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Combating AIDS in the Caribbean: a coordinated subregional approach.


 The extent of the HIV epidemic in the Caribbean is described as related to the subregional coordinating project CAREC, or Caribbean epidemiology Center, an agency under Pan American Health Organization, for 19 English speaking countries and Suriname. By July 1990, 1702 AIDS cases had been reported to CAREC, out of 5726 cases in 27 Caribbean countries excluding Puerto Rico. 90% of the cases occurred in the 5 largest, Bahamas, Barbados, Bermuda, Jamaica and Trinidad and Tobago. Initially the transmission pattern was predominantly among male homo- and bisexuals, but not it is mostly heterosexual with a growing mother-to-child transmission. All countries are now screening blood or blood donors. CAREC is coordinating epidemiologic surveillance, helping national laboratories to screen by providing confirmatory tests, providing culture-relevant health education materials and AIDS information, assisting with surveys, holding training workshops for health care workers, and assisting member countries in designing education and counseling programs for high risk women.
