-Caveat Lector-

http://news.bbc.co.uk/hi/english/health/background_briefings/aids/newsid_224000/224972.stm

Many people are unaware they are carrying the virus that causes Aids

             Thousands of people in the UK are unknowingly carrying the
virus that
             causes Aids, according to a series of anonymous surveys.

             The government's Prevalence of HIV in England and Wales
report
             shows that over two-thirds of HIV positive pregnant women
do not
             know they are putting their babies at risk.

             And even among gay and bisexual men - the most HIV-aware
section
             of the community - as many as 40% of people attending
sexually
             transmitted disease (STD) clinics do not know they are
carrying the
             virus.

             The anonymous surveys have been carried out in prisons,
ante-natal
             units, STD clinics and hospitals around the country between
1990 and
             1997.

             Future picture

             The aim of the surveys is to give health officials an idea
of what the
             future outlook for HIV is in England and Wales.


                                 The surveys used leftover blood
                                 samples. Specimens were not taken
                                 from patients who objected to being
                                 tested.

                                 They showed that people in London
                                 continued to be at more risk of HIV
                                 infection than the general
                                 population.

                                 Gay and bisexual men were most at
                                 risk. In 1997, one in 11 men who
                                 attended STD clinics in London
                                 being HIV positive, compared with
                                 one in 26 elsewhere.

                                 One in 16 gay and bisexual men
                                 under 25 were infected in London.

             Just under 3% had been diagnosed since 1996, showing that
Aids
             prevention programmes are not getting through to many
people.

             Much of the early prevention work was aimed at gay and
bisexual
             men and brought a reduction in the number of new cases.

             But health officials fear this may now be wearing off. The
survey calls
             for campaigns to educate "new generations" at risk.

             Drug users

             However, the message seems to be getting through to drug
users
             outside London.

             One in 268 men and one in 245 women drug users outside
London
             are HIV positive.

             In London, the numbers are not falling. One in 25 men and
one in 66
             women in London carry the virus.


                                 Moreover, the number of people
                                 sharing needles and syringes -
                                 which helps transmit the disease
                                 from an infected person - has
                                 remained stable in the last five
                                 years.

                                 Younger drug users and women are
                                 more likely to share needles than
                                 others.

                                 Health officials report a rise in the
                                 number of acute hepatitis B
                                 infections since 1992, which is
                                 transmitted in a similar way to HIV -
                                 showing the risk is still
"substantial".

             Heterosexuals

             For heterosexuals, one in 125 men and one in 142 women in
London
             who attended STD clinics in 1997 were HIV positive.

             One in 801 men and one in 978 women carry the virus outside

             London.

             And saliva tests on inmates at eight prisons show an HIV
rate of 0.3%
             for men and 1.2% for women, although hepatitis rates are as
high as
             17% for men and 23% for women.

             The UK has a relatively low level of HIV infection,
compared with
             other European countries, says the report.

             Some 25,000 UK adults - around one in 1,000 people between
the
             ages of 15 and 49 - are HIV positive.

             The UK rates are similar to Ireland and slightly more than
Germany,
             Sweden, Norway and Finland, but way below levels in
Portugal,
             Spain, France, Switzerland and Italy.

             Around one in 160 people in Portugal aged 15 to 49 is HIV
positive.

             The report puts the UK's low level of infection down to
targeted
             interventions at groups indulging in high risk behaviour,
education
             campaigns, needle exchange schemes and free and open access
to
             STD clinics.

             It calls for a continuation of targeted campaigns, the
provision of
             routine voluntary confidential HIV testing at STD clinics,
special
             services for African women - the highest risk group among
pregnant
             women - and the maintenance of needle exchange schemes.

             Public health minister Tessa Jowell said: "The report gives
vital
             information which cannot be obtained in any other way.

             "It is important for local planning and prevention and
underpins
             current policy direction."

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