April K, Köster R, Koch M G
Schweiz Med Wochenschr. 1997 Nov 8;127(45):1853-61.
The present situation of the HIV pandemic is described on the basis of current data from the World Health Organization (WHO), the Joint United Nations Programme on HIV/AIDS (UNAIDS), the United States Center for Disease Control (CDC), and selected papers on the subject. The worldwide situation is unstable and alarming. New regional HIV subepidemics are spreading rapidly on several continents. On the worldwide level, the HIV epidemic has not yet reached its maximum: in the next 3-4 years 10-12 millions HIV-infected persons will be added to the existing 22.6 millions. The epidemiological situation in the industrialized countries is described separately: in contrast to the developing countries, HIV transmission among drug addicts predominates, while heterosexual transmission continues to increase. The findings of molecular epidemiology reflect migration trends and special conditions for spread of the disease. As a consequence of the HIV epidemic, classical epidemic diseases, such as tuberculosis, are on the increase again. The worldwide HIV epidemic is more serious than ever and requires more effective preventive strategies.
根据世界卫生组织（WHO）、联合国艾滋病规划署（UNAIDS）、美国疾病控制中心（CDC）的当前数据以及关于该主题的部分论文，描述了艾滋病大流行的现状。全球形势不稳定且令人担忧。新的区域性艾滋病毒子流行正在几大洲迅速蔓延。在全球层面，艾滋病毒疫情尚未达到顶峰：在未来3至4年内，将在现有的2260万艾滋病毒感染者基础上新增1000万至1200万感染者。分别描述了工业化国家的流行病学情况：与发展中国家不同，吸毒者之间的艾滋病毒传播占主导地位，而异性传播持续增加。分子流行病学的研究结果反映了疾病传播的移民趋势和特殊条件。作为艾滋病毒疫情的一个后果，诸如结核病等经典流行病再次增多。全球艾滋病毒疫情比以往任何时候都更严重，需要更有效的预防策略。
