Antiretroviral Therapy Outcomes among Adolescents and Youth in Rural Zimbabwe
Identifieur interne : 003488 ( Main/Exploration ); précédent : 003487; suivant : 003489Antiretroviral Therapy Outcomes among Adolescents and Youth in Rural Zimbabwe
Auteurs : Helen Bygrave [Afrique du Sud] ; Judith Mtangirwa [Afrique du Sud] ; Kwenzakwenkosi Ncube [Zimbabwe] ; Nathan Ford [Afrique du Sud] ; Katharina Kranzer [Royaume-Uni] ; Dhodho Munyaradzi [Zimbabwe]Source :
- PLoS ONE [ 1932-6203 ] ; 2012.
Abstract
Around 2 million adolescents and 3 million youth are estimated to be living with HIV worldwide. Antiretroviral outcomes for this group appear to be worse compared to adults. We report antiretroviral therapy outcomes from a rural setting in Zimbabwe among patients aged 10–30 years who were initiated on ART between 2005 and 2008. The cohort was stratified into four age groups: 10–15 (young adolescents) 15.1–19 years (adolescents), 19.1–24 years (young adults) and 24.1–29.9 years (older adults). Survival analysis was used to estimate rates of deaths and loss to follow-up stratified by age group. Endpoints were time from ART initiation to death or loss to follow-up. Follow-up of patients on continuous therapy was censored at date of transfer, or study end (31 December 2008). Sex-adjusted Cox proportional hazards models were used to estimate hazard ratios for different age groups. 898 patients were included in the analysis; median duration on ART was 468 days. The risk of death were highest in adults compared to young adolescents (aHR 2.25, 95%CI 1.17–4.35). Young adults and adolescents had a 2–3 times higher risk of loss to follow-up compared to young adolescents. When estimating the risk of attrition combining loss to follow-up and death, young adults had the highest risk (aHR 2.70, 95%CI 1.62–4.52). This study highlights the need for adapted adherence support and service delivery models for both adolescents and young adults.
Url:
DOI: 10.1371/journal.pone.0052856
PubMed: 23285204
PubMed Central: 3527625
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: 002A09
- to stream Pmc, to step Curation: 002A08
- to stream Pmc, to step Checkpoint: 001F59
- to stream Ncbi, to step Merge: 001B55
- to stream Ncbi, to step Curation: 001B55
- to stream Ncbi, to step Checkpoint: 001B55
- to stream Main, to step Merge: 003513
- to stream Main, to step Curation: 003488
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Antiretroviral Therapy Outcomes among Adolescents and Youth in Rural Zimbabwe</title><author><name sortKey="Bygrave, Helen" sort="Bygrave, Helen" uniqKey="Bygrave H" first="Helen" last="Bygrave">Helen Bygrave</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Southern Africa Medical Unit, Médecins Sans Frontières, Cape Town, South Africa</addr-line></nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Southern Africa Medical Unit, Médecins Sans Frontières, Cape Town</wicri:regionArea><wicri:noRegion>Cape Town</wicri:noRegion></affiliation></author><author><name sortKey="Mtangirwa, Judith" sort="Mtangirwa, Judith" uniqKey="Mtangirwa J" first="Judith" last="Mtangirwa">Judith Mtangirwa</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Southern Africa Medical Unit, Médecins Sans Frontières, Cape Town, South Africa</addr-line></nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Southern Africa Medical Unit, Médecins Sans Frontières, Cape Town</wicri:regionArea><wicri:noRegion>Cape Town</wicri:noRegion></affiliation></author><author><name sortKey="Ncube, Kwenzakwenkosi" sort="Ncube, Kwenzakwenkosi" uniqKey="Ncube K" first="Kwenzakwenkosi" last="Ncube">Kwenzakwenkosi Ncube</name><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Ministry of Health and Child Welfare Zimbabwe, Buhera District, Zimbabwe</addr-line></nlm:aff><country xml:lang="fr">Zimbabwe</country><wicri:regionArea>Ministry of Health and Child Welfare Zimbabwe, Buhera