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Global HIV/AIDS Burden and Associated Diseases

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Cancer and AIDS

Abstract

The last three to four decades have witnessed the emergence of HIV/AIDS as a global health challenge, impacting virtually every aspect of human existence and revealing gaps in global health care. In spite of the fortuitous early recognition of the causative agent as a retrovirus, the most devastating of the emerging zoonotics threatening the global health system, but one that has proven to be controllable by a cocktail of anti-retroviral agents, a plethora of diseases are emerging, both as the complications of the viral infection itself, and those of its treatment. Although essentially a pandemic, the burden of the disease in terms of the disability-associated life years is not uniformly shared, with the greatest impact being in historically economically marginalized parts of the world. HIV/AIDS impacts virtually every aspect of human biology, ranging from rare infections, to neurologic, nephrologic, gastroenterologic, pulmonic, cardiovascular, metabolic, and rheumatic complications, as well as a wide spectrum of neoplastic disorders. Some of the latter are referred to as “AIDS–defining” and mimick the prevalent virus-associated cancers of sub-Saharan Africa, including Kaposi’s sarcoma and Burkitt lymphoma, and immunodeficiency-associated cancers, either heritable, such as Wiskott-Aldrich syndrome, or acquirable through organ transplantation. Others are “non-AIDS related”, involving pathogenic viruses notably associated with “AIDS-defining cancers,” such as Epstein-Barr virus (Arrieta et al., Sci Transl Med 7(307):307ra152–307ra152, 2015), but manifesting in new settings, such as the EBV-associated soft tissue sarcoma of children. HIV/AIDS is, indeed, producing new health scenarios that signal a need for paradigm changes in disease mechanisms and health care provision.

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Williams, C.K.O. (2019). Global HIV/AIDS Burden and Associated Diseases. In: Cancer and AIDS . Springer, Cham. https://doi.org/10.1007/978-3-319-99235-8_3

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