INFECCIONES DE TRANSMISIÓN SEXUAL Y EL VIH

Estimados colegas esta información muy interesante sobre ITS y VIH obtenidos de Journal Watch. Saludos Dr. Carlos Erazo STDs Go to Journal Watch  Subscribe  My Alerts STDs for October 18, 2011 SUMMARY AND COMMENT Many Unaware of Their HIV-Positive Status Despite High Rates of Testing October 17, 2011 | Salim S. Abdool Karim, MD, PhD | HIV/AIDS Clinical Care The results illustrate the need for frequent repeat testing and comprehensive prevention efforts. Reviewing: Kranzer K et al. PLoS ONE 2011 Sep 28; 6:e25244 SUMMARY AND COMMENT Hormonal Contraception May Increase Risk for HIV Infection Free! October 7, 2011 | Paul E. Sax, MD | HIV/AIDS Clinical Care Women using hormonal contraception — especially injectable forms — had a twofold increase in the risk for both acquiring and transmitting HIV infection. Reviewing: Heffron R et al. Lancet Infect Dis 2011 Oct 4; SUMMARY AND COMMENT Sperm Washing with Assisted Reproduction — Safe and Effective for HIV-Serodiscordant Couples October 7, 2011 | Carole Gilling-Smith, MD, PhD | HIV/AIDS Clinical Care In a group of studies that involved more than 1700 HIV-serodiscordant couples undergoing sperm washing with assisted reproduction, none of the women or newborns seroconverted to HIV-positive. Reviewing: Vitorino RL et al. Fertil Steril 2011 Apr 95:1684 NEWS IN CONTEXT Oral Tenofovir Dropped from HIV PrEP Trial Free! October 3, 2011 | Raphael J. Landovitz, MD, MSc | HIV/AIDS Clinical Care Evaluation of oral tenofovir/FTC and tenofovir gel will continue as planned. SUMMARY AND COMMENT Can Combined HIV Antigen/Antibody Testing Speed the Detection of New Infections? October 3, 2011 | Abigail Zuger, MD | HIV/AIDS Clinical Care The theory's attractive, but a new test still needs to be validated. Reviewing: Bischof JJ et al. AIDS 2011 Sep 24; 25:1927 SUMMARY AND COMMENT What to Do With Discordant Syphilis Serology Results? October 3, 2011 | Timothy J. Henrich, MD | HIV/AIDS Clinical Care Available evidence supports confirmatory treponemal-specific testing for patients who have an initial positive syphilis immunoassay followed by a negative RPR result. Reviewing: Park IU et al. J Infect Dis 2011 Sep 19; 204:1297 Hoover KW and Radolf JD. J Infect Dis 2011 Nov 1; 204:1295 FEATURE HIV Treatment as Prevention: An Interview with Myron Cohen Free! October 3, 2011 | HIV/AIDS Clinical Care Insights and observations from the principal investigator of the HPTN 052 trial SUMMARY AND COMMENT "HIV-Related" Osteopenia May Antedate HIV Infection September 26, 2011 | Abigail Zuger, MD | HIV/AIDS Clinical Care Low bone-mineral density was more common than expected among HIV-negative men who have sex with men and was correlated with amphetamine and inhalant use. Reviewing: Liu AY et al. PLoS ONE 2011 Aug 29; 6:e23688 FEATURE Common Sense on HIV Testing Free! September 26, 2011 | HIV/AIDS Clinical Care Paul Sax, MD, pleads his case in his blog HIV and ID Observations. Free Full-Text Article Summary and Comment Many Unaware of Their HIV-Positive Status Despite High Rates of Testing The results illustrate the need for frequent repeat testing and comprehensive prevention efforts. HIV counseling and testing (HCT) is an important entry point for accessing HIV treatment and prevention services. Ideally, HCT should be performed at regular intervals, especially for sexually active individuals living in high-prevalence settings. In a recent (2010) cross-sectional study, researchers assessed HCT uptake and HIV prevalence among 1300 individuals (age, >15) randomly selected from a peri-urban community near Cape Town, South Africa. Field workers visited the homes of these individuals up to five times to encourage them to undergo free HCT through a mobile HIV testing service; 88% eventually accepted. Overall, 23% of study participants tested positive for HIV infection. Remarkably, 45% of these cases represented new diagnoses, even though most of the study participants had been tested for HIV before (71% overall; 38% in the previous year). The proportion of study participants with a new HIV diagnosis was 18% among those who had never been tested before and 9% among those who had. This proportion varied by the timing of the most recent test — 5% among those tested within the preceding year, 8% among those tested 1 to 2 years previously, and 20% among those tested >2 years previously. The prevalence of HIV infection was highest (42%) among women aged 25 to 35, whereas the proportion of positive tests that were new diagnoses was significantly higher among men (62%, vs. 37% among women). Comment: The large proportion of individuals with new HIV diagnoses in this community, even among those who had an HIV test in the preceding year, underscores the need for frequent repeat HIV testing — and also indicates high underlying incidence rates. HCT and awareness alone are insufficient to reduce HIV acquisition. — Salim S. Abdool Karim, MD, PhD Published in Journal Watch HIV/AIDS Clinical Care October 17, 2011 Citation(s): Kranzer K et al. High prevalence of self-reported undiagnosed HIV despite high coverage of HIV testing: A cross-sectional population based sero-survey in South Africa. PLoS ONE 2011 Sep 28; 6:e25244. (http://dx.doi.org/10.1371/journal.pone.0025244) Medline abstract (Free)

