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HIV INFECTION AMONG COMMERCIAL SEX WORKERS AND INJECTING DRUG USERS IN THE CZECH REPUBLIC

MARIE BRUCKOVANational Reference Laboratory on AIDS, Prague, The Czech Republic; US Military HIV Research Program at the Walter Reed Army Institute (WRAIR) of Research and the Henry M. Jackson Foundation for the Advancement Military Medicine, Inc, Rockville, Maryland; Virology Research Program, US Naval Medical Research Unit No. 3, Cairo, Egypt; “Drop In” IVDU Center, Prague, The Czech Republic; Project Šance, Prague, The Czech Republic; Department of Defense Global Emerging Infections Surveillance and Response System (DoD GEIS), WRAIR, Silver Spring, Maryland

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CHRISTIAN T. BAUTISTANational Reference Laboratory on AIDS, Prague, The Czech Republic; US Military HIV Research Program at the Walter Reed Army Institute (WRAIR) of Research and the Henry M. Jackson Foundation for the Advancement Military Medicine, Inc, Rockville, Maryland; Virology Research Program, US Naval Medical Research Unit No. 3, Cairo, Egypt; “Drop In” IVDU Center, Prague, The Czech Republic; Project Šance, Prague, The Czech Republic; Department of Defense Global Emerging Infections Surveillance and Response System (DoD GEIS), WRAIR, Silver Spring, Maryland

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ROSS R. GRAHAMNational Reference Laboratory on AIDS, Prague, The Czech Republic; US Military HIV Research Program at the Walter Reed Army Institute (WRAIR) of Research and the Henry M. Jackson Foundation for the Advancement Military Medicine, Inc, Rockville, Maryland; Virology Research Program, US Naval Medical Research Unit No. 3, Cairo, Egypt; “Drop In” IVDU Center, Prague, The Czech Republic; Project Šance, Prague, The Czech Republic; Department of Defense Global Emerging Infections Surveillance and Response System (DoD GEIS), WRAIR, Silver Spring, Maryland

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MAREK MALYNational Reference Laboratory on AIDS, Prague, The Czech Republic; US Military HIV Research Program at the Walter Reed Army Institute (WRAIR) of Research and the Henry M. Jackson Foundation for the Advancement Military Medicine, Inc, Rockville, Maryland; Virology Research Program, US Naval Medical Research Unit No. 3, Cairo, Egypt; “Drop In” IVDU Center, Prague, The Czech Republic; Project Šance, Prague, The Czech Republic; Department of Defense Global Emerging Infections Surveillance and Response System (DoD GEIS), WRAIR, Silver Spring, Maryland

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JANA VANDASOVANational Reference Laboratory on AIDS, Prague, The Czech Republic; US Military HIV Research Program at the Walter Reed Army Institute (WRAIR) of Research and the Henry M. Jackson Foundation for the Advancement Military Medicine, Inc, Rockville, Maryland; Virology Research Program, US Naval Medical Research Unit No. 3, Cairo, Egypt; “Drop In” IVDU Center, Prague, The Czech Republic; Project Šance, Prague, The Czech Republic; Department of Defense Global Emerging Infections Surveillance and Response System (DoD GEIS), WRAIR, Silver Spring, Maryland

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JIRI PRESLNational Reference Laboratory on AIDS, Prague, The Czech Republic; US Military HIV Research Program at the Walter Reed Army Institute (WRAIR) of Research and the Henry M. Jackson Foundation for the Advancement Military Medicine, Inc, Rockville, Maryland; Virology Research Program, US Naval Medical Research Unit No. 3, Cairo, Egypt; “Drop In” IVDU Center, Prague, The Czech Republic; Project Šance, Prague, The Czech Republic; Department of Defense Global Emerging Infections Surveillance and Response System (DoD GEIS), WRAIR, Silver Spring, Maryland

