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Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model
Published on: October 31, 2010
[HIV-infection and AIDS in the Netherlands: prevalence and incidence, 1987-2001]
E L Op de Coul1, R J Beuker, M Prins
1Rijksinstituut voor Volksgezondheid en Milieu, Centrum voor Infectieziektenepidemiologie, Postbus 1, 3720 BA Bilthoven. eline.op.de.coul@rivm.nl
Objective:
To describe the results of HIV-surveillance activities in the Netherlands between 1987 and 2001.
Design:
Descriptive.
Method:
Data were obtained from HIV-surveillance at STI-clinics, laboratory-surveillance in the region Arnhem, surveillance among injecting drug users, the AIDS-notification, STI-registration and the Amsterdam cohort studies on HIV/AIDS.
Results:
In the Netherlands, the highest HIV-prevalences were found among injecting drug users (1-26%) and homo- and bisexual men (0-17%). In these high-risk populations, an increase in HIV-prevalence and--incidence, respectively, was found among injecting drug users in Heerlen and homosexual men (> 35 years of age) in Amsterdam. The HIV-prevalence was lower among heterosexuals in the Netherlands (0-2%). However, in certain local populations an increase was seen. In both Amsterdam and Rotterdam, the HIV-prevalence was higher in individuals tested anonymously than in those tested by name.
Conclusion:
Local increases in HIV-infections have been observed recently, in both high- and medium-risk populations.
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