• Corpus ID: 15759561

Optimizing control of HIV in Kenya

  title={Optimizing control of HIV in Kenya},
  author={Brian G. Williams},
  journal={arXiv: Quantitative Methods},
  • B. Williams
  • Published 28 July 2014
  • Medicine
  • arXiv: Quantitative Methods
UNAIDS has embraced an ambitious global target for the implementation of treatment for people living with HIV. This 90-90-90 target would mean that, by 2020, 90% of all those living with HIV should know their status, 90% of these would be on treatment and 90% of these would have fully suppressed plasma viral loads. To reach this target in the next five years presents a major logistical challenge. However, the prevalence of HIV varies greatly by risk groups, age, gender, geography and social… 
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Even though the community knew more about circumcision, more health education and promotion is still needed with particular emphasis on its medical benefits.


R0 and the elimination of HIV in Africa
The magnitude of the control problem is defined, that is to say, the extent to which transmission must be reduced to eliminate HIV, by using data on the initial rate of increase of the prevalence of HIV and the life expectancy of people living with HIV before ART became available to estimate R 0.
Combination prevention for the elimination of HIV
It is shown that universal access to ART combined with early treatment is the most effective and, in the long term, the most cost-effective intervention.
The epidemiology of human immunodeficiency virus in South Africa.
  • B. WilliamsE. Gouws
  • Medicine
    Philosophical transactions of the Royal Society of London. Series B, Biological sciences
  • 2001
The epidemiology of human immunodeficiency virus (HIV) in South Africa where the prevalence of HIV infection is among the highest in the world is reviewed, and some of the research that is needed and steps that could be taken to reduce the continued spread of the infection are discussed.
Antiretroviral treatment of adult HIV infection: 2012 recommendations of the International Antiviral Society-USA panel.
New recommendations for HIV patient care include offering ART to all patients regardless of CD4 cell count, changes in therapeutic options, and modifications in the timing and choice of ART in the setting of opportunistic illnesses such as cryptococcal disease and tuberculosis.
Low-level viremia persists for at least 7 years in patients on suppressive antiretroviral therapy
Analysis of longitudinal plasma samples from 40 patients enrolled in the Abbott M97-720 trial suggests that low-level persistent viremia appears to arise from at least two cell compartments, one in which viral production decays over time and a second inWhich viral production remains stable for at least 7 years.
The Impact of Migration on HIV-1 Transmission in South Africa: A Study of Migrant and Nonmigrant Men and Their Partners
High rates of HIV were found among rural women, and the migration status of the regular partner was not a major risk factor for HIV.
Antiretroviral treatment of adult HIV infection: 2010 recommendations of the International AIDS Society-USA panel.
This report provides guidelines for when to initiate antiretroviral therapy, selection of appropriate initial regimens, patient monitoring, when to change therapy, and what regimens to use when changing.
Migration and health in Southern Africa: 100 years and still circulating
The role of migration in the spread of two diseases nearly 100 years apart: tuberculosis following the discovery of gold in 1886 and HIV in the early 1990s are examined, demonstrating the critical role played by human migration inThe transmission and subsequent dissemination of these diseases to rural areas.
Migration, mines and mores: the HIV epidemic in southern Africa †
The seriousness of the HIV epidemic in southern and eastern Africa has its roots in the 19th century—in the employment practices instituted on mines, farms and in cities, where millions of men have,