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HIV in black Caribbeans
  1. M Hamill,
  2. S Murphy,
  3. L McDonald,
  4. G Brook
  1. Central Middlesex Hospital, London NW10 7NS, UK
  1. Correspondence to:
 Dr M Hamill
 Central Middlesex Hospital, London NW10 7NS, UK;

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We read with interest the paper by Dougan et al1 regarding the epidemiology of HIV infection in black Caribbean adults in England, Wales, and Northern Ireland.

In our clinic setting, a district general hospital in north west London with a large black population (fig 1), diagnosis of HIV in black Caribbeans represents 8.6% (30/347) of all cases compared with 3.3% reported by Dougan et al.1 Of these; 83% (25/30) are of Jamaican origin, 13/30 (43%) male heterosexual, 14/30 (47%) female heterosexual. Men who have sex with men (MSM) accounted for 3/30 (10%) cases. A further 3/347 (0.86%) patients (all white) have unprotected sex with black Caribbeans as their risk factor for HIV acquisition. In 1999–2003, black Caribbean women accounted for 5/59 (8.47 %) of …

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