Epidemiology
HTLV-1 infection is endemic in Japan, South America, Northern
Oceania, and Tropical Africa and in the Caribbean ocean. Few foci of infection
have also been documented in Asia in Philippines. HTLV-1 is transmitted from
mother to child through breast milk during the act of breast feeding or during
child birth. In adults, transmission is primarily through sexual contact.
Apparently, a prolonged period of sexual contact is necessary for transmission
of the disease. Homosexual contact, however, appears to play less important
role in transmission of the disease. Blood transfusion and intravenous drug
abuse are also other very important modes of transmission of HTLV-1.
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