1 / 8

HIV in Brazil

HIV in Brazil. Ana Paula Pfitscher Cavalheiro Infectious Disease Resident at Hospital de Clínicas de Porto Alegre. HIV in Brazil. Population:192 million 85% urban Life expectancy: 66.7 y 1/3 poor (family income < 160 €/m)

marv
Download Presentation

HIV in Brazil

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. HIV in Brazil Ana Paula Pfitscher Cavalheiro Infectious Disease Resident at Hospital de Clínicas de Porto Alegre

  2. HIV in Brazil • Population:192 million • 85% urban • Life expectancy: 66.7 y • 1/3 poor (family income < 160 €/m) • 1988 Constitution: “Health is a right for all and a obligation of the state” • 1985: Civil society + Government -> the National AIDS Program • 80s: Spread information about STD-AIDS • 1991: AZT free access • 1996: HAART free access • Present: HAART, CD4/VL, genotyping in cases of viral failure, drugs for treatment of HAART side effects

  3. HIV in Brazil • HIV • Estimated prevalence: 630,000 people (<1% of adult population) • Half of predicted in the early 90s by the World Bank • AIDS • Prevalence: 0.6% of total population • + 25-49y • Increasing between women, heterosexuals, socially excluded and older than 50 y • 190,580 on HAART treatment • By 2002 ARVs had prevented ~358,000 HIV-related hospitalisations, resulting in a saving of more than US$1.1 billion

  4. Source of HIV acquisition

  5. HIV in Brazil • HIV test is free of charge and can be done in primary care units, hospitals or and STD/AIDS counseling testing centers • 38% of sexually active population has already been tested at least once • Mean first CD4 (without HAART): 316 • 35% less than 200 • Pregnant women are usually tested for STDs and HIV as partof their regular follow-up • But in 2007 only 62% had been tested for HIV before labour • Recommendation not to breastfeed • Provision of infant formula to all children born from HIV + mothers • Reduction of vertical transmission • 581 in 2004 and 320 in 2006

  6. When start treatment: Symptomatics Asymptomatics CD4 > 500: no ART CD4 350-500: ART if Nephropaty, HCV or HBV coinfection, VL >100.000, > 55y, high risk of CVD, any cancer CD4 <350: ART AZT, 3TC, TNF, ddI, ABC EFZ, NVP ATV, LOP/r, SQV, /r, DRV , IDV T20 Raltegravir Etravirine Brazilian Guideline

  7. Show that you´ve grown up and know what you want. In this Carnival use condom. HIV in Brazil • Key points of National AIDS Program • Prevention: • promote frank talk about safe sex • focus on condom promotion • Brazil is the world’s largest condom importer buying 1.2 billion in 2009 • state-run factory produces 100 million condoms a year • focus on preventing HIV among sex workers • Treatment: • ARV drugs are provided free to everybody who needs; • aggressive efforts to minimise the cost of ARVs

  8. Living with AIDS is possible, living with prejudice is not. Thank you! Condoms after 50: Try it! Sources: aids.gov.br, avert.org datasus.gov.br, ioc.fiocruz.br

More Related