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HIV/AIDS and Tuberculosis in Hochiminh City Vietnam

 

 

In Ho Chi Minh City, Vietnam, reporting rates for tu-

berculosis (TB) are rising in an emerging HIV epidemic. To

describe the HIV epidemic among TB patients and quan-

tify its impact on rates of reported TB, we performed a re-

peated cross-sectional survey from 1997 through 2002 in

a randomly selected sample of inner city TB patients. We

assessed effect by adjusting TB case reporting rates by the

fraction of TB cases attributable to HIV infection. HIV preva-

lence in TB patients rose exponentially from 1.5% to 9.0%

during the study period. Young (<35 years), single, male pa-

tients were mostly affected; injection drug use was a potent

risk factor. After correction for HIV infection, the trend in TB

reporting rates changed from a 1.9% increase to a 0.4% de-

crease per year. An emerging HIV epidemic, concentrated

in young, male, injection drug users, is responsible for in-

creased TB reporting rates in urban Vietnam.

 

 

http://www.cdc.gov/eid/content/13/10/pdfs/1463.pdf