Trends in Prevalence of Advanced HIV Disease at Antiretroviral Therapy Enrollment — 10 Countries, 2004–2015

Auld, Andrew F.; Shiraishi, Ray W.; Oboho, Ikwo; Ross, Christine; Bateganya, Moses; Pelletier, Valerie; Dee, Jacob; Francois, Kesner; Duval, Nirva; Antoine, Mayer; Delcher, Chris; Desforges, Gracia; Griswold, Mark; Domercant, Jean Wysler; Joseph, Nadjy; Deyde, Varough; Desir, Yrvel; Van Onacker, Joelle Deas; Robin, Ermane; Chun, Helen; Zulu, Isaac; Pathmanathan, Ishani; Dokubo, E. Kainne; Lloyd, Spencer; Pati, Rituparna; Kaplan, Jonathan; Raizes, Elliot; Spira, Thomas; Mitruka, Kiren; Couto, Aleny; Gudo, Eduardo Samo; Mbofana, Francisco; Briggs, Melissa; Alfredo, Charity; Xavier, Carla; Vergara, Alfredo; Hamunime, Ndapewa; Agolory, Simon; Mutandi, Gram; Shoopala, Naemi N.; Sawadogo, Souleymane; Baughman, Andrew L.; Bashorun, Adebobola; Dalhatu, Ibrahim; Swaminathan, Mahesh; Onotu, Dennis; Odafe, Solomon; Abiri, Oseni Omomo; Debem, Henry H.; Tomlinson, Hank; Okello, Velephi; Preko, Peter; Ao, Trong; Ryan, Caroline; Bicego, George; Ehrenkranz, Peter; Kamiru, Harrison; Nuwagaba-Biribonwoha, Harriet; Kwesigabo, Gideon; Ramadhani, Angela A.; Ng’wangu, Kahemele; Swai, Patrick; Mfaume, Mohamed; Gongo, Ramadhani; Carpenter, Deborah; Mastro, Timothy D.; Hamilton, Carol; Denison, Julie; Wabwire-Mangen, Fred; Koole, Olivier; Torpey, Kwasi; Williams, Seymour G.; Colebunders, Robert; Kalamya, Julius N.; Namale, Alice; Adler, Michelle R.; Mugisa, Bridget; Gupta, Sundeep; Tsui, Sharon; van Praag, Eric; Nguyen, Duc B.; Lyss, Sheryl; Le, Yen; Abdul-Quader, Abu S.; Do, Nhan T.; Mulenga, Modest; Hachizovu, Sebastian; Mugurungi, Owen; Barr, Beth A. Tippett; Gonese, Elizabeth; Mutasa-Apollo, Tsitsi; Balachandra, Shirish; Behel, Stephanie; Bingham, Trista; Mackellar, Duncan; Lowrance, David; Ellerbrock, Tedd V.

doi:10.15585/mmwr.mm6621a3

Advanced Search

Select up to three search categories and corresponding keywords using the fields to the right. Refer to the Help section for more detailed instructions.

Search our Collections & Repository

Advanced Search
Custom Query

All these words:

For very narrow results

This exact word or phrase:

When looking for a specific result

Any of these words:

Best used for discovery & interchangable words

None of these words:

Recommended to be used in conjunction with other fields

Language:

Dates

Publication Date Range:

to

Document Data

Title:

Document Type:

Library

Collection:

Series:

People

Author:

Clear All

Query Builder

Query box

Clear All

For additional assistance using the Custom Query please check out our Help Page

CDC STACKS serves as an archival repository of CDC-published products including scientific findings, journal articles, guidelines, recommendations, or other public health information authored or co-authored by CDC or funded partners. As a repository, CDC STACKS retains documents in their original published format to ensure public access to scientific information.

i

Trends in Prevalence of Advanced HIV Disease at Antiretroviral Therapy Enrollment — 10 Countries, 2004–2015

Jun 02 2017
By Auld, Andrew F. ; Shiraishi, Ray W. ; Oboho, Ikwo ; ...
Source: MMWR Morbidity Mortal Weekly Rep. 66(21):558-563.
Series: Weekly Report: Morbidity and Mortality Weekly Report (MMWR)

[PDF-466.27 KB]

Details Supporting Files You May Also Like

Details:

Journal Article:

Morbidity and Mortality Weekly Report (MMWR)
Personal Author:

Auld, Andrew F. ; Shiraishi, Ray W. ; Oboho, Ikwo ; Ross, Christine ; Bateganya, Moses ; ... More +

