Towards a national XXXX -control program in Uganda.

@entity1 @entity791
A national @entity791 -control program was developed in Uganda to deal with a potentially serious epidemic of the @entity791 ( @entity791 ). A cumulative total of 1,138 cases of @entity791 has been reported in Uganda between 1983-since @entity791 was introduced into the country-and March 1987. More than 80% of the victims are sexually active @entity1 whereas less than 10% are @entity1 and @entity1 younger than 5 years. Virtually no cases or seropositivity is reported in @entity1 between the ages of 5 and 14 years or after the age of 60 years. Most transmission has been through the heterosexual route, and, unlike in the United States, the male-female ratio is 1:1. Heterosexual high-risk behavior is cited as an important mode of transmission. A survey of household contacts showed that despite the closeness, only the sexual partners were seropositive.A five-year plan of action has been developed, and health education is the main thrust. It also includes blood screening, improved sterile procedures, improved surveillance and notification, research and terminal @entity1 care. The plan stresses integration based on primary health care. There are unresolved moral issues of whether or not to tell the truth to an @entity791 victim or any healthy seropositive @entity1 in developing countries, especially unstable @entity1 . The best approach is to sensitize everyone so that they become guardians of their lives because sexual behavior is an issue of individual responsibility.
