Tuberculosis and HIV-AIDS: Achievements with ARV access Dr. Humberto Costa, MD Minister of Health, Brazil

AIDS - Trends in morbidity and mortality MortalityIncidence andmortalityrates-AIDS (100,000population).Brazil, Estimatedincidence-1999–2001 Source:PN-DST-AIDS/-SVS-MOH Rate per 100,000 pop

Impact of Antiretroviral Therapy Policy ( ) Reduced Mortality  50% 90,000 deaths avoided. Reduced Morbidity  70% Reduced Hospital Admissions  80%  358,000 admissions avoided – average hospital admissions/patients per year declined from 1.65 in 1996 to 0.28 in 2001) Cost Savings  US$ 2.2 billion US$ 1.23 billion in hospitals and treatment opportunistic infections. US$ 960 million reduction in drug prices.

* Preliminary data MOH, 2003 Patient/Year - Brazil, * * Average Cost (US$) of ARV Therapy by

Nat. Incidence rate /100,000 –Highest incidence rate: Rio de Janeiro: 92/100,000 Reported cases = 92,472 –62% in 5 states; 70% in 236 cities (4%) –Detection rate – 74% –Cure rate – 72% –DOTS (%pop) – 25% Tuberculosis – Burden and inequalities

Impact of Infection Hiv - Tb Infection Tb and Hiv is one main component of the National Plan for Tuberculosis Control (2004)