Blot]. The HIV seroprevalence was 4.2% [95% CI: 2.9-5.5%]; the highest rate was in the 20-24 year group [6.4%]. In December 1993 the survey was repeated, involving 709 women at the same sites. HIV seroprevalence had risen to 7.9% [95% CI: 5.9-9.9%]; 12.3% in the 20-24 year group. Doubling time was estimated at 16 months. These data show a high and rapidly rising HIV seroprevalence and repeated surveys will allow accurate monitoring of the epidemic and intervention programmes. The urgent need to develop and rapidly apply effective preventive strategies is emphasised. DE Adult AIDS Serodiagnosis Blotting, Western Confidentiality Enzyme-Linked Immunosorbent Assay Female Human *HIV Seroprevalence Pregnancy *Prenatal Care South Africa/EPIDEMIOLOGY MEETING ABSTRACT SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).