HIV-1/AIDS and the control of other infectious diseases in Africa

Corbett, EL; Steketee, RW; Ter Kuile, FO; Latif, AS; Kamali, A; Hayes, RJ; (2002) HIV-1/AIDS and the control of other infectious diseases in Africa. Lancet, 359 (9324). pp. 2177-87. ISSN 0140-6736 DOI:

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The effect of HIV-1 on other infectious diseases in Africa is an increasing public health concern. In this review, we describe the role that three major infectious diseases--malaria, sexually transmitted diseases (STDs), and tuberculosis--have had in the HIV-1 epidemic. The high prevalence of untreated STD infections has been a major factor facilitating the spread of HIV-1 in Africa; with the synergistic interaction between HIV-1 transmission and genital herpes being of special concern for control of both diseases. Increased susceptibility to tuberculosis after infection with HIV-1 has led to a rising incidence and threat of increased transmission of tuberculosis. Clinical malaria occurs with an increased frequency and severity in HIV-1-infected individuals, especially during pregnancy. As with tuberculosis, STDs, and other communicable HIV-1-associated diseases, the net effect of HIV-1 might include increased rates of malaria transmission across communities. In addition to enhancing access to HIV-1 prevention and care, public health surveillance and control programmes should be greatly intensified to cope with the new realities of infectious disease control in Africa.

Item Type: Article
Keywords: *AIDS-Related Opportunistic Infections/epidemiology/prevention &, control/transmission, Adolescent, Adult, Africa/epidemiology, Child, Female, *HIV Infections/epidemiology/prevention & control/transmission, *Hiv-1, Human, *Malaria/epidemiology/prevention & control/transmission, Male, Middle Age, Pregnancy, Prevalence, *Public Health, *Sexually Transmitted Diseases/epidemiology/prevention &, control/transmission, Support, Non-U.S. Gov't, *Tuberculosis/epidemiology/prevention & control/transmission, AIDS-Related Opportunistic Infections, epidemiology, prevention & control, transmission, Adolescence, Adult, Africa, epidemiology, Child, Female, HIV Infections, epidemiology, prevention & control, transmission, HIV-1, Human, Malaria, epidemiology, prevention & control, transmission, Male, Middle Age, Pregnancy, Prevalence, Public Health, Sexually Transmitted Diseases, epidemiology, prevention & control, transmission, Support, Non-U.S. Gov't, Tuberculosis, epidemiology, prevention & control, transmission
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology
Faculty of Infectious and Tropical Diseases > Dept of Clinical Research
Research Centre: Centre for Global Non-Communicable Diseases (NCDs)
TB Centre
Tropical Epidemiology Group
PubMed ID: 12090997
Web of Science ID: 176441800025


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