Abstract

PIP:

This is a critique of a paper which describes the development of an acquired immunodeficiency syndrome (AIDS) surveillance system for Uganda and the results up to July 31 1988. The system was begun in 1987. A reporting from was developed. Rorschach of AIDS cases, mainly from hospitals, are forwarded via the district medical officer (DMO) to the Ministry of Health for analysis by microcomputer. Summary reports are generated automatically by microcomputer. They are distributed monthly to the reporting centers. 5142 AIDS cases have been reported. 4583 (89%) of all cases were human immunodeficiency virus (HIV) positive on the enzyme-linked immunosorbent assay (ELISA). There were roughly equal numbers of male (48%) and female (52%) cases. 4701 (91%) were aged II or = 5 years (mostly between 15-54) and 441 (9%) were aged 5 years. 18 cases were between 5 and 12 years. Peak age groups were 20-24 for females and 25-29 for males. 265 out 3440 (8%) of the cases reported having a blood transfusion in the last 5 years. 548 of 2318 (24%) reported giving or receiving payment for sex. The commentary states that this is a good attempt to develop a simple AIDS surveillance system. It was implemented quickly and inexpensively. It is probable that many AIDS cases still are unreported. The criteria for reporting are discussed.