In December 1990, officials at Egypt’s Ministry of Health reported a patient receiving renal dialysis had tested HIV-positive. Reacting to this information, the Ministry tested all 5,000 dialysis patients in Egypt. Tests identified 82 HIV-positive patients, most of which had been infected through patient-to-patient transmission in dialysis clinics.
Subsequent to this 1991 investigation, the Ministry ordered periodic routine HIV tests for persons receiving renal dialysis. In May 1993, routine HIV tests found several dialysis patients with new infections in Garba, Egypt. The Ministry organized an investigation that identified 39 HIV-positive dialysis patients, most of whom had been infected through unsafe medical procedures.
1. Hassan NF, El Ghorab NM, Rehim MSA, et al. HIV infection in renal dialysis in Egypt [letter]. AIDS 1994; 8: 853. Referenced at: https://www.ncbi.nlm.nih.gov/pubmed/8086148 (accessed 12 February 2018).
2. El Sayed NM, Gomatos PJ, Beck-Sague C, et al. Epidemic transmission of human immunodeficiency virus in renal dialysis centers in Egypt. J Infect Dis 2000; 181: 91-97. Available at: https://www.ncbi.nlm.nih.gov/pubmed/10608755 (accessed 12 February 2018).