Bridging the Gap: Conference Record [Abstract book, International Conference on AIDS (12th: 1998: Geneva, Switzerland)]

1012 Abstracts 60059-60064

12th World AIDS Conference

Thailand. An undetermined number of Lao citizens, primarily between the ages
of 15 and 30, cross into Thailand during the dry season to seek employment in
construction, agriculture, and the service industries. In 1993, a total of 150,000
documented Thai tourists visited Laos.
Conclusion: HIV-1 subtype E has probably spread to Laos from neighboring
Thailand, but prevalence among pregnant women in Vientiane is comparatively
low. These findings highlight the need to develop and implement HIV prevention
strategies to limit HIV transmission in Laos.
60059 Salmonella serotypes which show similar trends to AIDS
epidemic
Satadal Das12, P.K. Das2, P. Roy3. 177/A Satyen Roy Road, Calcutta 700034;
2Das Research Centre, Calcutta; 3RG Kar Medical College, Calcutta, India
Objectives: Salmonella serotype prevalence patterns in different geographic areas during AIDS epidemic were analysed to find out the common serotypes which
show similar prevalence patterns to AIDS so that preventive measures can be
taken against them.
Methods: Data regarding prevalence of salmonella serotypes in man from
different geographical areas were analysed to separate different patterns. Standard patterns were selected where numbers were the most in a specific pattern.
Correlation values were calculated between prevalences of standard pattern
serotypes with other serotypes and the different serotypes were grouped where
correlation values were statistically significant. Then specific salmonella serotype
patterns were compared with trends of prevalence patterns of AIDS in different
geographical areas.
Results: Salmonella serotypes which showed similar trends in almost all geographic areas with AIDS prevalence patterns are serotypes Enteritidis, Virchow,
Abony, Hadar, Oranienberg, Typhimurium, Montevideo, Anatum, Infantis, Newport, Bredeney, Livingstone, Gold Coast, Derby, Weltevreden and Stanley.
Conclusion: Salmonella serotypes which show similar patterns to AIDS epidemic are identified in different geographic locations so that screening of specific
reservoir animals may be done for prevention of secondary infections caused by
them in patients suffering from AIDS.
[60060 Women's HIV risk activity as a route to greater security:
The need for integrated outreach services
Margreth Tolson1, Maria Hudspith2. 1AIDS Vancouver, 1107 Seymour Street,
Vancouver, British Columbia V6B-5S8; 2Oak Tree Clinic, Vancouver, Canada
Issue: Street-involved women in the inner core of a major city have limited
access to life-enhancing resources, such as housing, food, leaving sex trade
work and leaving abusive relationships. They see their peers' standard of living
increase upon sero-conversion, due to increased support services, available only
to HIV positive people. Women living in poverty and without hope may wish to
sero-convert in order to obtain basic daily needs.
Project: Instead of a linear model, from prevention education for HIV negative
women to support for HIV positive women, an alternate model is needed. HIV
outreach workers funded by two different agencies, with two distinct mandates
(one prevention, one support), are developing an integrated model to support
both HIV positive and negative women. In practice, the barriers between education and support are permeable. This model allows for the fluid provision of
services: 1) HIV prevention education and referral services re geared to basic
daily needs, provided at women's gathering spaces, regardless of HIV status; 2)
Prevention and support workers are closely connected so that clients are able
to access services with a minimum of barriers; 3) Support services for women
include medical accompaniment, counselling, advocacy, and assistance with a
wide variety of health needs, regardless of HIV status.
Result: Linking prevention education and support enables us to provide clientcentered services, instead of imposing agency mandates on client needs. Basic
daily needs are prioritized, thus trust is established with women who rarely access any health services. Women gain increased ability to focus on health issues
beyond daily survival, and demonstrate increased interest in exploring health options. Because a bridge of services is formed, supports are in place for prevention
of both HIV infection and HIV illness progression.
Lessons Learned: Prevention education for HIV negative women, and support for HIV positive women have traditionally been separated, but integration of
prevention and support services is essential to improving health and providing
options for street-involved women. Enhanced access to resources allows women
to secure basic daily needs with dignity and safety, thereby reducing the need for
risk activity to increase quality of life.
60061 An exploration of the determinants of sexual behavior in
rural youth at risk for heterosexual transmission of HIV
Catherine Donovan, J. Cook. Community Health Eastern Region, Box 70
Hoyrood, Newfoundland, Canada