District</wicri:regionArea><wicri:noRegion>Buhera District</wicri:noRegion></affiliation></author><author><name sortKey="Ford, Nathan" sort="Ford, Nathan" uniqKey="Ford N" first="Nathan" last="Ford">Nathan Ford</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Southern Africa Medical Unit, Médecins Sans Frontières, Cape Town, South Africa</addr-line></nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Southern Africa Medical Unit, Médecins Sans Frontières, Cape Town</wicri:regionArea><wicri:noRegion>Cape Town</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3"><addr-line>Centre for Infectious Disease Epidemiology and Research, University of Cape Town, Cape Town, South Africa</addr-line></nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Centre for Infectious Disease Epidemiology and Research, University of Cape Town, Cape Town</wicri:regionArea><wicri:noRegion>Cape Town</wicri:noRegion></affiliation></author><author><name sortKey="Kranzer, Katharina" sort="Kranzer, Katharina" uniqKey="Kranzer K" first="Katharina" last="Kranzer">Katharina Kranzer</name><affiliation wicri:level="3"><nlm:aff id="aff4"><addr-line>Clinical Research Unit, London School of Hygiene and Tropical Medicine, London, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Clinical Research Unit, London School of Hygiene and Tropical Medicine, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Munyaradzi, Dhodho" sort="Munyaradzi, Dhodho" uniqKey="Munyaradzi D" first="Dhodho" last="Munyaradzi">Dhodho Munyaradzi</name><affiliation wicri:level="1"><nlm:aff id="aff5"><addr-line>Medical Unit, Médecins Sans Frontières, Harare, Zimbabwe</addr-line></nlm:aff><country xml:lang="fr">Zimbabwe</country><wicri:regionArea>Medical Unit, Médecins Sans Frontières, Harare</wicri:regionArea><wicri:noRegion>Harare</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23285204</idno><idno type="pmc">3527625</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3527625</idno><idno type="RBID">PMC:3527625</idno><idno type="doi">10.1371/journal.pone.0052856</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">002A09</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002A09</idno><idno type="wicri:Area/Pmc/Curation">002A08</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002A08</idno><idno type="wicri:Area/Pmc/Checkpoint">001F59</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001F59</idno><idno type="wicri:Area/Ncbi/Merge">001B55</idno><idno type="wicri:Area/Ncbi/Curation">001B55</idno><idno type="wicri:Area/Ncbi/Checkpoint">001B55</idno><idno type="wicri:Area/Main/Merge">003513</idno><idno type="wicri:Area/Main/Curation">003488</idno><idno type="wicri:Area/Main/Exploration">003488</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Antiretroviral Therapy Outcomes among Adolescents and Youth in Rural Zimbabwe</title><author><name sortKey="Bygrave, Helen" sort="Bygrave, Helen" uniqKey="Bygrave H" first="Helen" last="Bygrave">Helen Bygrave</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Southern Africa Medical Unit, Médecins Sans Frontières, Cape Town, South Africa</addr-line></nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Southern Africa Medical Unit, Médecins Sans Frontières, Cape Town</wicri:regionArea><wicri:noRegion>Cape Town</wicri:noRegion></affiliation></author><author><name sortKey="Mtangirwa, Judith" sort="Mtangirwa, Judith" uniqKey="Mtangirwa J" first="Judith" last="Mtangirwa">Judith Mtangirwa</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Southern Africa Medical Unit, Médecins Sans Frontières, Cape Town, South Africa</addr-line></nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Southern Africa Medical Unit, Médecins Sans Frontières, Cape Town</wicri:regionArea><wicri:noRegion>Cape Town</wicri:noRegion></affiliation></author><author><name sortKey="Ncube, Kwenzakwenkosi" sort="Ncube, Kwenzakwenkosi" uniqKey="Ncube