, 1999) These two results probably differed because of the diffe

, 1999). These two results probably differed because of the different patient selection and different tasks involved. Ibanez et al. (1999) studied cerebral activity during different tasks and showed CHIR-99021 datasheet a decreased activity in the left PMv during writing. This result and the impaired functional interaction between the PMv and M1 in our study suggest that the PMv plays an important role in the generation of the abnormal

motor command in FHD. Our results show that the ipsilateral ventral premotor–motor inhibition was modulated during the different phases of motor execution in healthy subjects. During the early stages of movement preparation, the inhibition turned into facilitation.

This result is concordant with previous studies showing that the premotor–motor interactions differ according to the movements and muscles involved (Ceballos-Baumann et al., 1997; Ibanez et al., 1999). One could hypothesize that this early premotor–motor facilitation reflects a general facilitatory influence of the PMv on the M1 during the early stages of motor execution. First, the excitability of the muscles located in the movement area would increase, then, along with the adjustment of the motor plan, the premotor–motor facilitation would turn into an inhibition if the muscles are not to be involved in the action. Indeed, the inhibition http://www.selleckchem.com/products/pd-0332991-palbociclib-isethionate.html was restored at 50 ms prior to movement and was abolished at the onset of movement. These findings suggest that ipsilateral ventral premotor–motor inhibition may help to select the movement. In contrast, the absence of increased inhibition at movement onset, when SI is at its maximum (Sohn & Hallett, 2004a,b; Beck et al., 2008), indicates that this ipsilateral ventral premotor–motor inhibition

is not the main generator of SI. We can thus hypothesize that the premotor–motor inhibition might be complementary and different from SI. This might constitute an early step in movement selection as 4��8C it starts and evolves before movement onset and disappears before the start of the movement. Our results show a lack of premotor–motor inhibition and premotor–motor facilitation in patients with FHD. In patients, PMv had no significant influence on the M1 either at rest or during the early steps of motor execution. This shows that excitatory cortico-cortical connections are also impaired in FHD, which is consistent with a previous finding showing an abnormal facilitation instead of long afferent inhibition in FHD following median nerve stimulation (Abbruzzese et al., 2001). Although the major cortical and sub-cortical neurotransmission deficiency in FHD involves the GABA network, these results illustrate that excitatory circuits might also be impaired in patients and that the balance between inhibition and excitation is abnormal.

Moreover, unbiased microarray expression analysis showed that Cxc

Moreover, unbiased microarray expression analysis showed that Cxcl10 was among 112 transcripts in the neocortex upregulated at least threefold in both TBI and ageing TgSwe

mice, many of them involved in inflammation. The identity of the Cxcl10+ cells remains unclear but flow cytometry showed increased numbers of activated microglia/macrophages as well as myeloid dendritic cells in the TBI and experimental autoimmune encephalomyelitis models. It is concluded that the Cxcl10+ cells appear in the inflamed central nervous system and may represent a novel population of cells that it may be possible to target pharmacologically in a broad range of neurodegenerative conditions. “
“We combined computational modeling and experimental measurements to determine the influence of dendritic structure on the diffusion of selleck chemical intracellular chemical signals in mouse cerebellar Purkinje cells and hippocamal CA1 pyramidal cells. Modeling predicts

that molecular trapping by dendritic spines causes diffusion along spiny dendrites to be anomalous and that the value of the anomalous exponent (dw) is proportional to spine density in both cell types. To test these predictions we combined the local photorelease of an inert dye, rhodamine dextran, with two-photon fluorescence check details imaging to track diffusion along dendrites. Our results show that anomalous diffusion is present in spiny dendrites of both cell types. Further, the anomalous exponent is linearly related to the density of spines in pyramidal cells and dw in Purkinje cells is consistent with such a relationship. We conclude that anomalous diffusion occurs in the dendrites of multiple types of neurons. Because spine density is dynamic and depends on neuronal activity, the degree of anomalous diffusion induced by spines can dynamically regulate

the movement of molecules along dendrites. “
“Preconditioning rat hippocampal–entorhinocortical (HEC) slice or cerebellar cell cultures with moderate concentrations of ethanol (20–30 mm) neuroprotects against pro-inflammatory proteins such as HIV-1 glycoprotein 120 (gp120) or amyloid-β. The neuroprotective mechanism of ethanol is unclear, but it conceivably involves sensorstransducerseffectors, analogous SPTLC1 to other preconditioning modalities. We initially found that the preconditioning augmented two likely heat shock protein (HSP) ‘effectors’, HSP70 and HSP27, and that precluding HSP upregulation abolished neuroprotection. Here we examined whether pro-survival kinases are transducers potentially leading to HSP effectors. In cerebellar cultures, protein kinase C (PKC) activity increased modestly after 2 days of 30 mm ethanol and was significantly induced after 6 days, when neuroprotection against gp120 becomes manifest.

