Pathways to prevention: insights on stemming HIV outbreaks in Larkana, Pakistan

In the past two decades, Pakistan has faced multiple human immunodeficiency virus outbreaks, with Larkana appearing to be the hub of such outbreaks. While the previous Larkana outbreaks happened in high-risk populations, the alarming outbreak in 2019 occurred in a low-risk paediatric population, ra...

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Main Authors: Hussain Ahmed Raza, Mohummad Hassan Raza Raja, Muhammad Mussab Khakwani, Minahil Khakwani, Bushra Jamil
Format: Article
Language:English
Published: Pakistan Medical Association 2023-01-01
Series:Journal of the Pakistan Medical Association
Subjects:
Online Access:https://ojs.jpma.org.pk/index.php/public_html/article/view/9627
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author Hussain Ahmed Raza
Mohummad Hassan Raza Raja
Muhammad Mussab Khakwani
Minahil Khakwani
Bushra Jamil
author_facet Hussain Ahmed Raza
Mohummad Hassan Raza Raja
Muhammad Mussab Khakwani
Minahil Khakwani
Bushra Jamil
author_sort Hussain Ahmed Raza
collection DOAJ
description In the past two decades, Pakistan has faced multiple human immunodeficiency virus outbreaks, with Larkana appearing to be the hub of such outbreaks. While the previous Larkana outbreaks happened in high-risk populations, the alarming outbreak in 2019 occurred in a low-risk paediatric population, raising several concerning questions. Human immunodeficiency virus infections spilling into the general population is indicative of a steady increase in the number of cases, and the failure of control strategies to stem the concentrated epidemic from evolving. Although several causative factors have been identified from previous outbreaks, the one that occurred in 2019 may have been influenced by an additional, hitherto unexplored factor; child sexual abuse. The current narrative review was planned to summarise human immunodeficiency virus risk factors and causes identified in previous Larkana epidemics, to explore potential reasons for the outbreaks in children, ---Continue
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spelling doaj.art-b1fda032f8de4704b938726463fce3a12024-01-28T05:28:25ZengPakistan Medical AssociationJournal of the Pakistan Medical Association0030-99822023-01-0110.47391/JPMA.9627Pathways to prevention: insights on stemming HIV outbreaks in Larkana, PakistanHussain Ahmed Raza0Mohummad Hassan Raza Raja1Muhammad Mussab Khakwani2Minahil Khakwani3Bushra Jamil4Department for Educational Development, The Aga Khan University, Karachi, PakistanDepartment of Medicine, The Aga Khan University, Karachi, Pakistan5th Year MBBS Student, The Aga Khan University, Karachi, Pakistan5th Year MBBS Student, Nishtar Medical University, Multan, PakistanDepartment of Medicine, The Aga Khan University Hospital, Karachi, Pakistan In the past two decades, Pakistan has faced multiple human immunodeficiency virus outbreaks, with Larkana appearing to be the hub of such outbreaks. While the previous Larkana outbreaks happened in high-risk populations, the alarming outbreak in 2019 occurred in a low-risk paediatric population, raising several concerning questions. Human immunodeficiency virus infections spilling into the general population is indicative of a steady increase in the number of cases, and the failure of control strategies to stem the concentrated epidemic from evolving. Although several causative factors have been identified from previous outbreaks, the one that occurred in 2019 may have been influenced by an additional, hitherto unexplored factor; child sexual abuse. The current narrative review was planned to summarise human immunodeficiency virus risk factors and causes identified in previous Larkana epidemics, to explore potential reasons for the outbreaks in children, ---Continue https://ojs.jpma.org.pk/index.php/public_html/article/view/9627HIVEpidemicsChildrenRisk factorsPakistan
spellingShingle Hussain Ahmed Raza
Mohummad Hassan Raza Raja
Muhammad Mussab Khakwani
Minahil Khakwani
Bushra Jamil
Pathways to prevention: insights on stemming HIV outbreaks in Larkana, Pakistan
Journal of the Pakistan Medical Association
HIV
Epidemics
Children
Risk factors
Pakistan
title Pathways to prevention: insights on stemming HIV outbreaks in Larkana, Pakistan
title_full Pathways to prevention: insights on stemming HIV outbreaks in Larkana, Pakistan
title_fullStr Pathways to prevention: insights on stemming HIV outbreaks in Larkana, Pakistan
title_full_unstemmed Pathways to prevention: insights on stemming HIV outbreaks in Larkana, Pakistan
title_short Pathways to prevention: insights on stemming HIV outbreaks in Larkana, Pakistan
title_sort pathways to prevention insights on stemming hiv outbreaks in larkana pakistan
topic HIV
Epidemics
Children
Risk factors
Pakistan
url https://ojs.jpma.org.pk/index.php/public_html/article/view/9627
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