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In , MHRP launched an international HIV vaccine research program in collaboration with the Kenyan Medical Research Institute (KEMRI). lasted about a week, based on molecular dating and viral load growth rates obtained from one.
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Originally integrated within a community at a local tea plantation in Kericho, the MHRP Kenya program has developed expertise and infrastructure to support HIV vaccine, therapeutic and other infectious diseases research. The HIV research and care programs are mutually synergistic with long-term capacity building and sustainability. Ongoing studies include:. The Kericho site has participated in studies focusing on HIV treatment and management of co-morbidities such as TB, fungal infections and Kaposi’s sarcoma.
The analysed coastal Kenyan HIV-1 partial pol sequences included both obtained from dating the origin of subtype A1 Kenyan clusters.
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One large IDU-exclusive cluster was found, indicating an independent sub-epidemic among this group. Phylodynamic analysis of this cluster revealed a steady increase in HIV-1 infections among IDU since the estimated origin of the cluster in Our results suggest mixing between high-risk groups and heterosexual populations and could be relevant for the development of targeted HIV-1 prevention programmes in coastal Kenya.
Approximately 5. Modelling data on modes of HIV-1 transmission in Kenya have shown that at least one-third of all new infections occur among high-risk groups 5. However, little is known about local HIV-1 networks and transmission within and between high-risk groups and the heterosexual HET population in African settings 6.
Molecular epidemiology studies in coastal Kenya have described a dynamic HIV-1 epidemic characterised by subtypes A, C, D, and different circulating recombinant forms CRFs 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , These studies have indicated high proportions of recombinants within HET, but this was not evident among MSM in a recent study 8 , alluding to separate epidemics.
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