Abstract
Since the report of the first case of human immunodeficiency virus (HIV) infection in Lebanon (and in the Arab world) more than 35 years ago, the Middle East and North Africa have witnessed significant changes in the progression of the disease and the key populations affected by this virus. Despite the initial timid approaches in management that were bound by socio-religious limitations, there have been very energetic models of care spearheaded either by individuals or civil society followed up by governmental structures. Although the countries of this region remain at the lowest worldwide prevalence levels, there are concentrated epidemics in several regions. Epidemiologic data are quite difficult to obtain because of the stigma and discrimination that makes persons at risk shy away from testing. Despite the availability of good medical care in many countries in the region, discrimination continues to prevent persons from seeking medical care resulting in suboptimal care in most countries. This chapter outlines the epidemiologic aspects of HIV in the Arab world, discusses some aspects of the management of key populations, and summarizes the availability of medications and current treatment guidelines.
References
(2019) 90-90-90: treatment for all. In: Unaids.org. https://www.unaids.org/en/resources/909090. Accessed 30 June 2019
Al-Abri S, Mokhbat JE (2016) HIV in the MENA region: cultural and political challenges. Int J Infect Dis 44:64–65
Alaoui N, El Alaoui M, Touil N et al (2018) Prevalence of resistance to integrase strand-transfer inhibitors (INSTIs) among untreated HIV-1 infected patients in Morocco. BMC Res Notes. https://doi.org/10.1186/s13104-018-3492-5
Alaoui N, El Alaoui M, El Annaz H et al (2019) HIV-1 integrase resistance among highly antiretroviral experienced patients from Morocco. Intervirology 1–7. https://doi.org/10.1159/000501016
Annaz H, Recordon-Pinson P, Baba N et al (2011) Presence of drug resistance mutations among drug-naive patients in Morocco. AIDS Res Hum Retrovir 27:917–920. https://doi.org/10.1089/aid.2010.0284
Beyrer C, Baral S, Griensven F et al (2019) Global epidemiology of HIV infection in men who have sex with men. Lancet 380:367–377
Bouzeghoub S, Jauvin V, Pinson P et al (2008) First observation of HIV type 1 drug resistance mutations in Algeria. AIDS Res Hum Retrovir 24:1467–1473. https://doi.org/10.1089/aid.2008.0087
Bozicevic I, Riedner G, Calleja J (2013) HIV surveillance in MENA: recent developments and results. Sex Transm Infect 89:iii11–iii16. https://doi.org/10.1136/sextrans-2012-050849
Chemaitelly H, Weiss H, Calvert C et al (2019) HIV epidemiology among female sex workers and their clients in the Middle East and North Africa: systematic review, meta-analyses, and meta-regressions. BMC Med. https://doi.org/10.1186/s12916-019-1349-y
(2019) Countries Where Prostitution Is Legal 2019. In: Worldpopulationreview.com. http://worldpopulationreview.com/countries/countries-where-prostitution-is-legal/. Accessed 30 June 2019
Dachraoui R, Depatureaux A, Chakroun M et al (2008) Monitoring of HIV-1 resistance in Tunisia (North Africa) with a dried plasma spot strategy. JAIDS J Acquir Immune Defic Syndr 47:522–525. https://doi.org/10.1097/qai.0b013e318166498a
(2009) Discrimination, Denial, and Deportation. Human Rights Abuses Affecting Migrants Living with HIV. In: Hrw.org. https://www.hrw.org/sites/default/files/reports/health0609webwcover_0.pdf. Accessed 1 July 2019
(2017) Global AIDS Monitoring 2018, Indicators for monitoring the 2016 United Nations Political Declaration on Ending AIDS. In: Unaids.org. https://www.unaids.org/sites/default/files/media_asset/2017-Global-AIDS-Monitoring_en.pdf. Accessed 30 June 2019
Gökengin D, Doroudi F, Tohme J et al (2016) HIV/AIDS: trends in the Middle East and North Africa region. Int J Infect Dis 44:66–73. https://doi.org/10.1016/j.ijid.2015.11.008
Heimer R, Barbour R, Khouri D et al (2017) HIV risk, prevalence, and access to care among men who have sex with men in Lebanon. AIDS Res Hum Retrovir 33:1149–1154. https://doi.org/10.1089/aid.2016.0326
(2018) HIV rapid diagnostic tests for self-testing: market and technology landscape: fourth edition’. In: Unitaid.org. https://unitaid.org/assets/HIVST-landscape-report.pdf. Accessed 1 July 2019
(2019) HIV and AIDS in the Middle East & North Africa (MENA). In: AVERT.org. https://www.avert.org/professionals/hiv-around-world/middle-east-north-africa-mena. Accessed 30 June 2019
(2019) HIV Country Intelligence, HIV Country Profiles. In: Cfs.hivci.org. http://cfs.hivci.org/index.html. Accessed 30 June 2019
