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Highly active antiretroviral therapy (HAART) greatly reduces the risk of developing tuberculosis for HIV-infected persons. Nonetheless, HIV-associated tuberculosis continues to occur in countries where HAART is widely used. To identify the characteristics of HIV-infected persons who develop tuberculosis in the context of the availability of HAART, the current authors analysed data taken from 271 patients diagnosed, in Italy, during 1999-2000. These patients represent 0.7% of the 40,413 HIV-infected patients cared for in the clinical units participating in this current study. From the data it was observed that 20 patients (7.4%) had a previous episode of tuberculosis whose treatment was not completed. Eighty-one patients (29.9%) were diagnosed with HIV at tuberculosis diagnosis, 108 (39.8%) were aware of their HIV status but were not on antiretroviral treatment and 82 (30.3%) were on antiretroviral treatment. Patients on antiretroviral treatment were significantly less immunosuppressed than patients with HIV diagnosed concurrently with tuberculosis, or other patients not on antiretrovirals (median CD4 lymphocytes count: 220 cells x mm(-3) versus 100 cells x mm(-3), and 109 cells x mm(-3), respectively). No significant differences in clinical presentation of tuberculosis according to antiretroviral therapy status were recorded. Failure of tuberculosis control interventions (e.g. noncompletion of treatment) and of HIV care (delayed diagnosis of HIV infection and suboptimal uptake of therapy) may contribute to continuing occurrence of HIV-associated tuberculosis in a country where highly active antiretroviral therapy is largely available. However, a significant proportion of cases occur in patients who are on antiretroviral treatment.

The Arda and Stirone marine successions (Italy) represent key sections for the early Pleistocene; they were deposited continuously within a frame of climate change, recording the Calabrian cooling as testified by the occurrence of the “northern guests,” such as the bivalve Arctica islandica. In addition, although the first occurrence of A. islandica in the Mediterranean Sea was used as the main criterion to mark the former Pliocene-Pleistocene boundary, the age of this bioevent was never well constrained. Here, we describe the Stirone depositional environment and constrain for the first time the section age using calcareous nannofossil and foraminifera biostratigraphy. We also correlate the Arda and Stirone sections using complementary biostratigraphic and magnetostratigraphic data. Our results indicate that A. islandica first occurred in both the successions slightly below the top of the CNPL7 biozone (dated at 1.71 Ma). Comparisons with other lower Pleistocene Mediterranean marine successions indicate that the stratigraphically lowest level where A. islandica first occurred in the Mediterranean Sea is in the Arda and Stirone sections; these environments satisfied the ecological requirements for the establishment and the proliferation of the species, which only subsequently (late Calabrian) has been retrieved in southern Italy and other areas of the Mediterranean Sea.