INFORMACIÓN SOBRE VIH SIDA EN ECUADOR AL 2010

Estimados colegas, en breve se colocaran los datos oficiales relacionados con la epidemia del VIH al 2010.

Saludos

Dr. Carlos Erazo

http://www.unaids.org/en/media/unaids/contentassets/documents/unaidspublication/2011/JC2141_UNAIDS_GLOBAL_FUND.PDF

UNAIDS has the authority and capacity to bring partners
together and create opportunities for us to share information and
reach consensus on key issues. At the Global Fund Implementers
Forum organized by UNAIDS in Dakar, April 2011, we openly
and constructively discussed our experiences of working with the
Global Fund, and, with UNAIDS support, we made sure that the
voice of civil society has been taken into account.

The world can achieve the UNAIDS vision of zero new HIV
infections, zero discrimination and zero AIDS-related deaths.
UNAIDS and the Global Fund have a critical part to play in
achieving this vision. We are stronger together.
Michel Sidibé,
Executive Director, UNAIDS

Characteristics Associated with HIV Infection Among Heterosexuals in Urban Areas with High AIDS Prevalence 24 Cities, United States, 2006--2007

If you have trouble reading this e-mail, please click here.
MMWR Weekly Volume 60, No. 31 August 12, 2011
PDF of this issue Earn CE MMWR Online Subscriptions Contact MMWR CDC Homepage MMWR RSS Feed How to Add MMWR RSS feeds Learn More About RSS	REPORTS Characteristics Associated with HIV Infection Among Heterosexuals in Urban Areas with High AIDS Prevalence 24 Cities, United States, 2006--2007 full text Human Rabies from Exposure to a Vampire Bat in Mexico Louisiana, 2010 full text Progress Toward Poliomyelitis Eradication Nigeria, January 2010--June 2011 full text Notifiable Diseases and Mortality Tables full text Department of Health and Human Services Centers for Disease Control and Prevention

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CONFORMACION DE DISTRITOS PRELIMINARES

Estimados colegas para su conocimiento. 

El Ministerio de Salud Pública en coordinación con el Ministerio de Inclusión Económica y Social , el Ministerio de Educación y SENPLADES ha venido trabajando en la conformación de los Distritos Administrativos, para lo cual se ha contado coon el apoyo de las Direcciones Provinciales de Salud a  nivel nacional, así como de las instancias técnicas de la Planta Central.

Se pone a conocimiento los Distritos Preliminares.

Zona 1   Provincias de Esmeraldas, Carchi, Imbabura, Sucumbios
             

Zona 2  Provincias de Pichincha, Napo, Orellana
            
Zona 3  Provincias de Cotopaxi,Tungurahua,Chimborazo,Pastaza
            

Zona 4  Provincias Manabí, Santo Domingo de los Taschilas
           

Zona 5  Provincias Santa Elena, Guayas, Los Rios, Bolivar, Galápagos
           

Zona 6  Provincias Cañar, Azuay, Morona Santiago
            

Zona 7  Provincias.  El Oro, Loja, Zamora Chinchipe
           

Zona 8  Cantones Guayaquil Samborondon, Duran


Zona 9  Cantón Quito


Saludos

LEY DE PREVENCION Y ASISTENCIA INTEGRAL DEL VIH/SIDA EN EL ECUADOR

http://es.scribd.com/doc/14600158/Ley-de-prevencion-y-asistencia-integral-del-VIH-SIDA-Ecuador

