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AIDS surveillance in Lagos, Nigeria 1989-1991.


Int Conf AIDS. 1992 Jul 19-24;8(2):C249 (abstract no. PoC 4025). Unique

OBJECTIVE--To provide descriptive characteristics of AIDS in Lagos, Nigeria. METHOD--AIDS patients officially reported from reference hospitals and laboratories were analysed. Case definition used required positive HIV test by ELISA confirmation by Western Blot plus WHO Clinical case definition. RESULTS--There were 90 patients, 4 in 1989, 30 in 1990 and 56 in 1991. Age range was 7 1/2 months.-58 years, mean 30 yrs. M F ratio 3.5:1. 65% were married, 80% in monogamous marriages and 20% in polygamous marriages. 94% were Nigerian while 6% were from other West African countries. Risk factors were multiple unprotected sexual practices 85%, history of STD 15%, unscreened blood transfusion 1.0%. HIV positive partner 4.0%, HIV positive mother 2.0%. Clinical manifestations were weight loss 67%, chronic diarrhoea 60%, generalized pruritic skin lesions 50%, Herpes zoster 11%, persistent generalized lymphadenopathy 50%, Pulmonary T.B. 75%, Kaposi's sarcoma 3%, Neurological manifestation 4%. 60% died within 6 months of diagnosis. HIV-1 = 90%, HIV-2 = 10%. CONCLUSION--AIDS surveillance in Nigeria needs strengthening especially among Medical Practitioners and Health Care Workers. HIV-1 is more prevalent than HIV-2. This data also indicate that HIV infection is now a problem in Nigeria and there is need for more programmes especially in the area of education prevention and intervention to prevent further escalation of the disease.

Acquired Immunodeficiency Syndrome/*EPIDEMIOLOGY Adult Blood Transfusion Blotting, Western Enzyme-Linked Immunosorbent Assay Female Human HIV Seropositivity/*EPIDEMIOLOGY HIV Seroprevalence/TRENDS *HIV-1 *HIV-2 Male Nigeria/EPIDEMIOLOGY *Population Surveillance Prevalence Risk Factors Sex Behavior ABSTRACT


Information in this article was accurate in December 30, 1992. The state of the art may have changed since the publication date. This material is designed to support, not replace, the relationship that exists between you and your doctor. Always discuss treatment options with a doctor who specializes in treating HIV.