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<OAI-PMH schemaLocation=http://www.openarchives.org/OAI/2.0/ http://www.openarchives.org/OAI/2.0/OAI-PMH.xsd> <responseDate>2018-01-15T18:18:32Z</responseDate> <request identifier=oai:HAL:inserm-01476267v1 verb=GetRecord metadataPrefix=oai_dc>http://api.archives-ouvertes.fr/oai/hal/</request> <GetRecord> <record> <header> <identifier>oai:HAL:inserm-01476267v1</identifier> <datestamp>2017-12-21</datestamp> <setSpec>type:ART</setSpec> <setSpec>subject:sdv</setSpec> <setSpec>collection:INSERM</setSpec> <setSpec>collection:UNIV-AG</setSpec> <setSpec>collection:SANTE_PUB_INSERM</setSpec> <setSpec>collection:UPMC</setSpec> <setSpec>collection:IPLESP</setSpec> <setSpec>collection:UPMC_POLE_4</setSpec> </header> <metadata><dc> <publisher>HAL CCSD</publisher> <title lang=en>Population movements and the HIV cascade in recently diagnosed patients at the French Guiana -Suriname border </title> <creator>Jaries, Raphaël</creator> <creator>Vantilcke, Vincent</creator> <creator>Clevenbergh, Philippe</creator> <creator>Adoissi, Jocelyne</creator> <creator>Boukhari, Rachida</creator> <creator>Misslin, Caroline</creator> <creator>Nacher, Mathieu</creator> <creator>Vreden, Stephen</creator> <creator>Jolivet, Anne</creator> <contributor>Département de Santé Publique [Saint-Laurent-du-Maroni, Guyane Française] ; Centre Hospitalier de l'Ouest Guyanais Franck Joly [Saint-Laurent-du-Maroni, Guyane Française]</contributor> <contributor>Département de Médecine [Saint-Laurent-du-Maroni, Guyane Française] ; Centre Hospitalier de l'Ouest Guyanais Franck Joly [Saint-Laurent-du-Maroni, Guyane Française]</contributor> <contributor>Département de Biologie Clinique [Saint-Laurent-du-Maroni, Guyane Française] ; Centre Hospitalier de l'Ouest Guyanais Franck Joly [Saint-Laurent-du-Maroni, Guyane Française]</contributor> <contributor>Centre d'Investigation Clinique Antilles-Guyane (CIC - Antilles Guyane) ; Université des Antilles et de la Guyane (UAG) - Institut National de la Santé et de la Recherche Médicale (INSERM) - CHU de Pointe-à-Pitre - Centre Hospitalier de Cayenne Andrée Rosemon - CHU de Fort de France</contributor> <contributor>Department of Medicine [Paramaribo, Suriname] ; Academic Hospital Paramaribo [Paramaribo, Suriname]</contributor> <contributor>Institut Pierre Louis d'Epidémiologie et de Santé Publique (iPLESP) ; Université Pierre et Marie Curie - Paris 6 (UPMC) - Institut National de la Santé et de la Recherche Médicale (INSERM)</contributor> <description>International audience</description> <source>ISSN: 0954-0121</source> <source>EISSN: 1360-0451</source> <source>AIDS Care</source> <publisher>Taylor & Francis (Routledge)</publisher> <identifier>inserm-01476267</identifier> <identifier>http://www.hal.inserm.fr/inserm-01476267</identifier> <identifier>http://www.hal.inserm.fr/inserm-01476267/document</identifier> <identifier>http://www.hal.inserm.fr/inserm-01476267/file/2017%20Jaries%20-%20Population%20movements%20and%20the%20HIV%20cascade-1.pdf</identifier> <source>http://www.hal.inserm.fr/inserm-01476267</source> <source>AIDS Care, Taylor & Francis (Routledge), 2017, [Epub ahead of print]. 〈10.1080/09540121.2017.1291899〉</source> <identifier>DOI : 10.1080/09540121.2017.1291899</identifier> <relation>info:eu-repo/semantics/altIdentifier/doi/10.1080/09540121.2017.1291899</relation> <language>en</language> <subject lang=en>HIV</subject> <subject lang=en>French Guiana</subject> <subject lang=en>Health Policy</subject> <subject lang=en>Migrant</subject> <subject lang=en>Suriname</subject> <subject>[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie</subject> <type>info:eu-repo/semantics/article</type> <type>Journal articles</type> <description lang=en>Border areas are particular “hot spots” generating high levels of HIV vulnerability and facing great challenges to control epidemics. The objective of this study is to describe the sociodemographic, clinical and biological profiles of newly HIV diagnosed people at the French Guiana - Suriname border, to construct an HIV care cascade and compare it with the Surinamese one. HIV-patients aged over 15 years newly diagnosed in western French Guiana in 2011 and 2012 were included in a retrospective cohort study. Patients were identified using different sources (n=121). The male-to-female ratio was 0.8, 85% of the patients were of foreign origin, 72% were undocumented migrants, 21% were living in Suriname and 48% had baseline CD4 cell counts <200 cells/mm3. After one year, 34% were lost to follow-up, 54% received treatment, 34% had controlled viremia and 6% died. We observed a disappointing HIV cascade, like that of Suriname, requiring to develop a coordinated healthcare offer on both sides of the border. Targeted efforts through a bi-national collaboration are needed to address the specific issues of cross-border patients to reach the 90*3 UNAIDS’s diagnosis, link to care and treatment targets and better control the local epidemic</description> <date>2017-02</date> </dc> </metadata> </record> </GetRecord> </OAI-PMH>