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LETTER TO EDITOR
Year : 2005  |  Volume : 71  |  Issue : 1  |  Page : 52-53

HIV and HbsAg seroprevalence in commercial sex workers in Raipur (Chhattisgarh) area


Departments of Skin and STD, Pt. J.N.M. Medical College and Assoc. BRAM Hospital, Raipur (C.G.) 492 001, India

Correspondence Address:
P K Nigam
Deptt. of Dermatology & STD, Netaji Chowk, Katora Talab, Raipur (C.G.) 492 001
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0378-6323.13793

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How to cite this article:
Nigam P K, Shrivastava S K. HIV and HbsAg seroprevalence in commercial sex workers in Raipur (Chhattisgarh) area. Indian J Dermatol Venereol Leprol 2005;71:52-3

How to cite this URL:
Nigam P K, Shrivastava S K. HIV and HbsAg seroprevalence in commercial sex workers in Raipur (Chhattisgarh) area. Indian J Dermatol Venereol Leprol [serial online] 2005 [cited 2020 Jul 12];71:52-3. Available from: http://www.ijdvl.com/text.asp?2005/71/1/52/13793


Sir,



Heterosexual intercourse is the dominant mode of HIV transmission in most parts of the world. Commercial sex workers (CSWs) are associated with high incidence of STDs. HIV seroprevalence in CSWs in Mumbai had crossed 69% in 1995.[1] HIV and hepatitis B virus (HBV) share a common mode of transmission i.e. sexual, parenteral and perinatal. In India, about 4.7% of adult population was found to be infected with HBV. In STD clinic attendees in Mumbai, prevalence rate was 8.8%[2] while in Tirupati, HbsAg seroprevalence in female CSWs was 24% and in STD patients it was 13.6%.[3]



Sixty CSWs working around Raipur were counseled by a medical officer and investigated for the presence of HIV, HbsAg and VDRL test. Surface antigen for hepatitis B (HBsAg) was determined by latex agglutination method while antibodies to HIV were detected by dot immuno-assay for the detection of antibodies to HIV 1 and 2.



The age of the CSWs ranged from 19 - 44 years (mean 29.75 6.71 years). About 88% of CSWs preferred to work during 8 pm-12 pm while 12% were working during the day. The average duration of sexual exposure was 5.86 2.32 years. Fourteen (23.3%) CSW's showed positive VDRL test while the seroprevalence of HIV and HbsAg was 5% and 8.33% respectively [Table - 1].



In 1988, the seroprevalence of HIV amongst CSWs was so low that only one HIV seropositive CSW was found out of 701 CSWs examined[4] but now it is well documented from all parts of the world that CSWs have a very high incidence of HIV and HBV infection. Thus they are a major reservoir and source of transmission. The HIV prevalence in CSWs in some of the big cities in India has ranged from 0.5% to 69%. The prevalence rate of 5% of HIV positivity at Raipur is quite high. This may be because the major business connection of Raipur is Mumbai. Again, this indicates that a large scale epidemic is now looming around in this region and this requires urgent educational measures to be taken for all including the CSWs.

 
  References Top

1.Bhave G, Lindan CP, Hudes ES, Desai S, Wagle U, Tripathi SP, et al. Impact of an intervention on HIV, sexually transmitted diseases, and condom use among sex workers in Bombay, India. AIDS 1995;9:S21-30.  Back to cited text no. 1      
2.Lanjewar DN, Shroff HJ, Kohli MA, Hira SK. High occurrence of Hepatitis B among STD clinic attenders in Mumbai, India. Internat J STD AIDS 1998;9:1101-3.   Back to cited text no. 2      
3.Lakshmi N, Kumar AG. HIV Infection in Tirupati, India. Genitourin Med 1991;67:427-8.  Back to cited text no. 3  [PUBMED]    
4.Malviya AN, Singh RR, Khare SD, Malaviya R, Seth P, Kiran U, et al. AIDS screening in North India: Clinical spectrum of HIV infection. J Assoc Physician India 1987;35:405-10.  Back to cited text no. 4      



 
 
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