{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,11,1]],"date-time":"2023-11-01T09:40:46Z","timestamp":1698831646855},"reference-count":19,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2011,8,18]],"date-time":"2011-08-18T00:00:00Z","timestamp":1313625600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Tropical Med Int Health"],"published-print":{"date-parts":[[2011,11]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p><jats:bold>Objectives\u2002<\/jats:bold> To investigate the burden and outcome of HIV infection and other morbidities amongst a Mozambican hospital staff.<\/jats:p><jats:p><jats:bold>Methods\u2002<\/jats:bold> Within an occupational health service set up in April 2008 in the provincial hospital of Tete, Mozambique, we offered to all staff members an initial clinical, laboratory and radiological screening and followed them up prospectively until April 2010.<\/jats:p><jats:p><jats:bold>Results\u2002<\/jats:bold> A total of 47.5% of 423 health workers attended the program. The cohort (female\u2010to\u2010male ratio: 2.2; mean age: 39\u2003years) consisted mostly of auxiliary staff (43%) and nurses (29.8%). At initial screening, 71% were asymptomatic. HIV infection (28.4%) and tuberculosis (TB) (21%) were the main reported antecedent illnesses. Laboratory screening revealed anaemia (haemoglobin level &lt;10\u2003mg\/dl) in 9% participants, abnormal liver enzymes in 23.9% and a reactive non\u2010treponemal syphilis test in 5%. Of 145 performed chest X\u2010rays, 13% showed abnormalities. All 113 health workers not recently tested for HIV were screened, and 31 were newly diagnosed with HIV infection (resulting in an overall HIV prevalence of 43.8%). Nine cases of TB were diagnosed at screening\/during follow\u2010up. In April 2010, all but one of the participants were alive. All HIV\u2010infected health workers under antiretroviral therapy were actively followed\u2010up.<\/jats:p><jats:p><jats:bold>Conclusion\u2002<\/jats:bold> Serious conditions were frequently diagnosed in health workers, in particular HIV infection. Mid\u2010term outcome was favourable within this program. Creation of screening and care services dedicated to caregivers should be of highest priority in similar African settings.<\/jats:p>","DOI":"10.1111\/j.1365-3156.2011.02853.x","type":"journal-article","created":{"date-parts":[[2011,8,18]],"date-time":"2011-08-18T04:55:27Z","timestamp":1313643327000},"page":"1450-1456","source":"Crossref","is-referenced-by-count":2,"title":["Burden and outcome of HIV infection and other morbidities in health care workers attending an Occupational Health Program at the Provincial Hospital of Tete, Mozambique"],"prefix":"10.1111","volume":"16","author":[{"given":"Esther Carrillo","family":"Casas","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tom","family":"Decroo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jules Aim\u00e9 Bonou","family":"Mahoudo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jesus Maria","family":"Baltazar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carla Das","family":"Dores","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luisa","family":"Cumba","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anja","family":"De Weggheleire","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Veerle","family":"Huyst","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emmanuel","family":"Bottieau","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,8,18]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/1758-2652-14-1"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002030-199403000-00023"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1179\/oeh.2007.13.1.99"},{"key":"e_1_2_6_5_1","first-page":"115","article-title":"Prevalence of HIV infection and median CD4 counts among health care workers in South Africa","volume":"97","author":"Connelly D","year":"2007","journal-title":"South African Medical Journal"},{"key":"e_1_2_6_6_1","volume-title":"A Joint WHO\u2010ILO\u2010UNAIDS Policy Guidelines on Improving Health Workers\u2019 Access to HIV and TB Prevention, Treatment, Care And Supports Services. A Guidance Note","author":"International Labor Organization","year":"2010"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(04)16597-5"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/1478-4491-7-55"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1986.03380220065023"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(04)16518-5"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3156.2005.01397.x"},{"key":"e_1_2_6_12_1","volume-title":"Inqu\u00e9rito Nacional de Pr\u00eavalencia, Riscos Comportementais e Informa\u00e7ao sobre o HIV e SIDA em Mo\u00e7ambique","author":"Ministry of Health, Mozambique","year":"2009"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198810273191704"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/1758-2652-12-15"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-153-8-201010190-00008"},{"key":"e_1_2_6_16_1","first-page":"108","article-title":"High HIV\/AIDS prevalence among health workers requires urgent action","volume":"97","author":"Shisana O","year":"2007","journal-title":"South African Medical Journal"},{"key":"e_1_2_6_17_1","first-page":"846","article-title":"HIV\/AIDS prevalence among South African health workers","volume":"94","author":"Shisana O","year":"2004","journal-title":"South African Medical Journal"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1086\/521113"},{"key":"e_1_2_6_19_1","doi-asserted-by":"crossref","first-page":"589","DOI":"10.7196\/SAMJ.3897","article-title":"Towards universal ARV access: achievements and challenges in Free State Province, South Africa","volume":"100","author":"Uebel KE","year":"2010","journal-title":"South African Medical Journal"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1596\/978-0-8213-8316-2"}],"container-title":["Tropical Medicine &amp; International Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1365-3156.2011.02853.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1365-3156.2011.02853.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,31]],"date-time":"2023-10-31T11:13:35Z","timestamp":1698750815000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1365-3156.2011.02853.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,8,18]]},"references-count":19,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2011,11]]}},"alternative-id":["10.1111\/j.1365-3156.2011.02853.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1365-3156.2011.02853.x","archive":["Portico"],"relation":{},"ISSN":["1360-2276","1365-3156"],"issn-type":[{"value":"1360-2276","type":"print"},{"value":"1365-3156","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,8,18]]}}}