HIV Infection in Brazil

To the Editor: Regarding the issue of HIV infection and AIDS in the Americas, the situation in Brazil reported by Cortes et al. (April 13 issue)1 is certainly not unique. The authors suggest a fourth pattern of the spread of HIV infection: from an initially male homosexual population to the larger heterosexual population by means of bisexual persons rather than intravenous drug users. Data forthcoming from Honduras would support such a theory. With 248 cases of AIDS documented as of March 31, 1989, Honduras has the largest number of patients with AIDS in Central America and an incidence of 44… © 1989, Massachusetts Medical Society. All rights reserved