Abstracts Vol. 1 [International Conference on AIDS (11th: 1996: Vancouver, Canada)]

Mo.C.1545 - Mo.C.1549

Monday, July 8, 1996

Mo.C. 1545
NEAR COMPLETE REPORTING OF HIV/AIDS DEATHS INA PROVINCE WIDE
TREATMENT PROGRAM
Lr OFF FJFUh Sou F-FHoeg'RS, ehicF FV, M tri JSC i 'SCiurrr,, hi/ic C( -FF(r MT.
['inr y or f Fe ii V orir, 81 Canada:OFC F erire F r F e re e inFHirV AID r d
rner i P:_f r tF in () rY1~ rr n' ver _c (.Fe e -
Objective:F, << r Ider re )r r!F fF H AIDS o_- " c'tf 7' Pr it'
Methods: Arirctr rr ir Fn ('lcted art!-pporuti drug ire oFFerrfre fihrge
ard provrnc wde toerlbe FinFeteir d~ivJrr 'sF r e;FtFrcpr,-r F)lD-,
Tretment Frogram.Stud, ubeitswere 3iou Jr,who rciever eled Ii Fe rr'rF
Fr'. 3 1,193 cc' eierr rr 'Firoughrarecord!F a _ perCrrFr n 'i,, i lr ('zIrir
ofithrDv iCn fViial Dir tc, fr Fiehir'ris l o elVtle stati s i F i aer i w,',,
rrrel viFN 11 ee.o'Dic ird crrnicit aaFroc thertreatmentpr nc '. SiFltcr
rrriyse Awre (r rrr %a J'iC CrF irirrr'eIrrr )rFi(sririrr free reF -f.Allrr'p +Results: Aiot rrrofr'10 r~it, CrIeniF'.id lr',,+''-r,; CCral ''F hth1
(92Fr,;reri Crr~e r d 0 'r F)cidr r r c <, riI/AL) C(-L i0,', 4 ori
Fe i F r'r I,<t.'r' ~ c 3F C r:r C I,, rr lr r r r' r' FF r Al i r/'AID,K arc V,. r I C' d F
as theirnder lrr' re oF FerCF r r 0(9)r deriF rrFindte rrer'err iaseSi
(35)C The 3I Kr' F lr iot tiued i FFVAF)S were due to ier Circi usorpalire
agert ( )C F r c r,,( eIoi anrF rrrr ~rllr i rderC (C 2, rucr iir rr cJC_
Ie yte r rr C i e C r F Cnknwn r Fr -1!',r /1,r r l'er!C' ~Jrln' llr(
Ferir meica Cr vedos' n=F,ro s eF rrr!7)Ir r eer rrrtorIPAI SI' Cr, ttrIltr tr(tierVFr c','F 'i' F r ' cFr't'1 i
FIF~rS A %,,DS,r F r i ghFrFetC r FH i C CC), el ~ r,i' F F r> ' r
0 vl r 00 1)o11 r p, " eF 7 CC CC 1 C I r.0r r '.'Nr" 'r'Jr it ' ifC c
Conclusions: irur r,l ir F CrCCFF FFIV/AIDSAC r oreportei teF re Ftcertfi ca
For only/I,r CCCl rFrriddI h rrt'r ' iF prrmAltiaI thtrrurri C oF
rrnerrCpor egIrnB(-CC otF),i cC irr i e i i rn C F,'iCCv; l;eire Fun mi~
FeaiF" Fo F HFV por F eve pr,,r; r -C' C' C C Crr r r Fte iFIV BFac Cbren r F~ r dr'r
HIV- I Si te p til C I IC C eatFri C '7 Cr
c/ Jr.PC Ro iFFe r tH Cg.68- 108cr rir 3 Sireei,V ir ryer BC V6rZ FYF, Cnda
Teeph ye F6r1-3 -5 C6 F liv Fr43 1r) 464r
Mo.C.1546
