Coutinho R A
Gemeentelijke Geneeskundige en Gezondheidsdienst, Nieuwe Achtergracht 100, 1018 WT Amsterdam.
Ned Tijdschr Geneeskd. 2002 Mar 23;146(12):549-51.
Investigations in the province of Limburg demonstrate an increasing HIV prevalence and a high prevalence of injecting and sexual risk behaviour as well as a substantial risk of HIV transmission to the general population. It is recommended that HIV surveillance be directed towards 'bridge populations' such as prostitutes, their customers and immigrants from HIV endemic countries, instead of just drug users. In view of the apparent increase in sexual risk behaviour and sexually transmitted diseases in homosexual men (possibly due to a reduced fear of the disease because of the availability of anti-HIV medication) surveillance should be intensified in that area as well. Only then will it be possible to ascertain whether or not the incidence of HIV in the Netherlands is increasing.
林堡省的调查表明，艾滋病毒感染率在上升，注射和性行为风险行为的发生率很高，而且艾滋病毒传播给普通人群的风险很大。建议将艾滋病毒监测目标对准“桥梁人群”，如妓女、她们的顾客以及来自艾滋病毒流行国家的移民，而不仅仅是吸毒者。鉴于同性恋男性性行为风险行为和性传播疾病明显增加（可能是由于有了抗艾滋病毒药物，对该疾病的恐惧有所减少）该领域的监测也应加强。只有这样，才有可能确定荷兰的艾滋病毒发病率是否在上升。
