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HIV Case Notification Rates in the Kingdom of Saudi Arabia over the Past Decade (2000-2009)

Al Mazroa, MA; Kabbash, IA; Felemban, SM; Stephens, GM; Al-Hakeem, RF; Zumla, AI; Memish, ZA; (2012) HIV Case Notification Rates in the Kingdom of Saudi Arabia over the Past Decade (2000-2009). PLoS ONE , 7 (9) , Article e45919. 10.1371/journal.pone.0045919. Green open access

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Abstract

Objective To study trends in HIV case notification rates in the Kingdom of Saudi Arabia. Design A ten year retrospective review of annual HIV case notification returns to the Ministry of Health, Kingdom of Saudi Arabia. Methods Annual Registry statistics covering the period 2000 to 2009 were reviewed. Annual incidence trends were stratified according to the following demographics: age, nationality, geographical region of residence, gender, and mode of disease acquisition. Results 10,217 new HIV cases (2,956 in Saudi nationals and 7,261 in non-Saudis) were reported. Africans of Sub-Saharan Africa origin accounting for 3,982/7,261 (53%) of non-Saudi cases constituted: Ethiopians (2,271), Nigerians (1,048), and Sudanese nationals (663). The overall average annual incidence was <4 cases per 100,000; 1.5 cases per 100,000 for Saudis (range 0.5–2.5), and 13.2 per 100,000 for non-Saudis (range 5.7–19.0). Notifications increased yearly from 2000 for both groups until a plateau was reached in 2006 at 1,390 new cases. Case notification in Saudi nationals increased from 20% in the early 2001 to 40% in 2009. 4% (124/2,956) of cases were reported in Saudi children. The male to female ratio was 1.6:1 for non-Saudi nationals (43.8% male, 27.3% female) and 4.4:1 for Saudis (23.5% male, 5.4% female). Conclusions Whilst the numbers of reported HIV cases have stabilised since 2006, HIV/AIDS remains an important public health problem in KSA, both in migrants and Saudi nationals. HIV transmission to Saudi children is also of concern. Optimization of data collection, surveillance, and pro-active screening for HIV is required.

Type: Article
Title: HIV Case Notification Rates in the Kingdom of Saudi Arabia over the Past Decade (2000-2009)
Open access status: An open access version is available from UCL Discovery
DOI: 10.1371/journal.pone.0045919
Publisher version: http://dx.doi.org/10.1371/journal.pone.0045919
Language: English
Additional information: © Al Mazroa et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Infection and Immunity
URI: https://discovery.ucl.ac.uk/id/eprint/1376645
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