Four decades after the HIV/AIDS epidemic: achievements and challenges

Authors

  • Hayslla Mikaella do Couto Araújo UNINASSAU Vilhena
  • Talia Aparecida Alves do Nascimento Discente em FACEMINAS
  • Natália Bóscolo Gutierrez Borges Discente de medicina em UNIUBE.
  • Caroline Mortoza do Prado Médica em UNINOVE - Universidade Move de Julho, Mauá/SP.
  • Lílian Neves Marques Costa Medica em Universidade de Rio Verde, campus Goianésia – GO
  • Josielen alexandria Serra da Silva Médica em hospital Nossa senhora das Mercês Pinheiro/MA.
  • Francisca Micilene Costa Farmacêutica em Centro Universitário do Norte-UNINORTE
  • Ana Paula da Penha Alves Enfermeira Mestranda em Ergonomia da UFPE.
  • Ana Caroline Santos Ramos UNINASSAU Vilhena
  • Nayalla Jales Maia Pedrosa Faculdade de Medicina Nova Esperança - FAMENE
  • Jaqueline Carvalho De Oliveira Silva Docente em Faculdade Maurício de Nassau de Vilhena-UNINASSAU.

DOI:

https://doi.org/10.36557/2674-8169.2023v5n5p343-360

Keywords:

Epidemic, VIH, Acquired immunodeficiency syndrome, Treatment, Prevention.

Abstract

Considered a public health problem on a global scale, the HIV/AIDS pandemic has created a great challenge for authorities to develop public health policies. Since its first registered case in the early 1980s, it has been considered an inextinguishable mark on health, society and economic growth. This is an integrative bibliographic review research, the objective of which was established based on the need to list the main discoveries and challenges after the Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome epidemic that occurred in the 1980s. of 1400 publications with the descriptors defined for the research. In its first registration it was labeled as a virus associated with lymphadenopathy, and in the following year, after the issuance of a report indicating approximately 75 million infected people and around 32 million deaths, the first concerns of public health authorities were established. In 1983, it was discovered that the retrovirus was the cause of AIDS, and in the same year, it was named Human Immunodeficiency Virus (HIV). From this, there was a need to develop a diagnostic method, the Enzyme Immunoassay (EIA) to identify carriers who did not yet show clinical manifestations, that is, the asymptomatic form. To control the progression of the disease and reduce the damage caused by the impairment of the immune system as a result of the infection, at the end of the 80s and 90s, the FDA approved the first drugs, which were used in monotherapy regimens. Due to the high power of replication and mutation of the virus, resistance mechanisms have emerged and new means of protection and treatment have been created. Curing HIV was once considered an unattainable goal, but with the advancement of research and new discoveries, the eradication of the Human Immunodeficiency Virus is an achievable goal. The biggest hope of research points to the use of antibodies and development of vaccines.

Downloads

Download data is not yet available.

References

De Cock KM, Jaffe HW, Curran JW. Reflections on 40 Years of AIDS. Emerg Infect Dis. (2021) 27(6):1553-1560. doi:10.3201/eid2706.210284

Benzaken, A. S., Pereira, G. F. M., Costa, L., Tanuri, A., Santos, A. F., & Soares, M. A. Antiretroviral treatment, government policy and economy of HIV/AIDS in Brazil: is it time for HIV cure in the country? AIDS research and therapy, (2019). 16(1), 19. https://doi.org/10.1186/s12981-019-0234-2

Darrow W. W. The First 40 Years of AIDS: Promising Programs, Limited Success. AIDS and behavior, (2021). 25(11), 3449–3471. https://doi.org/10.1007/s10461-021-03497-1

Ferreira, W. C. Evolução das Metodologias Diagnósticas de HIV/AIDS: Uma Análise Histórica da Epidemia no Brasil. (2023). Cadernos Acadêmicos, 9(1), 135-147. https://portaldeperiodicos.animaeducacao.com.br/index.php/CA/article/view/20182/13539

Croxford, S., Stengaard, A. R., Brännström, J., Combs, L., Dedes, N., Girardi, E., Grabar, S., Kirk, O., Kuchukhidze, G., Lazarus, J. V., Noori, T., Pharris, A., Raben, D., Rockstroh, J. K., Simões, D., Sullivan, A. K., Van Beckhoven, D., Delpech, V. C., & EuroTEST HIV Late Diagnosis Definition Working Group (2022). Late diagnosis of HIV: An updated consensus definition. HIV medicine, 23(11), 1202–1208. https://doi.org/10.1111/hiv.13425

Aids: há 40 anos, o início de uma assustadora epidemia tomava forma [Internet]. National Geographic. 2021. Available from: https://www.nationalgeographicbrasil.com/historia/2021/06/aids-hiv-inicio-surto-doenca-epidemia-mortes-pneumonia-comunidade-gay-fauci-eua

