Iatrogenic Transmission of Human T Cell Lymphotropic Virus Type 1 and Hepatitis C Virus through Parenteral Treatment and Chemoprophylaxis of Sleeping Sickness in Colonial Equatorial Africa
Author(s) -
Jacques Pépin,
AnnieClaude Labbé,
Fleurie MamadouYaya,
Pascal Mbélesso,
Sylvestre Mbadingaï,
Sylvie Deslandes,
MarieClaude Locas,
Éric Frost
Publication year - 2010
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1086/656232
Subject(s) - medicine , chemoprophylaxis , transmission (telecommunications) , population , virology , immunology , hepatitis c virus , pentamidine , odds ratio , virus , environmental health , pneumonia , electrical engineering , engineering
The simultaneous emergence of human immunodeficiency virus (HIV)-1 group M and HIV-2 into human populations, circa 1921-1940, is attributed to urbanization and changes in sexual behavior. We hypothesized that the initial dissemination of HIV-1, before sexual transmission predominated, was facilitated by the administration, via reusable syringes and needles, of parenteral drugs against tropical diseases. As proxies for highly lethal HIV-1, we investigated risk factors for hepatitis C virus (HCV) and human T cell lymphotropic virus 1 (HTLV-1) infections, blood-borne viruses compatible with prolonged survival, in an area known in 1936-1950 as the most virulent focus of African trypanosomiasis.
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