Author/Authors :
George P Schmid، نويسنده , , Anne Buvé، نويسنده , , Peter Mugyenyi، نويسنده , , Geoff P Garnett، نويسنده , , Richard J Hayes، نويسنده , , Brian G Williams، نويسنده , , Jesus Garcia Calleja، نويسنده , , Kevin M De Cock، نويسنده , , James A Whitworth، نويسنده , , Saidi H Kapiga، نويسنده , , Peter D Ghys، نويسنده , , Catherine Hankins، نويسنده , , Basia Zaba، نويسنده , , Robert Heimer، نويسنده , , J Ties Boerma، نويسنده ,
Abstract :
During the past year, a group has argued that unsafe injections are a major if not the main mode of HIV-1 transmission in sub-Saharan Africa. We review the main arguments used to question the epidemiological interpretations on the lead role of unsafe sex in HIV-1 transmission, and conclude there is no compelling evidence that unsafe injections are a predominant mode of HIV-1 transmission in sub-Saharan Africa. Conversely, though there is a clear need to eliminate all unsafe injections, epidemiological evidence indicates that sexual transmission continues to be by far the major mode of spread of HIV-1 in the region. Increased efforts are needed to reduce sexual transmission of HIV-1.
