Epidemic Zoster and AIDS
Author Information
Author(s): D. M. Morens, A.K. Agarwal, S. Sarkar, S. Panda, R. Detels
Primary Institution: University of Hawaii School of Medicine
Hypothesis
Is zoster a significant indicator of HIV transmission in developing countries?
Conclusion
Zoster outbreaks may serve as a sentinel indicator of community HIV transmission, particularly in areas with limited HIV diagnosis.
Supporting Evidence
- The Manipur outbreak was associated with a doubling of zoster frequency above background levels.
- All 20 injecting drug users who developed zoster were found to be HIV positive.
- Increased zoster occurrence associated with HIV transmission has also been seen in Ho Chi Minh City, Vietnam.
Takeaway
When people get a skin rash called zoster, it might mean that there are more cases of HIV in the community, especially among drug users.
Methodology
The study observed zoster occurrences in a group of injecting drug users and correlated it with HIV prevalence.
Limitations
The study is based on observations from specific outbreaks and may not be generalizable.
Participant Demographics
Males aged 12-44 years old with high HIV prevalence.
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