EPIDEMIOLOGY 227 - AIDS: A MAJOR PUBLIC HEALTH CHALLENGE

 

                                  Spring Quarter 2008, Wednesdays and Fridays, 10:00-noon

Location 71-269 CHS

 

                                                       Instructor - Roger Detels, M.D., M.S.

 

 

Teaching Assistant:  Julie Hsieh, JJHSIEH@ucla.edu

Office location/hours: Wednesdays from 12-1 pm in Room 21-245 CHS

 

 

 

 

 

Date

Topic

Lecturer

     
Wed, April 2 The Epidemiology of HIV/AIDS Roger Detels
     
  Slide Presentation (Powerpoint)  
  Slide Presentation (PDF)  
     

Readings

  Fauci AS.  The AIDS epidemic.  New Engl J Med 341(14):1046-1050, 1999.  
     
  Detels R.  The role of epidemiology in challenging the HIV/AIDS pandemic. J Epidemiol 11(2):95-102, 2001.  
     
  Abdool Karim SS, Karim QA, Detels R. Acquired immunodeficiency syndrome. In Oxford Textbook of Public Health: The Practice of Public Health, 5th ed, Detels R, McEwen J, Beaglehole R, Tanaka H (eds).  Oxford University Press, Oxford England, 2008 (in press).  
   
     
Fri, April 4 The Natural History of HIV Infection - Molecular, Host, Community Roger Detels
     
  Slide Presentation (Powerpoint)  
  Slide Presentation (PDF)  
     
 

Readings

 
  Barre-Sinoussi F.  HIV as the cause of AIDS.  Lancet 348:31-35, 1996.  
     
  Feinberg MB.  Changing the natural history of HIV diseaseLancet 348:239-246, 1996.  
     
  HIV lifecycle: http://www.hivinfosource.org/animation.html  
     
     
Wed, April 9 The Response of the Immune System to HIV Beth Jamieson
     
  Slide Presentation (Powerpoint)  
  Slide Presentation (PDF)  
Glossary of terms
  Hopkin M. Can superantibody drugs be tamed? Nature 440:855-856, 2006  
 

Huston DP.  The biology of the immune system.  JAMA 278(22):1804-1814, 1997.

 
     
     
Fri, April 11 HIV/AIDS in Developing Countries Roger Detels
     
  Slide Presentation (Powerpoint)  
  Slide Presentation (PDF)  
     
 

Reading

 
  Ojikutu BO, Stone VE. Women, inequality, and the burden of HIV. New Engl J Med 352:649-652, 2005.  

  Lamptey P, Wilson D. Scaling up AIDS treatment: what is the potential impact and what are the risks? Public Library of Science 2(2):102-104, 2005.  
     
  Beyrer C, Stephens H. Transmission of HIV and other infections in southeast Asia. In AIDS in Asia, Lu Y and Essex M (eds). Kluwer Academic, Plenum Publishers, New York, NY, 2004, pp. 317-333.  
     
  Detels R. HIV/AIDS in Asia: Introduction. AIDS Ed Prev 16A:1-6, 2004  
     
     
Wed, April 16 The Biology of the Human Immunodeficiency Virus Jerome Zack
Slide Presentation (Powerpoint)
Slide Presentation (PDF)
 
 

Reading

 
 

Douek DC, Picker LJ, Koup RA.  T cell dynamics in HIV-1 infection. Annu Rev Immunol 21:265-304,2003.

 
     
Fri, April 18

Clinical Manifestations of HIV Infection:

Therapeutic Rationale and Treatment of HIV Infection

Ronald Mitsuyasu
     
Slide Presentation    Powerpoint  PDF - updated 25 April
Supplemental information on clinical manifestations and treatment regimens (not presented in class)    Powerpoint  PDF
     
 

Reading

 
  Detels R, Muņoz A, McFarlane G, Kingsley LA, Margolick J, Giorgi J, Schrager LK, Phair JP. Effectiveness of potent antiretroviral therapy on time to AIDS and death in men with known HIV infection duration. JAMA 1998;280(17):1497-1503.  
     
