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Estimation and epidemiological assessment of undiagnosed HIV cases and their co-positivity with hidden HBV & HCV in Lucknow and surrounding districts of northern India – a post mortem study

Authors:

R. Singh ,

Era’s Lucknow Medical College & Hospital, IN
About R.
Department of Forensic Medicine & Toxicology
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A. K. Verma,

King George’s medical university, IN
About A. K.
Department of Forensic Medicine & Toxicology
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H. Singh,

Autonomous state medical college, Bahraich, IN
About H.
Department of Anatomy
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R. Kumari,

King George’s medical university, IN
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Department of Social & Preventive Medicine
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M. Singh,

King George’s medical university, IN
About M.
Department of Forensic Medicine & Toxicology
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R. Rupani

King George’s medical university, IN
About R.
Department of Forensic Medicine & Toxicology
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Abstract

Background: Undiagnosed HIV cases are continuously jeopardizing the efforts to combat HIV/AIDS. Screening of these hidden cases is necessary to sensitize our policymakers and more so our healthcare workers to this occupational hazard.

 

Objectives: To determine the serostatus of HIV, HBV & HCV in human corpses with unknown status and to correlate HIV infectivity with HBV-HCV infectivity, socio-demographic character, behavioural pattern, and habitat.

 

Methods: This was an observational cross-sectional study that included all human corpses with unknown serostatus, brought to a single institute in India for medicolegal autopsy. Serum was extracted and an ELISA kit was used to screen these cases.

 

Results: 929 blood samples were collected. The prevalence of undiagnosed HIV, HBV, and HCV was 1%, 1.9%, and 1.4%. This was much higher than the known prevalence in the North India region. The co-positivity of HBV & HCV cases was also found to be statistically significant. The multivariate logistic regression analysis revealed that marital status, addiction habits, and homelessness were found to be significantly associated with the prevalence of HIV.

 

Conclusion: There is a need for healthcare agencies worldwide to have policies for screening of undiagnosed cases since these obscure cases endanger the healthcare workers.
How to Cite: Singh, R., Verma, A.K., Singh, H., Kumari, R., Singh, M. and Rupani, R., 2021. Estimation and epidemiological assessment of undiagnosed HIV cases and their co-positivity with hidden HBV & HCV in Lucknow and surrounding districts of northern India – a post mortem study. Sri Lanka Journal of Forensic Medicine, Science & Law, 12(2), pp.3–9. DOI: http://doi.org/10.4038/sljfmsl.v12i2.7862
Published on 03 Dec 2021.
Peer Reviewed

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