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HIV and AIDS

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

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  1. HIV and AIDS Dr. R. Senthil MS FRCS MCh(Urology) Member of Parliament

  2. Role of Parliamentarian • Legislator • Budget Allotment • Prevention • Drugs • Treatment Centers / Facilities • Rehabilitation • Awareness

  3. Natural History • Acute Infection • 2 to 3 weeks • Recovery + Serovonversion • 2 to 4 weeks • Asymptomatic Chronic Infection • Average 8 years • Symptomatic Infection • AIDS • Death

  4. HIV • HIV Antigen • 2 to 6 weeks Window Period • HIV Antibody • After 6 weeks

  5. Tests

  6. Tests

  7. Why AIDS is Unique? • Plague • Small Pox • Tuberculosis • Malaria • Syphilis

  8. Asymptomatic Stage • Average 8 years • Range 3 to 15 years HIV + ve but not AIDS Patient

  9. Cultural Change / Challenge • Homosexuality • Promiscuity • Premarital Sex • Casual Sex

  10. 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

  11. 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

  12. Prevention

  13. Disease Spread Air • Coughing • Sneezing

  14. Disease Spread • Urine • Faeces

  15. Transmission • Food • Water

  16. Disease Spread • Sweat • Saliva • Tears

  17. Disease Spread • Semen • Vaginal Fluid

  18. Disease Spread Sexual Intercourse • Vaginal sexual intercourse • Man to Women • Women to Man

  19. Disease Spread Anal Sex • M with M • M with W

  20. Disease Spread • Oral Sex

  21. Disease Spread • Use of Condoms • When Properly Used

  22. Disease Spread Tissue • Transplantation

  23. Disease Spread Blood and Blood Products • Blood Transfusion • Intravenous Drug Users • Health care workers

  24. Disease Spread • Doctor to Patient • Infected Physician • Dental Procedures • Patient to Doctor

  25. Disease Spread Inanimate Objects • Cloths • Towel • Tooth brush • Shaving Blade

  26. Disease Spread Vectors • Mosquitoes • Bed Bugs

  27. Disease Spread • Using Public Toilet

  28. Disease Spread • Ear, Nose Piercing

  29. Disease Spread • Tattooing

  30. Mother to Foetus • During Pregnancy • At the time of Birth • Breast Feeding

  31. Prevention • Abstinence Before Marriage • Faithfulness after Marriage

  32. Life is a pain. And enjoyment of love is an Anaesthetic Cesare Pevese

  33. Safe Sexual Practice Use of Condoms When Properly Used

  34. Disease Spread • Washing of Genitalia after sexual intercourse

  35. Disease Spread • Masturbation • Circumcision

  36. Postexposure Prophylaxis • After Sexual Intercourse • AZT • After Solid Needle Prick • AZT • After Large Bore Needle Prick • AZT + LPV/r

  37. Sexually Transmitted Diseases • Syphilis • Chancroid • Gonorrhoea • HPV • Herpes • LGV • Fungal Infections

  38. Vaccines • Research level

  39. Thank You Dr. R. Senthil

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