Mumbai disease in far western Nepal: HIV infection and syphilis among male migrant-returnees and non-migrants
To measure the seroprevalence of human immunodeficiency virus (HIV) infection and syphilis, and to assess the behavioural risk factors for these infections among migrant-returnees and non-migrants in far western Nepal. Methods
In April 2001, we recruited 97 male migrant-returnees and 40 non-migrants from five rural villages in Doti district where migration to Mumbai is common. For data collection, we conducted a serological examination for HIV and syphilis, and a perception and behaviour survey on HIV and other sexually transmitted infections. Results
We found that 11 of 137 men (8%) were positive for HIV infection and 30 men (22%) for syphilis. The respondents, especially the migrant-returnees from Mumbai, were engaging in risky behaviours such as pre- or extramarital sex, and sex with multiple partners, including sex workers. Conclusions
This study revealed high HIV and syphilis prevalence among the male migrant-returnees and non-migrants in far western Nepal where migration to Mumbai is common. The prevalent behaviours, particularly among the migrant-returnees, imply urgent needs of the behavioural modification programme in this area to prevent the spread of HIV infection to general population.
Document Type: Research Article
Affiliations: 1: Department of International Community Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan 2: Department of Health Policy and Planning, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan 3: Department of Microbiology and Parasitology, Institute of Medicine, Teaching Hospital, Tribhuvan University, Kathmandu, Nepal 4: College of Public Health, Chulalongkorn University, Bangkok, Thailand
Publication date: 2003-10-01