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Journal of the International Association of Physicians in AIDS Care (JIAPAC)
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Trends in HIV/TB Coinfection in Trinidad and Tobago for the Period 1998-2007

Kameel Mungrue, MB, BS, MPH, FRIPH, MBA

University of the West Indies, Faculty of Medical Sciences, EWMSC, Mount Hope, Trinidad, kmungrue{at}fms.uwi.tt, United Nations General Assembly Special Sessions (UNGASS), kmungrue{at}fms.uwi.tt

Andrew Beharry, MBBS

University of the West Indies, Faculty of Medical Sciences, EWMSC, Mount Hope, Trinidad, United Nations General Assembly Special Sessions (UNGASS)

Jason Kalloo, MBBS

University of the West Indies, Faculty of Medical Sciences, EWMSC, Mount Hope, Trinidad, United Nations General Assembly Special Sessions (UNGASS)

Sunita Mahabir, MBBS

University of the West Indies, Faculty of Medical Sciences, EWMSC, Mount Hope, Trinidad, United Nations General Assembly Special Sessions (UNGASS)

Tishan Maraj, MBBS

University of the West Indies, Faculty of Medical Sciences, EWMSC, Mount Hope, Trinidad, United Nations General Assembly Special Sessions (UNGASS)

Ryan Ramoutar, MBBS

University of the West Indies, Faculty of Medical Sciences, EWMSC, Mount Hope, Trinidad, United Nations General Assembly Special Sessions (UNGASS)

K. Ramsaroop, MBBS

University of the West Indies, Faculty of Medical Sciences, EWMSC, Mount Hope, Trinidad, United Nations General Assembly Special Sessions (UNGASS)

Viren Solomon, MBBS

University of the West Indies, Faculty of Medical Sciences, EWMSC, Mount Hope, Trinidad, United Nations General Assembly Special Sessions (UNGASS)

Objectives. The aim of this study was to extend the description of the epidemiologic pattern of human immunodeficiency virus (HIV)/tuberculosis (TB) coinfection from 1998 to 2007 in a high HIV/AIDS prevalence country. Design and Methods. This study utilized registry data to determine yearly TB incidence and HIV coinfection. Mortality rates for coinfected patients were calculated and compared with patients receiving highly active antiretroviral therapy (HAART). Results. From a TB population of 2010 registered patients, data was collected on the 466 patients with HIV/TB coinfection. The coinfection rate was found to be 23.6% for the study period. Patients on HAART were twice as likely to survive. Discussion and Conclusions. The incidence of TB and HIV/TB coinfection rates continues to be major challenges in the developing world. Demographic, socioeconomic trends as well as risk factors remain unchanged. Increased HIV screening and HAART coverage offers hope for the future.

Key Words: HIV/TB coinfection • epidemiological trends • HAART

This version was published on May 1, 2009

Journal of the International Association of Physicians in AIDS Care (JIAPAC), Vol. 8, No. 3, 170-175 (2009)
DOI: 10.1177/1545109709331471


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