Résumé :
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[BDSP. Notice produite par INIST-CNRS R0xz5jGP. Diffusion soumise à autorisation]. The effect of HIV-1 on other infectious diseases In Africa Is an Increasing public health concern. In this review, we describe the role that three major infectious diseases-malaria, sexually transmitted diseases (STDs), and tuberculosis-have had In the HIV-1 epidemic. The high prevalence of untreated STD infections has been a major factor facilitating the spread of HIV-1 In Africa ; with the synergistic interaction between HIV-1 transmission and genital herpes being of especial concern for control of both diseases. Increased susceptibility to tuberculosis after infection with HIV-1 has led to a rising Incidence and threat of Increased transmission of tuberculosis. Clinical malaria occurs with an increased frequency and severity In HIV-1-Infected Individuals, especially during pregnancy. As with tuberculosis, STDs, and other communicable HIV-1-associated diseases, the net effect of HIV-1 might include Increased rates of malaria transmission across communities. In addition to enhancing access to HIV-1 prevention and care, public health surveillance and control programmes should be greatly intensified to cope with the new realities of infectious disease control in Africa.
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