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Hepatitis, syphilis, and HIV sentinel surveillance in Mongolia 1999–2000
  1. I Tellez1,*,
  2. M Altankhuu2,
  3. S Vermund3,
  4. J W Gnann4,
  5. E H Hook4,
  6. J Schwebke4
  1. 1Division of Infectious Diseases, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA
  2. 2The Public Health Institute, Ulanbataar, Mongolia
  3. 3Division of Geographical Medicine, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA
  4. 4Division of Infectious Diseases, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA
  1. Correspondence to:
 Dr Jane Schwebke, University of Alabama at Birmingham, 703 19th St South, Zeigler Research Building #239, Birmingham, AL 35294-0007, USA;
 schwebke{at}uab.edu

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Mongolia has undergone healthcare modifications because of political changes resulting from the dissolution of the former Soviet Union. Dramatic increases in unemployment, alcoholism, commercial sex, homelessness, and sexually transmitted infections (STIs) have occurred.1 There has been rapid spread of HIV infection in neighbouring countries. Mongolia also has a high prevalence of hepatitis B.2 Although the Mongolian ministry of health is eager to perform surveillance for STIs, including viral hepatitis, resources for collection, storage, and testing of specimens are meagre. We evaluated the utility of a filter paper blood collection technique for determining rates of HIV, syphilis, and viral hepatitis B and C in this resource limited setting.3–6

The study was approved by the institutional review boards at the University of Alabama at Birmingham and the Mongolian ministry of health. Volunteers including commercial sex …

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  • * Current address: Hospital Angeles Lomas, Vialidad de la Barranca s/n, Consultorio # 430, Col Valle de las Palmas, CP 52763 Huixquilucan, Edo de Mexico