K" first="Kwenzakwenkosi" last="Ncube">Kwenzakwenkosi Ncube</name><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Ministry of Health and Child Welfare Zimbabwe, Buhera District, Zimbabwe</addr-line></nlm:aff><country xml:lang="fr">Zimbabwe</country><wicri:regionArea>Ministry of Health and Child Welfare Zimbabwe, Buhera District</wicri:regionArea><wicri:noRegion>Buhera District</wicri:noRegion></affiliation></author><author><name sortKey="Ford, Nathan" sort="Ford, Nathan" uniqKey="Ford N" first="Nathan" last="Ford">Nathan Ford</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Southern Africa Medical Unit, Médecins Sans Frontières, Cape Town, South Africa</addr-line></nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Southern Africa Medical Unit, Médecins Sans Frontières, Cape Town</wicri:regionArea><wicri:noRegion>Cape Town</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3"><addr-line>Centre for Infectious Disease Epidemiology and Research, University of Cape Town, Cape Town, South Africa</addr-line></nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Centre for Infectious Disease Epidemiology and Research, University of Cape Town, Cape Town</wicri:regionArea><wicri:noRegion>Cape Town</wicri:noRegion></affiliation></author><author><name sortKey="Kranzer, Katharina" sort="Kranzer, Katharina" uniqKey="Kranzer K" first="Katharina" last="Kranzer">Katharina Kranzer</name><affiliation wicri:level="3"><nlm:aff id="aff4"><addr-line>Clinical Research Unit, London School of Hygiene and Tropical Medicine, London, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Clinical Research Unit, London School of Hygiene and Tropical Medicine, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Munyaradzi, Dhodho" sort="Munyaradzi, Dhodho" uniqKey="Munyaradzi D" first="Dhodho" last="Munyaradzi">Dhodho Munyaradzi</name><affiliation wicri:level="1"><nlm:aff id="aff5"><addr-line>Medical Unit, Médecins Sans Frontières, Harare, Zimbabwe</addr-line></nlm:aff><country xml:lang="fr">Zimbabwe</country><wicri:regionArea>Medical Unit, Médecins Sans Frontières, Harare</wicri:regionArea><wicri:noRegion>Harare</wicri:noRegion></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Around 2 million adolescents and 3 million youth are estimated to be living with HIV worldwide. Antiretroviral outcomes for this group appear to be worse compared to adults. We report antiretroviral therapy outcomes from a rural setting in Zimbabwe among patients aged 10–30 years who were initiated on ART between 2005 and 2008. The cohort was stratified into four age groups: 10–15 (young adolescents) 15.1–19 years (adolescents), 19.1–24 years (young adults) and 24.1–29.9 years (older adults). Survival analysis was used to estimate rates of deaths and loss to follow-up stratified by age group. Endpoints were time from ART initiation to death or loss to follow-up. Follow-up of patients on continuous therapy was censored at date of transfer, or study end (31 December 2008). Sex-adjusted Cox proportional hazards models were used to estimate hazard ratios for different age groups. 898 patients were included in the analysis; median duration on ART was 468 days. The risk of death were highest in adults compared to young adolescents (aHR 2.25, 95%CI 1.17–4.35). Young adults and adolescents had a 2–3 times higher risk of loss to follow-up compared to young adolescents. When estimating the risk of attrition combining loss to follow-up and death, young adults had the highest risk (aHR 2.70, 95%CI 1.62–4.52). This study highlights the need for adapted adherence support and service delivery models for both adolescents and young adults.