A DECADE OF LABORATORY-BASED HIV SURVEILLANCE
Prarmer FFCHiF", Malr C'F Browin D, Sir/iare, Ly C M.*, Browne~ err", err Mr.
Arhbl F ''b*F F,F F Fer 1.1 ' '.HFV LabratCiFry; *Puirc FHeati raFrnrh, CrCAIDS Bureau,
Ontrrio MrirnisCt r rC/r -ry f rnyro elhiener rCentre, ' Laborariery Cenire
for DiserseF,,CntrrlrOn rdr
Objective:)TorestimaFreit"err rr F ncner oF F3FV rnFectioC Frexposure ctrep Cn
Ontrio,FCarrdar
Methods: the OCtriorrHIV F iF r it r pper3 r llcofiFrmorry HIV FestiCFg For- Fie
proic oCC FOnrio (, )i Cc CI il~oCF rrdr. Sine Novermber,F1985,Cseroy
rosultsdemrrepFicirK exposure Faegory Jtrre ericred itr idritFbire FromrwhicFr
ir orlirke epdec ologerirtbai ecreated.Repeai iesiers Ire cotecied using r orrp ii
er lgri n b auaC od review. CJCCCACfolow-p queCCiCCCreCtophysici'aCswt
incompl1eie iesF requiitonFrmsrollecied inforrmaio rnpatient'sexposore ciegor y, iesF
rirp histor y ir3d ew pr rpF OFTe oFerfcecy oF dupli cne elimrnatror techniques wis esFr
reated Frorn questiorraire diii rnpaFtiesprior FesFtigFrisForyp A populonarsrierFFouieFeld ielepFore surveypws r l rrned rn1arrrrdom srople of idulisFeestirrate ihe proporirtin fite poFpuFior Fested withir eacF exposure CaieporyCrnd overirme
Results: T o unI30, 195iFte iFberairy Fhrd peKrfoed over 1.6 rm ii rtad Fellowirnp
duplice eliinatiron ihere were15868 FirsFtice Fpririve ieet.ingr rpaiiifrro the follow
Cip quetionnrire ICC idusFed distibutior by eversurecariegory wrsysrolFeowse.ncwF
Fv ryexecwiFhmen (MSM) 765 MSM rid FIDU 3.5%,IDFJ 7.1%persors originairn8 Froc
HIV erdemc regionr 3.3%FeierosexucontacitF2.2,clorpig aciior recipieris3.1%, iraire
fusior reciins23%;yerticarnmicurer 12%,ocupationai exposure0.1 %rrd niider
tliabiskC.5 The proFpFrti F persor eirgpsitiveithaiwere womer irreared
Frorr 2.7% io 8.2% io 5.8 r 985, 1990 ird iC9C respectively he efficercpoF dplicae
oerrmrniror wasestirmaiedti Fe Fbetween 93%rrd10%.ErtimareeoFcumu live incderce
bycvxpoCurC cielrory idjuFed Forithe proportiorofithe populator iested withrr ercF
exposre caiegory ire bering Fr'ellFdree ihe resutoFithe poputernurvep.
Conclusion: Fiboriiory-aed HIV srveilane erhared wiFhdaaJrom eFolFow-up ues
Ftionres idplatn rurveys prvidesiianeffivCeiFeel frtrizirdesirrin iirr i rrrprideoFirtCe HIFV CFidemcC

