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REFERENCES


1.Gal. I.: Vitamin A, pregnancy and oral contraceptives. Br. Med. I, 1974; 2:560

2.Briggs M.H., Briggs, M.: Vitamin C Requirement and oral contraceptives. Nature Vol. 238, 1972

3.Rose, D.P., Strong, R., Folikard. I; and Adams, P.W : Erythrocyte aminotransferaze activities in women using oral contraceptives. AM. I. Clin. Nutr. 1973; 26,48.

4.Lumerg, L; Cleary, R.E.; Ting-Kal, L : Effect of oral contraceptives on plasma concentration of pyridoxal phosphate; Am.I. Clin. Nutr. 1974; 27: 326.

5.Keshinro, 0.0. : The unconventional sources of ascorbic acid. Nutrition Reports International 1985.

6.Baker, H. and Frank, 0.: Clinical Vitaminology m"thods and Interpretation. Inter-science publishers N. York, 1968.


7.Roe, R.H. : Chemical determination of ascorbic acid, dehydroascorbic and diketegulonic acids. Methods of Biochemical Analysis, Vol. I, D. Glickedition Intersc. N. York, 1954; 134p.

8.Schwartze, M.A. and Williams, I.N. Inr. : New procedure for ascorbic acid analysis by Osazone method. Proc. Soc. Exp. BioI. Med. 1965; 88, 136.

9.Kofoed, M.A., Blumenkranze,N.B.; Houssay and Yamauchi,E. Y. : Cervical mucus and serum ascorbic acid and dehydroascorbic acid concentration during menstrual cycle. Am.I. Obset. Gynea. 1965; 91-95.

10.Dodds, M.L. : Sex as a factor in blood levels of ascorbic acid. I. Am. Dietet. 1969; 54-32.



UPDATE

AIDS CASE SURVEILLANCE IN ETHIOPIA: OCTOBER 31, 1993
National AIDS Control Programme

Ministry of Health




INTRODUCTION


This report is published by the Department of AIDS Control on a monthly basis. The major objectives of the publication are to:

* Notify the current status of AIDS epidemic in the country , and provide information which has prominence in decision making and future planning.

** Provide feedback to health institutions in the country.
From January 1986 to October 1993, a total or 8,622 AIDS cases have been reported by forty-eight hospitals in the country. Out of the total reported cases, about 42.1 % were residents of Addis Ababa. Other surveillance and research activities carried out in Ethiopia among different population groups have also indicated the extent of the HIV /AIDS epidemic and its progression.
2. Criteria used to diagnose AIDS patients in Ethiopia. The World Health Organization (WHO) provisional case definition with positive serology test for HIV antibodies is the criteria used to diagnose AIDS. According to the case definition, a patient has to manifest at least m1!igr and one minor signs and show and HIV Positive serology. (See page 9 of the report for the list of major and minor clinical symptoms/signs).
3. Summary of the report for the month of October, 1993. In October 1993 alone, a total of 246 AIDS cases were reported by 12 hospitals; 73 cases were from 5 Addis Ababa hospitals and the rest 173 cases were from 7 regional hospitals. The following table identifies the number of cases reported during this month, by reporting hospital and region/zone.

____________________________

NOTE:(I) You a~ kindly requested 10 share the information wid.

your staff. (2) Comments and suggestions are appreciated for

improving our reporting system

Table 1: Summary of AIDS Cases reported in Ethiopia, as of 31, October 1993.




Variable

Cumulative value

Number of AIDS cases reported

8.622

Number of reporting hospitals

48

Average (mean) delay of reporting in month

2

Average age of patients

30

Heterosexual transmission

85%

Sexually active age group (15-49)

94%

Proportion of married people

34%

Proportion of elderly (age >60 yrs).