     
Wed, April 23 Pathologic and Neurologic Manifestations of HIV/AIDS  
     
  Slide Presentation    Powerpoint  PDF - updated 25 April Eric Miller 10-11
     
  Slide Presentation    Powerpoint  PDF Harry Vinters 11-noon
     
 

Readings

 
 

Anthony IC, Bell JE. The neuropathology of HIV/AIDS. Intl Rev Psychiatr 20(1):15-24, 2008.

 
  Brew BJ, Letendre SL. Biomarkers of HIV related central nervous system disease. Intl Rev Psychiatr 20(1):73-88.  
  Power C, Gill MJ, Johnson RT.  The neuropathogenesis of HIV infection: host-virus interaction and the impact of therapy.  Can J Neurol Sci 29:19-32, 2002.  
 

Hinkin CH, Castellon SA, van Gorp WG, Satz P.  Neuropsychological features of HIV disease.  In Practitioner's Guide to the Neuropsychiatry of HIV/AIDS, van Gorp WG, Buckingham SL (eds). The Guildford Press, New York, NY, 1998, Chapter 1, pp. 1-41.

 
     
 

Ellison D, Love S, Chimelli L, Harding BN, Lowe J, Vinters HV.  Neuropathology: A Reference Text of CNS Pathology, 2nd ed.  Mosby, London, England, 2004, pp. 300-318.

 
  (NOTE: If your computer cannot open the link for this, save to your hard disk and open the file through PDF)  
     
     
Fri, April 25 Vertical Transmission of HIV and Pediatric AIDS Yvonne Bryson
  Slide Presentation       Powerpoint   PDF  
     
 

Reading

 
  Beckerman KP. Long-term findings of HIVNET 012: the next step. Lancet 362:842-843, 2003.  
     
     
Wed, April 30 HIV/AIDS in the Gay Community (10:00-11:00) Lee Kozinski
     
  Slide Presentation   Powerpoint  PDF  
     
 

Reading

 
 

Wolitski RJ, Valdiserri RO, Denning PH, Levine WC. Are we headed for a resurgence of the HIV epidemic among men who have sex with men?  Am J Public Hlth 91:883-888, 2001.

 
     
     
  HIV/AIDS in the African-American Community (10:00-11:00) Ewok Kwa Sey
     
  Slide Presentation    Powerpoint    PDF  
     
 

Readings

 
  Bogart LM, Thorburn S. Are HIV/AIDS conspiracy beliefs a barrier to HIV prevention among African Americans? JAIDS 38(2):213-219, 2005.  
     
  Wohl AR, Johnson DF, Lu S, Jordan W, Beall G, Currier J, Simon PA. HIV risk behaviors among African American men in Los Angeles County who self-identify as heterosexual. JAIDS 31:354-360, 2002.  
     
  African Americans and HIV/AIDS. Kaiser Family Foundation Fact Sheet, February 2005.  
     
     
     
Fri, May 2 HIV/AIDS in the Latino Community (11:00-noon) Cesar Portillo
 
  Slide Presentation    Powerpoint   PDF  
 

Reading

 
  Latino Congressional Briefing  
     
  MIDTERM EXAMINATION  
  2008 Midterm key     
  Midterm results  
Wed, May 7 Federal and State Policy Towards HIV/AIDS (10:00-11:00) Arleen Liebowitz
     
  Slide Presentation   Powerpoint  PDF  
Fri, May 9 Surveillance Strategies Roger Detels
     
  Slide Presentation    Powerpoint   PDF  
     
 

Reading

 
  Berkelman RL, Stroup DF, Buehler JW. Public health surveillance. In: Detels R, McEwen J, Beaglehole R, Tanaka H, eds. Oxford Textbook of Public Health: The Methods of Public Health, vol 2, 4th ed. Oxford, England: Oxford University Press, 2002, pp. 759-778.  
     
