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Evidence of Local HIV Transmission in the African Community of King County, Washington.


ABSTRACT: Little is known about the frequency of ongoing HIV transmission within U.S. African immigrant communities. We used HIV surveillance and partner services data to describe African-born persons newly reported with HIV infection in King County (KC), WA from 1/1/2010 to 12/31/2013. We performed phylogenetic clustering analysis of HIV-1 pol to identify putative transmission events within this population. From 2010 to 2013, 1148 KC adults were reported with HIV, including 102 (9 %) born in Africa. Forty-one African-born cases were interviewed and reported diagnosis after arrival in the U.S. Fourteen (34 %) reported ?1 negative test prior to diagnosis, and 9 (26 %) reported ?1 negative test after U.S. arrival. Pol genotypes were available for seven of these nine. For two of these seven, a KC case was the nearest phylogenetic neighbor; two others were infected with subtype B virus. We found substantial evidence of ongoing HIV transmission in the African community of KC.

SUBMITTER: Kerani RP 

PROVIDER: S-EPMC5738028 | biostudies-literature | 2017 Aug

REPOSITORIES: biostudies-literature

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Evidence of Local HIV Transmission in the African Community of King County, Washington.

Kerani Roxanne P RP   Herbeck Joshua T JT   Buskin Susan E SE   Dombrowksi Julia C JC   Bennett Amy A   Barash Elizabeth E   Barbee Lindley A LA   Golden Matthew R MR  

Journal of immigrant and minority health 20170801 4


Little is known about the frequency of ongoing HIV transmission within U.S. African immigrant communities. We used HIV surveillance and partner services data to describe African-born persons newly reported with HIV infection in King County (KC), WA from 1/1/2010 to 12/31/2013. We performed phylogenetic clustering analysis of HIV-1 pol to identify putative transmission events within this population. From 2010 to 2013, 1148 KC adults were reported with HIV, including 102 (9 %) born in Africa. Fort  ...[more]

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