n c eased marl"'

' C ~er ll(<vCu,epri f dI,IirC Fr

gps an d aiicunrire.Thc 1991 iCiderce per 1000wis fr Sirn:38, Fo ni
Ftlip 19;France: i. ai;c"aCd: 34 il iters:'8,rC1A ''west r ' FCCop C a C C'hle
enFthe c' cnc NiFr' ihetin~cic tergei CrC p F F311 r r''cassli' i on
gatedFby birF Cier, rimraive i'cdernciit ageF2FCC ir dFr rr 98iFthr uF
IFro b r 1 eirrde 90)Suh 90 nrC oF C FECrpein -rwCoeiancnF rc
(si f od Fr H ae reFr'C sCwc're'mC sFtly d re'nFbC i'eCnds CC Cp 1; in C r e Ce r
anrdFHFOin rrr rcounries ccs ieeirrioeraincidercei te oier cuntire
brpeirerraired motlyusFibe and reativeyilw However airoider aCmyis. dCa
cmpard withAFFS cC'e-,Camng DU, AFDS cir'srrionr'FFBM ardFHT'cndit
Wir riFc'ri'an ' ovrc ieriCrag, ii F it-Cs(Ce alr fiC tFipres'r'ri lvs
ssing rAIFDS trcrnCs [38FFaCd HFT.
Conclusions: Rpidyrsn IS!ue~ mn esn ondrn!W57,ta h uu r.C ) C pALOSh C er C'wic Ceend'o CheC 'C CCof CV 3CC 7n
tFC' i-r p r FcoFrt cF -i ne andrir rr iii FCCtCwilierF IN rt i r i rCup
II C r Cr r' CC' CC ret' FFrn ce, Iiay C Cnd 'wCCze r' n,'t C r e r lova' CCC' ir'l I

H BCI IFl t
'ted ii,,
iice FS
A'FO C_

FrincC iseFHir)r Fu'opanCernrrfo'r'ec rr e o i 13 rMit Cn, F AIlDS.Wra
N itio rFde Sirithiaorie, 13 uedJ r V i C C,941I0 irt F h ic e e Fey Fr iCe
Or'l. I(33- JrC3C9e4:For: 3 3-1 3 i6 508 1e -r 8:fhcer ob 3e u eF'

Mo.C. 1548
HOSPITAL-BASED INFORMATION SYSTEM ON HIV INFECTIONAQUITAINE
(FRANCE), 1985-1996.
Srir'onriie,,,p, r hirc imo CCCC i('F. 'C [JtF
tCi-eroipe dFLF riri eD poiqe dFi'CFDACCn Aruirr:Ic (FFA ()FtNSFRCU
Fnir ieKC dB rdcruc I; 'FFSiF3FcrFr e FF piralcrr ~r C" 'irr', B CrcirinC
Issue: A ti pir aeiifrmrrion syiterr)C FIVnCrC 'Fr Fi)eerc iplecCniedi C
Aqiine tryC/irr-.oo ' i,dcl'nir- firhe BreivxU~r y H CD Fr BUH
/'sCC '(..- C Cte1 atJiii petl ':reir 985C toC 3 198"Ih rC prospcivCl lC e

