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After more than a decade of major achievements, the AIDS response is at a crucial juncture, both in terms of its immediate trajectory and its sustainability, as well as its place in the new global health and development agendas. In May, 2013, the UNAIDS–Lancet Commission— a diverse group of experts in HIV, health, and development, young people, people living with HIV and affected communities, activists, and political leaders— was established to investigate how the AIDS response could evolve in a new era of sustainable development. …
Purpose of review: A volume of quality HIV data has materialized recently in the Middle East and North Africa (MENA). This review provides a thematic narrative of the patterns of HIV infection transmission in this region in light of these data. Recent findings: Tens of integrated bio-behavioral surveillance surveys among hard-to-reach key populations at higher risk have been conducted in MENA in the recent years. Many of the studies reported appreciable and growing HIV prevalence. …
Estudio sobre vulnerabilidad y desventaja social en usuarios de drogas en el Área Metropolitana de Buenos Aires y ocho ciudades de Brasil. El análisis de las situaciones de desventaja social como vulnerabilidad se diferencia de ciertas perspectivas centradas en el reconocimiento de factores de riesgo, más cercanas a una apreciación tradicional desde lo médico-epidemiológico; como también de ciertas perspectivas que trabajan los fenómenos de la pobreza, el desempleo o la imposibilidad de acceso a servicios y derechos sociales básicos como fenómenos de exclusión. …
Despite a fair amount of progress on understanding human immunodeficiency virus (HIV) epidemiology globally, the Middle East and North Africa (MENA) region is the only region where knowledge of the epidemic continues to be very limited, and subject to much controversy. This report addresses this dearth of strategic information on HIV infections in MENA through a joint effort of the World Bank, the MENA Regional Support Team (RST) of the Joint United Nations Programme on HIV/AIDS (UNAIDS), and the Eastern Mediterranean Regional Office (EMRO) of the World Health Organization (WHO). …
Bangladesh has maintained a low HIV prevalence (of less than 1%) despite multiple risk factors. However, recent serological surveillance data have reported very high levels of HIV infection among a subgroup of male injecting drug-users (IDUs). This suggests that an HIV/AIDS epidemic could be imminent in Bangladesh. Although biomedical and behavioural change projects are important, they do not address the root causes of observed risky behaviours among high-risk groups. …
Estudio de prevalencia de VIH en grupos vulnerables (hombres que tienen sexo con hombres, trabajadores sexuales y usuarios de drogas) y embarazadas en Argentina. Determinación de incidencia y resistencia al VIH. Descripción detallada por provincias, estadísticas de prevalencia, prácticas de riesgo y prevención.
Estudio - aún en desarrollo a la época de publicación deáeste documento-áen la población migrante mexicana, principalmente de origen rural, que se mueve entre México y Estados Unidos respecto a prevención y conductas de riesgo frente al VIH/SIDA. Necesidad de una política pública de prevención para este grupo.
This report describes the dynamics of HIV/AIDS epidemic in Eastern Europe. It draws upon 20 presentations prepared by epidemiologists and social scientists from seven countries of the former Soviet Union as well as experts from Denmark, United Kingdom and India. The report focuses primarily on the socioeconomic and behavioral determinants of the epidemic among specific "at risk" groups such as intravenous drug users, prison inmates, sex workers and homosexuals. It also looks at issues of general concern such as testing policies, migration...