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. 2024 Jul 4;9(7):e015167. doi: 10.1136/bmjgh-2024-015167

Table 1.

Progress towards 2001 WHO research priorities: HSV-2 and HIV interactions

2001 WHO research priority Has the priority been addressed? Explanation
Yes Partially No
Effect of aciclovir antiviral on HIV viral load and genital shedding graphic file with name bmjgh-2024-015167ilf01.jpg
  • 15 studies in total

  • Viral load and genital shedding studied

  • Multiple geographical areas studied

Differences in HIV genital shedding during primary clinical HSV-2 episodes, subclinical recurrences and in-between recurrences graphic file with name bmjgh-2024-015167ilf02.jpg
  • 0 studies comparing shedding in the different HSV-2 disease stages

Differences in HIV viral shedding between genital lesions and from semen graphic file with name bmjgh-2024-015167ilf04.jpg
  • Independent studies carried out for shedding from genital lesions and semen, but no studies comparing both directly

Geographical differences in the effect of HSV-2 on HIV between Africa and other LMICs graphic file with name bmjgh-2024-015167ilf03.jpg
  • 46 studies on the effect of HSV-2 on HIV; however, only 2 of these from outside of Africa

  • No single study comparing effect of HSV-2 on HIV in Africa and another geographical region

Risk ratios/relative risk and PAF by age and sex, as well as the difference in these measures for incident and prevalent cases. More prospective studies would help achieve this graphic file with name bmjgh-2024-015167ilf06.jpg
  • Six studies studying PAF, 2 of these divided by sex, none divided by age

  • Risk measures reported in >15 studies, many compared risk for incident and prevalent cases

  • 41% of the studies were prospective

Studies involving HIV-discordant couples where at least one partner is HSV-2 positive to investigate the effect of HSV-1 on transmission and acquisition graphic file with name bmjgh-2024-015167ilf21.jpg
  • One study included HIV-discordant and HSV-seropositive couples

More information on estimated PAFs of HSV-2 for HIV graphic file with name bmjgh-2024-015167ilf07.jpg
  • Six studies included PAF of HSV-2 for HIV as an outcome

HSV-2, herpes simplex virus type 2; LMICs, low-income and middle-income countries; PAF, population attributable fraction.