"LEY INTEGRAL SOBRE VIH-SIDA

 

EXPOSICIÓN DE MOTIVOS

 

El Proyecto de Ley Integral sobre VIH-SIDA, que se pone a consideración, constituye una propuesta de abordaje del problema del VIH-SIDA desde una perspectiva de desarrollo humano, que busca superar la fragmentada visión médica o biomédica de esta realidad hasta ahora imperante en el país, yproporcionar respuestas integradas que atiendan tanto la epidemia del VIH como la infección, lo cual implica modificar nuestra forma de percibir el problema y sus implicaciones.

La propuesta es producto de un proceso de creación colectiva, paciente y riguroso, extensamente discutido y validado, que comprometió esfuerzos de instituciones del Estado, organizaciones de la sociedad civil y especialistas de distintas formaciones académicas. Por iniciativa de las ONGs con trabajo en VIH-SIDA, cuya experiencia y constatación práctica de las limitaciones de la normativa vigente les impulsó a determinar la necesidad de generar una nueva legislación, es que ahora se cuenta con un proyecto elaborado participativamente y que incluye una visión integral para el abordaje del tema relacionado con el VIH-SIDA. Sus borradores han sido sometidos al estudio y análisis de diferentes ministerios y en la última fase, a la validación de múltiples actores y actoras en dos talleres en que se aprobaron los textos finales."

New Regimens to Prevent Tuberculosis in Adults with HIV Infection

 http://www.nejm.org/doi/pdf/10.1056/NEJMoa1005136

Background
Treatment of latent tuberculosis in patients infected with the human immunodeficiency
virus (HIV) is efficacious, but few patients around the world receive such treatment.
We evaluated three new regimens for latent tuberculosis that may be more
potent and durable than standard isoniazid treatment.
Methods
We randomly assigned South African adults with HIV infection and a positive tuberculin
skin test who were not taking antiretroviral therapy to receive rifapentine
(900 mg) plus isoniazid (900 mg) weekly for 12 weeks, rifampin (600 mg) plus isoniazid
(900 mg) twice weekly for 12 weeks, isoniazid (300 mg) daily for up to 6 years
(continuous isoniazid), or isoniazid (300 mg) daily for 6 months (control group). The
primary end point was tuberculosis-free survival.
Results
The 1148 patients had a median age of 30 years and a median CD4 cell count of
484 per cubic millimeter. Incidence rates of active tuberculosis or death were 3.1 per
100 person-years in the rifapentine–isoniazid group, 2.9 per 100 person-years in the
rifampin–isoniazid group, and 2.7 per 100 person-years in the continuous-isoniazid
group, as compared with 3.6 per 100 person-years in the control group (P>0.05 for
all comparisons). Serious adverse reactions were more common in the continuousisoniazid
group (18.4 per 100 person-years) than in the other treatment groups (8.7
to 15.4 per 100 person-years). Two of 58 isolates of Mycobacterium tuberculosis (3.4%)
were found to have multidrug resistance.
Conclusions
On the basis of the expected rates of tuberculosis in this population of HIV-infected
adults, all secondary prophylactic regimens were effective. Neither a 3-month course
of intermittent rifapentine or rifampin with isoniazid nor continuous isoniazid was
superior to 6 months of isoniazid. (Funded by the National Institute of Allergy and
Infectious Diseases and others; ClinicalTrials.gov number, NCT00057122.)

CHronIC Care for HIV and nonCommunICable dIseases

Estimados colegas  aqui les envio la información para el cuidado integral de las personas viviendo con VIH , y con enfermedades  crónicas no transmisibles.

Este es el link para bajarse el libro en PDF.

http://www.unaids.org/en/media/unaids/contentassets/documents/unaidspublication/2011/20110526_JC2145_Chronic_care_of_HIV.pdf

Saludos

Carlos Erazo

INFORMACIÓN DISPONIBLE SOBRE VIH - SIDA EN ECUADOR.

