Mangos J A, Doran T, Aranda Naranjo B, Rodriguez-Escobar Y, Scott A, Setzer J R
South Texas Children's AIDS Center, Department of Pediatrics, University of Texas Health Science Center, San Antonio.
Tex Med. 1990 Mar;86(3):58-61.
For 9 years we have recognized HIV infection/AIDS as an unstoppable epidemic affecting infants, children, and adolescents as well as adults. Now we see the tremendous impact of this disease on the health systems of this country. During these past 9 years, we have witnessed the transformation of the epidemic from one primarily affecting male homosexuals to one invading the average US family through heterosexual and vertical transmissions and through needle-sharing practices of intravenous drug abuse. It has been estimated that 2% to 3% of the HIV infection/AIDS cases involve the pediatric age group. If 1.5 million Americans have HIV infection by 1991, as predicted, we should anticipate 30,000 to 45,000 infected pediatric patients by the end of that year. What has been the impact of this epidemic on the health systems involved in care, prevention, and research of pediatric HIV infection/AIDS? This article investigates that question.
9年来，我们一直认识到艾滋病毒感染/艾滋病是一场无法阻挡的流行病，影响着婴儿、儿童、青少年以及成年人。现在我们看到了这种疾病对这个国家卫生系统的巨大影响。在过去的9年里，我们目睹了这种流行病从主要影响男性同性恋者的疾病，转变为通过异性传播、母婴传播以及静脉注射吸毒者共用针头的方式侵入美国家庭的疾病。据估计，2%至3%的艾滋病毒感染/艾滋病病例涉及儿童年龄组。如果如预测的那样，到1991年有150万美国人感染艾滋病毒，那么我们预计到那年年底将有3万至4.5万名受感染的儿科患者。这种流行病对参与儿科艾滋病毒感染/艾滋病护理、预防和研究的卫生系统产生了什么影响？本文将探讨这个问题。
