AIDS in Africa: an epidemiologic paradigm

Cases of the acquired immune deficiency syndrome (AIDS) have been reported in countries throughout the world. Initial surveillance studies in Central Africa suggest an annual incidence of AIDS of 550 to 1000 cases per million adults. The male to female ratio of cases is 1:1, with age- and sex-specific rates greater in females less than 30 years of age and greater in males over age 40. Clinically, AIDS in Africans is often characterized by a diarrhea-wasting syndrome, opportunistic infections, such as tuberculosis, cryptococcosis, and cryptosporidiosis, or disseminated Kaposi's sarcoma. From 1 to 18% of healthy blood donors and pregnant women and as many as 27 to 88% of female prostitutes have antibodies to human immunodeficiency virus (HIV). The present annual incidence of infection is approximately 0.75% among the general population of Central and East Africa. The disease is transmitted predominantly by heterosexual activity, parenteral exposure to blood transfusions and unsterilized needles, and perinatally from infected mothers to their newborns, and will continue to spread rapidly where economic and cultural factors favor these modes of transmission. Prevention and control of HIV infection through educational programs and blood bank screening should be an immediate public health priority for all African countries.     

Africa boosts AIDS vaccine R&D

Efforts have recently heated up in several African countries to tailor-make preparations that many believe offer the best hope yet for stopping HIV cold. But all are at the earliest stages, which means it will take years before a vaccine might prove its worth.     

Ground zero: AIDS research in Africa

More and more European and North American AIDS researchers are coming to sub-Saharan Africa, which is home to a whopping 70% of all HIV-infected people. These investigators are collaborating with local researchers on projects that aim to slow both HIV's spread and the course of disease in the millions already infected. But most African countries--constrained by limited resources, weak infrastructures, social mores, and political inaction--have grave difficulties translating research insights into prevention and treatment strategies.     

Intensive Titan exploration begins

The Cassini Orbiter spacecraft first skimmed through the tenuous upper atmosphere of Titan on 26 October 2004. This moon of Saturn is unique in our solar system, with a dense nitrogen atmosphere that is cold enough in places to rain methane, the feedstock for the atmospheric chemistry that produces hydrocarbons, nitrile compounds, and Titan's orange haze. The data returned from this flyby supply new information on the magnetic field and plasma environment around Titan, expose new facets of the dynamics and chemistry of Titan's atmosphere, and provide the first glimpses of what appears to be a complex, fluid-processed, geologically young Titan surface.