The AIDS epidemic in Nicaragua is several years behind that in the United States and neighboring countries of Central and South America. A combination of events, including the isolation caused by the war of the U.S.-backed Contra army against the Sandinista government, the complete economic embargo imposed on Nicaragua by the United States in 1985, self-sufficiency for blood products, and a low rate of recreational injectable-drug use, have contributed to this situation. Since the Sandinistas were defeated in the general election of 1990, people have returned to Nicaragua from areas where HIV is more prevalent, such as Honduras and the United States. It is probable that many HIV-infected persons have now entered the country. Because of the high rates of sexually transmitted diseases and cultural factors such as “machismo,” HIV is likely to spread rapidly by heterosexual transmission, unless effective, culturally appropriate education and sexually transmitted disease prevention programs are implemented now.
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References
1.
MataL.HerreraG.AIDS and HIV infection in Costa Rica: A country in transition. Immunol. Cell Biol. 66: 175–183, 1988.
2.
World Health Organisation global statistics. AIDS6: 753–757, 1992.
3.
GarfieldR.WilliamsG.Health and Revolution: The Nicaraguan Experience. Oxam, Oxford, 1989.
4.
Nicaragua Today. A Republican Staff Report to the Committee on Foreign Relations of the United States Senate. U.S. Government Printing Office, Washington, D.C., 1992.
5.
TalaveraM. A.Maisto quiso imponer ‘Junta de Notables’. Barricada (Managua), August 9, 1992.
6.
DonahueJ. M.The Nicaraguan Revolution in Health: From Somoza to the Sandinistas. Bergin and Garvey, Mass., 1986.
7.
SandifordP.Why do child mortality rates fall? An analysis of the Nicaraguan experience. Am. J. Public Health81: 30–37, 1991.
8.
BrownP.Decline of public health takes its toll in Nicaragua. New Scientist, April 6, 1991.
9.
Ministerio de Salud. Plan Nacional de Salud 1988–1990. Managua, 1988.
10.
EggerM.An Action Research Project to Reduce the Rate of Sexually Transmitted Disease and Population AIDS Risk in Nicaragua. Technical report for the year 1991. Department of Epidemiology and Public Health, University College London, London, 1992.
11.
Ministerio de Salud. Programa de Preventión y Control de las Enfermedades de Transmisión Sexual 1990. Managua, 1990.
12.
ArbesserC.Serological examination for HIV-1 antibodies in Nicaragua, Columbia and El Salvador. J. Hyg. Epidemiol. Microbiol. Immunol.31(Suppl.): 508–509, 1987.
13.
LowN.AIDS and migrant populations in Nicaragua. Lancet336: 1593–1594, 1990.
14.
SelikR. M.CastroK. G.PappaioanouM.Racial/ethnic differences in risk of AIDS in the United States. Am. J. Public Health78: 1539–1545, 1988.
15.
LowN.Grado de conocimiento acerca del SIDA de la población adulta de Managua. Bol. Oficina Sanitaria Panamericana112: 319–326, 1992.
16.
Van der GeestS.The illegal distribution of Western medicines in developing countries: Pharmacists, drug pedlars, injection doctors and others. A bibliographic exploration. Med. Anthropol.3: 197–219, 1982.
17.
LancasterR. N.Subject honor and object shame: The cochon the milieu-specific construction of stigma and sexuality in Nicaragua. Ethnology27: 111–125, 1988.
18.
TrübswasserG.Identidad y revolutión. Werkstatt für Gesellschafts und Psycho-analyse, Salzburg, 1991.
19.
CarrierJ. M.Sexual behaviour and spread of AIDS in Mexico. Med. Anthropol.10: 129–142, 1989.
20.
ParkerR.Acquired immunodeficiency syndrome in urban Brazil. Med Anthropol. Q.1: 155–175, 1987.
21.
González-BlockM. A.LiguoriA. L.BazuaL. F.SIDA y estratos sociales en México: La importancia del bisexualismo. Salud Pub. México32: 26–37, 1990.
22.
GorterA.How many people actually use condoms? An investigation of motel clients in Managua. Soc. Sci. Med.36: 1645–1647, 1993.
23.
AIDS: A global assessment. Los Angeles Times, September 8, 1987.
24.
QuinnT. C.ZacariasF. R. K.St. JohnR. K.AIDS in the Americas. N. Engl. J. Med.320: 1005–1007, 1989.
25.
QuinnT. C.NarainJ. P.ZarariasF. R. K.AIDS in the Americas: A public health priority for the region. AIDS4: 709–724, 1990.
26.
Costa Rica: Plan nacional de mediano plazo para la prevención y el control del SIDA 1990–1992. Paper presented at Meeting of Central American and Donor Countries, Antigua, Guatemala, November 20–21, 1989.
27.
Estado de la epidemia del SIDA. Bol. Oficina Sanitaria Panamericana105: 656–665, 1988.
28.
Guatemala: Programa de mediano plazo para la vigiliancia y el control del SIDA 1990–1992. Paper presented at Meeting of Central American and Donor Countries, Antigua, Guatemala, November 20–21, 1989.
29.
AratnoonE.Estrada y MartinR.HIV Seroprevalence Survey in a Guatemalan AIDS Clinic. Abstract PoC4037. VIII International Conference on AIDS/HI STD World Congress, Amsterdam, July 19–24, 1992.
30.
Honduras: Programa nacional de prevención y control del SIDA 1990–1992. Paper presented at Meeting of Central American and Donor Countries, Antigua, Guatemala, November 20–21, 1989.
31.
The Economist Intelligence Unit. Nicaragua, Costa Rica, Panama: Country Profile 1990–1991. Annual survey of economic background. London, 1990.
32.
The Economist Intelligence Unit. Guatemala, El Salvador, Honduras: Country Profile 1990–1991. Annual survey of economic background. London, 1990.
33.
WilkieJ. W.OchoaE.Statistical Abstracts of Latin America, Vol. 27. UCLA Latin American Center Publications, University of California, Los Angeles, 1989.
34.
DunkerleyJ.Power in the Isthmus: A Political History of Modern Central America. Verso, London, 1988.
35.
ChelalaC. A.Central America: The cost of war. Lancet335: 153–154, 1990.
36.
Smallman-RaynorM. R.CliffA. D.Civil war and the spread of AIDS in Central Africa. Epidemiol. Infect.107: 69–80, 1991.
37.
BaldoM.CabralA. J.Low intensity wars and social determination of HIV transmission: The search for a new paradigm to guide research and control of the HIV-AIDS pandemic. In Proceedings of Maputo Conference on Health in Transition in Southern Africa (April 9–16, 1990). CHISA, New York, 1990.
38.
El SIDA en America Latina y el Caribe: Situatión actual. Bol. Epidemiol. Organizatión Panamericana Salud13: 1–8, 1992.
39.
MonterreyC. E.‘Coca’ desplaza a la ‘mari’ en Bluefields. Barricada (Managua) October 19, 1990.
40.
PotoyF.50 mil drogadictos más en 1992. Barricada (Managua), November 6, 1992.
41.
VolkowP.Del RioC.MoharA.Epidemiological Profile and Trends of the AIDS Epidemic in Mexico: The Role of Paid Donors on HIV Transmission. Abstract PoC4036. VIII International Conference on AIDS/III STD World Congress, Amsterdam, July 19–24, 1992.
