ART Initiation Decreasing Prevalence of Advanced HIV in High-Burden Countries

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Decreases were seen in Haiti, Mozambique, Namibia, Nigeria, Swaziland, Uganda, Vietnam and Zimbabwe.
Decreases were seen in Haiti, Mozambique, Namibia, Nigeria, Swaziland, Uganda, Vietnam and Zimbabwe.

HealthDay News -- According to a study published in the US Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report, there were decreases in the prevalence of advanced disease at initiation of antiretroviral therapy (ART) in 10 high-burden countries from 2004 to 2015.

Andrew Auld, MBChB, from the CDC in Atlanta, and colleagues examined trends in prevalence of advanced disease at ART initiation in 10 high-burden countries during 2004 to 2015. Data were analyzed for 694,138 ART enrollees aged ≥15 years from 797 ART facilities.

The researchers found that the prevalence of advanced disease at ART initiation decreased from 75 to 34% in Haiti (2004 to 2015), from 73 to 37% in Mozambique (2004 to 2014), and from 80 to 41% in Namibia (2004 to 2012) (all P<.001).

During 2004 to 2011 there were significant declines in the prevalence of advanced disease in Nigeria, Swaziland, Uganda, Vietnam, and Zimbabwe.

"The encouraging declines in prevalence of advanced disease at ART enrollment are likely due to scale-up of testing and treatment services and ART-eligibility guidelines encouraging earlier ART initiation," the authors write. "However, in 2015, approximately a third of new ART patients still initiated ART with advanced HIV disease."

Reference

Auld AF, Shiraishi RW, Oboho I, et al. "Trends in Prevalence of Advanced HIV Disease at Antiretroviral Therapy Enrollment — 10 Countries, 2004–2015." Morb Mortal Wkly Rep. 2017;66: 558–563. doi: 10.15585/mmwr.mm6621a3

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