Shah S A, Khan O A, Kristensen S, Vermund S H
Sindh AIDS Control Programme, Karachi, Pakistan.
Int J STD AIDS. 1999 Dec;10(12):812-4. doi: 10.1258/0956462991913600.
HIV prevalence is still very low in Pakistan, but its south Asian location and subgroups with recognized lifestyle risk factors suggest that Pakistan will experience expanded diffusion of HIV. We report the frequency of HIV infections identified by the AIDS Control Programme on the Sindh province of Pakistan. Most HIV-positive cases currently reported to the Sindh AIDS Control Programme are found among Pakistani workers deported from the Gulf States and among foreigners. The 58 returned workers with HIV represent 61 to 86% of reported cases in any given year during the 1996-1998 period. Five wives of returning workers have been identified with HIV. Expatriate workers in the Gulf States are tested for HIV routinely, unlike other subgroups in Pakistan. Considering the risk of HIV/AIDS due to regular introduction of HIV from returned workers, and the limited awareness surrounding sexual health and HIV/STD transmission issues in Pakistan, intervention programmes targeted at overseas workers need to be implemented to control the expansion of the HIV epidemic in Pakistan.
在巴基斯坦,艾滋病毒的流行率仍然很低,但其南亚地理位置以及存在公认生活方式风险因素的亚群体表明,巴基斯坦的艾滋病毒传播将会扩大。我们报告了巴基斯坦信德省艾滋病控制项目所确定的艾滋病毒感染发生率。目前向信德省艾滋病控制项目报告的大多数艾滋病毒阳性病例,是在从海湾国家被驱逐的巴基斯坦工人以及外国人中发现的。1996年至1998年期间,每年报告病例中,58名感染艾滋病毒的归国工人占61%至86%。已确认有5名归国工人的妻子感染了艾滋病毒。与巴基斯坦的其他亚群体不同,海湾国家的外籍工人会定期接受艾滋病毒检测。鉴于归国工人不断带回艾滋病毒导致的艾滋病毒/艾滋病风险,以及巴基斯坦对性健康和艾滋病毒/性传播感染传播问题的认识有限,需要实施针对海外工人的干预项目,以控制巴基斯坦艾滋病毒疫情的蔓延。