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HIV Virus prevalence
• “HIV-1SubtypeB”commonlyseeninAmerica, Europe, Australia & Asia → 12% global infections.
• “HIV–1SubtypeC”commonlyseeninAfrica,India → 50% of global infections.
• HIV-2virusisconcentratedinWestAfricaandin other countries with links to West Africa.
Ref. 1.Hemelaar J. Trends in Molecular Medicine 18 (3): 182 – 192
2. HIV sequence database (2017), HIV Ciruclating Recombinant Forms
(CRF’s) Duru Shah 3.Esbjörnsson, Joakim, et al. The Lancet HIV (2018).
Principles of management of fertility of Sero-Discordant HIV Couples
• Decreasing the risk of transmission to the partner compared with unprotected intercourse.
• Decreasingthepossibilityofthechildwillbe infected.
• Earlyinterventionwithprenatal/intrapartum treatment that can reduce transmission to the child.
• Alternativessuchasadoption,nothavingchildren and donor sperm if the female is unaffected.
• Surrogacyifthefemaleisaffected.
Ref. Elster NR. et. al. J Contemp Health Law Policy 2003; 19: 415 Duru Shah
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