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LASZLO SUMEGHNational Reference Laboratory on AIDS, Prague, The Czech Republic; US Military HIV Research Program at the Walter Reed Army Institute (WRAIR) of Research and the Henry M. Jackson Foundation for the Advancement Military Medicine, Inc, Rockville, Maryland; Virology Research Program, US Naval Medical Research Unit No. 3, Cairo, Egypt; “Drop In” IVDU Center, Prague, The Czech Republic; Project Šance, Prague, The Czech Republic; Department of Defense Global Emerging Infections Surveillance and Response System (DoD GEIS), WRAIR, Silver Spring, Maryland

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GAIL D. CHAPMANNational Reference Laboratory on AIDS, Prague, The Czech Republic; US Military HIV Research Program at the Walter Reed Army Institute (WRAIR) of Research and the Henry M. Jackson Foundation for the Advancement Military Medicine, Inc, Rockville, Maryland; Virology Research Program, US Naval Medical Research Unit No. 3, Cairo, Egypt; “Drop In” IVDU Center, Prague, The Czech Republic; Project Šance, Prague, The Czech Republic; Department of Defense Global Emerging Infections Surveillance and Response System (DoD GEIS), WRAIR, Silver Spring, Maryland

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JEAN K. CARRNational Reference Laboratory on AIDS, Prague, The Czech Republic; US Military HIV Research Program at the Walter Reed Army Institute (WRAIR) of Research and the Henry M. Jackson Foundation for the Advancement Military Medicine, Inc, Rockville, Maryland; Virology Research Program, US Naval Medical Research Unit No. 3, Cairo, Egypt; “Drop In” IVDU Center, Prague, The Czech Republic; Project Šance, Prague, The Czech Republic; Department of Defense Global Emerging Infections Surveillance and Response System (DoD GEIS), WRAIR, Silver Spring, Maryland

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JOSE L. SANCHEZNational Reference Laboratory on AIDS, Prague, The Czech Republic; US Military HIV Research Program at the Walter Reed Army Institute (WRAIR) of Research and the Henry M. Jackson Foundation for the Advancement Military Medicine, Inc, Rockville, Maryland; Virology Research Program, US Naval Medical Research Unit No. 3, Cairo, Egypt; “Drop In” IVDU Center, Prague, The Czech Republic; Project Šance, Prague, The Czech Republic; Department of Defense Global Emerging Infections Surveillance and Response System (DoD GEIS), WRAIR, Silver Spring, Maryland

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KENNETH C. EARHARTNational Reference Laboratory on AIDS, Prague, The Czech Republic; US Military HIV Research Program at the Walter Reed Army Institute (WRAIR) of Research and the Henry M. Jackson Foundation for the Advancement Military Medicine, Inc, Rockville, Maryland; Virology Research Program, US Naval Medical Research Unit No. 3, Cairo, Egypt; “Drop In” IVDU Center, Prague, The Czech Republic; Project Šance, Prague, The Czech Republic; Department of Defense Global Emerging Infections Surveillance and Response System (DoD GEIS), WRAIR, Silver Spring, Maryland

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Since the first HIV case was diagnosed in the Czech Republic in 1985, there is a lack of information regarding the epidemiology of HIV infection in most high-risk groups. To determine the prevalence of, and risk factors for, HIV among female and male commercial sex workers (FCSW and MCSW, respectively) and injecting drug users (IDUs), cross-sectional studies were conducted in the cities of Cheb, Usti nad Labem, Ostrava, and Prague of the Czech Republic. A total of 1,277 subjects were enrolled, which included 585 FCSWs, 230 MCSWs, and 462 IDUs. The HIV prevalences were 0.7% (95% CI: 0.2–1.7%), 0.9% (95% CI: 0.1–3.1%), and 0.2% (95% CI: 0.005–1.2%) among FCSWs, MCSWs, and IDUs, respectively. Although low HIV prevalences were found, ongoing sentinel surveillance studies, which address modifiable behavioral and biologic risk factors among high-risk groups, are necessary to guide strategies to stem the tide of the epidemic in this country.

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