Heterosexually acquired HIV infection.

Abstract:

:The import of the HIV or AIDS epidemic for heterosexuals in Britain is difficult to evaluate at this stage. By June 1988, only 60 cases of heterosexually acquired AIDS are known, out of 1598 reported AIDS cases. Of these, only 6 women and 4 men presumably were infected in Britain, the rest abroad. But, judging from HIV seroprevalence surveys, heterosexually acquired HIV is emerging in Britain. 0.8% of heterosexual men and 0.7% of heterosexual women surveyed in London, among clients at a sexually transmitted disease clinic were positive, under anonymous testing. Actual seroprevalence rates are difficult to come by, since different rates are obtained when people are tested anonymously or with consent. The actual likelihood predicted for an epidemic of heterosexual AIDS in England is problematic. The epidemiological prediction, known as the basic reproductive rate, depends on the duration of infectiousness, the average probability that infection will be transmitted, and the rate of exposure to new partners. For AIDS, infectivity is higher in the presence of other sexually transmitted diseases and immune system activation. Experts calculate that the reproductive rate for HIV in the British population is close to 1.0, meaning a very slow spread, if any. Thus, very sophisticated epidemiological studies must be done to monitor the situation, and the public must continue to be educated about risky behavior.

journal_name

BMJ

authors

Skegg DC

doi

10.1136/bmj.298.6671.401

subject

Has Abstract

pub_date

1989-02-18 00:00:00

pages

401-2

issue

6671

eissn

0959-8138

issn

1756-1833

journal_volume

298

pub_type

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