HIV/AIDS SURVEILLANCE DATA BASE

COUNTRY AND RECORD SELECTION CRITERIA
HOME		MAPS	HELP

ESTIMADOS COLEGAS ESTE ES EL LINK PARA IDENTIFCIAR LA FUENTE DE LA INFORMACION DISPONIBLE EN EL ECUADOR Y CONOCIDA EN EL MUNDO ENTERO.




 http://hivaidssurveillancedb.org/hivdb/RecordSelPage.aspx

SALUDOS

DR. CARLOS ERAZO


Prevalence, in Percent, of Human Immunodeficiency Virus (HIV) for: Ecuador

  Number of records found = 79.Data Quality = All

Geographic Area	Reference Date	Population SubGroup	Sex	Age	Prev. Rate	Sample Size	Virus Type	Specimen Type	Type of Test	Source ID	Comments
Chone	2001	Homosexuals	M	ALL	0	44	HIV1	BW	ELISA, WB	M0835	Port city.
Colta	1988-1989	Indian urban population	B	ALL	0	94	HIV1	B	ELISA, WB	C0103	Located in Chimborazo Province.
Colta	1988-1989	Indian urban population	B	ALL	0	94	HIV2	B	ELISA, WB	C0103	Located in Chimborazo Province.
De Agosto	1988-1989	Indian urban population	B	ALL	0	17	HIV1	B	ELISA, WB	C0103	Located in Pastaza Province.
De Agosto	1988-1989	Indian urban population	B	ALL	0	17	HIV2	B	ELISA, WB	C0103	Located in Pastaza Province.
Eastern Ecuador	1983	Indians	B	ALL	0	70	HIV	B	ELISA	L0031	Waorani Indians.
Esmeraldas	1988	Volunteers	B	ALL	0	422	HIV	B	ELISA, WB	R0020
Esmeraldas	1988	Homosexuals	M	ALL	0	20	HIV	B	ELISA, WB	R0020
Esmeraldas	1988-1989	Black prostitutes	F	ALL	0	37	HIV2	B	ELISA, WB	C0103	Located in Esmeraldas province.
Esmeraldas	1988-1989	Black prostitutes	F	ALL	0	37	HIV1	B	ELISA, WB	C0103	Located in Esmeraldas Province.
Esmeraldas	1988	Prostitutes	F	ALL	1.56	64	HIV	B	ELISA	R0020
Four cities	2001-2002	Homosexuals	M	ALL	2.82	142	HIV1	BW	ELISA*2, WB	M0886	Men having sex w/ men (MSM). Age 18+. Also, see B0549.
Guayaquil	1999-2001	Homosexuals	M	ALL	27.75	227	HIV1	BW	ELISA*2, WB	M0886	Men having sex w/ men (MSM). Age 18+. Also, see B0549.
Guayaquil	1992	STI pts.	B	ALL	1.28	390	HIV1	B	ELISA, WB	R0148	Attending a STI clinic. Age range 15-45 yrs. Apr. 92.
Guayaquil	1992	STI pts.	B	ALL	1.79	390	HIV1	B	ELISA, WB	B0300
Guayaquil	2000-2001	Prostitutes	F	ALL	2.1	1047	HIV1	BW	ELISA*2, WB	M0886	Recruited from brothels, saunas, massage houses, parks, & streets. Age 18+. Also, see B0598.
Guayaquil	1992	Pregnant women	F	ALL	0.26	390	HIV1	B	ELISA, WB	B0300	Age range 15-45 yrs.
Guayaquil	2001	Homosexuals	M	ALL	24.74	97	HIV1	BW	ELISA, WB	M0835	Port city.
Guayaquil	1992	STI pts.	B	ALL	1.93	1190	HIV1	B	ELISA, WB	R0104	Largest city in Ecuador.
Guayaquil	1993	STI pts.	B	ALL	3.58	1395	HIV1	B	ELISA, WB	R0104	Largest city in Ecuador.
Guayaquil	2006	Homosexuals	M	ALL	19	541	HIV	B	RAPID,WB	G0474	Men having sex with men (MSM). Prevalence approximated from a graph. Feb. - June 06. RAPID test: Determine.
National	1988	Blood donors - volunteer	B	ALL	0	25358	HIV	B	ELISA, WB	L0035	Includes donors from Quito & provincial cities. Sept. 86 - Dec. 88.