Eisinger, R. W., & Fauci, A. S. Ending the HIV/AIDS Pandemic1. (2018). Emerging infectious diseases, 24(3), 413–416. https://doi.org/10.3201/eid2403.171797

Marcus, Julia L et al. “Narrowing the Gap in Life Expectancy Between HIV-Infected and HIV-Uninfected Individuals With Access to Care.” Journal of acquired immune deficiency syndromes (1999) vol. 73,1 (2016): 39-46. doi:10.1097/QAI.0000000000001014

De Clercq, Erik. “Anti-HIV drugs: 25 compounds approved within 25 years after the discovery of HIV.” International journal of antimicrobial agents vol. 33,4 (2009): 307-20. doi:10.1016/j.ijantimicag.2008.10.010

Moyo, S., Wilkinson, E., Novitsky, V., Vandormael, A., Gaseitsiwe, S., Essex, M., Engelbrecht, S., & de Oliveira, T. Identifying Recent HIV Infections: From Serological Assays to Genomics. Viruses, (2015). 7(10), 5508–5524. https://doi.org/10.3390/v7102887

Godfrey-Faussett, Peter et al. “HIV prevention for the next decade: Appropriate, person-centred, prioritised, effective, combination prevention.” PLoS medicine vol. 19,9 e1004102. 26 Sep. 2022, doi:10.1371/journal.pmed.1004102

Baral, S., Rao, A., Sullivan, P., Phaswana-Mafuya, N., Diouf, D., Millett, G., Musyoki, H., Geng, E., & Mishra, S. The disconnect between individual-level and population-level HIV prevention benefits of antiretroviral treatment. The lancet. HIV, (2019). 6(9), e632–e638. https://doi.org/10.1016/S2352-3018(19)30226-7

Macchione, M. A., Aristizabal Bedoya, D., Figueroa, F. N., Muñoz-Fernández, M. Á., & Strumia, M. C. (2020). Nanosystems Applied to HIV Infection: Prevention and Treatments. International journal of molecular sciences, 21(22), 8647. https://doi.org/10.3390/ijms21228647

Swindells, Susan et al. “Long-Acting Cabotegravir and Rilpivirine for Maintenance of HIV-1 Suppression.” The New England journal of medicine vol. 382,12 (2020): 1112-1123. doi:10.1056/NEJMoa1904398

Smith, J., Mallouris, C., Lee, K., & Alfvén, T. The Role of Civil Society Organizations in Monitoring the Global AIDS Response. (2017). AIDS and behavior, 21(Suppl 1), 44–50. https://doi.org/10.1007/s10461-016-1579-3

Centros de Controle e Prevenção de Doenças. Relatório de vigilância do VIH, 2018. (Preliminar); vol. 30. https://www.cdc.gov/hiv/library/reports/hiv-surveillance.html

Hütter, Gero et al. “Long-term control of HIV by CCR5 Delta32/Delta32 stem-cell transplantation.” (2009). The New England journal of medicine vol. 360,7 692-8. doi:10.1056/NEJMoa0802905

Gupta, R. K., Abdul-Jawad, S., McCoy, L. E., Mok, H. P., Peppa, D., Salgado, M., Martinez-Picado, J., Nijhuis, M., Wensing, A. M. J., Lee, H., Grant, P., Nastouli, E., Lambert, J., Pace, M., Salasc, F., Monit, C., Innes, A. J., Muir, L., Waters, L., Frater, J., … Olavarria, E. HIV-1 remission following CCR5Δ32/Δ32 haematopoietic stem-cell transplantation. (2019). Nature, 568(7751), 244–248. https://doi.org/10.1038/s41586-019-1027-4

Ferreira, W. C. Evolução das Metodologias Diagnósticas de HIV/AIDS: Uma Análise Histórica da Epidemia no Brasil. (2023). Cadernos Acadêmicos, 9(1), 135-147. https://portaldeperiodicos.animaeducacao.com.br/index.php/CA/article/view/20182/13539

Medeiros, Rafaela Catherine da Silva Cunha de et al. “Quality of life, socioeconomic and clinical factors, and physical exercise in persons living with HIV/AIDS.” Revista de saude publica vol. 51 66. 20 Jul. 2017, doi:10.1590/S1518-8787.2017051006266

Published

2023-10-05

How to Cite

Araújo, H. M. do C., Nascimento , T. A. A. do, Borges , N. B. G., Prado , C. M. do, Costa , L. N. M., Silva , J. alexandria S. da, Costa , F. M., Alves , A. P. da P., Ramos , A. C. S., Pedrosa , N. J. M., & Silva , J. C. D. O. (2023). Four decades after the HIV/AIDS epidemic: achievements and challenges. Brazilian Journal of Implantology and Health Sciences, 5(5), 343–360. https://doi.org/10.36557/2674-8169.2023v5n5p343-360

Issue

Section

Literature Review