The HIV/AIDS epidemic in Cuba: description and tentative explanation of its low HIV prevalence

<p>Abstract</p> <p>Background</p> <p>The Cuban HIV/AIDS epidemic has the lowest prevalence rate of the Caribbean region. The objective of this paper is to give an overview of the HIV/AIDS epidemic in Cuba and to explore the reasons for this low prevalence.</p> <p>Methods</p> <p>Data were obtained from the Cuban HIV/AIDS programme established in 1983. This programme has an extensive adult HIV testing policy, including testing of all pregnant women. HIV and AIDS cases have been recorded since 1986. Persons found to be HIV-positive are interviewed on their sexual behaviour and partners. Tracing and voluntary testing of these partners are organised. Epidemiological description of this epidemic was obtained from analysis of this data set. Using elementary mathematical analyses, we estimated the coverage of the detection system (percentage of HIV-positive adults detected) and the average period between HIV infection and detection. Estimated HIV prevalence rates were corrected to account for the coverage.</p> <p>Results</p> <p>HIV prevalence has increased since 1996. In 2005, the prevalence among pregnant women was 1.2 per 10,000 (16/137000). Estimated HIV prevalence among 15- to 49-year-olds was 8.1 per 10,000 (4913/6065000; 95%CI: 7.9 per 10,000 – 8.3 per 10,000). Most (77%) of the HIV-positive adults were men, most (85.1%) of the detected HIV-positive men were reported as having sex with men (MSM), and most of the HIV-positive women reported having had sex with MSM. The average period between HIV infection and detection was estimated to be 2.1 years (IQR = 1.7 – 2.2 years). We estimated that, for the year 2005, 79.6% (IQR: 77.3 – 81.4%) of the HIV-positive persons were detected.</p> <p>Conclusion</p> <p>MSM drive the HIV epidemic in Cuba. The extensive HIV testing policy may be an important factor in explaining the low HIV prevalence. To reduce the HIV epidemic in Cuba, the epidemic among MSM should be addressed. To understand this epidemic further, data on sexual behaviour should be collected. Now that antiretroviral therapy is more widely available, the Cuban policy, based on intensive HIV testing and tracing of partners, may be considered as a possible policy to control HIV/AIDS epidemics in other countries.</p

Deterministic modeling of the size of the HIV/AIDS epidemic in Cuba

The objective is to model the contact tracing aspect of the HIV detection system, to try to obtain some information that could be useful to the Health System in Cuba in evaluating the way the program is working, and to ascertain its usefulness in terms of intervention and treatment of HIV. Other models have been used to study the effect of contact tracing with this objective in mind . However, these were essentially linear models. We will now introduce non-linearity to model contact tracing. We will also discuss the implications of our results for the purpose of intervention and treatment of HIV/AIDS in Cuba, and to estimate the size of the epidemic in Cuba

Invasion biology in non-free-living species: interactions between abiotic (climatic) and biotic (host availability) factors in geographical space in crayfish commensals (Ostracoda, Entocytheridae)

In invasion processes, both abiotic and biotic factors are considered essential, but the latter are usually disregarded when modeling the potential spread of exotic species. In the framework of set theory, interactions between biotic (B), abiotic (A), and movement-related (M) factors in the geographical space can be hypothesized with BAM diagrams and tested using ecological niche models (ENMs) to estimate A and B areas. The main aim of our survey was to evaluate the interactions between abiotic (climatic) and biotic (host availability) factors in geographical space for exotic symbionts (i.e., non-free-living species), using ENM techniques combined with a BAM framework and using exotic Entocytheridae (Ostracoda) found in Europe as model organisms. We carried out an extensive survey to evaluate the distribution of entocytherids hosted by crayfish in Europe by checking 94 European localities and 12 crayfish species. Both exotic entocytherid species found, Ankylocythere sinuosa and Uncinocythere occidentalis, were widely distributed in W Europe living on the exotic crayfish species Procambarus clarkii and Pacifastacus leniusculus, respectively. No entocytherids were observed in the remaining crayfish species. The suitable area for A.sinuosa was mainly restricted by its own limitations to minimum temperatures in W and N Europe and precipitation seasonality in circum-Mediterranean areas. Uncinocythere occidentalis was mostly restricted by host availability in circum-Mediterranean regions due to limitations of P.leniusculus to higher precipitation seasonality and maximum temperatures. The combination of ENMs with set theory allows studying the invasive biology of symbionts and provides clues about biogeographic barriers due to abiotic or biotic factors limiting the expansion of the symbiont in different regions of the invasive range. The relative importance of abiotic and biotic factors on geographical space can then be assessed and applied in conservation plans. This approach can also be implemented in other systems where the target species is closely interacting with other taxa

