Monday , May 29 2023

Response to HIV in the City of Buenos Aires: changes, innovations and challenges – 2013/01/12



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Brand Studio for GCBA

On December 1 marks the day of AIDS around the world. Before the epidemic of more than thirty years, many scientific and social advances have changed for the first time, and the infectious disease has had a chronic illness, because it is no longer death.

HIV and treatment diagnosis techniques improved and were more effective. Rapid examinations are used only for special cases, such as those that were first-born, for example, unexplained for special cases in the epidemic, which is available in more than 40 places in the public health system. It has been 15 minutes since the people.

With regard to the treatment and control of infections, there was a great progress. New drugs were designed to reduce the side effects and reduce intakes. This means that people have more control over their infection, they do not have discomfort and do not need dozens of pills, because the treatment of high-efficiency combinations began in the mid-90s.

To this end, there is progress in recognizing the rights of sexual diversity. Agustín Rojo, a Communications Specialist, and a member of the Health Ministry of the Health Ministry of Buenos Aires, said: "It's not about setting limits on stigma and discrimination, but about the first public and media outlets on the epidemic, the fear and shame of the questioner, , and allows access to the services and resources of their own. "

Basic information

* HIV is a virus that affects cells that protect against diseases. Its full name is Human Immunodeficiency Virus.

* If they do not treat people with HIV, the virus is multiplied, their defenses decline, and signals and symptoms (Syndrome) appear to show that their defenses are decreasing (Immunization) due to the presence of HIV (in the body). At that time, people have AIDS.

* Treatments cause viruses of viruses and therefore HIV does not guarantee AIDS.

* However, the treatment is very effective for people who already have AIDS. Defendants can recover, eliminate symptoms and control the infection. The earlier you started, the better.

* HIV is transmitted, but it has not spread. What is the difference? Contagious diseases (like influenza) pass through people through a simple contact. Instead, HIV is not transmitted by sharing, kissing, sharing glasses or cycles, drinking or exchanging clothes. Do not even have sex with condoms. It's not transmitting bathroom, sink or bed sharing. Insects do not transmit, sweat and tear.

* It is transmitted to HIV sexually transmitted to the HIV without condoms or to latex, or sharpened needles, syringes, tubes, canuts or any other element or punches. In pregnant women with HIV, the virus can be reached during pregnancy at the time of delivery or breastfeeding. Preventing medication and formula for children.

The HIV test, the first step towards attention

When people know when the virus can start treatment, it takes preventative measures and maintains healthy. But nobody knows at first glance. For this reason, the ease of access to the test is one of the basic strategies to respond to the epidemic, as is shown by the increase in non-hospital studies in recent years.

The test is voluntary, free and confidential. It is not necessary to be older, young people can sign their authorization without reaching it. It is carried out in hospitals and health centers, and there are more than 40 places that use the fast test procedure and the result is returned in 15 minutes. (Http://www.buenosai-res.gob.ar/salud/vih/test-de-vih-sida-y-centros-de-testeo)

Attention to treatment and detection of viral load

The study will be easier, the more people diagnosed and the treatment will begin immediately. The changes in the last 30 years are another. Until a few years ago, when recommending recommendations to liver medication, their defenses could not control the virus. Nowadays, however, the treatment begins as soon as the infection is diagnosed.

The current drug efficacy allows, in a very short time, that the amount of the virus in the blood is so small that the laboratory tests have not been detected. The purpose of the treatment is to achieve precisely the "undetectable" research results called "viral blood flow". Although this is not a good indicator of the health of the person in the treatment, the virus probably does not transmit the other person's probability.

That is, the last time, one of the most important innovations, affects each person and develops a global epidemic. For more people not detecting viral load, the "viral load of the population" below is below and better control of new infections and epidemic in the medium and long term are expected.

Condom does not change the way the changes in the response to the HIV epidemic do not change things: the use of condoms is one of them. Another method that prevents HIV and other sexually transmitted infections is avoiding pregnancy.

This double protection guaranteed by condoms has age, sex, identity or sexual orientation regardless of whether it is HIV-positive or not. For this reason, the free distribution of compounds over 200 years and free-range gel lubricants has been ongoing for many years, including public health, civil society organizations, film, clubs and neighborhood networks. (Http://www.buenosaires.gob.ar/salud/sexual-y-vih)

The epidemic of HIV / AIDS in the Buenos Aires city

From 2003 to the present (15 years), Sexuality, AIDS and ITS Health Coordination Report about HIV diagnosis about 21,000 people. 69% of the notifications come from public systems and 31% are social workers or pre-paid people.

The male / female ratio is 2-1, and for all women diagnosed with HIV, two men are diagnosed. The majority of people with HIV were diagnosed between 20 and 50 years old.

Sexual transmission of both sexes is sexual, with more than 90% of cases. Sexually transmitted men increased 37% in the first three years and 57% in the end.

A delayed diagnosis percentage (when diagnosed, with some symptoms of infection or AIDS) dropped from 35% to 25% in 2017, probably due to rapid testing and the implementation of active promotion of centers due to testing and public space.

These late diagnoses were more common among heterosexuals, and third trimesters' studies show that decreased in all groups, with men being the same with the same sex (MSM). That is, men's sex would improve better access to early diagnosis.

Persons under 20 years old

Between 2003 and 2017, 1,182 liver infections were under 20 years: 58% and 14 to 42 years of age between 15 to 19 year old children.

Vertical transmission (mother-daughter) has more than 90% of infections of less than 14 years, without gender differences. That is, boys are born to HIV.

Conviction through sexual intercourse without the condom in the adolescent group. Among women, 93% transmission in heterosexual and male relationships, 26% with sexual intercourse with women and 64% among men.

Response to health groups

HIV births

Between 2003-2016, almost 3,500 women were women with HIV, and the fall of recent years has gradually decreased. The vertical transmission rate (the number of children born to 100 children born with a HIV-positive female) fell by 6.98% in 2003 and 4.5% in 2016.

Improved access to diagnosis

The number of tests carried out in the CABA public system is around 150,000 per year. The specialized centers of the city (CePAD) increased by 10,230 in 2012 and 20,311 in 2017. In order to establish a new standard for fast-track testing, 2013's diagnostic offer could be expanded. Increase in the number of new centers and existing centers. There are currently 40 centers in healthy tests, hospitals and civil society organizations.

In 2015, the campaign began "Tests tested for neighborhoods"It is intended to be offered through medicinal herbs for HIV, from the beginning, with more than 6,385 trials, 86 positive cases were detected (1.34%).

In 2017, 122,285 famines were tested in public hospitals laboratories, confirming 1759 positive cases (1.44%).

Persons in public health care

So far, 14,245 people have antiretroviral treatment with HIV in the CABA public system. According to the available information, the age population of the population is about 70%.

Condoms distribution

The distribution of condoms in CABA is 200 mouths. The distribution was 2.5 million from 2002 to 7 million in 2018 (http://www.buenosaires.gob.ar/noticias/campana-test-rapido-de-vih-por-los-barrios).

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