HIV/AIDS is now the fourth leading cause of death worldwide and the impact of this is especially devastating in the developing world where 95% of the cases are found (1). From 1982 to the end of December 2005, 10 553 AIDS cases were reported in Jamaica and it is estimated that 1.5% of the adult population is living with HIV/AIDS (1). In Jamaica, in 2004, AIDS was the second leading cause of death among the 15 to 24-year-old age group and a leading cause of death in children. There are approximately 25 000 people living with HIV/AIDS in Jamaica (1). HIV-infected individuals with worsening renal function have an increased risk of progression to AIDS and death (2). Kidney failure, both acute and chronic, occurs in patients with HIV. Untreated acute renal failure can lead to chronic renal failure. Chronic kidney disease (CKD) is a worldwide public health concern; it is under-diagnosed and under-treated in the HIV population. Evidence has indicated that the adverse outcomes of CKD, such as end-stage renal disease, cardiovascular disease, chronic malnutrition, various infectious complications, chronic anaemia and premature death can be prevented or delayed with early detection and treatment (3).
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