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The HIV/AIDS epidemic in Cuba: description and tentative explanation of its low HIV prevalence

Abstract : The Cuban HIV/AIDS epidemic has the lowest prevalence rate of the Caribbean region. The objective of this paper is to give an overview of the HIV/AIDS epidemic in Cuba and to explore the reasons for this low prevalence.Data were obtained from the Cuban HIV/AIDS programme established in 1983. This programme has an extensive adult HIV testing policy, including testing of all pregnant women. HIV and AIDS cases have been recorded since 1986. Persons found to be HIV-positive are interviewed on their sexual behaviour and partners. Tracing and voluntary testing of these partners are organised. Epidemiological description of this epidemic was obtained from analysis of this data set. Using elementary mathematical analyses, we estimated the coverage of the detection system (percentage of HIV-positive adults detected) and the average period between HIV infection and detection. Estimated HIV prevalence rates were corrected to account for the coverage.
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Hector De Arazoza, Jose Joanes, Rachid Lounes, Camille Legeai, Stéphan Clémençon, et al.. The HIV/AIDS epidemic in Cuba: description and tentative explanation of its low HIV prevalence. BMC Infectious Diseases, BioMed Central, 2007, 7 (130), pp.1-6. ⟨10.1186/1471-2334-7-130⟩. ⟨hal-00262250⟩

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