ABSTRACT
The first AIDS in Colombia was diagnosed in 1983. Starting the next year Colombia made AIDS a notifiable disease, instituted compulsory screening of blood donors nationwide, and undertook serologic studies on the prevalence of HIV infection. Between January 1984 and December 1987, 178 AIDS cases were reported to the Ministry of Health. Their location, with limited numbers of cases coming from most major cities, suggests that the human immunodeficiency virus (HIV) is widely distributed in Colombia. Most of those afflicted have been homosexuals, though limited heterosexual transmission to prostitutes has also accurred. Regarding HIV-1 antibodies, the highest seroprevalences (5.6 percent in females, 22.5 percent in males) were found among high risk individuals who participated in a free AIDS testing program. High prevalences (0.6 and 3.9 in females, 14.6 and 15.9 percent in males) were also found in patients (primarily females prostitutes and male homosexuals) attending sexually transmitted disease clinics in several urban áreas and in Bogoa, respectively. Lesser seroprevalences (5 percent in male homosexuals and 0 percent in female prostitutes, health service employee, and prisioners) were found by a survey in the moderate-sized eastern city of Villavicencio. Overall, it appears that the number of AIDS cases in Colombia has doubled or tripled each year since reporting began in 1984, a pattern
Subject(s)
Epidemiology , Acquired Immunodeficiency Syndrome/epidemiology , ColombiaABSTRACT
El Gobierno Colombiano establecio una campana que erradico el Aedes aegypti de su territorio en atencion a las recomendaciones que hizo la Oficina Sanitaria Panamericanan en 1947. Esta campana consiguio desaparecer el dengue endemico durante aproximadamente 20 anos, apareciendo de nuevo en forma explosiva con la epidemia de dengue 2 en la Costa Atlantica (1971-1972), seguida de dos epidemias bien documentadas de dengue 3 (1975-1977) y dengue 1 en 1978. Se hace un resumen de las actividades que desarrolla el Laboratorio de Virologia del Instituto Nacional de Salud para apoyar el diagnostico de esta enfermedead en el pais incluyendo el primer aislamiento de dengue 4 en 1982, la actividad de los virus dengue 1, 2 y 4 detectada hasta la fecha, los hallazgos clinicos y virologicos en un caso fatal de enfermedad hemorragica asociada a infeccion por virus del dengue y un breve recuento de la epidemia de Tumaco en la Costa Pacifica en la cual se comprobo actividad simultanea de dengue 1 y 2. Finalmente se informa sobre el estado de infestacion que tiene el pais actualmente con el Aedes aehypti y sobre la actividad del virus de fiebre amarilla en focos selvaticos vecinos a ciudades altamente infestadas, detectada en el mes de enero de 1987 en Colombia