He has thus worked on the epidemiology of histoplasmosis among HIV-infected patients and has advocated through scientific papers and international conferences that it is a major neglected killer of HIV-infected persons in Latin America. He has active collaborations in Brazil, Suriname, Colombia, Guatemala, Guyana and the USA on the topic of HIV and histoplasmosis. The overarching goal of these collaborations is to reduce the burden of histoplasmosis.
Progressive Disseminated Histoplasmosis has been the first opportunistic infection and cause of death of HIV-infected patients in French Guiana for the past 3 decades. Elsewhere in Latin America, there are few publications on the subject and apart from a few centers. National and international health organisations have not tackled the problem, clinicians are often unaware of the disease and essential drugs are missing in some affected countries. So far, the burden of the disease of histoplasmosis in HIV-infected persons is unknown but it is probably very large. The present talk will present, country by country, estimates of the burden and efforts to raise awareness in Latin America.