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HIV in Europe: Working together for Optimal Testing and Earlier Care

Outlook on the Spanish EU Presidency 1st semester 2010. HIV in Europe: Working together for Optimal Testing and Earlier Care. Olivia Castillo Soria Head of Area of Prevention and Coordination AIDS National Secretary Plan. INNOVATION Technological Economic Social Institutional.

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HIV in Europe: Working together for Optimal Testing and Earlier Care

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  1. Outlook on the Spanish EU Presidency 1st semester 2010 HIV in Europe: Working together for Optimal Testing and Earlier Care Olivia Castillo Soria Head of Area of Prevention and Coordination AIDS National Secretary Plan

  2. INNOVATION Technological Economic Social Institutional EQUALITY Promote equality Solidarity Cohesion Principles of the Spanish Programme during the EU Presidency Values and principles of Western culture Innovateto renew Leadership

  3. EU Commision Priorities • Public Health Working Group • Presidential Working Group • Inequality Council Conclusions, Dec 2009 • HIV Council Conclusions • Tobacco • Cross-border vaccination • “Friend Group” of Presidency • Pandemic Flu • Presidency group

  4. Ministry of Health and Social Policy Priorities • Social health determinants and reduction of inequalities. • Promoting organ donation, transplants and advanced therapies. • Improve clinical excellence in chronic diseases • Best practice exchange: E-Health • Food safety • Consumer protection • Safety of medicines

  5. Public and Foreign Health Directorate Priorities • Innovation in Public Health: monitoring social health determinants and reduction of inequalities. • Fight HIV

  6. HIV/AIDS Multi-Sector Plan 2008-2012 Priorities • Multi-Sector coordination • Fight against stigma and discrimination • Early diagnosis • Prevention in drug users and their partners • Prevention in men having sex with men • Prevention in immigrants • Prevention in young people • People who are HIV+ and their partners • Diagnostic Surveillance System for new HIV • International co-operation

  7. Estimation of the new annual infections for sexual transmission between carriers of HIV 25% Unidentified 54% of new infections 75% Identified 46% of new infections HIV + New infections for sexual transmision Estimation more conservative hipotesis USA ( Marks G, Crepaz N, Janssen RS. AIDS 2006. )

  8. New alternatives for screening: Spanish experience:Pilot study of rapid test in pharmacies • Implemented in 2 Autonomous Regions: • Basque Country: 20 pharmacies (Alava, Vizcaya, Guipuzcoa) • Catalonia: 36 pharmacies (21 towns - Barcelona) • Anonymous • Consent to the test • Pharmacist training • Rapid test + Counselling • If HIV positive referred to Health System

  9. New alternatives for screening: Spanish experience:Pilot study of rapid test in pharmacies OBJECTIVES: • Increase test coverage • Reduce timing of late diagnosis in risk people • Improve life quality and reduce transmission of HIV infection • Encourage early diagnosis in at risk people (who do not want to access the Health System)

  10. Basque Country: 2268 tests 0.75% HIV positive 76.5% Men 23.5% Women Age average: 37.8 41.80% Inmigrants Through unsafe sex: 53% heterosexuals 35% homosexuals Catalonia: 1153 tests 0.87% HIV positive 71% Men 29% women Age average: 33.78 20% Inmimgrants Through unsafe sex: 40% heterosexuals 40% homosexuals New alternatives for screening: Spanish experience:Pilot study of rapid test in pharmacies

  11. Key points on HIV/AIDSConference • Inequalities: Equality of opportunities • Stigma: respect their rights • Discrimination: Accept them • Prevention: reducing late diagnosis • International cooperation: solidarity

  12. Conference proposal: Conference HIV Place: Madrid Date: 7 and 8 of April

  13. Inequality and prevention: Social health determinants Vulnerable population Outreach programmes Reducing late diagnosis International Cooperation: Alliance of ESTHER Programme: Spanish implementation: South America Training programme On-line course Technical meeting? Economical Interest Group Conference proposal: Conference HIV

  14. Thank you!

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