Richard Chaisson from John Hopkins presented survival and mortality data.There is a direct relation between economic development and mortality. Haiti has the highest mortality rate in the americas and argentina, the us and canada have the lowest.Head, esophagus, anal lung and bladder cancers have increased in poz patientsFactors involved are immune defficiency, inflammation, pro coagulation effect, drug toxicities, smoking, lifestyle, and family historyIncreased in Il6 and D dimer seem to be related to increased heart disease in the SMART study.