Le SIDA en Afrique subsaharienne (serveur d'exploration)

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<title xml:lang="en">Commentary: HIV/AIDS in the 1990s and beyond
<xref ref-type="fn" rid="fn1">*</xref>
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<author>
<name sortKey="Schwartlander, B" sort="Schwartlander, B" uniqKey="Schwartlander B" first="B." last="Schwartlander">B. Schwartlander</name>
</author>
<author>
<name sortKey="Sittitrai, W" sort="Sittitrai, W" uniqKey="Sittitrai W" first="W." last="Sittitrai">W. Sittitrai</name>
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<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2305781</idno>
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<date when="1998">1998</date>
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<title xml:lang="en" level="a" type="main">Commentary: HIV/AIDS in the 1990s and beyond
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<name sortKey="Schwartlander, B" sort="Schwartlander, B" uniqKey="Schwartlander B" first="B." last="Schwartlander">B. Schwartlander</name>
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<name sortKey="Sittitrai, W" sort="Sittitrai, W" uniqKey="Sittitrai W" first="W." last="Sittitrai">W. Sittitrai</name>
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<series>
<title level="j">Bulletin of the World Health Organization</title>
<idno type="ISSN">0042-9686</idno>
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<date when="1998">1998</date>
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<p>The 1989 article by Chin & Mann on global surveillance and forecasting of acquired immunodeficiency syndrome (AIDS) made significant contributions to advocacy and programme design in the early days of a global response to HIV/AIDS.</p>
<p>Worldwide tracking and modelling of the epidemic is now coordinated by the Joint United Nations Programme on HIV/AIDS (UNAIDS) and WHO, working together with networks of researchers and national programmes around the world. Sources of information on HIV/AIDS have improved significantly in many countries.</p>
<p>Today it is clear that, in contrast to the tentative forecast made by Chin & Mann that the cumulative number of AIDS cases would reach “2 to 3 million” by the mid-to-late 1990s, the epidemic is considerably more widespread and complex than foreseen. By the end of 1997, over 30 million people were estimated to be living with HIV/AIDS, and HIV continues to spread, with almost 16000 new infections each day. Since the beginning of the epidemic, 2.7 million children, 3.9 million women and 5.1 million men have died from AIDS — about the same number of individuals who have died from malaria over the same period.</p>
<p>The epidemic is concentrated in developing countries, with almost 90% of people infected with HIV living in sub-Saharan Africa and the developing countries of Asia. New HIV/AIDS epidemics, invisible or not yet begun in 1989, are now apparent in Eastern Europe and parts of Latin America. Meanwhile, AIDS cases and HIV infection rates in both North America and Western Europe are falling.</p>
<p>Armed with new data and methods of analysis, AIDS prevention programmes have increasingly focused on social environments, gender relations, human rights and socioeconomic inequalities as factors in the course of the epidemic. The example of Eastern Europe reminds us that an HIV epidemic can arise very quickly as an indirect consequence of drastic changes in socioeconomic conditions. Fortunately, although HIV infection rates are still rising rapidly in many parts of the world, there have also been some notable successes in slowing the spread of the virus in developing countries such as Senegal, Thailand, and Uganda.</p>
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<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
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<journal-id journal-id-type="nlm-ta">Bull World Health Organ</journal-id>
<journal-title>Bulletin of the World Health Organization</journal-title>
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<subject>Retrospective</subject>
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<title-group>
<article-title>Commentary: HIV/AIDS in the 1990s and beyond
<xref ref-type="fn" rid="fn1">*</xref>
</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Schwartlander</surname>
<given-names>B.</given-names>
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<name>
<surname>Sittitrai</surname>
<given-names>W.</given-names>
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<author-notes>
<fn id="fn1">
<label>*</label>
<p>Much of data in this article are taken from the recent WHO/UNAIDS Report on the Global HIV/AIDS epidemic, published in June 1998. The full report can be accessed on the Internet at http://www.unaids.org/highband/fact/index.html.</p>
</fn>
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<pub-date pub-type="ppub">
<year>1998</year>
</pub-date>
<volume>76</volume>
<issue>5</issue>
<fpage>437</fpage>
<lpage>443</lpage>
<abstract>
<p>The 1989 article by Chin & Mann on global surveillance and forecasting of acquired immunodeficiency syndrome (AIDS) made significant contributions to advocacy and programme design in the early days of a global response to HIV/AIDS.</p>
<p>Worldwide tracking and modelling of the epidemic is now coordinated by the Joint United Nations Programme on HIV/AIDS (UNAIDS) and WHO, working together with networks of researchers and national programmes around the world. Sources of information on HIV/AIDS have improved significantly in many countries.</p>
<p>Today it is clear that, in contrast to the tentative forecast made by Chin & Mann that the cumulative number of AIDS cases would reach “2 to 3 million” by the mid-to-late 1990s, the epidemic is considerably more widespread and complex than foreseen. By the end of 1997, over 30 million people were estimated to be living with HIV/AIDS, and HIV continues to spread, with almost 16000 new infections each day. Since the beginning of the epidemic, 2.7 million children, 3.9 million women and 5.1 million men have died from AIDS — about the same number of individuals who have died from malaria over the same period.</p>
<p>The epidemic is concentrated in developing countries, with almost 90% of people infected with HIV living in sub-Saharan Africa and the developing countries of Asia. New HIV/AIDS epidemics, invisible or not yet begun in 1989, are now apparent in Eastern Europe and parts of Latin America. Meanwhile, AIDS cases and HIV infection rates in both North America and Western Europe are falling.</p>
<p>Armed with new data and methods of analysis, AIDS prevention programmes have increasingly focused on social environments, gender relations, human rights and socioeconomic inequalities as factors in the course of the epidemic. The example of Eastern Europe reminds us that an HIV epidemic can arise very quickly as an indirect consequence of drastic changes in socioeconomic conditions. Fortunately, although HIV infection rates are still rising rapidly in many parts of the world, there have also been some notable successes in slowing the spread of the virus in developing countries such as Senegal, Thailand, and Uganda.</p>
</abstract>
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</front>
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