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This is a report of a symposium on the status and trends of the HIV/AIDS epidemic in the world. The symposium was organized in France by the Monitoring the AIDS Pandemic Network. It aimed to foster the exchange of information on status and trends for use by international, national and local bodies. The main topics covered include: 1)the state of the epidemic in 1998; 2)migration and HIV/AIDS; 3)inequities in care and support for those infected with and affected by HIV/AIDS; 4)mother-to-child transmission; 5)HIV transmission in the health care setting; 6)AIDS orphans; 7)interaction between tuberculosis and HIV/AIDS programmes; and 8)general recommendations.