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Free Content Mumbai disease in far western Nepal: HIV infection and syphilis among male migrant-returnees and non-migrants

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Summary Objective

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.
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Keywords: HIV/AIDS; Nepal; epidemiology; migration; sexual behaviours; syphilis

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

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