List of cave‐dwelling (hypogeal) species and subspecies considered as troglobites and stygobias of the Iberian Peninsula and the Balearic Islands

12 p.[ES] La fauna hipogea o cavernícola ibero-balear ha sido a lo largo de muchos años puesta en evidencia por numerosos zoólogos en las distintas disciplinas. Especialistas de los distintos grupos faunísticos capaces de colonizar las cuevas y las aguas subterráneas que las recorren. Hoy sabemos que esta diversidad de troglobios y estigobios alcanza un total de 1364 taxones: 1285 especies y 79 subespecies hipogeas (cavernícolas) pertenecientes a cuatro filos: Plathyhelminthes (2), Annelida (23), Mollusca (122) y Arthropoda (1217) en todo el territorio ibero-balear. Una fauna que cuenta con numerosos ejemplos de elementos relictos de especial interés paleogeográfico. De la totalidad de taxones hipogeos o cavernícolas del territorio ibero balear, 438 taxones (430 especies y 8 subespecies) son estigobios y 926 taxones (852 especies y 74 subespecies) son troglobios. En lo referente a la distribución de los taxones troglobios es el distrito Cantábrico el que posee una mayor riqueza en especies y subespecies, un total de 208, seguido del Vasco con 163 taxones, el Pirenaico con 153 y el Bético con 142. Algo menos diversos son los distritos Levantino (124 taxones) y Catalán (104 taxones), seguidos de lejos por el Lusitánico con 46 taxones, el Balear con 41 y el Central con tan sólo 19. Entre los estigobios 156 especies y subespecies pueblan las aguas subterráneas de las regiones delimitadas por las cuecas lusitánicas. Le siguen en diversidad las cuencas pirenaicas con 154 taxones estigobios, las béticas con 114 y por último las aguas del subsuelo de las cuencas baleáricas con 47 taxones estigobios, algunos de los cuales son talaso-estigobios, propios de las aguas marinas costeras[EN] The Iberian-Balearic hypogean or cave fauna has been highlighted for many years by numerous zoologists in different disciplines. Specialists of the different faunal groups capable of colonizing both the caves and the groundwater that runs through them. Today we know that this diversity of troglobites and stygobites reaches a total of 1,364 taxa: 1,285 species and 79 hypogean (cave-dwelling) subspecies belonging to four phyla: Plathyhelminthes (2), Annelida (23), Mollusca (122), and Arthropoda (1,217) in the entire Ibero-Balearic territory. A fauna that has numerous examples of relict elements of special paleogeographical interest. Of all the hypogean or cave taxa in the Iberian Balearic territory, 438 taxa (430 species and 8 subspecies) are stygobites and 926 taxa (852 species and 74 subspecies) are troglobites. Regarding the distribution of toglobites, the Cantabrian district is the one with the greatest richness in species and subspecies, a total of 208, followed by the Basque with 163 taxa, the Pyrenees with 153 and the Baetic with 142. Somewhat less diverse are the Levantine (124 taxa) and Catalan (104 taxa) districts, followed at a distance by the Lusitanian with 46 taxa, the Balearic with 41 and the Central with only 19. Among the stygobites, 156 species and subspecies populate the groundwater of the regions delimited by the Lusitanic basins. Following in diversity are the Pyrenean basins with 154 stygobites, the Baetic ones with 114 and finally the subsoil waters of the Balearic basins with 47 stygobites, some of which are thalaso-stygobic, typical of coastal marine waters.Peer reviewe