UK report warns of continued increase in HIV infection
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《英国医生杂志》
The number of people infected with HIV is continuing to increase in the United Kingdom, warned a report published this week.
"The figures at the end of 2003 remain startling," noted the report, Focus on Prevention, which was the second annual surveillance report from the Health Protection Agency. Surveillance data showed an estimated 53 000 people had HIV in the United Kingdom at the end of 2003. Just over a quarter (27%) of these were unaware of their infection.
The number of new HIV diagnoses in 2003 was 6606—more than double the 2835 diagnoses in 1998. Infections acquired through heterosexual intercourse accounted for 58% of all new infections reported in 2003. The number of cases of HIV diagnosed in people thought to have acquired their infection through heterosexual intercourse had increased from 158 in 1999 to 341 in 2003.
HIV transmission continued at high levels among men having sex with men. In 2003, 5.2% of this group attending eight genitourinary medicine clinics in London were infected with HIV and were unaware of their infection. The annual number of infections of newly diagnosed in heterosexual men and heterosexual women born in sub-Saharan Africa had also increased, to over 2300 in 2003. Women were found to be particularly affected, with a prevalence of previously undiagnosed HIV infection of 11% outside London.
Figures for 2003 also show continued increases in sexually transmitted infections. In England, Wales, and Northern Ireland, 89 431 new diagnoses of genital Chlamydia trachomatis infections were reported, representing an 8% increase since 2002 and making chlamydia the most commonly diagnosed sexually transmitted infection in genitourinary medicine clinics. In Scotland, laboratory reports of chlamydial infection rose by 88% between 2000 and 2003.
The Health Protection Agency抯 report recommended that prevention—based on sexual health promotion and education, asymptomatic screening, and partner notification—remained the mainstay of the response to the continuing epidemics of HIV and sexually transmitted infections. It suggested that the evidence for what works in prevention of such infection was "robust and growing" but was "seldom implemented on a scale that would turn the tide of these epidemics."
Professor Pat Troop, chief executive of the Health Protection Agency, said: "The continued rises in diagnoses of HIV, the major acute STIs , attendance at sexual health services, and sexual risk behaviours highlighted in this report suggest that a scaling up of our prevention responses to a level that will have an impact on the current trends is urgently needed . . . More will also need to be done to ensure that local delivery of these interventions are prioritised, evaluated, and consistently improved."(London Susan Mayor)
"The figures at the end of 2003 remain startling," noted the report, Focus on Prevention, which was the second annual surveillance report from the Health Protection Agency. Surveillance data showed an estimated 53 000 people had HIV in the United Kingdom at the end of 2003. Just over a quarter (27%) of these were unaware of their infection.
The number of new HIV diagnoses in 2003 was 6606—more than double the 2835 diagnoses in 1998. Infections acquired through heterosexual intercourse accounted for 58% of all new infections reported in 2003. The number of cases of HIV diagnosed in people thought to have acquired their infection through heterosexual intercourse had increased from 158 in 1999 to 341 in 2003.
HIV transmission continued at high levels among men having sex with men. In 2003, 5.2% of this group attending eight genitourinary medicine clinics in London were infected with HIV and were unaware of their infection. The annual number of infections of newly diagnosed in heterosexual men and heterosexual women born in sub-Saharan Africa had also increased, to over 2300 in 2003. Women were found to be particularly affected, with a prevalence of previously undiagnosed HIV infection of 11% outside London.
Figures for 2003 also show continued increases in sexually transmitted infections. In England, Wales, and Northern Ireland, 89 431 new diagnoses of genital Chlamydia trachomatis infections were reported, representing an 8% increase since 2002 and making chlamydia the most commonly diagnosed sexually transmitted infection in genitourinary medicine clinics. In Scotland, laboratory reports of chlamydial infection rose by 88% between 2000 and 2003.
The Health Protection Agency抯 report recommended that prevention—based on sexual health promotion and education, asymptomatic screening, and partner notification—remained the mainstay of the response to the continuing epidemics of HIV and sexually transmitted infections. It suggested that the evidence for what works in prevention of such infection was "robust and growing" but was "seldom implemented on a scale that would turn the tide of these epidemics."
Professor Pat Troop, chief executive of the Health Protection Agency, said: "The continued rises in diagnoses of HIV, the major acute STIs , attendance at sexual health services, and sexual risk behaviours highlighted in this report suggest that a scaling up of our prevention responses to a level that will have an impact on the current trends is urgently needed . . . More will also need to be done to ensure that local delivery of these interventions are prioritised, evaluated, and consistently improved."(London Susan Mayor)