Jervase A, Tahir H, Modi J et al (2018) HIV/AIDS in South Sudan past, present, and future: a model of resilience in a challenging context. J Public Health Emerg 2:31–31. https://doi.org/10.21037/jphe.2018.12.02
Jlizi A, Ben Ammar El Gaaied A, Slim A et al (2008) Profile of drug resistance mutations among HIV-1-infected Tunisian subjects failing antiretroviral therapy. Arch Virol 153:1103–1108. https://doi.org/10.1007/s00705-008-0104-z
Joulaei H, Shooshtarian S, Dianatinasab M (2019) Is UNAIDS 90-90-90 target a dream or a reality for Middle East and North Africa region on ending the AIDS epidemic? a review study. AIDS Rev. https://doi.org/10.24875/aidsrev.m18000020
Kouyoumjian S, El Rhilani H, Latifi A et al (2018) Mapping of new HIV infections in Morocco and impact of select interventions. Int J Infect Dis 68:4–12. https://doi.org/10.1016/j.ijid.2017.12.013
(2016) Landmark court ruling in Egypt prohibits HIV discrimination in the workplace. In: Unaids.org. https://www.unaids.org/en/resources/presscentre/featurestories/2016/july/20160713_Egypt
Merhi N (2012) UN report highlights rising rates of HIV in the Middle East. Nature Middle East. https://doi.org/10.1038/nmiddleeast.2012.169
(2019a) Middle East and North Africa, Country profile. In: Unaids.org. https://www.unaids.org/en/regionscountries/middleeastandnorthafrica. Accessed 30 June 2019
(2019b) Middle East and North Africa – Harm Reduction Policies. In: Harm Reduction International. https://www.hri.global/middle-east-and-north-africa-harm-reduction-policies. Accessed 30 June 2019
(2018) Miles to go – Global AIDS update 2018. In: Unaids.org. https://www.unaids.org/en/20180718_GR2018. Accessed 1 July 2019
Mokhbat J, Melhem N, El-Khatib Z, Zalloua P (2014) Screening for antiretroviral drug resistance among treatment-naive human immunodeficiency virus type 1-infected individuals in Lebanon. J Infect Dev Ctries 8:339–348. https://doi.org/10.3855/jidc.3593
Moradi A, Alammehrjerdi Z, Daneshmand R et al (2016) HIV responses in Arab States on the Southern Persian Gulf Border: the first review. Iranian J Psychiatry Behav Sci. https://doi.org/10.17795/ijpbs-5392
Mumtaz G, Riedner G, Abu-Raddad L (2014) The emerging face of the HIV epidemic in the Middle East and North Africa. Curr Opin HIV AIDS 9:183–191. https://doi.org/10.1097/coh.0000000000000038
National AIDS Program (2019) Annual report. Ministry of Public Health 2019, Republic of Lebanon
(2016) Prevention Gap Report. In: Unaids.org. https://www.unaids.org/sites/default/files/media_asset/2016-prevention-gap-report_en.pdf. Accessed 1 July 2019
Remien R, Chowdhury J, Mokhbat J et al (2009) Gender and care: access to HIV testing, care, and treatment. JAIDS J Acquir Immune Defic Syndr 51:S106–S110. https://doi.org/10.1097/qai.0b013e3181aafd66
Shawky S, Soliman C, Kassak K et al (2009) HIV surveillance and epidemic profile in the Middle East and North Africa. JAIDS J Acquir Immune Defic Syndr 51:S83–S95. https://doi.org/10.1097/qai.0b013e3181aafd3f’
(2012) Standing up speaking out, women and HIV in the middle east and north africa. In: Files.unaids.org. http://files.unaids.org/en/media/unaids/contentassets/documents/unaidspublication/2012/20120713_MENA_Women_and_AIDS_2012_en.pdf. Accessed 30 June 2019
(2014) The Gap report. In: Unaids.org. https://www.unaids.org/en/resources/campaigns/2014/2014gapreport/gapreport. Accessed 30 June 2019
(2019) The Global Database on HIV specific travel & residence restrictions – regulations on Entry, Stay and Residence for PLHIV. In: Hivtravel.org. http://hivtravel.org/Default.aspx?PageId=143&Mode=list&StateId=1. Accessed 2 Aug 2019
UNAIDS (2014) In: Unaids.org. https://www.unaids.org/sites/default/files/media_asset/GARPR_2014_guidelines_en_0.pdf. Accessed 2 Aug 2019
UNAIDS (2017) Ending AIDS: progress towards the 90-90-90 targets. In: Unaids.org. https://www.unaids.org/en/resources/documents/2017/20170720_Global_AIDS_update_2017. Accessed 2 Aug 2019
(2018) UNAIDS data 2018. In: Unaids.org. https://www.unaids.org/sites/default/files/media_asset/unaids-data-2018_en.pdf. Accessed 30 June 2019
(2019) UNAIDS MENA. In: Unaidsmena.org. http://www.unaidsmena.org. Accessed 30 June 2019
(2019) Update of recommendations on first- and second-line antiretroviral regimens. In: World Health Organization. https://www.who.int/hiv/pub/arv/arv-update-2019-policy/en/. Accessed 2 Aug 2019
(2019) WHO EMRO | Countries. In: Emro.who.int. http://www.emro.who.int/countries.html. Accessed 30 June 2019
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Wilson Dib, R., Mokhbat, J.E. (2021). HIV Care in the Arab World. In: Laher, I. (eds) Handbook of Healthcare in the Arab World. Springer, Cham. https://doi.org/10.1007/978-3-319-74365-3_147-1
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