We found that the availability and type of RV and RIG varied by g

We found that the availability and type of RV and RIG varied by geographic region and that a few responding clinics reported the continued use of NTV. Further, one third of responding clinics reported that travelers were not cleaning wounds adequately. Travelers should be educated to avoid animal exposures; clean all animal bites, licks, and scratches thoroughly with soap and water; and seek medical care immediately, even if overseas.

All travelers should be informed that RIG and RV might not be readily available at their destination and that travel AZD6244 cost health and medical evacuation insurance should be considered prior to departure. The authors thank the health care providers and travelers at the following organizations and clinics: the International Society of Travel Medicine, Global Alliance for Rabies Control, and International SOS. The authors also acknowledge the contributions of K. Liske, D. Nickolson, P. Odenweller, B. Dodet, P. Gautret,

B. Ullrich, C. Brown, M. Sotir, A. Navin, A. Narayana, M.A.N. Vigilato, A. Rahman, and L. Nel. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the CDC. Mention of any company or product does not constitute endorsement by CDC. In addition, citations to Web sites external to CDC do not constitute Selleckchem TSA HDAC Loperamide CDC endorsement of the sponsoring organizations or their programs or products. Furthermore, CDC is not responsible for the content of these Web sites. All Web addresses referenced in this document were accessible as of the submission date. The authors state they have no conflicts of interest to declare. “
“A one-day consultation was organized in May 2012 by the World Health Organization (WHO), with the support of the International Society of Travel Medicine (ISTM), prior to the 9th Asia-Pacific Travel Health Conference held in Singapore. The overall objective of the consultation was to reinforce regional and global

health security by promoting the development of travel health information sharing in the Asia-Pacific region. The consultation was attended by 29 experts in international travel. Participants agreed that in light of the expanding travel observed in Asia and the Pacific, travel health should be reinforced. The following recommendations to bolster travel medicine in the Asia Pacific region were made: Expand partnerships and number of professionals involved in travel medicine; Expand training in travel medicine; and Promote information on, and awareness of, travel medicine. The report of this consultation is available on the WHO International Travel and Health website (www.who.int/ith) under “Other related links. “
“Background.

An alternate approach to modeling microscale dynamics over relati

An alternate approach to modeling microscale dynamics over relatively short-time scales rather than across very small

physical spaces is the Lotka–Volterra-type predator–prey models, or so-called ‘kill-the-winner’ models (Rodriguez-Brito et al., 2010). In the case of microbial life, the predators are viruses. In ‘kill-the-winner’, as abundances of particular taxa increase, so does their vulnerability to predation by viruses, leading to populations that are structurally stable over coarse-grained intervals but marked by rapid fluctuations in structure at the fine-grained level. Two examples of ecologically relevant microbial interactions for modeling are complex microbial structures like biofilms (Chen et al., 2004; Diaz, 2012) or microbial mats (Heidelberg et al., 2009; Liu

et al., 2011). In both these types of microbial communities, certain properties of microbial interaction would MAPK inhibitor not be predictable from the metabolic capacity of any of its constituent Apitolisib members. Community models are concerned with how local environmental conditions shape the compositions of microbial populations. There are currently a number of niche-based techniques that link environmental parameters with microbial community structure (Bowers et al., 2011; Fierer & Lennon, 2011; Fierer et al., 2011; Jutla et al., 2011; Steele et al., 2011; Barberan et al., 2012). An extension of this idea is the development of predictive bioclimatic models (i.e. envelope models, ecological niche models, or species distribution models) that enable the estimation of the geographic and temporal ranges of organisms as a function of environment (Heikkinen 2006; Jeschke and Strayer 2008). Logistic regression uses generalized linear models (Bolker et al., 2009) to fit the presence or absence of a species against climatic variables as a linear function. Generalized additive models (GAM) model species as an additive

