Doing HIV Medicine in Southern Africa--What Does the Epidemic Teach US?(Original Articles) (Human Immunodeficiency Virus )

Doing HIV Medicine in Southern Africa–What Does the Epidemic Teach US?(Original Articles) (Human Immunodeficiency Virus )

As my grandmother used to say, ‘There are only two families in the world, the haves and the have-nots.’ (1) (Cervantes) In the last analysis it is not so much their subjects that the great teachers teach us as it is they themselves. (2) (Frederich Buechner) If the HIV epidemic has done Africa any good, […]

The Prevalence of Hepatitis B Co-Infection in a South African Urban Government HIV Clinic (Original Articles) (Clinical Report)

The Prevalence of Hepatitis B Co-Infection in a South African Urban Government HIV Clinic (Original Articles) (Clinical Report)

Objective. There are an estimated 350 million hepatitis B carriers worldwide. In South Africa the prevalence of mono-infection with hepatitis B has been estimated to range from 1% in urban areas to approximately 10% in rural areas. The exact prevalence of hepatitis B in the HIV-infected population has not been well established. Hepatitis B screening […]

Progress of Preventing Mother-To-Child Transmission of HIV at Primary Healthcare Facilities and District Hospitals in Three South African Provinces (Scientific Letters) (Report)

Progress of Preventing Mother-To-Child Transmission of HIV at Primary Healthcare Facilities and District Hospitals in Three South African Provinces (Scientific Letters) (Report)

Since the introduction of prevention of mother-to-child-transmission (PMTCT) strategies, vertical transmission of HIV has declined in low- and middle-income countries over 20 years from 20-40% to 2.8% in the best-case scenarios. (1) In wealthy countries, transmission rates are below 2%. (2,3) In South Africa, the revised clinical guidelines introduced in 2010 included starting dual zidovudine/nevirapine […]

Home Self-Testing for HIV: AIDS Exceptionalism Gone Wrong (Issues IN PUBLIC Health) (Report)

Home Self-Testing for HIV: AIDS Exceptionalism Gone Wrong (Issues IN PUBLIC Health) (Report)

Self-tests for HIV in South Africa are currently unregulated. Gaps in law and policy have created a legal loophole where such tests could effectively be sold in supermarkets, but not in pharmacies. At the same time, South Africa lacks an effective regulating mechanism for diagnostic tests, which brings the quality and reliability of all self-tests […]

Pre-Operative Clinical Assessment for Anaesthesia and the Effect of HIV Infection (Clinical Report)

Pre-Operative Clinical Assessment for Anaesthesia and the Effect of HIV Infection (Clinical Report)

Background. HIV infection is common in South Africa, often remaining clinically latent and liable to be missed during clinical pre-operative assessment, despite the patient having a severe degree of immune compromise. Objectives. The primary objective was to determine the pre-operative physical status of patients presenting for anaesthesia, and to compare this with subsequent HIV tests […]

Challenges in Providing HIV Care to Paediatric Age Group in India (Commentary) (Human Immunodeficiency Virus) (Report)

Challenges in Providing HIV Care to Paediatric Age Group in India (Commentary) (Human Immunodeficiency Virus) (Report)

Over 90 per cent of the 2 million HIV infected children worldwide, live in developing countries (1). In India, 3.8 per cent (2) (approximately 100,000 (3)) of an estimated 2.5 million persons living with HIV/AIDS (PLHA) are children. As of September 2008, of about 1,77,808 individuals started on antiretroviral therapy (ART) since its launch in […]

The Role of a Palliative Care Inpatient Unit in Disease Management of Cancer and HIV Patients (Original Articles)

The Role of a Palliative Care Inpatient Unit in Disease Management of Cancer and HIV Patients (Original Articles)

Objectives. To monitor the success of an inpatient palliative care unit combining private and state patients, and accessible to patients with cancer and AIDS. Design. An observational study was conducted of patients admitted to the unit in the first 3 months following opening of the ward (1 March-31 May 2006).