Document 2556
 DOCN  M94A2556
 TI    The first decade of the AIDS epidemic among children in Brazil--a
       dynamic profile.
 DT    9412
 AU    Lauria L; Chequer P; Castilho E; Rodrigues L; Loures L; Ministry of
       Health, Brasilia, Brazil.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(1):277 (abstract no. PC0027). Unique
       Identifier : AIDSLINE ICA10/94370019
 AB    OBJECTIVE: To determine the changes in the profile of pediatric cases,
       within the first decade of the AIDS epidemic in Brazil. METHODS: All
       pediatric AIDS cases (< 15 yr.) reported to the Ministry of Health (MOH)
       from the beginning of the epidemic to 1993 were evaluated. RESULTS:
       While in 1985, 19 pediatric AIDS cases were registered, in 1993 120
       cases were reported to the MOH. The largest increase was observed in
       children under 2: from 5 cases in 1985 (26%) to 141 in 1992 (52%). In
       the same period it was observed a reduction in the number of cases
       associated to reception of blood/components/hemophilia. On the other
       hand the number of cases resulting from mother to child transmission
       increased from 3 cases (16%) in 1985 to 219 (80%) in 1992. Since the
       beginning of the epidemic, pediatric AIDS cases have increased in all
       the Brazilian regions. However the proportional distribution did not
       change over the years. Most of the pediatric cases are still
       concentrated in the industrialized Southeast region. CONCLUSIONS: The
       pediatric AIDS epidemic in Brazil shifted to younger children over time.
       This shifting is related to the increment in HIV perinatal transmission
       as a result of the dissemination of the HIV/AIDS epidemic among women in
       childbearing age.
 DE    Acquired Immunodeficiency Syndrome/*EPIDEMIOLOGY/TRANSMISSION
       Brazil/EPIDEMIOLOGY  Child  Female  Human  Pregnancy  Pregnancy
       Complications, Infectious  MEETING ABSTRACT

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