http://www.libertytimes.com.tw/2008/new/oct/25/today-int5.htm
2008-10-25
《中英對照讀新聞》Drug-resistant HIV strains turning up in China
抗藥性HIV病毒株在中國現身
◎ 陳成良
Drug-resistant HIV strains are turning up in parts of China as the
virus stretches beyond high-risk groups and gains a stronger foothold
in the general population, a leading Chinese AIDS researcher said.
中國部分地區正出現抗藥性人類免疫不全病毒株（HIV），該病毒不僅在高風險族
群中傳染，在一般人之間也越來越普遍，一位中國權威愛滋病研究者說。
Chen Zhiwei, director of the AIDS Institute in Hong Kong, described the
trends as "alarming" and warned that Chinese AIDS patients could get in
trouble because there were very few HIV drugs available in China.
香港愛滋病研究所所長陳志偉形容這種趨勢「令人擔憂」，並警告中國愛滋病患可
能會有麻煩，因為中國愛滋病藥物很少。
"All these drug-resistant mutations are in China now, they are emerging
in Chinese patients. The major worry is whether the drug-resistant
virus (strains) will spread," Chen said.
「如今所有抗藥性的突變都在中國，出現在中國病患身上。最令人擔心的是抗藥性
病毒株是否會擴散，」陳志偉說 。
"We are studying whether that is happening, but that will be the case
if you don’t provide proper treatment," he told Reuters.
「我們正在研究這種情況是否正在發生，但是若不提供適切治療，情況就會如此，
」他告訴路透說。
China has only seven of the more than 20 different HIV drugs available,
which means patients end up with limited options once they develop
resistance to certain drugs.
現有20多種不同愛滋病藥物，中國只有其中7種，這意味病患一旦對特定藥物產生
抗藥性，他們最後的（藥物）選擇有限。
Dictionary 新聞辭典
HIV：為Human Immunodeficiency Virus的縮寫，即「人類免疫不全病毒」，通常
稱為愛滋病毒，因為感染這種病毒會導致愛滋病（AIDS, Acquired
Immunodeficiency Syndrome，後天性免疫不全症候群）。
turn up：片語，出現、露面。例句：The police turned up unexpectedly.（警
方出其不意地出現。）
end up：片語，結束、告終。例句：Wasteful people usually end up in debt.
（浪費的人最後往往負債。）
原始路透社文章:
http://www.reuters.com/article/healthNews/idUSTRE4992BT20081010?sp=true
Drug-resistant HIV strains turning up in China
Fri Oct 10, 2008 5:00am EDT
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By Tan Ee Lyn
HONG KONG (Reuters) - Drug-resistant HIV strains are turning up in
parts of China as the virus stretches beyond high-risk groups and gains
a stronger foothold in the general population, a leading Chinese AIDS
researcher said.
Chen Zhiwei, director of the AIDS Institute in Hong Kong, described the
trends as "alarming" and warned that Chinese AIDS patients could get in
trouble because there were very few HIV drugs available in China.
"All these drug-resistant mutations are in China now, they are emerging
in Chinese patients. The major worry is whether the drug-resistant
virus (strains) will spread," Chen said.
"We are studying whether that is happening, but that will be the case
if you don't provide proper treatment," he told Reuters.
"If drug resistant virus (strains) spread in China, we don't have
enough selection of (drugs) that are made available," Chen said, adding
that researchers had urged China to import more varieties of HIV drugs.
China has only seven of the more than 20 different HIV drugs available,
which means patients end up with limited options once they develop
resistance to certain drugs.
Although HIV infection is incurable, cocktails of the drugs can control
the virus. But drug adherence is bad in China's rural regions due to
poor patient knowledge, inaccessible healthcare and a lack of health
workers to explain to patients the importance of keeping to drug
regimens.
Chen's warning comes after he and his colleagues published an article
in Nature last week, detailing how HIV infections were rising sharply
among women and gay and bisexual men in China.
There were some 700,000 HIV/AIDS cases in China as of October 2007, up
8 percent from 2006. Some 38 percent of cases were attributed to
heterosexual contact, more than triple the 11 percent in 2005 -- when
the bulk of infections were occurring among injecting drug users and
through blood transmissions.
GENERAL POPULATION AT RISK
Cases among gay and bisexual men jumped to 3.3 percent in 2007 from 0.4
percent in 2005 nationally.
In a separate study of southwestern Yunnan province -- a region
notorious for HIV infections among drug users -- the scientists found
that women now make up 35 percent of those infected, up from 7.1
percent before 1996.
"The virus is moving into the general population. Signs are prevalent
among women and vertical transmission (from mother to fetus)," he said.
"We have to find a way to stop this or the change will be like South
Africa. If there is no good prevention, transmissions will suddenly
explode," said the scientist. Chen said the porous southern Chinese
border was a concern. An HIV strain circulating in Yunnan is also found
in Thailand and Myanmar, which could be partly explained by Chinese
women working as prostitutes in Indochina, he said.
"They travel to and from Indochina. They work in Thailand, then they
bring the virus back," he said.
Travelers crossing the southern border may be responsible.
"Last year, we randomly tested travelers and found 30 people from
Myanmar, Laos and Vietnam who were HIV positive. We try to test the
bridging population and see what's going on," Chen said.
(Editing by Nick Macfie)
c Thomson Reuters 2008 All rights reserved
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