Titre :
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Transmission of HIV-1 infection in sub-Saharan Africa and effect of elimination of unsafe injections. (2004)
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Auteurs :
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George-P SCHMID ;
Jties BOERMA ;
Anne BUVE ;
Kevin-M DE COCK ;
Jesus GARCIA CALLEJA ;
Geoff-P GARNETT ;
Peter-D GHYS ;
Catherine HANKINS ;
Richard-J HAYES ;
Robert HEIMER ;
Saidi-H KAPIGA ;
Peter MUGYENYI ;
James-A WHITWORTH ;
Brian-G Williams ;
Basia ZABA ;
Unaids. United Nations Joint Programme on Aids. Geneva. CHE ;
World Health Organization (WHO) (Geneva, CHE)
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Type de document :
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Article
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Dans :
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Lancet (The) (vol. 363, n° 9407, 2004)
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Pagination :
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482-488
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Langues:
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Anglais
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Mots-clés :
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Sida
;
Virose
;
Infection
;
VIH
;
Rétrovirus
;
Virus
;
Afrique
;
Injection
;
Maladie sexuellement transmissible
;
Epidémiologie
;
Hygiène
;
Mode
;
Contamination
;
Homme
;
Immunopathologie
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Résumé :
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[BDSP. Notice produite par INIST-CNRS 67R0x4yW. Diffusion soumise à autorisation]. During the past year, a group has argued that unsafe injections are a major if not the main mode of HIV-1 transmission in sub-Saharan Africa. We review the main arguments used to question the epidemiological interpretations on the lead role of unsafe sex in HIV-1 transmission, and conclude there is no compelling evidence that unsafe injections are a predominant mode of HIV-1 transmission in sub-Saharan Africa. Conversely, though there is a clear need to eliminate all unsafe injections, epidemiological evidence Indicates that sexual transmission continues to be by far the major mode of spread of HIV-1 in the region. Increased efforts are needed to reduce sexual transmission of HIV-1.
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