National	1986	Blood donors - volunteer	B	ALL	0.03	6524	HIV	B	ELISA, WB	L0035	Includes donors from Quito & provincial cities. Sept. 86 - Dec. 88.
National	1994	Blood donors	B	ALL	0.1	88133	HIV	B	ELISA	S0326	90 % of blood donors were screened.
National	1987	Blood donors - volunteer	B	ALL	0	20282	HIV	B	ELISA, WB	L0035	Includes donors from Quito & provincial cities. Sept. 86 - Dec. 88.
Not specified	1989(?)	Hemophiliacs	B	ALL	0	141	HIV	B	ELISA, WB	R0020
Not specified	1988	Military recruits	B	ALL	0	7187	HIV	B	ELISA, WB	L0035	Group also includes other institutional personel.
Not specified	1999-2002	Prostitutes	F	ALL	1.8	N/A	HIV1	BW	ELISA, WB	C0504	Only the prevalence rate was given. Age 18+. Recruited from brothels, massage parlors, hotels, & streets.
Not specified	1988	Promiscuous individuals	B	ALL	0	91	HIV	B	ELISA, WB	L0035
Not specified	1988	Prostitutes	F	ALL	0	100	HIV	B	ELISA, WB	L0035
Not specified	1989	Blood donors	B	ALL	0.02	28672	HIV	B	UNK	R0043
Not specified	1988	Hemophiliacs	B	ALL	1.75	57	HIV	B	ELISA, WB	L0035
Not specified	2008(?)	Homosexuals	M	ALL	15.1	916	HIV	B	UNK	B0741	Men having sex w/ men (MSM).
Not specified	1988	Homosexuals & bisexuals	M	ALL	57.69	26	HIV	B	ELISA, WB	L0035
Portoviejo	2001	Homosexuals	M	ALL	4.08	98	HIV1	BW	ELISA, WB	M0835	Port city.
Quininde	1988	Prostitutes	F	ALL	0	100	HIV	B	ELISA, WB	R0020
Quito	2000-2001	Prostitutes	F	ALL	0.5	200	HIV1	BW	ELISA*2, WB	M0886	Recruited from brothels, saunas, massage houses, parks, & streets. Age 18+. Also, see B0598.
Quito	1988	Blood donors - volunteer	B	ALL	0	17884	HIV	B	ELISA, WB	R0020	Red Cross blood bank.
Quito	1992	Blood donors	B	ALL	0	N/A	HIV1	B	ELISA, WB	R0093	Only the prevalence rate was given.
Quito	1988-1989	Out-pts.	B	ALL	0	50	HIV2	B	ELISA, WB	C0103	Race: White & halfcaste.
Quito	1991	STI pts.	B	ALL	1.4	143	HIV1	B	UNK	R0104	Various STI treatment sites.
Quito	1988-1989	Prostitutes	F	ALL	0	94	HIV2	B	ELISA, WB	C0103	Race: White & halfcaste.
Quito	2001	Homosexuals	M	ALL	11.11	45	HIV1	BW	ELISA, WB	M0835	Located in Andean region.
Quito	1987	Blood donors - volunteer	B	ALL	0	955	HIV	B	ELISA, WB	R0020	Other blood banks.
Quito	1990	Prostitutes - high SES/income	F	ALL	0	151	HIV1	B	ELISA, WB	R0054	High social economic status. Worked in bars & nightclubs in Mariscal area in the Red Zone of Quito. Oct. - Dec. 90.
Quito	1988-1989	Hospital personnel	B	ALL	0	57	HIV2	B	ELISA, WB	C0103	Race: White & halfcaste.
Quito	1986	Partners of AIDS pts.	F	ALL	6.25	16	HIV	B	ELISA, WB	R0020
Quito	1988	Homosexuals	M	ALL	28.57	14	HIV	B	ELISA, WB	R0020
Quito	1988-1989	STI pts.	B	ALL	0	159	HIV1	B	ELISA, WB	C0103	Race: White & halfcaste.
Quito	1988-1989	Prostitutes	F	ALL	0	94	HIV1	B	ELISA, WB	C0103	Race: White & halfcaste.
Quito	1988-1989	STI pts.	B	ALL	0	159	HIV2	B	ELISA, WB	C0103	Race: White & halfcaste.
Quito	1988-1989	Hospitalized pts.	B	ALL	0	99	HIV2	B	ELISA, WB	C0103	Race: White & halfcaste.
