原创力文档the spread of hiv in pakistan bridging of the epidemic between populations艾滋病毒的传播在巴基斯坦之间的桥接流行人群.pdfVIP
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the spread of hiv in pakistan bridging of the epidemic between populations艾滋病毒的传播在巴基斯坦之间的桥接流行人群
The Spread of HIV in Pakistan: Bridging of the Epidemic
between Populations
1. 2. 2 3 3
Muhammad R. Khanani , Mehreen Somani , Sadiq S. Rehmani , Nazle M. C. Veras , Marco Salemi ,
Syed H. Ali1,2*
1 Department of Microbiology, Dow University of Health Sciences, Karachi, Pakistan, 2 Department of Biological and Biomedical Sciences, Aga Khan University, Karachi,
Pakistan, 3 Department of Pathology, Immunology and Laboratory Medicine, University of Florida College of Medicine and Emerging Pathogens Institute, Jacksonville,
Florida, United States of America
Abstract
In the last two decades, ‘concentrated epidemics’ of human immunodeficiency virus (HIV) have established in several high
risk groups in Pakistan, including Injecting Drug Users (IDUs) and among men who have sex with men (MSM). To explore the
transmission patterns of HIV infection in these major high-risk groups of Pakistan, 76 HIV samples were analyzed from MSM,
their female spouses and children, along with 26 samples from a previously studied cohort of IDUs. Phylogenetic analysis of
HIV gag gene sequences obtained from these samples indicated a substantial degree of intermixing between the IDU and
MSM populations, suggesting a bridging of HIV infection from IDUs, via MSM, to the MSM spouses and children. HIV
epidemic in Pakistan is now spreading to the female spouses and offspring of bisexual MSM. HIV control and awareness
programs must be refocused to include IDUs, MSM, as well as bisexual MSM, and their spouses and children.
Citation: Khanani MR, Somani M, Rehmani SS, Veras NMC, Salemi M, et al. (2011) The Spread of HIV in Pakistan: Bridging of the Epidemic between
Populations. PLoS ONE 6(7): e22449. doi:10.1371/journal.pone.0
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