Emerg Infect DiseidEmerging Infectious Diseases1080-60401080-6059Centers for Disease Control110767192640931Research ArticlePredominance of HIV-1 subtype A and D infections in Uganda.HuD. J.dhu@cdc.govBaggsJ.DowningR. G.PieniazekD.DornJ.FridlundC.BiryahwahoB.SempalaS. D.RayfieldM. A.DonderoT. J.LalR.Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.Nov-Dec200066609615

To better characterize the virus isolates associated with the HIV-1 epidemic in Uganda, 100 specimens from HIV-1-infected persons were randomly selected from each of two periods from late 1994 to late 1997. The 200 specimens were classified into HIV-1 subtypes by sequence- based phylogenetic analysis of the envelope (env) gp41 region; 98 (49%) were classified as env subtype A, 96 (48%) as D, 5 (2.5%) as C, and 1 was not classified as a known env subtype. Demographic characteristics of persons infected with the two principal HIV-1 subtypes, A and D, were very similar, and the proportion of either subtype did not differ significantly between early and later periods. Our systematic characterization of the HIV-1 epidemic in Uganda over an almost 3-year period documented that the distribution and degree of genetic diversity of the HIV subtypes A and D are very similar and did not change appreciably over that time.