       Document 0202
 DOCN  M9630202
 TI    [Analysis of cause of recent rise in number of foreigners reported to
       HIV/AIDS surveillance in Japan]
 DT    9603
 AU    Kihara M; Ichikawa S; Soda K; Kihara M; Hasimoto S; Shinmura K;
       Department of Epidemiology, Kanagawa Cancer Center Research; Institute.
 SO    Nippon Koshu Eisei Zasshi. 1995 Aug;42(8):569-78. Unique Identifier :
       AIDSLINE MED/96034753
 AB    HIV/AIDS surveillance in Japan experienced a sharp and transient rise in
       1991-92 in the number of foreign HIV positives but not of AIDS cases,
       for reasons of which remain unclear. Using the national HIV/AIDS
       surveillance data base the cause of the increase was studied by
       comparing the trends of foreign cases diagnosed in 1991-92 with those in
       1985-90 in terms of gender, age, nationality, clinical stage, possible
       route of infection, possible place where the case contracted HIV and the
       place where the case was identified. Present analysis revealed: (1) In
       1991-92 there was a large increase in the number of
       heterosexually-infected female HIV positive aged below 30 years reported
       from the areas surrounding Tokyo, of which the majority was of Asia
       origin. (2) A similar but moderate change was also seen in foreign males
       infected heterosexually but not in those infected homosexually. These
       were predominantly of U.S./Europe origin, aged > or = 30 and reported
       from Tokyo. (3) Although most of the foreign cases reportedly contracted
       HIV outside of Japan, those infected in Japan began being reported in
       1991-1992. These results suggest that change in foreign cases seen in
       1991-1992 was not only in number but also in gender, age, nationality,
       route of infection and geographical distribution. This should be taken
       into consideration in considering the HIV/AIDS prevention strategy in
       Japan.
 DE    Acquired Immunodeficiency Syndrome/*EPIDEMIOLOGY  Adult
       Africa/ETHNOLOGY  Age Factors  Aged  Asia, Southeastern/ETHNOLOGY
       English Abstract  Female  Human  *HIV Seroprevalence  Japan/EPIDEMIOLOGY
       Male  Middle Age  *Population Surveillance  Sex Factors  South
       America/ETHNOLOGY  Support, Non-U.S. Gov't  Time Factors  JOURNAL
       ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

