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Official websites use. Share sensitive information only on official, secure websites. All Rights Reserved. The burden of HTLV-1 infection appears to be geographically concentrated, with high prevalence in discrete regions and populations. While most high-income countries have introduced HTLV-1 screening of blood donations, few other public health measures have been implemented to prevent infection or its consequences.

Recent advocacy from concerned researchers, clinicians, and community members has emphasized the potential for improved prevention and management of HTLV-1 infection. Despite all that has been learned in the 4 decades following the discovery of HTLV-1, gaps in knowledge across clinical and public health aspects persist, impeding optimal control and prevention, as well as the development of policies and guidelines.

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Awareness of HTLV-1 among health care providers, communities, and affected individuals remains limited, even in countries of endemicity. This review provides a comprehensive overview on HTLV-1 epidemiology and on clinical and public health and highlights key areas for further research and collaboration to advance the health of people with and at risk of HTLV-1 infection. KEYWORDS: clinical methods, clinical therapeutics, diagnostics, epidemiology, human T-cell leukemia virus, oncogenic virus, pathogenesis, public health, sexually transmitted diseases, virology.

The burden of HTLV-1 infection is geographically concentrated, with high prevalence in discrete regions and populations. Gaps in knowledge and limited information about HTLV-1 have made it difficult for health care workers, researchers, policy makers, and people living with HTLV-1 infection to advance the clinical and public health response to HTLV In recognition of this, the World Health Organization WHO held the first Global Consultation on HTLV-1 with member states and partners in November , followed by the publication and launch of a series of documents, including a technical report 7 , fact sheet, and meeting report 8 in March The recommendations outlined in these reports focused on the need to address HTLV-1 through a global public health approach.

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This review provides a comprehensive overview on HTLV-1 epidemiology and clinical and public health and highlights key areas for further research and collaboration to advance the health of people with and at risk for HTLV-1 infection. In , researchers in Japan described a novel, rapidly progressing lymphoid malignancy, which became known as ATL 9.

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