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中国延缓Hiv传播的措施效果不佳
http://www.100md.com 2000年12月21日
     HONG KONG (Reuters Health) -- Prostitution and drug abuse remain the primary avenues of transmission of HIV/AIDS (news - web sites) in China, despite the country's efforts to eliminate them, according to Dr. Ai-xia Wang of Peking Union Medical College Hospital in Beijing. She presented her report at the 7th Western Pacific Conference on Chemotherapy and Infectious Diseases held here.

    Although Wang said condom use is practiced widely in China, she conceded it is taught for ``family planning purposes'' rather than the prevention of sexually transmitted diseases. Community groups organize condom education programs for newlyweds, but Wang said that she doubts whether these schemes reach the target population where the prevention of HIV/AIDS is most needed.

    In China, there are officially 20,711 HIV cases and 741 AIDS cases, of whom 397 patients have died, according to the latest figures recorded in September 2000. In Beijing alone, 550 HIV cases and 56 AIDS cases have been registered by the Beijing Prevention Station; and 74 HIV cases and 35 AIDS cases at Peking Union Medical College, according to figures as of end-October 2000.

    In a separate presentation, Dr. Yiming Shao of the National Center for AIDS Prevention and Control, National AIDS Reference Lab, Chinese Association of Virology and Chinese Academy of Preventive Medicine, said the estimated number of HIV cases is 20 to 25 times more than the 20,711 reported, or more than 500,000 cases.

    ``Our best scientific guess is that sometime between 2000 and 2001, we'll have 1 million cases, and by 2010, 10 million cases,'' he said.

    ``The drug-abusing population is increasing in China and is a wide problem. We have a mobile rural population of 120 million people who move through the urban areas and we have found that each drug trafficking route is associated with a different HIV-1 recombinant strain,'' Shao explained.

    ``Among the several thousand HIV sequences obtained from more than 20 Asian Pacific countries, almost all (types) in the M group of HIV-1 as well as HIV-2 have been found, reflecting the huge population with ever-increasing mobile activity of this region,'' Shao added., 百拇医药