Surveillance of HIV Infection in Scotland: A Decade of HIV Surveillance at SCIEH: 1984-1994

Allardice, Gwendolyn Muriel (1996) Surveillance of HIV Infection in Scotland: A Decade of HIV Surveillance at SCIEH: 1984-1994. PhD thesis, University of Glasgow.

Abstract

The objectives of this thesis are to describe, analyse and evaluate the principal HIV surveillance schemes co-ordinated at the Scottish Centre for Infection and Environmental Health (SCIEH) between 1984 and 1994. Chapter one begins with a brief review of surveillance, including examples of surveillance schemes and their benefits, followed by a detailed statement of the aims of this thesis. The chapter continues with a review of the first reports of AIDS, the discovery of HIV, the transmission of HIV, the immune response to HIV, and the development of a test for HIV antibodies. A brief introduction to the principal HIV surveillance schemes is given, with a description of the role of each scheme in the context of the overall HIV surveillance programme for Scotland. This is followed by an outline of the framework used, in chapter eight, to evaluate each surveillance scheme. Finally, the chapter concludes with a methods section. Chapters two to six all follow a similar pattern, each concentrating on one particular HIV surveillance scheme. These are the AIDS Register (chapter two), HIV Register (chapter three). Denominator Study (chapter four), UAT surveillance (chapter five) and the CD4 Study (chapter six). Each chapter contains a detailed description of the surveillance scheme and an analysis of the data collected. Chapter seven examines computer linkage of these HIV surveillance schemes, both with one another and with data from other surveillance schemes. It describes linkages that have already taken place, analyses results from them, and highlights areas for future work. Chapter eight begins with an evaluation of key attributes of each of the HIV surveillance schemes described in chapters two to six. It continues with a demonstration of the importance of the linked HIV/AIDS Register, together with the CD4 and GUM Studies, in identifying where new infection may be occurring, and in estimating the prevalence of HIV infection. It also addresses a variety of issues regarding the performance, value and future role of the principal HIV surveillance schemes in Scotland.

• Item Type: Thesis (PhD)
• Qualification Level: Doctoral
• Additional Information: Adviser: D Reid
• Keywords: Public health, Epidemiology
• Date of Award: 1996
• Depositing User: Enlighten Team
• Unique ID: glathesis:1996-75528
• Copyright: Copyright of this thesis is held by the author.
• Date Deposited: 19 Nov 2019 19:32
• Last Modified: 19 Nov 2019 19:32
• URI: https://theses.gla.ac.uk/id/eprint/75528