5th International AIDS Conference


Montreal, Quebec, Canada — Jun 4-9, 1989

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Control of HIV transmission in the national blood bank in Mali.

Int Conf AIDS 1989 Jun 4-9; 5:173 (abstract no. A.577)
Maiga MK, Traore S, Guindo A, Fofana O; Comite de lutte scientifique et technique contre le SIDA, Bamako, Mali

Since the beginning of the national AIDS program in Mali in 1987, the national blood bank was one of the strategic points for detection, prevention of the transmission of the human retrovirus and the follow up of the prevalence of HIV infection among blood donors. Blood donation was performed from pregnant women, young military recruits and students. Consecutively in 1987 a total of 1140 blood samples and in 1988 a number of 1841 were tested using "Rapid Elisa mixt" to detect HIV1 and HIV2. The positive samples were then confirmed by Western Blot.

RESULTS: A steady increase in the seroprevalence of HIV infection was observed. Among 1140 sera in 1987, nineteen (19 = 1.66 %) and 1988 out of 1841 sera, seventy six (76 = 4.1 %) were found positive. This represents a total increase of 256.25 % in one year.

CONCLUSION: In both years the studied cohort was not randomized and and is not representative of the Malian population. Although in the country the infection rate is generally low, an evidence of rapid expansion of the epidemic is demonstrated in this study. Besides dispositions undertaken for transfusion of safe blood only, a large restructuration program has started which intends to improve the technical basis and conservation of blood. Thus the efforts of the national AIDS committee to prevent the transmission of the retrovirus should be actively reinforced.

Keywords: AEGIS, HIV, Blood Banks, Acquired Immunodeficiency Syndrome, HIV Seroprevalence, HIV Infections, Blood Donors, HIV Antibodies, Mali, Blotting, Western, HIV Antigens, Prevalence, Seroepidemiologic Studies, Blood Transfusion, Enzyme-Linked Immunosorbent Assay, Human, Pregnancy, Female, transmission, prevention & control, blood, ICA5

890604
A577

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