Presentation on theme: "HIV in Brazil Ana Paula Pfitscher Cavalheiro Infectious Disease Resident at Hospital de Clínicas de Porto Alegre."— Presentation transcript:
HIV in Brazil Ana Paula Pfitscher Cavalheiro Infectious Disease Resident at Hospital de Clínicas de Porto Alegre
HIV in Brazil Population:192 million –85% urban –Life expectancy: 66.7 y –1/3 poor (family income < 160 /m) 1988 Constitution: Health is a right for all and a obligation of the state –1985: Civil society + Government -> the National AIDS Program 80s: Spread information about STD-AIDS 1991: AZT free access 1996: HAART free access Present: HAART, CD4/VL, genotyping in cases of viral failure, drugs for treatment of HAART side effects
HIV in Brazil HIV –Estimated prevalence: 630,000 people (<1% of adult population) Half of predicted in the early 90s by the World Bank AIDS –Prevalence: 0.6% of total population y –Increasing between women, heterosexuals, socially excluded and older than 50 y –190,580 on HAART treatment By 2002 ARVs had prevented ~358,000 HIV-related hospitalisations, resulting in a saving of more than US$1.1 billion
Source of HIV acquisition
HIV in Brazil HIV test is free of charge and can be done in primary care units, hospitals or and STD/AIDS counseling testing centers –38% of sexually active population has already been tested at least once –Mean first CD4 (without HAART): % less than 200 Pregnant women are usually tested for STDs and HIV as part of their regular follow-up –But in 2007 only 62% had been tested for HIV before labour –Recommendation not to breastfeed Provision of infant formula to all children born from HIV + mothers –Reduction of vertical transmission 581 in 2004 and 320 in 2006
Brazilian Guideline When start treatment: Symptomatics Asymptomatics –CD4 > 500: no ART –CD : ART if Nephropaty, HCV or HBV coinfection, VL > , > 55y, high risk of CVD, any cancer –CD4 <350: ART AZT, 3TC, TNF, ddI, ABC EFZ, NVP ATV, LOP/r, SQV, /r, DRV, IDV T20 Raltegravir Etravirine
HIV in Brazil Key points of National AIDS Program Prevention: –promote frank talk about safe sex –focus on condom promotion Brazil is the worlds largest condom importer buying 1.2 billion in 2009 state-run factory produces 100 million condoms a year –focus on preventing HIV among sex workers Treatment: –ARV drugs are provided free to everybody who needs; –aggressive efforts to minimise the cost of ARVs Show that you´ve grown up and know what you want. In this Carnival use condom.
Thank you! Sources: aids.gov.br, avert.org datasus.gov.br, ioc.fiocruz.br Living with AIDS is possible, living with prejudice is not. Condoms after 50: Try it!