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The Epidemiology of HIV/AIDS in the Republic of Trinidad/Tobago 1983-97

The Epidemiology of HIV/AIDS in the Republic of Trinidad/Tobago 1983-97. With special reference to Women and Children Robert K. Lee MB,ChB;MPH. HIV/AIDS Overview. 1983 First AIDS cases reported -8 males 1985 First Female & Paediatric AIDS cases 1997 (I) cum. Aids cases: 2642 deaths: 1681

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The Epidemiology of HIV/AIDS in the Republic of Trinidad/Tobago 1983-97

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  1. The Epidemiology of HIV/AIDS in the Republic of Trinidad/Tobago 1983-97 With special reference to Women and Children Robert K. Lee MB,ChB;MPH

  2. HIV/AIDS Overview • 1983 First AIDS cases reported -8 males • 1985 First Female & Paediatric AIDS cases • 1997 (I) cum. Aids cases: 2642 deaths: 1681 • 1997 HIV M:F Ratio 1.4:1 • 1997 HIV M:F 1:7 in 15-19 year age range • 1997 Surveillance sensit. HIV 35% AIDS 50% • AIDS Cum. Incidence Rate: 210/100,000 pop.

  3. AIDS Cases 1983-96

  4. Reported AIDS Cases & Deaths by County 1996

  5. 1996 Reported AIDS Cases & Deaths /100k by County

  6. Adult and Paediatric AIDS Cases 1983-96

  7. Paediatric & Women 15-45 yrs AIDS 1983-96

  8. Paediatric AIDS Deaths 83-96

  9. Antenatal Surveillance Studies

  10. Antenatal Survey 1995-96 • 21 (1%) of 2040 HIV +ve • 7 (33%) were aged 15-19 yrs • 11 (52%) were aged 20-29 yrs • Age Specific Seroprevalence for women aged 15-24 yrs: 1.5% • Prevalence highest (2.3%) in SGW/SGC • Limitations of study

  11. Reported HIV 1997

  12. Summary • Increasing trends among Women & Children • M:F Ratios reversed for teenagers • Teenage Girls have highest risk of HIV infection • Antenatal Surveillance shows higher prevalence among younger mothers

  13. Conclusions • Main thrust of HIV intervention should target young people 15-19 years • Strengthen reproductive and sexual health related services for young people • Primary prevention of vertical transmission should target women of child bearing age.

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