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    Global AIDS into the 1990s.

    Mann JM

    [Unpublished] 1989. Presented at the 5th International Conference on AIDS, Montreal, Canada, June 4-10, 1989. 7 p. (WHO/GPA/DIR/89.2)

    Based on AIDS statistics reported to WHO, as of June 1, 1989, 149 nations reported 157,191 AIDS cases. 69% of these cases lived in 43 countries in the Americas, 16% in 47 countries in Africa, 14% in 28 European countries, and 1% in 31 countries of Asia and Oceania. Yet WHO estimated that the actual number was probably 480,000. Further, a Delphi study showed that >3 times the number of new HIV infections will occur during the 1990s than did in the 1980s. The global AIDS epidemic followed 3 courses in the 1980s. The 1st consisted of markedly rising HIV infection cases in areas already affected by HIV. In 1987, HIV seroprevalence among intravenous drug users stood at almost 1% in Bangkok; in 1988, 20%, and in June 1989, >40%. The 2nd involved the appearance of AIDS in areas that either had not been affected or only slightly so. In Abidjan, Cote d'Ivoire, HIV-1 seroprevalence rose to 4% form <1% within 2 years. Finally, complex and diverse social, economic, and cultural situations at national, provincial, and community levels served to further the extent of AIDS. The proportion of AIDS cases related to intravenous drug use jumped from 3%-13% in 1 year in Brazil and from 6%-34% in 4 years in Europe. To prevent the spread of AIDS, WHO founded the Global Programme on AIDS in 1987. As of June 1, 1989, it gave >US$60 million to 127 nations and arranged technical support for >1000 assignments to assist nations in developing national AIDS programs. WHO expected such programs to be developed in all the world's 187 countries by the end of 1989. To prevent the spread of AIDS, these programs must form linkages with other health and social programs. They also need to concentrate their efforts on health and social problems unique to their nation. They must take the lead in finding new approaches to prevent the spread of AIDS, caring for AIDS patients, and to guarantee equity in the provision of services.
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