Comparison of HIV-, HBV-, HCV- and Co-Infection Prevalence between Chinese and Burmese Intravenous.pdfVIP

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Comparison of HIV-, HBV-, HCV- and Co-Infection Prevalence between Chinese and Burmese Intravenous.pdf

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Comparison of HIV-, HBV-, HCV- and Co-Infection Prevalence between Chinese and Burmese Intravenous

Comparison of HIV-, HBV-, HCV- and Co-Infection Prevalence between Chinese and Burmese Intravenous Drug Users of the China-Myanmar Border Region Yan-Heng Zhou1,5., Feng-Liang Liu1,5., Zhi-Hong Yao1,5, Lin Duo2, Hong Li3, Yi Sun1,4, Yong-Tang Zheng1* 1 Key Laboratory of Animal Models and Human Disease Mechanisms of Chinese Academy of Sciences and Yunnan Province, Kunming Institute of Zoology, Chinese Academy of Sciences, Kunming, China, 2 The Second People’s Hospital of Yunnan Province, Kunming, China, 3 Yunnan Center for Disease Control and Prevention, Kunming, China, 4 The First People’s Hospital of Yunnan Province, Kunming, China, 5 The Graduate School of the Chinese Academy of Sciences, Beijing, China Abstract Background: Co-infection with HIV and HCV and/or HBV is highly prevalent in intravenous drug users (IDUs). Because of the proximity to the ‘‘Golden Triangle’’, HIV prevalence among the IDUs is very high in the China-Myanmar border region. However, there are few studies about co-infection with HIV and HCV and/or HBV, especially in the region that belongs to Myanmar. Methods: 721 IDUs, including 403 Chinese and 318 Burmese, were investigated for their HIV, hepatitis B virus (HBV), and hepatitis C virus (HCV) serological status. Statistical analysis was performed to evaluate the differences of the epidemic situation between the Chinese IDUs and the Burmese IDUs. Results: Among the Chinese IDUs and the Burmese IDUs, HCV infection was the most prevalent (69.0% vs 48.1%, P,0.001), followed by HBV (51.6% vs 43.1%, P,0.05) and HIV (33.7% vs 27.0%, P.0.05). Besides, there were more HIV-HBV co-infected IDUs (20.1% vs 11.3%, P,0.005), and HIV-HCV co-infected IDUs (31.8% vs 23.9%, P,0.05) in China than in Myanmar, as well as HIV-HBV-HCV triple infection (19.1% vs 10.4%, P,0.005). Conclusion: Co-infection with HIV and HCV and/or HBV is highly prevalent among the IDUs in the China-Myanmar border region. The HIV epidemic appears to be in a downward trend, compared with pr