     
Wed, May 14 Bloodborne Transmission of HIV Dennis Goldfinger
  The following is from Dr. Zyman's lecture in 2007, for your reference only - Dr. Goldfinger will be writing on the board instead of giving a Powerpoint presentation  
  Dr. Zyman's Slide Presentation 2007   Powerpoint   PDF  
     
     
Fri, May 16 Ethics of HIV/AIDS Roger Detels
     
  Slide Presentation    Powerpoint  PDF  
     
 

Reading

 
  The Declaration of Helsinki. October 2000.  
     
  Calman KC, Downie RS. Ethical principles and ethical issues in public health. In Oxford Textbook of Public Health: The Practice of Public Health, Detels R, McEwen J, Beaglehole R, Tanaka H (eds).  Oxford University Press, Oxford England, 2002, pp. 387-399.  
     
     
Wed., May 21 Behavioral Prevention Thomas Coates
     
  Slide Presentation  Powerpoint  PDF  
     
     
Fri, May 23 HIV/AIDS and Drug Use in the U.S. (10:00-11:00) Steven Shoptaw
     
  Slide Presentation   Powerpoint   PDF  
     
 

Reading

 
  Specter M. Higher risk. The New Yorker, pp 38-45; May 23, 2005.  
     
  HIV/AIDS and Drug Use in Asia (11:00-noon) Roger Detels
     
  Slide Presentation   Powerpoint  PDF  
     
 

Readings (Detels)

 
  Tran NT, Detels R, Nguyen TH, Hoang TL, Pham THN.  Drug use, sexual behaviours and practices among male drug users in Hanoi, Vietnam.  Int J Drug Policy 15(3):182-188, 2004.
     
 

Tran NT, Detels R, Long HT, Lan HP. Drug use among female sex workers in Hanoi, Vietnam. Addiction 100:619-625, 2005.

 
     
     
Wed., May 28 Qualitative Strategies Eli Lieber
 
  Slide Presentation    Powerpoint    PDF
     
     
Fri, May 30 Testing Strategies Ralph Frerichs
     
  Slide Presentation   PDF   Animated version (under "guest lectures": http://www.ph.ucla.edu/epi/faculty/frerichs.html  
     
 

Readings (Frerichs)

 
  Brown J, Shesser R, Simon G, Bahn M, Czarnogorski M, Kuo I, Magnus M, Sikka N. Routine HIV screening in the emergency department using the new US Centers for Disease Control and Prevention guidelines. JAIDS 46(4):395-401, 2007.  
     
     
Wed., June 4 The Multicenter AIDS Cohort Study (MACS) Roger Detels
    John Oishi
  Slide Presentation   Powerpoint   PDF  
     
     
Fri, June 6 Public Health Intervention Roger Detels
     
  Slide Presentation   Powerpoint   PDF  
  HIV Vaccine Glossary, NIAID, 2002  
     
 

Readings

 
UNAIDS, 2006
 
Kresge KJ. And the winner is... HIV treatment and prevention. IAVI Report 11(1):1-5, 2007
 
PEPFAR and the fight against HIV/AIDS. Lancet 369(9568):1141, 2007
     
  Mark Dybul: US Global AIDS coordinator in charge of PEPFAR. Lancet 369(9568):1161, 2007  

 

Ho DD. A shot in the arm for AIDS vaccine research. Public Library of Science 2(2):100-101, 2005.

 

 

 

 

  Coordinating Committee of the Global HIV/AIDS Vaccine Enterprise. The Global HIV/AIDS vaccine enterprise: scientific strategic plan. Public Library of Science 2(2):100-101, 2005.  
  Wu Z, Sun X, Sullivan, SG, Detels R. HIV testing in China. Science 312:475-476, 2006.  
     
     
  Final exam:  
  Review session - Friday, 3-5 pm, CHS 71-257
 
 
  Wednesday, June 11, 2008, 11:30 am- 2:30 pm  
  Final key of 2008  
  Final results - with letter grades