Coordenação Nacional para a Infecção VIH/sida - Portugal HIV AIDS. Portugal. Henrique Barros

Transcrição

1 HIV AIDS Portugal Henrique Barros

2 70.0 % % Heterosexual 64.9% % IDU % MSM 20.2% 14.0%

3 AIDS number of cases Portugal Date of diagnosis Date of declaration

4 AIDS cases, by gender and age Portugal male female <

5 AIDS deaths, by gender Portugal Males Females

6 AIDS deaths - trend, by year and gender - Portugal Total Males Females year n % n % n %

7 AIDS deaths per 100,000, by region Portugal Total North Center Lisbon Alentejo Algarve Açores Madeira

8 AIDS cases, by mode of transmission and year of diagnosis Portugal MSM DU HS MTCT

9 AIDS cases, by mode of transmission and year of diagnosis Portugal MSM DU HS MTCT

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11 Condom use by years-old students Portugal 7932 (56.1% F) 4926 no sexual activity 3006 had sexual intercourse 355 no information on condom use 2651 information on condom use 317 (12%) never 295 (11%) occasional 571 (22%) frequent 1468 (55%) consistent

12 Reasons for non-consistent condom use (%) Don t no know how to use it Ashamed to buy it Decreases sexual pleasure It s using another contraceptive Decreases partner confidence Being faithful Surely the partner is faithful Not used to condoms since the beginning

13 HIV IN PREGNANCY: PORTUGUESE TESTING POLICIES & PRACTICES 1998 Part of pre-conception counselling 2002 Added to prenatal care

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15 1st test until 14th gestational week Repeat at 32 weeks 1st test after 14th gestational week Repeat at 32 weeks No testing during pregnancy or no information at labour Rapid HIV Test

16 Survey of Portuguese Hospitals Proportion of women with no HIV test at delivery % age (yrs)

17 Survey of Portuguese Hospitals Proportion of women with no HIV test at delivery not single single planned unplaned %

18 Survey of Portuguese Hospitals Proportion of women with no HIV test at delivery, by education (years) %

19 Deliveries (n) HIV-positive Mothers (n) Prevalence % North Center South Total Portugal, % deliveries (non-random sample) HIV - positive women: 43% identified during pregnancy, 5% at delivery

20 Deliveries (n) HIV-positive Mothers (n) Prevalence ,37% ,35% ,24% Portugal , same set of public hospitals

21 AIDS DEFINING CONDITIONS AMONG IDU TUBERCULOSE + PPC 6% PPC 11% OUTRAS 25% TUBERCULOSE 59% N = FONTE: CVEDT ( )

22 CADs: 2004 Testes Positivos n (%) Não reclamados VIH+ Não reclamados Neg. Aveiro (2,4) 1 19 Beja 26 1 (3,8) 0 0 Braga (1,4) 0 0 Bragança Castelo B Coimbra (1,0) 0 47 Évora 92 1 (1,1) 0 13 Faro (0,7) 3 50 Faro (m) Guarda Leiria (2,3) 1 17 Lisboa-F (2,6) 0 0 Lisboa-L (1,9) Lisboa -m (1,7) 2 0 Porto (2,2) 7 63 Portalegre Santarém (2,9) 0 6 Setubal (1,6) 0 vila real Viana Total (1,7)

23 Infecção por VIH-2 4% em 3842 casos (Porto - período )

24 Canábis 2001 Idades anos Portugal, França 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Portugal França Portugal França Nunca Experimentou Ocasional Usa

25 Consumo recente (último ano) de cocaína entre jovens adultos (15-34 anos)

26 Estimates of injecting drug use in EU Member States (most recent oneyear prevalence per inhabitants aged 15 64)

27 Prevalence of HIV infection among IDUs in the EU Member States and Norway

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29 Primary Health Care Counselling & Testing Outpatient care Psychosocial support Health Centres CAT CDP Community care NGOs IPSS Entrance Terciary care PVIS Support care Peer-Support Home Care

30 Cronograma

31 Expositor de Material IEC em setting CAT

32 Brochura de sensibilização para a redução de riscos e minimização de danos

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34 Manual de Boas Práticas

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38 Teste Rápido

39 Resultado Negativo Resultado Positivo VIH1 + Controlo Câmara VIH2 + Os testes não devem ser interpretados após 20 minutos