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TRANSMISSION OF HIV IN THE CENTRAL PRISON OF DOUALA: A PROSPECTIVE COHORT STUDY

TRANSMISSION OF HIV IN THE CENTRAL PRISON OF DOUALA: A PROSPECTIVE COHORT STUDY. Kuaban C 1) , Noeske J 2) , Amougou G 3) , Mbondi S 2) . 1) Faculty of Medecine, University of Yaounde1, Yaounde, Cameroon 2) German Technical Cooperation, (GTZ), Yaounde, Cameroon

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TRANSMISSION OF HIV IN THE CENTRAL PRISON OF DOUALA: A PROSPECTIVE COHORT STUDY

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  1. TRANSMISSION OF HIV IN THE CENTRAL PRISON OF DOUALA: A PROSPECTIVE COHORT STUDY Kuaban C1), Noeske J2), Amougou G3), Mbondi S2). 1) Faculty of Medecine, University of Yaounde1, Yaounde, Cameroon 2) German Technical Cooperation, (GTZ), Yaounde, Cameroon 3) Douala Central Prison, Douala, Cameroon

  2. Introduction and objective • Douala Central Prison, Cameroon’s second largest prison housesdaily on average 3500 inmates • Observation of high HIV prevalence rates amongstinmates of this prison despite existence of a control programme since 2005 • Determine if thisis due to transmission of HIV withinthis prison and if soidentifyriskfactorsassociatedwithit.

  3. 609 New entries July-September 2007 Exclusion : - 30 (4.9%) refused 579 New entries tested Exclusion : - 51 (8.9%) inmates with positive HIV - 4 HIV test results not available 524 Cohort M0 Exclusion : - 215liberated • 309 Cohort M6 Exclusion : - 124liberated 184 Cohort M12 Flowchart of study

  4. Result • Riskfactors for HIV like multiple sexualpartners, inconsistent condom use duringsexual intercourse, homosexualitywererelativelycommon in inmates • No IDU identifiedamongstinmatesstudied • Over a 280 personyearsperiod of follow-up, 5 inmatesbecame HIV infected: One at M6, Four at M12 • Incidence rate: 1.8/100 personyears (95% CI: 0.66-3.91) • Meaningfulanalysis of riskfactorsassociatedwith HIV infection not possible due to smallnumber of infectedinmates

  5. Conclusion • HIV transmission takes place in Douala Central Prison • Investigations needed to elucidate transmission modes

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