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Indonesia -- notification, reporting and disclosure
The official HIV/AIDS count in Indonesia is low, but an estimated 250,000 Indonesians are infected. Injecting drug use may significantly increase the actual number of human immunodeficiency virus cases.
Area of Science:
- Public Health
- Epidemiology
- Infectious Diseases
Background:
- The reported prevalence of human immunodeficiency virus (HIV) infection in Indonesia has historically been considered low.
- Official records since 1987 show 1146 HIV diagnoses and 293 AIDS cases.
- The World Health Organization (WHO) estimated 250,000 infections in Indonesia by June 1999.
Purpose of the Study:
- To assess the estimated prevalence of HIV infection in Indonesia.
- To identify potential underestimation of HIV cases due to specific risk factors.
Main Methods:
- Analysis of official HIV/AIDS case reporting.
- Inclusion of WHO estimates for national prevalence.
- Consideration of emerging risk behaviors like injecting drug use.
Main Results:
- The estimated national HIV prevalence is approximately 120 per 100,000 population.
- This prevalence aligns with estimates for sexual transmission.
- A significant potential for undercounting exists due to the rise in injecting drug use.
Conclusions:
- The actual number of HIV infections in Indonesia may be several times higher than official figures suggest.
- The rapid increase in injecting drug use represents a critical, under-surveilled factor in HIV transmission.
- Targeted surveillance and outreach among injecting drug users are crucial for accurate HIV burden assessment.
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