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HIV and AIDS. Dr. R. Senthil. MS FRCS MCh(Urology) Member of Parliament. Role of Parliamentarian. Legislator Budget Allotment Prevention Drugs Treatment Centers / Facilities Rehabilitation Awareness. Natural History. Acute Infection 2 to 3 weeks Recovery + Serovonversion
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HIV and AIDS Dr. R. Senthil MS FRCS MCh(Urology) Member of Parliament
Role of Parliamentarian • Legislator • Budget Allotment • Prevention • Drugs • Treatment Centers / Facilities • Rehabilitation • Awareness
Natural History • Acute Infection • 2 to 3 weeks • Recovery + Serovonversion • 2 to 4 weeks • Asymptomatic Chronic Infection • Average 8 years • Symptomatic Infection • AIDS • Death
HIV • HIV Antigen • 2 to 6 weeks Window Period • HIV Antibody • After 6 weeks
Why AIDS is Unique? • Plague • Small Pox • Tuberculosis • Malaria • Syphilis
Asymptomatic Stage • Average 8 years • Range 3 to 15 years HIV + ve but not AIDS Patient
Cultural Change / Challenge • Homosexuality • Promiscuity • Premarital Sex • Casual Sex
Legislation • Mandatory Premarital Testing? • Mandatory Testing before employment? • Compulsory Testing of Antenatal Mothers? • Punish Doctors refusing treatment of HIV / AIDS patients? • Guidelines for safe medical practice – safety of Medical and Paramedical personnel
Questions? • Condom vending machines in educational institutions? • Condom vending machines in Army barracks? • Making it Compulsory to put hoardings on safe practice of sex and warning against AIDS in all Public / Private industries
Disease Spread Air • Coughing • Sneezing
Disease Spread • Urine • Faeces
Transmission • Food • Water
Disease Spread • Sweat • Saliva • Tears
Disease Spread • Semen • Vaginal Fluid
Disease Spread Sexual Intercourse • Vaginal sexual intercourse • Man to Women • Women to Man
Disease Spread Anal Sex • M with M • M with W
Disease Spread • Oral Sex
Disease Spread • Use of Condoms • When Properly Used
Disease Spread Tissue • Transplantation
Disease Spread Blood and Blood Products • Blood Transfusion • Intravenous Drug Users • Health care workers
Disease Spread • Doctor to Patient • Infected Physician • Dental Procedures • Patient to Doctor
Disease Spread Inanimate Objects • Cloths • Towel • Tooth brush • Shaving Blade
Disease Spread Vectors • Mosquitoes • Bed Bugs
Disease Spread • Using Public Toilet
Disease Spread • Ear, Nose Piercing
Disease Spread • Tattooing
Mother to Foetus • During Pregnancy • At the time of Birth • Breast Feeding
Prevention • Abstinence Before Marriage • Faithfulness after Marriage
Life is a pain. And enjoyment of love is an Anaesthetic Cesare Pevese
Safe Sexual Practice Use of Condoms When Properly Used
Disease Spread • Washing of Genitalia after sexual intercourse
Disease Spread • Masturbation • Circumcision
Postexposure Prophylaxis • After Sexual Intercourse • AZT • After Solid Needle Prick • AZT • After Large Bore Needle Prick • AZT + LPV/r
Sexually Transmitted Diseases • Syphilis • Chancroid • Gonorrhoea • HPV • Herpes • LGV • Fungal Infections
Vaccines • Research level
Thank You Dr. R. Senthil