Objectives: To explore factors such as: self-perception; community norms; gender power balance; sexuality knowledge acquisition and social interactions; and
their relationship to perceived ability to control behavior, attitudes and intentions,
and actual behavior among youth in a rural community with a high incidence of
HIV infection compared to youth in communities without evidence of HIV infection.
Method: Focus groups consisting of 6-8 participants were conducted with male
and female students from ages 9 to 18 years divided into 3 age groups, in the case

community and 2 control communities. A questionnaire with 71 questions was
self-administered in schools in the 3 communities. Qualitative data was analyzed
using NUD.IST. SPSS was used in the analysis of quantitative data.
Results: 27 focus groups were conducted and 625 students responded to the
questionnaires. 13% of junior high and 49% of senior high school students were
sexually active. Most respondents felt they could protect themselves from HIV, yet
unsafe sexually practices were widely reported, as were attitudes and social practices that could impair their abilities. Students in the case community expressed
more positive attitudes towards protective behaviors. Sexual stereotypes persist
in relation to behaviors, and responsibilities and although girls tend to be more
ambitious than boys at all ages, older girls express less confidence in themselves
and their abilities in interpersonal relationships than either younger girls or their
male peers.
Conclusion: Risk behavior is still prevalent. Young people have confidence
that they can protect themselves from HIV but this conflicts with their reported
reluctance to talk about sex and negotiate safer sex. Preventive activity in the
case community has had a positive impact on attitudes and behavior. The issue
of the evolution of confidence as girls age must be examined and addressed.
S60062 Treat AIDS related multiple organs lesions (ARMOL) with
Chinese traditional medicine "Extract Spring of Life" - a
report of 56 cases
Ming Li1, Yong-kang Li2, Wang Kun3, W.U. Lu-ming3. 1Dept of Internal Medicine,
the 1st Teaching Hospital of Kinming Medical College, Kunming; 2 Wuhan; 3Lu-xi,
PR. China
Objectives: To research the pathogenesis of AIDS related multiple organs lesions
(ARMOL) and the effect of "Extract Spring of Life" (ESOL) for treating ARMOL.
Design and Methods: To observe the symptoms, physical signs, HIV-Ab
P24Ag CD4 CD8 lymphocytes, HAV HBV HCV and HEV, liver and renal function,
IgA IgG IgM, complement C3, X-Ray of chest, ECG and lymphnodes biopsy
before and after treatment and followed up for 2-4 years.
Results: Among of 56 cases, 14 cases (25%) have got myocarditis, endocarditis and pericarditis; 9 cases (16.1%) suffered exudative pleuritis, interstitial
pneumonia, TB and PCP; 31 cases/times (55.1%) have had type A.B.C and E
hepatitis, alcoholic hepatic diseases and cirrhosis of liver; 2 cases with nephritis;
7 cases suffered retinitis; 4 cases with peripheral neuritis and 3 cases have had
pancytopenia; the lymphnodes biopsy was done in 8 cases, among of them,
3 cases showed type retrogression and 5 cases showed type proliferation. All
cases took ESOL 4-8 courses and followed up for 2-4 years. The effective rate
was (3.2%. Which showed that the fever was down, the diarrhea was stopped,
body-weight increased, the functions of organs and ECG X-ray of chest improved,
CD4 CD8 cells increased and IgG decreased.
Conclusion: According to the Clinical manifestations and laboratory materials,
the ARMOL might be caused by HIV with opportunistic infections, cellular immune function decreased, autoimmunopathological lesions, abnormal apoptosis
of cells. Based on the therapeutic results $, ESOL might possess a synthetic
effect.
S600631 SMDS and FUNCI
Maria Alix Araujo, Valnisia Macedo Bertaglia, Kelma Socorro Lopes,
Simone Paes Melo, Ma Veronica Benevides Braga, Jose Heldeer Diniz, Jr..
Secretaria Municipal de Desenv. Social Ruamonsenhor Bruno 887/603
Fortaleza CE Meireles CEP 60 115-090, Brazil
Issue: AN INTERINSTITUTIONAL JOB FIGHTING AGAINST AIDS
Project: The Municipal Board of Social Development performs a task along
with the Foundation of the Children of the City (FUNCI) with adolescents in a
social and individual risk situacion. This task was implanted in 1996, being performed in eleven units of FUNCI, through weekly workshops planned in advance.
40 multipliers were trained, permanently recycled, with the intention of applying
dynamics to the apprenticeship, inspiring a change of behavior in children and
adolescents.
The workshops bring contents that clarify topics concerning the prevention of
DST and AIDS in a lucid way, with games, dynamics, theater act outs, pictures
and several materials that make the apprenticeship effective. The two institutions
SMDS and FUNCI have performed a partnership with sufficient promising results.
Results: Since the implantion of the task, the following has been performed:
Two poster contests, twenty-two internal educational programs on the prevention of DST and AIDS; two general programs; the production and confection of
3000 games, elaborated by adolescents and multipliers; extension of the task to
employees of FUNCI with the I WEEK OF PREVENTION OF DST AND AIDS;
realization of focal groups in three units; and formation of a group of adolescents,
actuating in school and community.
|160064 Itinerant workshop
Maria Alix Araujo, Jose Helder Diniz, Jr., Valnisia Macedo Bartaglia, Simon Paes

Melo, Veronica MariaM Braga. Secretaria Munic. Desenv. Social Monsenhor
Bruno 887/603 Fortaleza Ceara CEP: 60 115-090; Fortaleza, CE, Brazil
Issue: Informing and sensitizing in a rapid and targeting manner the importance
of prevention against DST/AIDS:
Project: Utilizing adolescents as multiplying agents of information, the Municipal Coordination of DST/AIDS of Fortaleza in 1997 founded the ITINERANT