By Lincoln C. Chen, Jaime Sepulveda Amor, Sheldon J. Segal
Over the previous decade, the AIDS pandemic has propagated so generally and exerted the sort of dev astating influence that one might accurately ask the query, Why now not focus all AIDS efforts on disorder regulate by myself? Why hyperlink AIDS with women's reproductive overall healthiness? what's the medical foundation for this linkage? and the way may well relief~ keep an eye on and women's healthiness targets be promot ed concurrently? those questions represent the relevant topics addressed during this monograph. The 15 chapters during this quantity are meant to supply state of the art studies of key interac tions among AIDS and women's reproductive well-being for an viewers of scientists and coverage makers within the AIDS and inhabitants fields. Impetus for this monograph is available in pan from what we understand to be an insufficient international reaction, so far, to AIDS and women's overall healthiness ;>roblems. a typical platform has did not emerge one of the disparate specialist groups operating within the parts of AIDS, STDs, and family members making plans. for that reason, endeavors in those fields were remoted, and possibilities for joint motion were neglected. a major and, as but, unharnessed strength exists for energy ful interdisciplinary collaborations which may advance guidelines and courses opposed to those urgent illnesses of humankind.
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Extra info for AIDS and Women’s Reproductive Health
Studies from Miami (21), Atlanta (22), Ivory Coast (23), and among East African truck drivers (24) have all found a higher risk ofHIV-l infection in uncircumcised men. 38 ~ MALE NO~ -CIRCU~CISION HIV S[ROPR[VAL£NC[ (7,) · < 1 • 1 - 4 . 5- 9 • 10 + Figure 1. Seroprevalence of mv -1 in Africa and male circumcision practices (from reference 26, used with permission). Table 3. mv prevalence in the general adult population and male circumcision practice in 140 geographically distinct locations in Africa (adapted from reference 26).
The relationship between the male foreskin and HIV-I is complicated by the fact that, as noted above, uncircumcised men are more susceptible to chancroid, and probably to other STDs as well (27). In populations in which men are uncircumcised, the overall burden of STDs that could potentially facilitate HIV-l transmission is possibly much greater. In our assessment, both mechanisms are probably operative in communities where circumcision is not practiced. The foreskin directly increases the susceptibility of men to HIV-l and indirectly affects the prevalence of Sills in the population.
HTLV-III/LAV antibody and immune status of household contacts and sexual partners of persons with hemophilia. J Amer Med Assoc 1986; 255:212-5.