Auld, Andrew F. ; Shiraishi, Ray W. ; Oboho, Ikwo ; Ross, Christine ; Bateganya, Moses ; Pelletier, Valerie ; Dee, Jacob ; Francois, Kesner ; Duval, Nirva ; Antoine, Mayer ; Delcher, Chris ; Desforges, Gracia ; Griswold, Mark ; Domercant, Jean Wysler ; Joseph, Nadjy ; Deyde, Varough ; Desir, Yrvel ; Van Onacker, Joelle Deas ; Robin, Ermane ; Chun, Helen ; Zulu, Isaac ; Pathmanathan, Ishani ; Dokubo, E. Kainne ; Lloyd, Spencer ; Pati, Rituparna ; Kaplan, Jonathan ; Raizes, Elliot ; Spira, Thomas ; Mitruka, Kiren ; Couto, Aleny ; Gudo, Eduardo Samo ; Mbofana, Francisco ; Briggs, Melissa ; Alfredo, Charity ; Xavier, Carla ; Vergara, Alfredo ; Hamunime, Ndapewa ; Agolory, Simon ; Mutandi, Gram ; Shoopala, Naemi N. ; Sawadogo, Souleymane ; Baughman, Andrew L. ; Bashorun, Adebobola ; Dalhatu, Ibrahim ; Swaminathan, Mahesh ; Onotu, Dennis ; Odafe, Solomon ; Abiri, Oseni Omomo ; Debem, Henry H. ; Tomlinson, Hank ; Okello, Velephi ; Preko, Peter ; Ao, Trong ; Ryan, Caroline ; Bicego, George ; Ehrenkranz, Peter ; Kamiru, Harrison ; Nuwagaba-Biribonwoha, Harriet ; Kwesigabo, Gideon ; Ramadhani, Angela A. ; Ng’wangu, Kahemele ; Swai, Patrick ; Mfaume, Mohamed ; Gongo, Ramadhani ; Carpenter, Deborah ; Mastro, Timothy D. ; Hamilton, Carol ; Denison, Julie ; Wabwire-Mangen, Fred ; Koole, Olivier ; Torpey, Kwasi ; Williams, Seymour G. ; Colebunders, Robert ; Kalamya, Julius N. ; Namale, Alice ; Adler, Michelle R. ; Mugisa, Bridget ; Gupta, Sundeep ; Tsui, Sharon ; van Praag, Eric ; Nguyen, Duc B. ; Lyss, Sheryl ; Le, Yen ; Abdul-Quader, Abu S. ; Do, Nhan T. ; Mulenga, Modest ; Hachizovu, Sebastian ; Mugurungi, Owen ; Barr, Beth A. Tippett ; Gonese, Elizabeth ; Mutasa-Apollo, Tsitsi ; Balachandra, Shirish ; Behel, Stephanie ; Bingham, Trista ; Mackellar, Duncan ; Lowrance, David ; Ellerbrock, Tedd V. Less -
Description:

Monitoring prevalence of advanced human immunodeficiency Virus (HIV) disease (i.e., CD4+ T-cell count <200 cells/μL) among persons starting antiretroviral therapy (ART) is important to understand ART program outcomes, inform HIV Prevention strategy, and forecast need for adjunctive therapies.*| To assess Trends in prevalence of advanced disease at ART initiation in 10 high-burden countries during 2004-2015, records of 694,138 ART enrollees aged ≥15 years from 797 ART facilities were analyzed. Availability of national electronic medical record systems allowed up-to-date evaluation of Trends in Haiti (2004-2015), Mozambique (2004-2014), and Namibia (2004-2012), where prevalence of advanced disease at ART initiation declined from 75% to 34% (p<0.001), 73% to 37% (p<0.001), and 80% to 41% (p<0.001), respectively. Significant declines in prevalence of advanced disease during 2004-2011 were observed in Nigeria, Swaziland, Uganda, Vietnam, and Zimbabwe. The encouraging declines in prevalence of advanced disease at ART enrollment are likely due to scale-up of tTesting and treatment services and ART-eligibility guidelines encouraging earlier ART initiation. However, in 2015, approximately a third of new ART patients still initiated ART with advanced HIV disease. To reduce prevalence of advanced disease at ART initiation, adoption of World Health Organization (WHO)-recommended "treat-all" guidelines and strategies to facilitate earlier HIV tTesting and treatment are needed to reduce HIV-related Mortality and HIV incidence.
Subjects:

[+]

Anti-Retroviral Agents CD4 Lymphocyte Count Full Report HIV Infections Humans Prevalence
Source:

MMWR Morbidity Mortal Weekly Rep. 66(21):558-563.
Series:

Weekly Report: Morbidity and Mortality Weekly Report (MMWR)
DOI:

http://dx.doi.org/10.15585/mmwr.mm6621a3
ISSN:

0149-2195 (print);1545-861X (digital);
Pubmed ID:

28570507
Pubmed Central ID:

PMC5657820
Document Type:

Journal Article
Place as Subject:

Africa ; Haiti ; Vietnam

Africa ; Haiti ; Vietnam Less -
Pages in Document:

6 pdf pages
Volume:

66
Issue:

21
Collection(s):

Morbidity and Mortality Weekly Report (MMWR)
Main Document Checksum:

[+]

urn:sha-512:679bff90d3a133092763000740d5e3878ae3032377eae0f29150cbb0ea6103740084f61a9e95dccb7bf31be738a9c53826d9bb5b503a5bd2160f4248ef5fc3be
Download URL:

https://stacks.cdc.gov/view/cdc/54508/cdc_54508_DS1.pdf
File Type:

	mm6621a3-F.gif	gif
	mm6621a3-F.jpg	jpeg
	mm6621a3.nxml	xml

More +