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       both published and unpublished data in South and South-East Asia on the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).