combination of functions of independent variables (Hastie & Tibshirani, 1990). Climate envelope models like BIOCLIM (Busby, 1991), DOMAIN (Carpenter et al., 1993), and HABITAT (Walker & Cocks, 1991) fit the minimal envelope that defines an organism’s possible habitat in multi-dimensional space, but use presence-only data rather than presence/absence. Maximum entropy much models [MaxEnt (Phillips et al., 2006)] minimize the relative information entropy (dispersion) between two probability densities defined in covariate space (Elith et al., 2011). The classification and regression tree technique models communities as a binary decision tree in which the decision rules at each node use one or more independent environmental parameter variables (Che et al., 2011). Neural network approaches, such as the genetic algorithm for rule-set prediction (Stockwell & Noble, 1992; Stockwell & Peters, 1999), have powerful predictive capabilities, but only model organism distributions as present or absent as a function of environmental parameters.

The allele frequency of HLA-B*5801 has been reported to be as hig

The allele frequency of HLA-B*5801 has been reported to be as high as 6–8% among Southeast Asian populations, and <1% among Western European populations, respectively.[7, 8] In their study, Hung et al.[9] used a case-control association study in the Han Chinese in Taiwan, to identify genetic markers for allopurinol-induced severe cutaneous adverse reactions (allopurinol-SCAR). Allopurinol-SCAR

included the drug hypersensitivity syndrome, SJS and TEN. They used two groups of controls, the first being 135 patients who had been on allopurinol for at least 6 months without adverse events, and a second control group of 93 subjects from the general population. They found that all 51 patients (100%) with allopurinol-SCAR carried the HLA-B*5801 gene. The presence of chronic renal insufficiency also increased the risk of developing Volasertib allopurinol-SCAR DAPT molecular weight (odds ratio 4.7; confidence interval [CI] 2.3–9.3). Tassaneeyakul[10] and Kaniwa[11] found a strong association

between HLA-B*5801 and allopurinol-related SJS and TEN in Thai (100%) and Japanese (4/5) patients, respectively. Kang[12] studied 25 Korean patients with allopurinol-SCAR and found a HLA-B*5801 frequency of 92% in these patients versus 10.5% in controls. Furthermore, Jung[13] discovered that the incidence of allopurinol-SCAR in Korean patients with chronic renal insufficiency was considerably higher if they also carried the HLA-B*5801 gene.

In fact, the association between HLA-B*5801 allele and allopurinol-SCAR has been found to be consistent across different populations, both Asian and non-Asian.[14] A major limitation of individual studies arises from the low incidence of allopurinol-SCAR, which results in observational studies with small sample sizes and insufficient power. Somkrua and colleagues performed a systematic review and meta-analysis in order to accumulate and quantitatively analyze the genetic association between HLA-B*5801 and allopurinol-induced SJS/TEN as well as to elucidate any between-study heterogeneity.[15] They TCL analyzed four studies which included 55 SJS/TEN cases and 678 matched controls (allopurinol-tolerant control) and five studies with 69 SJS/TEN cases and 3378 population controls (general population). They concluded that allopurinol users with HLA-B*5801 have a 80–97 times increased risk of developing SJS/TEN compared to those who do not have this gene. Furthermore, sensitivity analyses suggested that the summary odds ratios remained significant regardless of populations, thus highlighting the potential of genotyping in different populations. The pathogenesis of AHS is likely to represent the interplay between different factors, mainly immunological and genetic, and with the drug and accumulation of its metabolite (oxypurinol).

Conclusion We recommend extending serologic confirmation of immi

Conclusion. We recommend extending serologic confirmation of immigrants’ hepatitis A immunity. If time is lacking, vaccination should

be considered. Hepatitis A vaccination is recommended to people traveling to countries where the disease is endemic. Hepatitis A virus (HAV) is transmitted by fecal–oral way. In most developing countries, hepatitis A antibodies appear early in life and remain detectable in adulthood. However, several reports have documented changing trends of hepatitis A epidemiology in previously highly endemic countries.1–13 Improvements in socioeconomic status and vaccination lead to continued decrease in HAV incidence, especially in the younger age groups. Immigrants originating from see more endemic countries and living in Europe may not be immunized against hepatitis A. Nonimmune, unprotected travelers are at risk of acquiring RG7422 cell line hepatitis A when returning to their country of origin. Prior to vaccination we propose hepatitis A serology to individuals who have lived at least 1 year in a country at risk. The purpose of this study

