Review of the distribution of Kaposi's sarcoma-associated herpesvirus (KSHV) in Africa in relation to the incidence of Kaposi's sarcoma
2003

KSHV and Kaposi's Sarcoma in Africa

Sample size: 28 publication Evidence: moderate

Author Information

Author(s): Dedicoat M, Newton R

Primary Institution: Liverpool School of Tropical Medicine

Hypothesis

The geographical distribution of Kaposi's sarcoma is related to the prevalence of Kaposi's sarcoma-associated herpesvirus (KSHV) in Africa.

Conclusion

KSHV is prevalent in many African countries, but the incidence of Kaposi's sarcoma varies significantly, suggesting other factors influence its occurrence.

Supporting Evidence

  • KSHV is common in countries like Uganda and Cameroon, where Kaposi's sarcoma was frequent.
  • The virus is also found in Botswana and the Gambia, where Kaposi's sarcoma was rare before HIV.
  • Kaposi's sarcoma showed extreme geographical variation in incidence within Africa before the HIV epidemic.

Takeaway

This study looks at how a virus called KSHV is found in different parts of Africa and how it relates to a type of cancer called Kaposi's sarcoma. Even though the virus is common, the cancer doesn't happen everywhere.

Methodology

The study reviewed published data on KSHV prevalence in Africa, identifying studies through Medline and examining references.

Limitations

The study only included peer-reviewed journals and did not consider unpublished studies.

Participant Demographics

The studies included various populations across 16 African countries.

Digital Object Identifier (DOI)

10.1038/sj.bjc.6600745

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