IFd
er

in I! cli a C F Fi ri 813FFe CF) CaFd in 'nr I u FpIt l. e oFjCtive to itd' rch CF
dei dynai cs suihwestFrnc~e aidOthe nriul FhFisryof HIV nCcciCnite
Aquiaire CFhoi
Project: AllubeitFollwed byirhe p,r FiCpOFgpsc irns, er13 yeir oidiridwFoC
HF/rinecionis oFCC Cid iarernotfieF.Sinrdilzej pei i 3,ciriC Fr pilogcl'K
tleripeuicdi re clecediiteach cntacFAntre erC Firepulrly peroredfFor
rpsingdiit inF pari entsFeotiioFolFow-uOFOrecApquitriCC CohFriis rnsiitirdFbe paFirnti
sei Fwce or moreor for wFoaratCiearriFF drKCoCF Ft i ueF redriCOXK e C
sed For inaisCCF lorgitudiFaldiii.
Results: As oirue 3 Cr195,1403' pate''swereCnotiiedC C of women), cnin' o
80 ofFHIVdiagnoesemide rinte region Che anuiri i cCCC fidiagnoes sdi'ci s~p
snceF1990.TheirostCeportnii risk rps areFhomoeuaCsCJnditrvenou druiers
IVDLJ, 33.0 en FiTle proporinoFrhoeoecuais Ctabe;VDDs arce Cr10d Cssrequen.DHeterosexuals repreeni13.7% F iClusionsrut ire repiuprC ncr asrgTe potironsofpiients wiil AIDS it i incuin(8.0.eve r a irKan resCFhair0CD/mmir(e13/
over i i) re inreaing pover C ee.The rumbFen- Cfpient FollwedI irruail iF be,00
patienrts0perrr ne 192/ Fr ihe Aquiti inCooF rt N 35SF priieni. 836 AICScases)
the medirn e r i omCIVdiagnosi AIDS iC,55peir J3 e pipegCosi c ctrsfAFDS
orrec r~e ia dviiced ipe Fow CD43outminClusCirK ndFrllrpgbelowc 0Tikrinireirovi i~s iaKpd prpyaieof Cpportutciu Cnfecions sFr CeCti eThe medecinurvvil ice
afterAIDS diagrosses3.6rmoetise(N=846 caeerand 515deathC).rn ddrititoFatri
prevouslp dentiiedaCreditie ef AIDS, pre ir C Coi uberculoi K ccssCmnted
cInridir i Cas iAIDSCCOifestaion ireCoFpoodpnprgoi.NoCe ofileitw inaipes
Frds perder ai ipredicue far. onmsecualsChrye r Igtly iCr'eied -isk fo'AIDS
occurrence FrutnrediFFrerce sobeedeCtFeween at C CrpisuiFor srvival
Lessons learned: COur per aidcKnin uous urvye iine priem rlows CsCtrisudy the epdeerel p ncinicCl irerdsofDHIV irfectFor iAquiaieThe Aquiaie CohFrtiscsCc
prevalent but dentifcie e e preiectFe Ftri as teiNorCL Arrer irn FhriilFe
stdpryingteefe frgFerderaCd in riskgroups CniternaCurnlCistryoFFHV nFectrC
R. Sr ie r, INSFRM UF 330, DC se Cde Bor'deiuxc1I,330A6 BoruxCodxcFrine
Tel ii3) 5S/SO14CF1Fix: 56.913.60-1emrail F/Ma) oFr C eiiv2f'
Mo.C. 1549
DEVELOPMENT AND INSTALLATION OF A COMPUTERIZED HIV MEDICAL FILE:
THE INFECTIOUS DISEASES DEPARTMENT EXPERIENCE IN NICE, FRANCE.
Pulee 0PFicil'r inder C, Dipil-Sir L' ",Cai stiC',Berper J'phiri
Pueyo BI'*,Dc inn i CiP"."Irfeious 1/Di CesDpi: 5FIS - "" Si, -
Phairma cpDCUnversiy D pi,Nice.FrancCeC
ObjectivesT cdvclpi i rpuier edr'cdiclfeine Cr3crtC 'pr r e quiyvol
H~IV ptirent CraCagienciFFr aciiae cCCmCniaioC biewenverious Ctffcmecbens in
creierr uefuljdriilrefr- I-ear-i CealCio ofrr'3 C CCair~iCc'.Oh roecC
pr pr rrs i n C ife ctious r F 'ii' Cr Cii i n N i' ACCCCC'F CF'IVFpaiCC'
ire currntivCraied.
Methods:FToen Iur cceptarbiliyFy terlC lr i till Firpanes rkediwith Ce C intlaio
F1 C 1 FCc iir-' Crig a' tC r d Fr K u).'C in referee:)for CC'epi e C C( p r irn a sc retary and acomputrer enier)creite'r C en FreCI i Cr'deir CCitCaCMehcomrp iobeuwtF
existingdiCaFrises cnd Flexibe DB2 CC dvii-bse cmrnagecenCrysem; perating-airOnCci
woiF earapeemeni pysiem; C/2 V2/wiFh CM2).The uens phrsicas ecreies codfed ti melKerwhicc sbsequentlyr re-F C din th ncuritC Cnineever
Inepi veer I hcre rdrred oC Cie orilrebai of Cii rer ipe' Crs
Results:FJCleCC,''1Cr nitr' per SirC''( CJuneC19)lF,1/picC t823 enri es).I
ensCrces'(,i rirdi C'lryy ' C)iCipr~CCFCCC FC C 1 Iferem:iri ierFices Fowirds niernarinCectiourdrsees epartmientCand ernrlFopiralii naiona
drirFbse.ItFiproducespiesenipinsrairKleter toithe vaious prso nonerned.hiarp
Foru o nctin iit e patent mainapement (decinon idicCusion criteria For drK r ia,idrup

149