[HIV-infection and AIDS in the Netherlands: prevalence and incidence, 1987-2001].
OBJECTIVE
To describe the results of HIV-surveillance activities in the Netherlands between 1987 and 2001.


METHODS
Descriptive.


METHODS
Data were obtained from HIV-surveillance at STI-clinics, laboratory-surveillance in the region Arnhem, surveillance among injecting drug users, the AIDS-notification, STI-registration and the Amsterdam cohort studies on HIV/AIDS.


RESULTS
In the Netherlands, the highest HIV-prevalences were found among injecting drug users (1-26%) and homo- and bisexual men (0-17%). In these high-risk populations, an increase in HIV-prevalence and--incidence, respectively, was found among injecting drug users in Heerlen and homosexual men (> 35 years of age) in Amsterdam. The HIV-prevalence was lower among heterosexuals in the Netherlands (0-2%). However, in certain local populations an increase was seen. In both Amsterdam and Rotterdam, the HIV-prevalence was higher in individuals tested anonymously than in those tested by name.


CONCLUSIONS
Local increases in HIV-infections have been observed recently, in both high- and medium-risk populations.
Op de Coul
E L
EL
Rijksinstituut voor Volksgezondheid en Milieu, Centrum voor Infectieziektenepidemiologie, Postbus 1, 3720 BA Bilthoven. eline.op.de.coul@rivm.nl
Beuker
R J
RJ
Prins
M
M
Fennema
J S
JS
van der Meijden
W I
WI
Coutinho
R A
RA
van de Laar
M J
MJ
D000163:Acquired Immunodeficiency Syndrome / Q000453:epidemiology*; D000328:Adult; D017677:Age Distribution; D015331:Cohort Studies; D005260:Female; D015658:HIV Infections / Q000453:epidemiology*; D015528:HIV Seroprevalence; D006306:Health Surveys; D018451:Homosexuality, Male; D006801:Humans; D015994:Incidence; D008297:Male; D009426:Netherlands / Q000453:epidemiology; D015995:Prevalence; D012307:Risk Factors; D015819:Substance Abuse, Intravenous / Q000150:complications*