Quito	1988-1989	Blood donors	B	ALL	0	396	HIV2	B	ELISA, WB	C0103	Race: White & halfcaste.
Quito	1988	Blood donors - volunteer	B	ALL	0	1429	HIV	B	ELISA, WB	R0020	Other blood banks.
Quito	1992	STI pts.	B	ALL	0.52	191	HIV1	B	ELISA, WB	R0093	Four STI centers.
Quito	1988-1989	Hospitalized pts.	B	ALL	0	99	HIV1	B	ELISA, WB	C0103	Race: White & halfcaste.
Quito	1999-2001	Homosexuals	M	ALL	14.45	263	HIV1	BW	ELISA*2, WB	M0886	Men having sex w/ men (MSM). Age 18+. Also, see B0549.
Quito	1991	STI pts.	B	ALL	1.23	163	HIV1	B	ELISA, WB	R0093	Four STI centers. Nov. - Dec. 91.
Quito	1988-1989	Blood donors	B	ALL	0.51	396	HIV1	B	ELISA, WB	C0103	Race: White & halfcaste.
Quito	1988-1989	Out-pts.	B	ALL	0	50	HIV1	B	ELISA, WB	C0103	Race: White & halfcaste.
Quito	1988-1989	Hospital personnel	B	ALL	0	57	HIV1	B	ELISA, WB	C0103	Race: White & halfcaste.
Quito	1988	Prisoners	B	ALL	0	662	HIV	B	ELISA, WB	R0020
Quito	1987	Military cadets	B	ALL	0	487	HIV	B	ELISA, WB	R0020
Quito	1987	Blood donors - volunteer	B	ALL	0	16978	HIV	B	ELISA, WB	R0020	Red Cross blood bank.
Quito & Guayaquil	2000-2001	Prostitutes	F	18Y25Y	1.86	590	HIV1	BW	ELISA*2, WB	B0598	Recruited from brothels, saunas, massage houses, parks, & streets.
Quito & Guayaquil	2000-2001	Prostitutes	F	ALL	1.84	1247	HIV1	BW	ELISA*2, WB	B0598	Recruited from brothels, saunas, massage houses, parks, & streets. Age 18+. Breakdown by age is provided & by city in M0886.
Quito & Guayaquil	2000-2001	Prostitutes	F	26Y+	1.69	650	HIV1	BW	ELISA*2, WB	B0598	Recruited from brothels, saunas, massage houses, parks, & streets.
Quito & Guayaquil	1987-1988	Prostitutes	F	ALL	0	369	HIV	B	UNK	R0054
San Cristobal island	1988-1989	General population	B	ALL	0	127	HIV1	B	ELISA, WB	C0103	Located in Galapagos Province.
San Cristobal island	1988-1989	General population	B	ALL	0	127	HIV2	B	ELISA, WB	C0103	Located in Galapagos Province.
Sangolqui	1988-1989	Indian urban population	B	ALL	0	53	HIV1	B	ELISA, WB	C0103
Sangolqui	1988-1989	Indian urban population	B	ALL	0	53	HIV2	B	ELISA, WB	C0103
Six cities	1999-2002	Homosexuals	M	ALL	16.61	632	HIV1	BW	ELISA*2, WB	B0549	Cities: Quito, Guayaquil, & 4 port cities. Breakdown by age is provided.
Six cities	1999-2002	Homosexuals	M	25Y29Y	23.2	125	HIV1	BW	ELISA*2, WB	B0549	Cities: Quito, Guayaquil, & 4 port cities.
Six cities	1999-2002	Homosexuals	M	30Y+	20.4	201	HIV1	BW	ELISA*2, WB	B0549	Cities: Quito, Guayaquil, & 4 port cities.
Six cities	1999-2002	Homosexuals	M	18Y20Y	11.11	126	HIV1	BW	ELISA*2, WB	B0549	Cities: Quito, Guayaquil, & 4 port cities.
Six cities	1999-2002	Homosexuals	M	21Y24Y	11.9	168	HIV1	BW	ELISA*2, WB	B0549	Cities: Quito, Guayaquil, & 4 port cities.
St. Domingo	1987	Prostitutes	F	ALL	0	105	HIV	B	ELISA, WB	R0020
Sucumbios Province	1993	Prostitutes	F	ALL	0	390	HIV1	B	ELISA	B0300	Age range 18-50 yrs.