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Flynn, Pm" uniqKey="Flynn P">PM Flynn</name></author><author><name sortKey="Rudy, Bj" uniqKey="Rudy B">BJ Rudy</name></author><author><name sortKey="Lindsey, Jc" uniqKey="Lindsey J">JC Lindsey</name></author><author><name sortKey="Douglas, Sd" uniqKey="Douglas S">SD Douglas</name></author><author><name sortKey="Lathey, J" uniqKey="Lathey J">J Lathey</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nachega, Jb" uniqKey="Nachega J">JB Nachega</name></author><author><name sortKey="Hislop, M" uniqKey="Hislop M">M Hislop</name></author><author><name sortKey="Nguyen, H" uniqKey="Nguyen H">H Nguyen</name></author><author><name sortKey="Dowdy, Dw" uniqKey="Dowdy D">DW Dowdy</name></author><author><name sortKey="Chaisson, Re" uniqKey="Chaisson R">RE Chaisson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Charles, M" uniqKey="Charles M">M Charles</name></author><author><name sortKey="Noel, F" uniqKey="Noel F">F Noel</name></author><author><name sortKey="Leger, P" uniqKey="Leger P">P Leger</name></author><author><name sortKey="Severe, P" uniqKey="Severe P">P Severe</name></author><author><name sortKey="Riviere, C" uniqKey="Riviere C">C Riviere</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ryscavage, P" uniqKey="Ryscavage P">P Ryscavage</name></author><author><name sortKey="Anderson, Ej" uniqKey="Anderson E">EJ Anderson</name></author><author><name sortKey="Sutton, Sh" uniqKey="Sutton S">SH Sutton</name></author><author><name sortKey="Reddy, S" uniqKey="Reddy S">S Reddy</name></author><author><name sortKey="Taiwo, B" uniqKey="Taiwo B">B Taiwo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Khan, M" uniqKey="Khan M">M Khan</name></author><author><name sortKey="Song, X" uniqKey="Song X">X Song</name></author><author><name sortKey="Williams, K" uniqKey="Williams K">K Williams</name></author><author><name sortKey="Bright, K" uniqKey="Bright K">K Bright</name></author><author><name sortKey="Sill, A" uniqKey="Sill A">A Sill</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Maturo, D" uniqKey="Maturo D">D Maturo</name></author><author><name sortKey="Powell, A" uniqKey="Powell A">A Powell</name></author><author><name sortKey="Major Wilson, H" uniqKey="Major Wilson H">H Major-Wilson</name></author><author><name sortKey="Sanchez, K" uniqKey="Sanchez K">K Sanchez</name></author><author><name sortKey="De Santis, Jp" uniqKey="De Santis J">JP De Santis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bakanda, C" uniqKey="Bakanda C">C Bakanda</name></author><author><name sortKey="Birungi, J" uniqKey="Birungi J">J Birungi</name></author><author><name sortKey="Mwesigwa, R" uniqKey="Mwesigwa R">R Mwesigwa</name></author><author><name sortKey="Nachega, Jb" uniqKey="Nachega J">JB Nachega</name></author><author><name sortKey="Chan, K" uniqKey="Chan K">K Chan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Belzer, Me" uniqKey="Belzer M">ME Belzer</name></author><author><name sortKey="Fuchs, Dn" uniqKey="Fuchs D">DN Fuchs</name></author><author><name sortKey="Luftman, Gs" uniqKey="Luftman G">GS Luftman</name></author><author><name sortKey="Tucker, Dj" uniqKey="Tucker D">DJ Tucker</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Arrive, E" uniqKey="Arrive E">E Arrive</name></author><author><name sortKey="Dicko, F" uniqKey="Dicko F">F Dicko</name></author><author><name sortKey="Amghar, H" uniqKey="Amghar H">H Amghar</name></author><author><name sortKey="Aka, Ae" uniqKey="Aka A">AE Aka</name></author><author><name sortKey="Dior, H" uniqKey="Dior H">H Dior</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Moodley, K" uniqKey="Moodley K">K Moodley</name></author><author><name sortKey="Myer, L" uniqKey="Myer L">L Myer</name></author><author><name sortKey="Michaels, D" uniqKey="Michaels D">D Michaels</name></author><author><name sortKey="Cotton, M" uniqKey="Cotton M">M Cotton</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nachega, Jb" uniqKey="Nachega J">JB Nachega</name></author><author><name sortKey="Mugavero, Mj" uniqKey="Mugavero M">MJ Mugavero</name></author><author><name sortKey="Zeier, M" uniqKey="Zeier M">M Zeier</name></author><author><name