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BACKGROUND Epidemics of disease are milestones in the history of humanity, nodes in the web of causes and consequences which shape the development of societies. HIV has been with us for long enough to reveal global patterns of distribution which can be linked to currently accepted indicators of social development. Its highest prevalence is found in poor(More)
The profile of HIV infection in West Africa is linked to the regional pattern of labor migration. Areas of high HIV prevalence correspond closely to the destination and recruitment points of migrant workers. This correlation suggests that mobile populations have characteristics that make them more susceptible to HIV epidemics. The most plausible(More)
Epidemiology provides the scientific rationale for public health decisions. Epidemiologists construct taxonomic collectives on the basis of individual attributes, or "risks." One of the public health approaches to the control of sexually transmitted diseases (STDs) is to identify population-based strategies that can be targeted to these risk groups. Public(More)
Sentinel surveillance for HIV among pregnant women in Ghana in 1992 pointed to an HIV prevalence of 3.2% in Koforidua and 4.2% in Kumasi; prevalence of 18%, however, was observed in rural Agomanya in the Eastern Region of the country. This relatively and absolutely high prevalence of HIV infection in the Eastern Region is closely related to the emigration(More)
Although only several countries in West Africa have credible estimates of the prevalence of HIV, and no reliable data is available for the large population of Nigeria, HIV is known to be widespread in a few countries and foci in the region. It also seems that HIV infection rates in West Africa are lower than those recorded in southern, eastern, and central(More)
This article presents the organization of local AIDS/HIV support groups in South Africa. In a survey conducted by the Southern Africa AIDS Training Program in Zimbabwe, approximately 150 support groups for people living with HIV/AIDS in Zimbabwe were identified. International support was reported in only four groups, some being supported by local churches(More)
The author criticizes international health professional and policy focus upon individual behavioral change as the key to preventing the further spread of AIDS, and instead writes in favor of fundamental social change. In addition to the negative effects of victim-blaming, discrimination, and incarceration which may result from programmatic focus upon the(More)