0.8%

Proportion of paediatric cases (age <15 yrs)

1.5%

Male to Female ration of total cases

1.7:1

Patients residing in Addis Ababa

42%

Reported cases by A>A hospitals

53%

Major clinical symptoms




Weight Loss of > 10% body weight

92%

Prolonged Fever for > 1 months

87%

Chronic Diarrhoea for >1 month

66%

Persistent cough for > 1 month

69%

Note: See the full report for the details
Tale 2: Distribution of reported AIDS Cases by hospital, for the month October, 1993








Period of

Reported

Hospital

Region/Zone

Diagnosis

Cases

Alert

Addis Ababa

July 93-Sep.93

23

Central prison



Sep. 93

4

Kolfie TBC



Sep. 93-Oct. 93

5

St. Paulos



July 93-Oct. 93

29

Yekatit 12



Sep. 93

12







Sub Total =

73

Ambo

West Shoa

Aug. 93

13

Attat

West Shoa

Sep 93

13

Bushulo

Sidamo

Sep .93

11

Debre Berhan

North Shoa

Aug. 93

7

Dire Dawa

Dire Dawa

Aug 93

72

Hailemariam Mamo

East Shoa

July 93-Oct. 93

55

Wonji

East Shoa

Sep. 93

2







Sub Total =

173







Total =

246

Table 3: AIDS Cases by Quarter of Report.




Year-quarter

Males

Females

Total

Percent of Total Cases

86-1

1

0

1

0.01%

86-2

0

1

1

0.01%

87-1

4

0

4

0.05%

87-2

0

2

2

0.02%

87-3

2

2

4

0.05%

87-4

6

1

7

0.08%

88-1

4

3

7

0.08%

88-2

21

5

26

0.30%

88-3

19

4

23

0.27%

88-4

23

6

29

0.34%

89-1

11

4

15

0.17%

89-2

44

17

61

0.71%

89-3

21

16

37

0.43%

89-4

52

25

77

0.89%

90-1

49

27

76

0.88%

90-2

67

14

81

0.94%

90-3

92

49

141

1.64%

90-4

84

66

150

1.74%

91-1

218

82

300

3.48%

91-2

101

77

178

2.06%

91-3

161

80

241

2.80%

91-4

105

61

166

1.93%

92-1

145

108

253

2.93%

92-2

327

218

545

6.32%

92-3

603

397

1000

11.60%

92-4

909

549

1458

16.91%

93-1

618

403

1021

11.84%

93-2

528

294

822

9.53%

93-3

1030

620

1650

19.14%

93-4

148

98

246

2.85%

Total

5393

3229

8622

100.00%

AIDS case surveillance report in Ethiopia: October 31, 1993

Table 4: Distribution of AIDS Cases by Year of Report.


Year

Number

Sex Ratio

Percent of Total




Male

Female

Total

(M:F)




86

1

1

2

1:1

0.02%

87

12

5

17

2.4:1

0.20%

88

67

18

85

3.7:1

0.99%

89

128

62

190

2.1:1

2.20%

90

292

156

448

1.9:1

5.20%

91

585

300

885

1.9:1

10.26%

92

1984

1272

3256

1.6:1

37.76%

93

2324

1415

3739

1.6:1

43.37%

Total

5393

3229

8622

1.7:1

100.00%

`The proportion of female patients has increased since 1992.

Table 5: Age and Sex Distribution of reported AIDS Cases.




Age Group

Sex










Males

Females

Total

Percent

0-4

55

58

113

1.31%

5-14

8

6

14

0.16%

15-19

128

380

508

5.89%

20-29

2038

1760

3798

44.05%

30-39

1980

713

2693

31.23%

40-49

860

224

1084

12.57%

50-59

265

74

339

3.93%

60+

59

13

72

0.84%

Total

5393

3229

8622

100.00%

(Percent)

(62.55%)

(37.45%)







Average age for females




= 26.8 years,







“ “ males




=32.5 years,







“ “ both sex




=30..3 years.







(The bar chart is attached on the last page of this report).
Table 6: Distribution of Reported AIDS Cases by Marital Status


Marital Status:

Male

Female

Total

Percent of

Single

2474

1185

3659

42.33%

Married

2053

866

2919

33.86%

Divorced

293

715

1008

11.69%

Widowed

39

186

225

2.61%

Paediatric Cases













(Age< 15 years))

62

65

127

1.47%

Unspecified

472

211

683

8.04%

Total

5393

3229

8622

100.00%

Table 7

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