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[HIV-2 in The Netherlands].

G J van Doornum1, R van den Akker, J Buitenwerf

  • 1Rijksinstituut Voor Volksgezondheid en Milieuhygiëne, Laboratorium voor Virologie, Bilthoven.

Nederlands Tijdschrift Voor Geneeskunde
|November 9, 1991
PubMed
Summary

In the Netherlands before February 1991, at least 18 cases of Human Immunodeficiency Virus type 2 (HIV-2) infection were identified. Combined HIV-1/2 testing is crucial for Dutch laboratories to detect HIV-2, especially in individuals with links to specific regions.

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Area of Science:

  • Virology
  • Epidemiology
  • Public Health

Context:

  • Prior to February 1991, Human Immunodeficiency Virus type 2 (HIV-2) infections were identified in the Netherlands.
  • The epidemiological profile of HIV-2 cases differed significantly from that of HIV-1 in the Netherlands.
  • Most identified HIV-2 cases were linked to sub-Saharan Africa or the Cape Verdean Islands, with a predominantly heterosexual transmission pattern.

Purpose:

  • To report the incidence of HIV-2 infections in the Netherlands.
  • To recommend appropriate diagnostic strategies for HIV-2 detection.
  • To highlight the distinct epidemiological characteristics of HIV-2 compared to HIV-1.

Summary:

  • Data from HIV confirmation laboratories revealed at least 18 cases of HIV-2 infection in the Netherlands before February 1991.

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  • Diagnostic interpretation involves combined HIV-1/2-ELISA, specific HIV-1-ELISA, and HIV-1 western immunoblot patterns.
  • Confirmation requires western blots of HIV-1 and HIV-2 viral lysates and transmembranous region peptide tests.
  • The majority of HIV-2 cases involved heterosexual transmission, with 13 of 18 infected individuals being women, contrasting with HIV-1 epidemiology.
  • Impact:

    • Urgent recommendation for the implementation of combined HIV-1/2 tests in Dutch diagnostic and blood bank laboratories.
    • Highlights the need for vigilance regarding potential further spread of HIV-2 through heterosexual contact in the Netherlands.
    • Informs public health strategies for managing and preventing HIV-2 transmission.