Surveillance for AIDS in a Central African City: Kinshasa, Zaire

Jonathan M. Mann, Henry Francis, Thomas C Quinn, Pangu Kaza Asila, Ngaly Bosenge, Nzila Nzilambi, Kapita Bila, Muyembe Tamfum, Kalisa Ruti, Peter Piot, Joseph McCormick, James W. Curran

Research output: Contribution to journalArticle

Abstract

Surveillance for acquired immunodeficiency syndrome (AIDS) in Kinshasa, Zaire, was initiated in July 1984, using a modified version of the case definition developed by the Centers for Disease Control. During the first eight months, 332 patients met all clinical and laboratory criteria; surveillance information was available for 295 (89%) of these patients. Of the sera tested from these patients, 99% had antibodies to human T-cell lymphotropic virus type III/lymphadenopathy-associated virus by both enzyme-linked immunosorbent assay and Western blot procedures. The male-female case ratio was 1:1.1; the mean age of patients was 33.6 years (median, 32 years; range, 1.5 to 64 years); and men were significantly older than women (mean, 37.4 vs 30.0 years). The estimated incidence rate for adults in Kinshasa is 380 cases per 1 million people per year. Peak age-specific incidence rates for men and women occurred among the 30- to 39-year age group, although the rate for men in this age group was 24% higher than the rate for women (786 vs 601 per 1 million). A reasonable estimate of the current annual incidence of AIDS is 550 to 1,000 cases per 1 million people. Surveillance of AIDS in Zaire provides important information on transmission patterns and rates in Africa.

Original languageEnglish (US)
Pages (from-to)3255-3259
Number of pages5
JournalJournal of the American Medical Association
Volume255
Issue number23
DOIs
StatePublished - Jun 20 1986
Externally publishedYes

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Democratic Republic of the Congo
Urbanization
Acquired Immunodeficiency Syndrome
Incidence
Age Groups
HIV
Centers for Disease Control and Prevention (U.S.)
Western Blotting
Enzyme-Linked Immunosorbent Assay
Antibodies
Serum

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Mann, J. M., Francis, H., Quinn, T. C., Asila, P. K., Bosenge, N., Nzilambi, N., ... Curran, J. W. (1986). Surveillance for AIDS in a Central African City: Kinshasa, Zaire. Journal of the American Medical Association, 255(23), 3255-3259. https://doi.org/10.1001/jama.1986.03370230061031

Surveillance for AIDS in a Central African City : Kinshasa, Zaire. / Mann, Jonathan M.; Francis, Henry; Quinn, Thomas C; Asila, Pangu Kaza; Bosenge, Ngaly; Nzilambi, Nzila; Bila, Kapita; Tamfum, Muyembe; Ruti, Kalisa; Piot, Peter; McCormick, Joseph; Curran, James W.

In: Journal of the American Medical Association, Vol. 255, No. 23, 20.06.1986, p. 3255-3259.

Research output: Contribution to journalArticle

Mann, JM, Francis, H, Quinn, TC, Asila, PK, Bosenge, N, Nzilambi, N, Bila, K, Tamfum, M, Ruti, K, Piot, P, McCormick, J & Curran, JW 1986, 'Surveillance for AIDS in a Central African City: Kinshasa, Zaire', Journal of the American Medical Association, vol. 255, no. 23, pp. 3255-3259. https://doi.org/10.1001/jama.1986.03370230061031
Mann, Jonathan M. ; Francis, Henry ; Quinn, Thomas C ; Asila, Pangu Kaza ; Bosenge, Ngaly ; Nzilambi, Nzila ; Bila, Kapita ; Tamfum, Muyembe ; Ruti, Kalisa ; Piot, Peter ; McCormick, Joseph ; Curran, James W. / Surveillance for AIDS in a Central African City : Kinshasa, Zaire. In: Journal of the American Medical Association. 1986 ; Vol. 255, No. 23. pp. 3255-3259.
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