sortKey="Vit Ria, M" uniqKey="Vit Ria M">M Vitória</name></author><author><name sortKey="Gallant, Je" uniqKey="Gallant J">JE Gallant</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cremin, I" uniqKey="Cremin I">I Cremin</name></author><author><name sortKey="Mushati, P" uniqKey="Mushati P">P Mushati</name></author><author><name sortKey="Hallett, T" uniqKey="Hallett T">T Hallett</name></author><author><name sortKey="Mupambireyi, Z" uniqKey="Mupambireyi Z">Z Mupambireyi</name></author><author><name sortKey="Nyamukapa, C" uniqKey="Nyamukapa C">C Nyamukapa</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Knol, Mj" uniqKey="Knol M">MJ Knol</name></author><author><name sortKey="Janssen, Kj" uniqKey="Janssen K">KJ Janssen</name></author><author><name sortKey="Donders, Ar" uniqKey="Donders A">AR Donders</name></author><author><name sortKey="Egberts, Ac" uniqKey="Egberts A">AC Egberts</name></author><author><name sortKey="Heerdink, Er" uniqKey="Heerdink E">ER Heerdink</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Demissie, S" uniqKey="Demissie S">S Demissie</name></author><author><name sortKey="Lavalley, Mp" uniqKey="Lavalley M">MP LaValley</name></author><author><name sortKey="Horton, Nj" uniqKey="Horton N">NJ Horton</name></author><author><name sortKey="Glynn, Rj" uniqKey="Glynn R">RJ Glynn</name></author><author><name sortKey="Cupples, La" uniqKey="Cupples L">LA Cupples</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Greenland, S" uniqKey="Greenland S">S Greenland</name></author><author><name sortKey="Finkle, Wd" uniqKey="Finkle W">WD Finkle</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Van Cutsem, G" uniqKey="Van Cutsem G">G Van Cutsem</name></author><author><name sortKey="Ford, N" uniqKey="Ford N">N Ford</name></author><author><name sortKey="Hilderbrand, K" uniqKey="Hilderbrand K">K Hilderbrand</name></author><author><name sortKey="Goemaere, E" uniqKey="Goemaere E">E Goemaere</name></author><author><name sortKey="Mathee, S" uniqKey="Mathee S">S Mathee</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Afrique du Sud</li><li>Royaume-Uni</li><li>Zimbabwe</li></country><region><li>Angleterre</li><li>Grand Londres</li></region><settlement><li>Londres</li></settlement></list><tree><country name="Afrique du Sud"><noRegion><name sortKey="Bygrave, Helen" sort="Bygrave, Helen" uniqKey="Bygrave H" first="Helen" last="Bygrave">Helen Bygrave</name></noRegion><name sortKey="Ford, Nathan" sort="Ford, Nathan" uniqKey="Ford N" first="Nathan" last="Ford">Nathan Ford</name><name sortKey="Ford, Nathan" sort="Ford, Nathan" uniqKey="Ford N" first="Nathan" last="Ford">Nathan Ford</name><name sortKey="Mtangirwa, Judith" sort="Mtangirwa, Judith" uniqKey="Mtangirwa J" first="Judith" last="Mtangirwa">Judith Mtangirwa</name></country><country name="Zimbabwe"><noRegion><name sortKey="Ncube, Kwenzakwenkosi" sort="Ncube, Kwenzakwenkosi" uniqKey="Ncube K" first="Kwenzakwenkosi" last="Ncube">Kwenzakwenkosi Ncube</name></noRegion><name sortKey="Munyaradzi, Dhodho" sort="Munyaradzi, Dhodho" uniqKey="Munyaradzi D" first="Dhodho" last="Munyaradzi">Dhodho Munyaradzi</name></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Kranzer, Katharina" sort="Kranzer, Katharina" uniqKey="Kranzer K" first="Katharina" last="Kranzer">Katharina Kranzer</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/SidaSubSaharaV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 003488 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 003488 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= SidaSubSaharaV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= PMC:3527625
|texte= Antiretroviral Therapy Outcomes among Adolescents and Youth in Rural Zimbabwe
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:23285204" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a SidaSubSaharaV1
| This area was generated with Dilib version V0.6.32. |  |