Document 0530
 DOCN  M9440530
 TI    HIV infection and AIDS among drug injectors at Rio de Janeiro:
       perspectives and unanswered questions.
 DT    9404
 AU    Lima ES; Bastos FI; Telles PR; Friedman SR; Nucleo de Estudos e
       Pesquisas em Atencao ao Uso de Drogas,; University of Rio de Janeiro,
       Brazil.
 SO    Bull Narc. 1993;45(1):107-15. Unique Identifier : AIDSLINE MED/94138311
 AB    Data from various countries show considerable variation in the rate of
       spread of the human immunodeficiency virus (HIV) among drug injectors.
       Although further research is needed to predict the rate of increase of
       seroprevalence at Rio de Janeiro, preliminary data confirm the presence
       of the virus, with a seroprevalence of about 33 per cent in 1990. Issues
       arising from research into the probable determinants of viral spread
       among the thousands of drug injectors in the city are outlined in the
       present paper. Even before the research is completed, however, it is
       clear that interventions are needed to reduce further viral transmission
       both among drug injectors and from them to their sexual partners and
       offspring. Efforts should be made to prevent the population at risk from
       initiating the practice of drug injection, and to promote a major
       expansion in drug abuse treatment facilities. Drug injectors should also
       be encouraged to reduce the risk of their becoming infected or passing
       on the virus to others, through educational outreach, through the
       distribution of supplies that facilitate risk reduction (bleach,
       syringes, condoms), and through innovative approaches to behaviour
       change.
 DE    Acquired Immunodeficiency Syndrome/*EPIDEMIOLOGY/*ETIOLOGY/  PREVENTION
       & CONTROL/TRANSMISSION  Brazil/EPIDEMIOLOGY  Condoms  Disinfection
       Forecasting  Health Behavior  Human  HIV
       Infections/*EPIDEMIOLOGY/*ETIOLOGY/PREVENTION & CONTROL/  TRANSMISSION
       *HIV Seroprevalence  Needles  Patient Education  *Population
       Surveillance  Public Health Administration  Research  Risk Factors
       Substance Abuse Treatment Centers  Substance Abuse,
       Intravenous/*COMPLICATIONS/PREVENTION & CONTROL  Urban Population
       JOURNAL ARTICLE  REVIEW  REVIEW LITERATURE

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