Publications by authors named "A Tariro Makadzange"

Objective: HIV/AIDS mortality remains significantly high in sub-Saharan Africa, mostly driven by opportunistic infections and advanced HIV disease (AHD). This study aimed to assess CD4 + cell count recovery following ART initiation and factors associated with immune reconstitution.

Methods: We conducted a prospective cohort study between 2015 and 2016.

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Article Synopsis
  • The study investigated immune recovery among individuals with advanced HIV disease (AHD) in Zimbabwe, focusing on adults receiving care in 18 outpatient clinics.
  • Data from 1,338 participants showed that the median CD4 count increased from 50 cells/mm at baseline to 180 cells/mm after 12 months of antiretroviral therapy, with 43% achieving a CD4 count above 200 cells/mm.
  • Findings indicated that male gender and a low baseline CD4 count were strong predictors of poor immune recovery, highlighting that men are at greater risk for ongoing immunological failure after treatment.
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The rapid development of vaccines in response to the COVID-19 pandemic has provided an effective tool for the management of COVID-19. However, in many African countries there has been a poor uptake of COVID-19 vaccines with only 32.5% first vaccine dose coverage compared to the WHO global target of 70%.

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Vaccination is one of the most effective methods for preventing morbidity and mortality from COVID-19. Vaccine hesitancy has led to a decrease in vaccine uptake; driven by misinformation, fear, and misperceptions of vaccine safety. Whole inactivated vaccines have been used in one-fifth of the vaccine recipients in Africa, however there are limited real-world data on their safety.

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