       Document 2343
 DOCN  M94A2343
 TI    Are both AIDS case reporting and HIV serosurveillance necessary?
 DT    9412
 AU    Lauria L; Sereno A; Chequer P; Ferreira L; Rodrigues L; Loures L;
       National STD/AIDS Control Programme, Ministry of Health,; Brasilia, DF.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(1):326 (abstract no. PC0238). Unique
       Identifier : AIDSLINE ICA10/94370232
 AB    INTRODUCTION: Initially, the Brazilian National STD/AIDS Control
       Programme emphasized AIDS case reporting. The collected data is analyzed
       and updated monthly. In May 1992, the PNC DST/AIDS established
       systematic cross-sectional surveys for HIV prevalence (sentinel
       surveillance). The sentinel system based in standardized protocols was
       established in selected STD and antenatal clinics nationwide. OBJECTIVE:
       To examine the need for AIDS case reporting and HIV serosurveillance in
       the overall HIV/AIDS surveillance strategy in Brazil. METHODS: To assess
       the geographical distribution of HIV infection and AIDS cases in Brazil,
       HIV prevalence results (90% CI) from sentinel STD clinics were tabulated
       and compared with AIDS cumulative incidence in 5 representative cities
       in Brazil. RESULTS: It was observed significant differential
       distribution of the cumulative incidence of AIDS cases. The results from
       the sentinel surveys in the same cities showed a homogenous distribution
       of HIV infection. TABULAR DATA, SEE ABSTRACT VOLUME. CONCLUSION: While
       AIDS case reporting reflects the burden of severe HIV-related morbidity,
       HIV serosurveillance permits monitoring of more recent pattern of HIV
       infection. These two surveillance approaches are complementary and
       provide indispensable information for prevention and control of the
       HIV/AIDS epidemic.
 DE    Acquired Immunodeficiency Syndrome/*EPIDEMIOLOGY/TRANSMISSION
       Brazil/EPIDEMIOLOGY  *Developing Countries  Human  HIV
       Seropositivity/*EPIDEMIOLOGY/TRANSMISSION  HIV Seroprevalence/*TRENDS
       *Population Surveillance  Registries/*STATISTICS & NUMER DATA  Risk
       Factors  Sexually Transmitted Diseases/*EPIDEMIOLOGY/TRANSMISSION
       MEETING ABSTRACT

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

