Skip to Main content Skip to Navigation
Journal articles

Population movements and the HIV cascade in recently diagnosed patients at the French Guiana -Suriname border

Abstract : 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
Document type :
Journal articles
Complete list of metadatas

https://www.hal.inserm.fr/inserm-01476267
Contributor : Inserm Cic1424 Centre d'Investigation Clinique Antilles Guyane <>
Submitted on : Friday, February 24, 2017 - 4:46:04 PM
Last modification on : Thursday, March 21, 2019 - 12:27:41 PM
Long-term archiving on: : Thursday, May 25, 2017 - 1:46:30 PM

File

2017 Jaries - Population movem...
Files produced by the author(s)

Identifiers

Citation

Raphaël Jaries, Vincent Vantilcke, Philippe Clevenbergh, Jocelyne Adoissi, Rachida Boukhari, et al.. Population movements and the HIV cascade in recently diagnosed patients at the French Guiana -Suriname border . AIDS Care, Taylor & Francis (Routledge), 2017, [Epub ahead of print]. ⟨10.1080/09540121.2017.1291899⟩. ⟨inserm-01476267⟩

Share

Metrics

Record views

194

Files downloads

256