was to assess hepatitis A seroprevalence in a population of travelers who had previously lived in a highly endemic country. We conducted a retrospective study of vaccination records at the International Vaccination Center of the Parisian Institut Pasteur between September 1, 2008, and February 28, 2010. At the vaccination center we use a standard questionnaire designed for all travelers, in which date and country of birth, sex, the period spent at a country at risk, the reason of the journey, medical history, and vaccination status are recorded. Before a journey to endemic areas, hepatitis A serology is recommended to people who have lived in a country at risk. We contact patients whose test is negative and recommend Exoribonuclease vaccination. In our study, we included records of people who lived at least 1 year in a country at risk. We excluded cases where the name of the country of risk was missing as well as people who had received hepatitis A vaccine at any time prior

to serology. Serology was considered positive if total or immunoglobulin G (IgG) antibodies (by enzyme-linked immunosorbent assay) were present. Data were analyzed by chi-square test and Fisher exact test for categorical variables, and t-test for continuous variables. Logistic regression was used for multivariate analysis. During the 18-month study period we included the charts of 989 subjects, to whom we had prescribed hepatitis A serology according to the above criteria. A total of 788 subjects traveled for vacation or business and 201 did humanitarian work. Test results were available for 646 of them. Hepatitis A serology was positive in 532 and negative in 114 subjects. Overall seroprevalence was 82.4%. Mean age of the 646 subjects was 37.2 years and age range from 6 to 86 years. Sex ratio male/female was 0.99, 1.07 for hepatitis A positive group and 0.

6 ± 37% in HFS + AIDA + 5 Hz group and 499 ± 46% in the HFS + 

6 ± 3.7% in HFS + AIDA + 5 Hz group and 49.9 ± 4.6% in the HFS + AIDA group). Stimulation (5 Hz) alone had no effect on baseline responses (data not shown). Thus, in agreement with early reports, mGluR activation contributes to activity-dependent destabilization of LTP. The results from the RT-PCR analysis are shown in Fig. 3C. AIDA treatment blocked the changes in miRNA expression observed following

application of HFS alone or in combination with CPP, but had no effect on basal levels of expression in a control group receiving LFS only. The analysis so far has revealed opposing modulation of mature miRNA levels by mGluR and NMDAR signaling during LTP. Synaptic activity-evoked changes in mature miRNA levels could reflect a number of processes, including alterations in mature miRNA buy Dabrafenib turnover, processing of miRNA precursors, as well as miRNA transcription. Focusing on transcriptional regulation, we examined expression of the primary (pri) miRNA transcripts at 10 min and 2 h post-HFS (Fig. 4A). Massively enhanced expression of pri-miR-132 and pri-miR-212 expression was observed. These changes were less than 10-fold at 10 min post-HFS and increased to more than 50-fold at 2 h post-HFS, whereas pri-miR-219 and pri-miR-134 expression were unchanged at both time points. No changes in the expression of pri-miRNA transcripts were observed in the control LFS group. Remarkably, infusion of AIDA

Ferroptosis cancer prior to HFS completely abolished the upregulation of pri-miR-132 and -212. In contrast, both pri-miRNAs were strongly induced by HFS in the presence of CPP, and this increase was also abolished by AIDA. The same pattern of results was obtained by RT-PCR analysis of precursor (pre) miRNA (Fig. 4B), the immediate product of pri-miRNA cleavage by Drosha. Thus, HFS of the perforant path induces massive mGluR-dependent expression of primary and precursor miR-132 and miR-212. miRNA in situ hybridization for mature miR-132 was performed on coronal brain sections from dorsal hippocampus collected 2 h post-HFS, using LNA probes PDK4 for which optimal

melting temperatures for hybridization were determined (Pena et al., 2009). In agreement with the RT-PCR analysis, miR-132 staining was elevated in the HFS-treated dentate gyrus relative to contralateral control (Fig. 5A, top panel). Sections incubated with no probe (Fig. 5A; lower panel) exhibited only low levels of background staining. HFS had no effect on the staining of two non-regulated miRNAs, miR-124a (Fig. 5A, middle panel) and miR-378 (not shown). Upregulation of mature miR-132 was restricted to the granule cell body layer with no changes in staining in the granule cell dendritic field, although staining within the proximal dendrites of granule cells and pyramidal cells was clearly seen by fluorescence using the tyramide signal amplification system (Fig. 5A and B). The precursors of miR-132 and miR-212 are known to be transcribed from a common locus as one long primary transcript (Vo et al., 2005).

