Good outcome in HIV-infected refugees after resettlement in New Zealand: population study

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dc.contributor.author Nisbet, Sarah en
dc.contributor.author Reeve, AM en
dc.contributor.author Ellis-Pegler, Roderick en
dc.contributor.author Woodhouse, AF en
dc.contributor.author Ingram, RJ en
dc.contributor.author Roberts, SA en
dc.contributor.author McAllister, SM en
dc.contributor.author Thomas, Mark en
dc.date.accessioned 2012-03-26T03:02:38Z en
dc.date.issued 2007-05-01 en
dc.identifier.citation Internal Medicine Journal 37(5):290-294 01 May 2007 en
dc.identifier.issn 1444-0903 en
dc.identifier.uri http://hdl.handle.net/2292/15407 en
dc.description.abstract Background: The aims of this study were to determine the clinical characteristics on arrival and the subsequent clinical outcome of HIV-infected UN quota refugees who settled in New Zealand during the last 11 years and to estimate their rate of HIV transmission.Methods: A population study was conducted. Data were provided by the Mangere Refugee Resettlement Centre, the infectious disease physicians caring for the subjects, the New Zealand AIDS Epidemiology Group and laboratories carrying out HIV viral load assays.Results: One hundred of 7732 (1.3%) UN quota refugees were HIV positive; mean age 30 years, 56% were men, median initial CD4 count was 320 (range 20-1358). HIV infection was most commonly acquired by heterosexual intercourse (74%). The median follow up was 5.0 years (range 1 month to 9.7 years). Five died and 15 subjects had 16 AIDS-defining illnesses, most commonly tuberculosis (n = 10). Sixty subjects commenced highly active antiretroviral therapy of whom 36/59 (61%) had an undetectable HIV viral load after 1 year of treatment. None of the six children born to HIV-infected women in New Zealand were infected. There were two known cases of horizontal transmission of HIV infection.Conclusion: Although HIV-infected quota refugees often have to overcome severe social, cultural and financial handicaps, their clinical outcome is generally very good, with response rates to highly active antiretroviral therapy that are similar to other patient groups. Furthermore, they have not been a significant source of transmission of HIV infection after resettlement in New Zealand. en
dc.language English en
dc.publisher BLACKWELL PUBLISHING en
dc.relation.ispartofseries Internal Medicine Journal en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from: http://www.sherpa.ac.uk/romeo/issn/1444-0903/ en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.subject Science & Technology en
dc.subject Life Sciences & Biomedicine en
dc.subject Medicine, General & Internal en
dc.subject General & Internal Medicine en
dc.subject HIV en
dc.subject refugee en
dc.subject New Zealand en
dc.subject ASYLUM SEEKERS en
dc.subject HEALTH-STATUS en
dc.subject BASE-LINE en
dc.subject TUBERCULOSIS en
dc.subject CARE en
dc.subject IMMIGRANTS en
dc.subject NEEDS en
dc.title Good outcome in HIV-infected refugees after resettlement in New Zealand: population study en
dc.type Journal Article en
dc.identifier.doi 10.1111/j.1445-5994.2007.01335.x en
pubs.issue 5 en
pubs.begin-page 290 en
pubs.volume 37 en
dc.rights.holder Copyright: BLACKWELL PUBLISHING en
dc.identifier.pmid 17504275 en
pubs.author-url http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=000246431000002&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=6e41486220adb198d0efde5a3b153e7d en
pubs.end-page 294 en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Article en
pubs.elements-id 113553 en
pubs.org-id Medical and Health Sciences en
pubs.org-id Medical Sciences en
pubs.org-id Molecular Medicine en
pubs.record-created-at-source-date 2012-03-26 en
pubs.dimensions-id 17504275 en


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