» Articles » PMID: 25278675

Potential for Human Immunodeficiency Virus Parenteral Transmission in the Middle East and North Africa: an Analysis Using Hepatitis C Virus As a Proxy Biomarker

Overview
Specialty Gastroenterology
Date 2014 Oct 4
PMID 25278675
Citations 8
Authors
Affiliations
Soon will be listed here.
Abstract

The Middle East and North Africa (MENA) region has endured several major events of infection parenteral transmission. Recent work has established the utility of using hepatitis C virus (HCV) as a proxy biomarker for assessing the epidemic potential for human immunodeficiency virus (HIV) parenteral transmission. In this review, we use data on the prevalence of HCV infection antibody (seroprevalence) among general population and high risk population groups to assess the potential for HIV parenteral transmission in MENA. Relatively low prevalence of HCV infection in the general population groups was reported in most MENA countries indicating that parenteral HIV transmission at endemic levels does not appear to be a cause for concern. Nonetheless, there could be opportunities for localized HIV outbreaks and transmission of other blood-borne infections in some settings such as healthcare facilities. Though there have been steady improvements in safety measures related to parenteral modes of transmission in the region, these improvements have not been uniform across all countries. More precautions, including infection control training programs, surveillance systems for nosocomial infections and wider coverage and evaluation of hepatitis B virus immunization programs need to be implemented to avoid the unnecessary spread of HIV, HCV, and other blood-borne pathogens along the parenteral modes of transmission.

Citing Articles

Hepatitis C risk score as a tool to identify individuals with HCV infection: a demonstration and cross-sectional epidemiological study in Egypt.

El-Khoury R, Chemaitelly H, Alaama A, Hermez J, Nagelkerke N, Abu-Raddad L BMJ Open. 2024; 14(6):e085506.

PMID: 38950989 PMC: 11340217. DOI: 10.1136/bmjopen-2024-085506.


Variable Proportions of Phylogenetic Clustering and Low Levels of Antiviral Drug Resistance among the Major HBV Sub-Genotypes in the Middle East and North Africa.

Athamneh R, Arikan A, Sayan M, Mahafzah A, Sallam M Pathogens. 2021; 10(10).

PMID: 34684283 PMC: 8540944. DOI: 10.3390/pathogens10101333.


Key associations for hepatitis C virus genotypes in the Middle East and North Africa.

Mahmud S, Chemaitelly H, Kouyoumjian S, Al Kanaani Z, Abu-Raddad L J Med Virol. 2019; 92(3):386-393.

PMID: 31663611 PMC: 7003848. DOI: 10.1002/jmv.25614.


Hepatitis C virus genotypes in the Middle East and North Africa: Distribution, diversity, and patterns.

Mahmud S, Al-Kanaani Z, Chemaitelly H, Chaabna K, Kouyoumjian S, Abu-Raddad L J Med Virol. 2017; 90(1):131-141.

PMID: 28842995 PMC: 5724492. DOI: 10.1002/jmv.24921.


Status of HIV and hepatitis C virus infections among prisoners in the Middle East and North Africa: review and synthesis.

Heijnen M, Mumtaz G, Abu-Raddad L J Int AIDS Soc. 2016; 19(1):20873.

PMID: 27237131 PMC: 4884676. DOI: 10.7448/IAS.19.1.20873.


References
1.
Hannachi N, Boughammoura L, Marzouk M, Tfifha M, Khlif A, Soussi S . [Viral infection risk in polytransfused adults: seroprevalence of seven viruses in central Tunisia]. Bull Soc Pathol Exot. 2011; 104(3):220-5. DOI: 10.1007/s13149-010-0103-7. View

2.
Akhtar S, Moatter T . Hepatitis C virus infection in polytransfused thalassemic children in Pakistan. Indian Pediatr. 2004; 41(10):1072-3. View

3.
El-Gilany A, El-Fedawy S . Bloodborne infections among student voluntary blood donors in Mansoura University, Egypt. East Mediterr Health J. 2007; 12(6):742-8. View

4.
Hmida S, Mojaat N, Chaouchi E, Mahjoub T, Khlass B, Abid S . [HCV antibodies in hemodialyzed patients in Tunisia]. Pathol Biol (Paris). 1995; 43(7):581-3. View

5.
Al-Faleh F, Ayoola E, Al-Jeffry M, Al-Rashed R, Al-Mofarreh M, Arif M . Prevalence of antibody to hepatitis C virus among Saudi Arabian children: a community-based study. Hepatology. 1991; 14(2):215-8. View