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By November 2001— five months after the Cuban public health system introduced domestically manufactured anti-retrovirals for all the country’s AIDS patients—deaths from AIDS and the incidence of opportunistic infections among HIV-AIDS patients were registering a drop from the same period one year before. The wards of the Pedro Kourí Tropical Medicine Institute, where seriously ill AIDS patients are hospitalized, are practically empty. According to Dr. Jorge Pérez, some 90 patients were usually hospitalized there each month from around the country, but by November that rate had dropped to a dozen.
Cuba now produces AZT (zidovudine), D4T (stavudine), 3TC (lamivudine), DDI (didanoside) and crixivan (indinavir). Combined treatment is begun once patients’ viral load and lymphocytes reach internationally-established levels, or if particular opportunistic infections appear. The analysis of which combination therapy will be applied to each patient and when is carried out by a team of specialists from the Tropical Medicine Institute, epidemiologists from across the country, pharmacologists, and internists, and a group of HIV-positive persons. Patients are urged to stick to the treatment recommended, since abandoning the medications will most certainly shorten their life expectancy. Special emphasis is placed on their use of condoms during sexual relations, since infecting another person with a strain of HIV under treatment may hasten the spread of drug-resistant HIV.
Cuba is now preparing to produce nevirapine, amprenavir and nelfinavir.
Prevalence of HIV in Cuba is 17 times lower than the average for the rest of Latin America, where one of every 200 adults is infected with the virus, and also considerably lower than the rate for the Caribbean, which is one for each 50 adults.
Latest HIV-AIDS Statistics for Cuba
As of October 31, 2001, a total of 3,750 persons had been diagnosed as HIV-positive in Cuba, a cumulative number representing total cases since the epidemic was first found in the country in 1986. Of these cases, 2,923 are men (77.94%) and 827 women (22.05%). Of the 1,464 HIV-positive persons who have developed full-blown AIDS, 940 have died, and 584 are today living with AIDS.
http://www.medicc.org/Medicc%20Review/III/hiv-aids/news.html