OBJECTIVE: To investigate trends in AIDS mortality and incidence in Brazil over the period of 1984 to 2000 and to assess the impact of the introduction of universal access to highly active antiretroviral therapy (HAART) in the country in 1996. METHODS: Data from the Brazilian disease notification system and the national mortality information system were used to calculate annual region-specific and sex-specific AIDS incidence and mortality rates. We also calculated sex- and region-specific ratios of the number of AIDS deaths in one year to the number of AIDS cases notified two years earlier. RESULTS: AIDS mortality rates for both men and women and in all five of the geographic regions of Brazil declined following introduction of HAART, despite continued growth in AIDS incidence. The ratio of the number of AIDS deaths in one year to the number of AIDS cases notified two years earlier for men equalized rapidly with the ratio for women following introduction of HAART. More recently, AIDS incidence declined for both sexes and in most of the regions of Brazil. CONCLUSIONS: Despite Brazil's resource limitations and disparities in wealth between men and women and among the country's regions, the introduction of universal access to HAART in Brazil has helped achieve impressive declines in AIDS mortality, and it may also be contributing to declines in AIDS incidence.
OBJECTIVE: To investigate trends in AIDS mortality and incidence in Brazil over the period of 1984 to 2000 and to assess the impact of the introduction of universal access to highly active antiretroviral therapy (HAART) in the country in 1996. METHODS: Data from the Brazilian disease notification system and the national mortality information system were used to calculate annual region-specific and sex-specific AIDS incidence and mortality rates. We also calculated sex- and region-specific ratios of the number of AIDS deaths in one year to the number of AIDS cases notified two years earlier. RESULTS:AIDS mortality rates for both men and women and in all five of the geographic regions of Brazil declined following introduction of HAART, despite continued growth in AIDS incidence. The ratio of the number of AIDS deaths in one year to the number of AIDS cases notified two years earlier for men equalized rapidly with the ratio for women following introduction of HAART. More recently, AIDS incidence declined for both sexes and in most of the regions of Brazil. CONCLUSIONS: Despite Brazil's resource limitations and disparities in wealth between men and women and among the country's regions, the introduction of universal access to HAART in Brazil has helped achieve impressive declines in AIDS mortality, and it may also be contributing to declines in AIDS incidence.
Authors: Brenda Crabtree-Ramírez; Angelina Villasís-Keever; Arturo Galindo-Fraga; Carlos del Río; Juan Sierra-Madero Journal: AIDS Res Hum Retroviruses Date: 2010-04 Impact factor: 2.205
Authors: Monica Malta; Francisco I Bastos; Cosme M F P da Silva; Gerson Fernando Mendes Pereira; Francisca F A Lucena; Maria G P Fonseca; Steffanie A Strathdee Journal: J Acquir Immune Defic Syndr Date: 2009-12 Impact factor: 3.731
Authors: Jennifer M Ross; Nathaniel J Henry; Laura A Dwyer-Lindgren; Andrea de Paula Lobo; Fatima Marinho de Souza; Molly H Biehl; Sarah E Ray; Robert C Reiner; Rebecca W Stubbs; Kirsten E Wiens; Lucas Earl; Michael J Kutz; Natalia V Bhattacharjee; Hmwe H Kyu; Mohsen Naghavi; Simon I Hay Journal: BMC Med Date: 2018-09-06 Impact factor: 8.775