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The Impact of Armed Conflict on the Prevalence and Transmission Dynamics of HIV Infection in Libya

The interrelationships between HIV/AIDS and armed conflict are a complex phenomenon, and studies are rarely devoted to this area of research. Libya is the second-largest country in Africa that has been evoked with war since the NATO intervention in 2011. The country has also experienced one of the l...

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Autores principales: Daw, Mohamed Ali, El-Bouzedi, Abdallah Hussean, Ahmed, Mohamed Omar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9009867/
https://www.ncbi.nlm.nih.gov/pubmed/35433583
http://dx.doi.org/10.3389/fpubh.2022.779778
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author Daw, Mohamed Ali
El-Bouzedi, Abdallah Hussean
Ahmed, Mohamed Omar
author_facet Daw, Mohamed Ali
El-Bouzedi, Abdallah Hussean
Ahmed, Mohamed Omar
author_sort Daw, Mohamed Ali
collection PubMed
description The interrelationships between HIV/AIDS and armed conflict are a complex phenomenon, and studies are rarely devoted to this area of research. Libya is the second-largest country in Africa that has been evoked with war since the NATO intervention in 2011. The country has also experienced one of the largest HIV outbreaks associated with the Bulgarian nurse's saga. The effect of the armed conflict on the dynamic spread of HIV is not yet well-known. The objectives of this study were to determine the impact of armed conflict on the epidemiological situation of HIV infection in Libya and to analyze the transmission dynamics of HIV strains during the conflict. We investigated the movement of people with HIV during the Libyan armed conflict, analyzed the HIV subtypes reported from 2011 to 2020, and followed up the infected cases all over the country. The patterns of HIV spread within the Libyan regions were traced, and the risk factors were determined during the conflict period. A total of 4,539 patients with HIV/AIDS were studied from the four regions during the Libyan conflict. Our data analysis indicated that Benghazi, the biggest city in the Eastern region, was the significant exporter of the virus to the rest of the country. The viral dissemination changes were observed within the country, particularly after 2015. A major virus flows from the Eastern region during the armed conflict associated with internally displaced people. This resulted in the dissemination of new HIV strains and accumulations of HIV cases in western and middle regions. Although, there were no significant changes in the national prevalence of HIV/AIDS. Our data highlight the factors that complicated the spread and dissemination of HIV during the armed conflict, which provide a better understanding of the interaction between them. This could be used to plan for effective preventive measures in tackling the spread of HIV in conflict and post-conflict settings.
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spelling pubmed-90098672022-04-15 The Impact of Armed Conflict on the Prevalence and Transmission Dynamics of HIV Infection in Libya Daw, Mohamed Ali El-Bouzedi, Abdallah Hussean Ahmed, Mohamed Omar Front Public Health Public Health The interrelationships between HIV/AIDS and armed conflict are a complex phenomenon, and studies are rarely devoted to this area of research. Libya is the second-largest country in Africa that has been evoked with war since the NATO intervention in 2011. The country has also experienced one of the largest HIV outbreaks associated with the Bulgarian nurse's saga. The effect of the armed conflict on the dynamic spread of HIV is not yet well-known. The objectives of this study were to determine the impact of armed conflict on the epidemiological situation of HIV infection in Libya and to analyze the transmission dynamics of HIV strains during the conflict. We investigated the movement of people with HIV during the Libyan armed conflict, analyzed the HIV subtypes reported from 2011 to 2020, and followed up the infected cases all over the country. The patterns of HIV spread within the Libyan regions were traced, and the risk factors were determined during the conflict period. A total of 4,539 patients with HIV/AIDS were studied from the four regions during the Libyan conflict. Our data analysis indicated that Benghazi, the biggest city in the Eastern region, was the significant exporter of the virus to the rest of the country. The viral dissemination changes were observed within the country, particularly after 2015. A major virus flows from the Eastern region during the armed conflict associated with internally displaced people. This resulted in the dissemination of new HIV strains and accumulations of HIV cases in western and middle regions. Although, there were no significant changes in the national prevalence of HIV/AIDS. Our data highlight the factors that complicated the spread and dissemination of HIV during the armed conflict, which provide a better understanding of the interaction between them. This could be used to plan for effective preventive measures in tackling the spread of HIV in conflict and post-conflict settings. Frontiers Media S.A. 2022-03-31 /pmc/articles/PMC9009867/ /pubmed/35433583 http://dx.doi.org/10.3389/fpubh.2022.779778 Text en Copyright © 2022 Daw, El-Bouzedi and Ahmed. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Daw, Mohamed Ali
El-Bouzedi, Abdallah Hussean
Ahmed, Mohamed Omar
The Impact of Armed Conflict on the Prevalence and Transmission Dynamics of HIV Infection in Libya
title The Impact of Armed Conflict on the Prevalence and Transmission Dynamics of HIV Infection in Libya
title_full The Impact of Armed Conflict on the Prevalence and Transmission Dynamics of HIV Infection in Libya
title_fullStr The Impact of Armed Conflict on the Prevalence and Transmission Dynamics of HIV Infection in Libya
title_full_unstemmed The Impact of Armed Conflict on the Prevalence and Transmission Dynamics of HIV Infection in Libya
title_short The Impact of Armed Conflict on the Prevalence and Transmission Dynamics of HIV Infection in Libya
title_sort impact of armed conflict on the prevalence and transmission dynamics of hiv infection in libya
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9009867/
https://www.ncbi.nlm.nih.gov/pubmed/35433583
http://dx.doi.org/10.3389/fpubh.2022.779778
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