Four decades after the HIV/AIDS epidemic: achievements and challenges
DOI:
https://doi.org/10.36557/2674-8169.2023v5n5p343-360Keywords:
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.
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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
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Copyright (c) 2023 Hayslla Mikaella do Couto Araújo, Talia Aparecida Alves do Nascimento , Natália Bóscolo Gutierrez Borges , Caroline Mortoza do Prado , Lílian Neves Marques Costa , Josielen alexandria Serra da Silva , Francisca Micilene Costa , Ana Paula da Penha Alves , Ana Caroline Santos Ramos , Nayalla Jales Maia Pedrosa , Jaqueline Carvalho De Oliveira Silva

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