6 ± 37% in HFS + AIDA + 5 Hz group and 499 ± 46% in the HFS + 

6 ± 3.7% in HFS + AIDA + 5 Hz group and 49.9 ± 4.6% in the HFS + AIDA group). Stimulation (5 Hz) alone had no effect on baseline responses (data not shown). Thus, in agreement with early reports, mGluR activation contributes to activity-dependent destabilization of LTP. The results from the RT-PCR analysis are shown in Fig. 3C. AIDA treatment blocked the changes in miRNA expression observed following

application of HFS alone or in combination with CPP, but had no effect on basal levels of expression in a control group receiving LFS only. The analysis so far has revealed opposing modulation of mature miRNA levels by mGluR and NMDAR signaling during LTP. Synaptic activity-evoked changes in mature miRNA levels could reflect a number of processes, including alterations in mature miRNA PI3K Inhibitor Library turnover, processing of miRNA precursors, as well as miRNA transcription. Focusing on transcriptional regulation, we examined expression of the primary (pri) miRNA transcripts at 10 min and 2 h post-HFS (Fig. 4A). Massively enhanced expression of pri-miR-132 and pri-miR-212 expression was observed. These changes were less than 10-fold at 10 min post-HFS and increased to more than 50-fold at 2 h post-HFS, whereas pri-miR-219 and pri-miR-134 expression were unchanged at both time points. No changes in the expression of pri-miRNA transcripts were observed in the control LFS group. Remarkably, infusion of AIDA

Docetaxel order prior to HFS completely abolished the upregulation of pri-miR-132 and -212. In contrast, both pri-miRNAs were strongly induced by HFS in the presence of CPP, and this increase was also abolished by AIDA. The same pattern of results was obtained by RT-PCR analysis of precursor (pre) miRNA (Fig. 4B), the immediate product of pri-miRNA cleavage by Drosha. Thus, HFS of the perforant path induces massive mGluR-dependent expression of primary and precursor miR-132 and miR-212. miRNA in situ hybridization for mature miR-132 was performed on coronal brain sections from dorsal hippocampus collected 2 h post-HFS, using LNA probes Glutathione peroxidase for which optimal

melting temperatures for hybridization were determined (Pena et al., 2009). In agreement with the RT-PCR analysis, miR-132 staining was elevated in the HFS-treated dentate gyrus relative to contralateral control (Fig. 5A, top panel). Sections incubated with no probe (Fig. 5A; lower panel) exhibited only low levels of background staining. HFS had no effect on the staining of two non-regulated miRNAs, miR-124a (Fig. 5A, middle panel) and miR-378 (not shown). Upregulation of mature miR-132 was restricted to the granule cell body layer with no changes in staining in the granule cell dendritic field, although staining within the proximal dendrites of granule cells and pyramidal cells was clearly seen by fluorescence using the tyramide signal amplification system (Fig. 5A and B). The precursors of miR-132 and miR-212 are known to be transcribed from a common locus as one long primary transcript (Vo et al., 2005).

The free-living diazotroph Azotobacter vinelandii can fix nitroge

The free-living diazotroph Azotobacter vinelandii can fix nitrogen under aerobic conditions in the presence of reduced carbon sources such as sucrose or glycerol and is also known to produce a variety Venetoclax of siderophores to scavenge different metals from the environment. In this study, we identified two strains of green algae, Neochloris

oleoabundans and Scenedesmus sp. BA032, that are able to utilize the A. vinelandii siderophore azotobactin as a source of nitrogen to support growth. When grown in a co-culture, S. sp. BA032 and N. oleoabundans obtained the nitrogen required for growth through the association with A. vinelandii. These results, indicating a commensalistic relationship, provide a proof of concept for developing a mutualistic or symbiotic relationship between these two species using siderophores as a nitrogen shuttle and might further indicate an additional fate of siderophores in the environment. “
“Aspergillus fumigatus is often isolated from the lungs of cystic fibrosis (CF) patients, but unlike in severely immunocompromised individuals, the mortality rates are low. This suggests that competition from bacteria within the CF lung may be inhibitory. The purpose of this study was to investigate how Pseudomonas aeruginosa influences A. fumigatus buy SCH727965 conidial germination and biofilm formation. Aspergillus fumigatus biofilm Thiamet G formation was inhibited by

