EPIDEMIOLOGY 227 - AIDS: A MAJOR PUBLIC HEALTH CHALLENGE

 

                                  Spring Quarter 2011, Wednesdays and Fridays, 10:00-noon

Location 71-257 CHS

 

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

 

 

Teaching Assistant:  Sanchita Ray, raysanchita@yahoo.co.in

Office location/hours: Wednesday noon-1 PM, 73-318 CHS

20 APRIL ONLY - 4:00-5:00, room 71-236 CHS

 

 

Date

Topic

Lecturer

     
Wed, March 30 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, 2009 (in press).  
   
     
Fri, April 1 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 6 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  
     
  Cohen J. the ins and outs of HIV. Science 327:1196-1197, 2010.  
     
  Koop CE. The early days of AIDS, as I remember them. Forum for Collaborative HIV Research  13(2):5-10, 2011.  
     
     
Fri, April 8 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.

 
 
     
Wed, April 13 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 15

Clinical Manifestations of HIV Infection:

Therapeutic Rationale and Treatment of HIV Infection

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

Reading

 
  Detels R, Muñoz 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.  
     
  Sax PE, Baden LR. When to start antiretroviral therapy - ready when you are? NEJM 360:1897, 2009.  
     
  Kitahata MM, et al. Effect of early versus deferred antiretroviral therapy for HIV survival. NEJM 360:1815-26, 2009.  
     
   
     
     
Wed, April 20 Pathologic and Neurologic Manifestations of HIV/AIDS  
     
  Slide Presentation    Powerpoint  PDF

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 22 HIV/AIDS in the African-American Community Nina Harawa
     
  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.  
     
  Wilson P. Left Behind: Black America: A Neglected Priority in the Global AIDS Epidemic. IAS Newsletter, March 2009  
 
  HIV/AIDS Amongst Black Americans. International AIDS Society Newsletter, March 2009  
     
     
Wed, April 27 MIDTERM  
 
  2011 midterm key
  Midterm results
 
Fri, April 29 HIV/AIDS in the Gay Community 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.

 

Smith DK, et al. Interim Guidance: Preexposure Prophylaxis for the Prevention of HIV Infection in Men Who Have Sex with Men. MMWR 60(3):65-68, 2011.

Wed, May 4 HIV/AIDS in the Latino Community Octavio J. Vallejo
 
  HIV Infectious amongst Latinos   Powerpoint   PDF  
     
  HIV/AIDS among Latinos in California (PDF)  
     
     
 

Reading

 
  Latino Congressional Briefing  
  HIV/AIDS among Mexican Migrants and Recent Immigrants in California and Mexico  
     
     
Fri, May 6 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, May 11 Bloodborne Transmission of HIV - class will last less than 2 hours, since Dr. Herron must go to airport Ross Heron, American Red Cross
     
  Slide Presentation    Powerpoint   PDF  
     
  Handout for class: HIV Transmission Through Transfusion — Missouri and Colorado, 2008. MMWR  59(41):1335-1339, 2010.
     
     
Fri, May 13 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 18 Behavioural Intervention  Powerpoint   PDF Dallas Swendeman
     
 

Reading

 
 

Rotheram-Borus MJ, Swendeman D, Flannery D, Rice E, Adamson DM, Ingram B. Common factors in effective HIV prevention programs. AIDS Behav 13:399–408, 2009.

 
     
 

Swendeman D, Rotheram-Borus MJ. Innovation in sexually transmitted disease and HIV prevention: Internet and mobile phone delivery vehicles for global diffusion. Curr Op Psychiatry 23:139–144, 2010.

 
     
 

Rotheram-Borus MJ, Swendeman D, Chovnick. The Past, Present, and Future of HIV Prevention: Integrating Behavioral, Biomedical, and Structural Intervention Strategies for the Next Generation of HIV Prevention. Annu Rev Clin Psychol 5:143–67, 2009.

 
     
     
Fri, May 20 Surveillance Strategies/Testing Roger Detels
     
  Slide Presentation    Powerpoint   PDF  
     
 

Reading

 
     
  Sullivan SG, Wu Z, Detels R. Missed opportunities for testing in Asia.  
     
  Berkelman RL, Sullivan PS,  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, 5th ed. Oxford, England: Oxford University Press, 2009, pp. 699-715.  
     
  Revised Surveillance Case Definitions for HIV Infection Among Adults, Adolescents, and Children Aged <18 Months and for HIV Infection and AIDS Among Children Aged 18 Months to <13 Years --- United States, 2008. MMWR 57(RR10);1-8, 2008.  
     
  AIDS in Uganda - LA Times, May 2010  
     
 

Bierly A. Community Involvement Raises HIV Testing Rates. http://www.nih.gov/researchmatters/may2011/05162011community.htm

 
     
     
Wed, May 25 Federal and State Policy Regarding HIV/AIDS Arleen Leibowitz
     
  Slide Presentation   Powerpoint    PDF  
 
  Reading  
  Zuniga JM. IAPAC recommendations to the Obama Administration for the US response to the global HIV pandemic. JIAPAC 1:13-20, 2009.  
  El-Sadr WM, Mayer KH, Hodder SL. AIDS in America - Forgotten but not gone. NEJM 362(11):967, 2010.  
     
     
Fri, May 27 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., June 1 The Multicenter AIDS Cohort Study (MACS) Roger Detels
    John Oishi
  Slide Presentation   Powerpoint  PDF  
     
     
Fri, June 3 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.  
  Treating TB, AIDS co-infection: http://www.hindu.com/seta/2009/05/21/stories/2009052150101200.htm  
  Reading: Initiation of ART  
  Wood R, Lawn SD. Should the CD4 threshold for starting ART be raised? Lancet 373:1314-16, 2009.  
  When to Start Consortium. Timing of initiation of ART in AIDS-free HIV-1-infected patients: a collaborative analysis of 18 HIV cohort studies. Lancet 373:1352-63, 2009.  
  Leibowitz A, et al. US Policy Perspective on Oral Preexposure Prophylaxis for HIV. AJPH 2011  
     
     
  Final exam - Thursday, 9 June, 11:30 - 2:30  
  Review session Tuesday, 7 June, 3-4 pm, room 61-269  
  2011 final key             FINAL RESULTS