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If Started Early, HIV Treatment Reduces Death Rates Toward Background Levels In African Countries

Date:
May 2, 2009
Source:
Public Library of Science
Summary:
Mortality rates of people starting HIV treatment in four African countries approach those of the general population over time, provided that treatment is started before the immune system has been severely damaged, according to new research.

Mortality rates of people starting HIV treatment in four African countries approach those of the general population over time, provided that treatment is started before the immune system has been severely damaged, according to new research.

In sub-Saharan Africa more than 2 million people with HIV now receive antiretroviral treatment (ART), and mortality in HIV-infected patients who have access to ART is declining. In the new study, Matthias Egger of the University of Berne and colleagues investigated how mortality among HIV-infected people starting ART compares with non-HIV related mortality in Cote d'Ivoire, Malawi, South Africa, and Zimbabwe.

The researchers analyzed information about people during their first two years on ART in five treatment programs participating in the International epidemiological Databases to Evaluate AIDS (IeDEA) initiative, and obtained estimates of HIV-unrelated deaths in these countries from the World Health Organization Global Burden of Disease (GBD) project.

Their findings indicate that mortality among HIV-infected people during the first two years of ART is higher than in the general population in these four sub-Saharan countries. However, for patients who start ART when they have a high CD4 lymphocyte count and no signs of advanced HIV disease, the excess mortality is moderate and similar to that associated with diabetes.

This study was supported by the Office of AIDS Research (OAR) of the National Institutes of Health, the Agence Nationale de Recherches sur le SIDA et les Hepatites Virales (ANRS), and the National Institute of Allergy and Infectious Diseases (NIAID, grant 1 U01 AI069924-01). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.


Story Source:

The above story is based on materials provided by Public Library of Science. Note: Materials may be edited for content and length.


Journal Reference:

  1. Brinkhof et al. Mortality of HIV-Infected Patients Starting Antiretroviral Therapy in Sub-Saharan Africa: Comparison with HIV-Unrelated Mortality. PLoS Medicine, 2009; 6 (4): e1000066 DOI: 10.1371/journal.pmed.1000066

Cite This Page:

Public Library of Science. "If Started Early, HIV Treatment Reduces Death Rates Toward Background Levels In African Countries." ScienceDaily. ScienceDaily, 2 May 2009. <www.sciencedaily.com/releases/2009/04/090427203644.htm>.
Public Library of Science. (2009, May 2). If Started Early, HIV Treatment Reduces Death Rates Toward Background Levels In African Countries. ScienceDaily. Retrieved September 18, 2014 from www.sciencedaily.com/releases/2009/04/090427203644.htm
Public Library of Science. "If Started Early, HIV Treatment Reduces Death Rates Toward Background Levels In African Countries." ScienceDaily. www.sciencedaily.com/releases/2009/04/090427203644.htm (accessed September 18, 2014).

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