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  1. 1
    067721

    Human immunodeficiency virus (HIV) infection codes and new codes for Kaposi's sarcoma. Official authorized addenda ICD-9-CM (revision no. 2). Effective October 1, 1991.

    United States. National Center for Health Statistics [NCHS]

    MMWR. MORBIDITY AND MORTALITY WEEKLY REPORT. 1991 Jul 26; 40(RR-9):1-19.

    The addenda for Volumes 1 and 2 of the International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) were reported by the Collaborating Center for Classification of Diseases for North America at the National Center for Health Statistics. This was the second revision of these codes for the classification of HIV infection. THe addenda, effective October 1, 1991, replace the addendum containing codes for human immunodeficiency virus (HIV) infection that went into effect January 1, 1988. The structure of the classification, the codes within the classification, and the use of the codes remained the same. 3 basic modifications were accepted. A new 3-digit category was created for Kaposi's sarcoma; several new clinical conditions were added (acute or subacute endocarditis, microsporidiosis, acute or subacute myocarditis, bacterial and pneumococcal pneumonia, histiocytic or large cell lymphoma, secondary cardiomyopathy and nephritis and nephropathy); and several categories of HIV manifestations were expanded to include similar conditions (viral pneumonia, encephalitis, encephalomyelitis and myelitis). These modifications will improve the accuracy of reporting and allow public health officials, clinical researchers, and agencies which finance health care to monitor diagnoses of AIDS and other manifestations of HIV infection. HIV infection is divided into 3 categories: HIV infection with specified secondary infections or malignant neoplasms, or AIDS; HIV infection with other specified manifestations; and other HIV infections not classifiable above. AIDS is not synonymous with HIV infection or with such terms as pre-AIDS or AIDS-related complex. To use these codes correctly, the physician must provide complete information and state the relationship between HIV infection and other conditions.
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  2. 2
    076315
    Peer Reviewed

    [Tanzania: the ravages of AIDS] Tanzanie: les ravages du SIDA.

    Manicot C

    REVUE DE L INFIRMIERE. 1991 May 21; 41(10):27-32.

    The coordinator and nurse of the anti-AIDS program of the Red Cross in Tanzania relates that families affected by the disease are helped with food, clothes, and moral support. The new illness appeared in 1983 in a zone at the Tanzanian-Ugandan frontier. The first victim of AIDS was a Ugandan merchant, and the infection spread to the large cities of the country mostly by heterosexual transmission facilitated by the prevalent practice of having multiple sexual partners. According to January 1991 WHO figures there were 7128 cases reported in the country among 24 million inhabitants, but this figure ought to be multiplied by 2 or more. 30% of women were found seropositive at Kigali in the north and 20% in Dar-es-Salaam. Certain informal sources project 64,000 AIDS cases for 1992. If the WHO estimation that 50-100 seropositive persons hide behind 1 patient with AIDS is correct, one could calculate 3.2-6.4 million of seropositive people for 1992. Officially, this is not admitted because of the hesitation to tarnish the image of the country trying to attract tourists. The Muhimbili Hospital in Dar-es-Salaam has 45 beds, but it can accommodate 60 patients on mattresses. Hospitalization is mostly for opportunistic infections, and often for tuberculosis. AZT is very expensive, even in countries where it is available. The association WAMATA, in existence since 1989, offers help to seropositive people or AIDS victims trying to stress prevention and educate people about the use of the condom, although the modification of people's behavior in a culture where sexuality and fertility are closely linked is difficult. The government budget is not sufficient for buying condoms for protecting the whole population. The National AIDS Control Program has the objective of sensitization of young people by sex education and by belatedly discouraging traditional wedding ceremonies where guests get drunk and engage in love-making.
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