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Guo Hui-yu, MD; R. S. Chang, MD; Li Hua-yi, MD; Yao Zhi-lu, MD; Guan Zhong-jen, MD; Lin Bi-fu, MD; Murray B. Gardner, MD

JAMA. 1986;256(17):2343-2344.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

Infection by the human immunodeficiency virus (HIV) has now been reported from several countries in the western Pacific.^1-4 These countries (Japan, Hong Kong, and Singapore) have had extensive exchange of visitors with the United States, western Europe, and Australia, where the acquired immunodeficiency syndrome is epidemic. In Hong Kong, at least, antihemophiliac factor imported from the United States is also used extensively in the treatment of hemophilia.⁴ It is conceivable that HIV infections may have been introduced into the western Pacific region through imported antihemophiliac factor, through sexual contact between male foreign visitors and male local residents, and through local residents participating in high-risk activities (homosexual contact and use of intravenous recreational drugs) in the United States, western Europe, or Australia. If this theory is correct, one would expect HIV antibody to be absent among persons in the western Pacific who have not been using . . . [Full Text PDF of this Article]

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