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Science 8 January 1988:
Vol. 239. no. 4836, pp. 193 - 197
DOI: 10.1126/science.3336781
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Articles

Science, Vol 239, Issue 4836, 193-197
Copyright © 1988 by American Association for the Advancement of Science

articles

Transmission of HIV in Belle Glade, Florida: lessons for other communities in the United States

KG Castro, S Lieb, HW Jaffe, JP Narkunas, CH Calisher, TJ Bush, and JJ Witte

AIDS Program, Centers for Disease Control, Atlanta, GA 30333.

The high cumulative incidence of AIDS and the large percentage of AIDS patients with no identified risks in Belle Glade, Florida, were evaluated through case interviews and neighborhood-based seroepidemiologic studies. It was found that of 93 AIDS patients reported between July 1982 and 1 August 1987, 34 could be directly linked to at least one other AIDS patient or to a person with AIDS-related complex by sexual contact, sharing of needles during intravenous drug abuse (or both), or perinatal exposure; of 877 randomly selected adults, 28 had antibodies to HIV; no person over age 60 and none of 138 children aged 2 to 10 years had antibodies to HIV; no clustering of infected persons within households occurred, except in sex partners; and HIV-seropositive adults were more likely than HIV-seronegative adults to be from Haiti, have a lower income, report sex with intravenous drug abusers, and have a history of previous treatment for sexually transmitted diseases. The presence of antibodies to five arboviruses prevalent in South Florida or the Caribbean did not correlate significantly with HIV infection. The high cumulative rate of AIDS in Belle Glade appears to be the result of HIV transmission through sexual contact and intravenous drug abuse; the evidence does not suggest transmission of HIV through insects.


THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES:
Human Immunodeficiency Virus Infection in a Rural Community in the United States.
T. V. Ellerbrock, S. Chamblee, T. J. Bush, J. W. Johnson, B. J. Marsh, P. Lowell, R. J. Trenschel, C. F. von Reyn, L. S. Johnson, and C. R. Horsburgh Jr. (2004)
Am. J. Epidemiol. 160, 582-588
   Abstract »    Full Text »    PDF »
Relation Between Herpes Simplex Viruses and Human Immunodeficiency Virus Infections.
J. L. Severson and S. K. Tyring (1999)
Arch Dermatol 135, 1393-1397
   Abstract »    Full Text »    PDF »
Frequent Recovery of HIV-1 From Genital Herpes Simplex Virus Lesions in HIV-1-Infected Men.
T. Schacker, A. J. Ryncarz, J. Goddard, K. Diem, M. Shaughnessy, and L. Corey (1998)
JAMA 280, 61-66
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Acquired Immunodeficiency Syndrome-- A Review and Update: History, Characteristics of Human Immunodeficiency Virus Infection, Its Replication, Biologic Factors, and Pathogenicity.
N. W. Fox and C. P. McArthur (1993)
Arch Fam Med 2, 1068-1077
   Abstract »    PDF »
HIV Infection in Rural Florida.
J. J. Potterat, M. E. Whiteside, L. A. Brannon, T. C. Brock, T. V. Ellerbrock, S. A. Schoenfisch, and M. J. Oxtoby (1993)
N. Engl. J. Med. 328, 1351-1352
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Perceptions and Misperceptions of Race and Drug Use.
M. T. Fullilove (1993)
JAMA 269, 1034
   Abstract »    PDF »
Intravenous Drug Use and the AIDS Epidemic: Findings from a 20-City Sample of Arrestees.
S. Decker and R. Rosenfeld (1992)
Crime Delinquency 38, 492-509
   Abstract »
Syphilis and AIDS in Belle Glade, Florida, 1942 and 1992.
M. R. Grey (1992)
Ann Intern Med 116, 329-334
   Abstract »    PDF »
Heterosexual Co-transmission of Hepatitis C Virus (HCV) and Human Immunodeficiency Virus (HIV).
M. E. Eyster, H. J. Alter, L. M. Aledort, S. Quan, A. Hatzakis, and J. J. Goedert (1991)
Ann Intern Med 115, 764-768
   Abstract »    PDF »
HIV-1 and AIDS in Belle Glade, Florida: A Reexamination of the Issues.
E. J. TRAPIDO, N. LEWIS, and M. COMERFORD (1990)
American Behavioral Scientist 33, 451-464
HIV Seroprevalence in Migrant and Seasonal Farmworkers--North Carolina, 1987.
(1988)
JAMA 260, 1852
   Abstract »    PDF »
Do Alternate Modes for Transmission of Human Immunodeficiency Virus Exist? A Review.
A. R. Lifson (1988)
JAMA 259, 1353-1356
   Abstract »    PDF »
CAN HIV BE TRANSMITTED BY INSECTS?.
(1988)
Journal Watch (General) 1988, 3
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