Attached is the report on last year's HIV sentinel surveillance.
There is little new in it as there continue to be few new trends. There is a syphilis epidemic among female sex workers in Yangon. Predictably, there is no call for action, only for "effectiveness of the preventive services ... to be reassessed". In other words, let them die.
There is a slightly misplaced but correctible attempt to look at younger members of key populations. No one (except perhaps UNICEF staffers) really cares about younger sex workers or people who inject drugs. What is useful for programming purposes is a site by site determination of prevalence among those sex workers who have been working for less than a year and those people who have been injecting drugs for less than a year. An increase or decrease in prevalence in either of these groups in any site would give a very good indication of whether the epidemic is in control in these sites. This simple subgroup analysis would take about an hour.
Is anyone else interested in knowing this?
[him] moderator