direct contact with P. aeruginosa, but

had no effect on preformed biofilm. A secreted heat-stable soluble factor was also shown to exhibit biofilm inhibition. Coculture of P. aeruginosa quorum-sensing mutants (PAO1:ΔLasI, PAO1:ΔLasR) did not significantly inhibit A. fumigatus biofilms (52.6–58.8%) to the same extent as that of the PA01 wild type (22.9–30.1%), both by direct and by indirect interaction (P<0.001). Planktonic and sessile inhibition assays with a series of short carbon chain molecules (decanol, decanoic acid and dodecanol) demonstrated that these molecules could both inhibit and disrupt biofilms in a concentration-dependent manner. Overall, this suggests that small diffusible and heat-stable molecules may be responsible for the competitive inhibition of filamentous fungal growth in polymicrobial environments such as the CF lung. The ubiquitous mould Aspergillus fumigatus is responsible for the majority of human infections caused by Aspergillus spp. The conidia produced by these saprophytic fungi disseminate by aerosolization and are inhaled, finally dwelling in the alveoli of human lungs (Askew, 2008). Aspergillus fumigatus can cause a range of opportunistic infections, ranging from allergic reactions (allergic bronchopulomary aspergillosis) to invasive disease, particularly in immunocompromised individuals, including cystic fibrosis (CF) patients (Skov et al., 2005). Persistent A.

A total of 839 individuals were invited to participate in the stu

A total of 839 individuals were invited to participate in the study. Of these, 722 were recruited (50.7% women). The overall HIV prevalence in the community was 39.9% [95% confidence interval (CI) 35.9–43.8%]. By age, the prevalence was 23.2% (95% CI 17.9–28.6%) in individuals aged 18–27 years, 41.2% (95% CI 35.6–48.3%) in those aged 28–37 years and 44.8% (95% CI 38.4–51.2%)

in those aged 38–47 years. HIV prevalence was higher among women than men in all age groups. The overall HIV prevalence estimate for women in the community (43.1%; 95% CI 37.6–48.5%) was 1.4 times higher than that for those attending the ANC (29.4%; 95% CI 26.7–32.0%). The high HIV prevalence found in this region suggests that the epidemic is in a mature stable phase. The lower rates in the ANC than in the community suggest that ANC evaluations may underestimate community HIV prevalence. Resources to monitor HIV infection dynamics are needed to RG7422 purchase guide targeted control strategies in countries in which the epidemic exacts the greatest toll. Despite recent advances in the development of prevention strategies and the global scale-up of HIV antiretroviral drugs, the control of the HIV/AIDS epidemic continues to be challenging, especially in sub-Saharan Africa, where approximately 22.5 million (68.5%)

of the 32.8 million people infected with HIV world-wide live [1]. Although the number of new infections slightly decreased in 2008, recent estimates from sub-Saharan countries Selleck Anti-diabetic Compound Library indicate a modest increase in the HIV prevalence, which can probably be attributed to improved access to antiretroviral treatments and consequent increased survival [2]. Accurate community-based HIV prevalence estimates are needed to assess the evolution of the epidemic in specific settings to allow adequate monitoring and evaluation of control strategies. HIV prevalence data derived from antenatal clinics (ANC) have traditionally been used to monitor HIV epidemic trends in many countries, as the prevalence in pregnant women is assumed to correlate well with HIV prevalence selleckchem in other adults aged 15–49 years

in the general population [3]. However, since 1998 the Joint United Nations Programme on HIV/AIDS (UNAIDS) has also recommended that population-based surveys should be conducted to enable the population to be more widely represented and to compensate for potential biases in the ANC estimates, such as their poor general representativeness [3-6]. Monitoring basic epidemiological HIV infection data is especially important in southern African countries, as they bear the brunt of the HIV/AIDS pandemic. Mozambique is one of the 10 countries with the highest HIV prevalence in the world, with 1.4 million [95% confidence interval (CI) 1.2–1.5 million] people living with HIV according to UNAIDS estimates [1, 7]. Since 1988, a national surveillance system has been monitoring HIV prevalence through ANC sentinel sites [4].