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Abstract
Identifying an appropriate population for HIV Vaccine clinical trials is currently a major challenge to HIV vaccine clinical site preparedness. A cross sectional hospital-based HIV prevalence survey was carried out in four clinics in Lebialem Division, to ascertain the suitability of this population for HIV vaccine trials. A questionnaire was administered to 1037 participants (age >15), and 5 ml of blood collected, sera separated and screened against HIV-1 and HIV-2 using a parallel testing algorithm with Determine and STAP-PAK as main test kits and Oraquick as tie-breaker.
The prevalence of HIV varied in the four clinics with Lewoh health unit having the highest HIV prevalence (13.8%), followed by Mary Health of Africa (11.2%), Menji (8.4%) and lastly Azi (3.0). HIV prevalence among women in general was 11.4%, while men and pregnant women had 10.2% and 5% respectively. Of the 108 sero-positive samples, 34 (31%) were from the 18-27 and 36 (33.3%) from the 28-37 age groups. It decreased with increase in age as only 2 samples were positive for those who were > 68 years old. There was a significant difference in HIV prevalence by occupation. The prevalence was significantly higher (P<0.001) among traders (48.60%), and civil servants (22.82%) compared with the farming population (4.30%), and students (8.60%).
Though the HIV prevalence in Lebialem Division is high, making it a suitable population to explore for developing cohorts for vaccine trials, further studies that should look at HIV incidence among this population are recommendation.
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References
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- UNAIDS, Fact Sheet: AIDS Epidemic in Sub-Saharan Africa December 2006.
- Nyambi P, Zinkeng L, Kenfack H, Tongo, M, Nanfack, A, Nkombe I, Ndonko F, Shang J, Burda S, Mbah H, Agyingi L, Zhong P, Nadas A, Paznet S Z, Marmor M: HIV infection in rural villages of Cameroon. Journal of AIDS, 31: 506-513, 2002.
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References
Demographic and Health Survey in Cameroon, 2004.
UNAIDS, Fact Sheet: AIDS Epidemic in Sub-Saharan Africa December 2006.
Nyambi P, Zinkeng L, Kenfack H, Tongo, M, Nanfack, A, Nkombe I, Ndonko F, Shang J, Burda S, Mbah H, Agyingi L, Zhong P, Nadas A, Paznet S Z, Marmor M: HIV infection in rural villages of Cameroon. Journal of AIDS, 31: 506-513, 2002.
Olayinka B A, Osha AA: Changes in attitudes, sexual behaviors and risk of HIV/AIDS transmission in South West Nigeria. East Africa Medical Journal. 74 ( 9): 554-560, 1997
Singh S, Mils E, Honeyman S, Kishna B, Suvedi, Pant N P: HIV in Nepal: Is the violent conflict fuelling the Epidemic? PloS Medicine, 2005.
Massimo F, Nattabi B, Chiara P, Ciantia F, Opio AA, Musinguzi J, Ayella EO, Declich S. HIV-1 prevalence and factors associated with infection in the conflict-affected region of North Uganda Conflict and Health (HIV linked to occupation).1,3, 2003.