1. Combining molecular network analysis and field epidemiology to quantify local HIV transmission and highlight ongoing epidemics
- Author
-
Jiafeng Zhang, Ke Xu, Jun Jiang, Qin Fan, Xiaobei Ding, Ping Zhong, Hui Xing, Chengliang Chai, and Xiaohong Pan
- Subjects
Microbiology (medical) ,Infectious Diseases ,General Medicine - Abstract
This study aimed to establish a collaborative approach to quantify local HIV transmission, which is an issue of great concern to public health.We linked HIV-1 pol gene sequences to demographic information and epidemiological investigations in Hangzhou (a central city in East China). We estimated local acquisition rates from collaboration of molecular network analysis (with a distance-based approach) and epidemiological investigations.Among 1064 newly diagnosed HIV patients, 857 pol sequences were acquired and subsequently analysed. Multiple subtypes were identified, with CRF07_BC (42.5%) and CRF01_AE (39.2%) predominating, followed by 13 other subtypes and 26 unique recombinant forms (URFs). By integrating the molecular network analysis and epidemiological investigations, we estimated that the proportion of local infection was 63.2%. Multivariable analyses revealed that individuals in clusters were more likely to be local residents, 50 years old or older, farmers, and to have a higher first CD4 count level (P0.05). Proportions of local acquisitions over 70% were observed in local residents (79.9%, 242/303), individuals 50 years old or older (73.6%, 181/246) and farmers (75.6%, 99/131).Molecular network analysis can augment traditional HIV epidemic surveillance. This study establishes a paradigm for quantifying local HIV transmission for generalization in other areas.
- Published
- 2023