HIV/AIDS in Brazil at a glance 11th Advanced HIV Course 1 – 3 September 2013, Aix-en-Provence, France Ana Flor Hexel Cornely Clinical Hospital, Porto Alegre Barbara Silva de Souza Saint Louis Hospital, Paris Diego Lins Guedes Oswaldo Cruz University Hospital, Recife
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HIV/AIDS in Brazil at a glance 11th Advanced HIV Course 1 – 3 September 2013, Aix-en-Provence, France Ana Flor Hexel Cornely Clinical Hospital, Porto Alegre.
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HIV/AIDS in Brazil at a glance
11th Advanced HIV Course
1 – 3 September 2013, Aix-en-Provence, France
Ana Flor Hexel Cornely
Clinical Hospital, Porto Alegre
Barbara Silva de Souza
Saint Louis Hospital, Paris
Diego Lins Guedes
Oswaldo Cruz University Hospital, Recife
HIV/AIDS in Brazil at a glance
Today’s Outline:
1.Epidemics
2.Diagnostic
3.Clinical Care and Treatment
4.Prevention
5.Future changes and global response
• World’s fifth largest territory
• World's fifth largest population • 190 million inhabitants
HIV/AIDS in Brazil: epidemics
• Incidence: 20.2 cases/100,000 inhabitants
• 500,000 HIV-infected patients (2012)
• ~ 130,000 undiagnosed
• Features of the HIV epidemic in Brazil:
• Prevalence rates lower in the general population (0.6%) than in more vulnerable groups (5.9% IVDUs, 10.5% MSM, 4.9% sex workers)
Available at http://www.aids.gov.br/sites/default/files/anexos/publicacao/2013/53077/em_portugu_s_93155.pdf
Incidence/100000 hab/ region Brazil
17.5
AIDS incidence/year/region Brazil 2000-2009
HIV/AIDS in Brazil: diagnosis
• 37% of overall HIV testing coverage
• Higher coverage amongst the most vulnerable:
• 54% MSM
• 65.1% Sex workers
• 44.3% Drug users
• 2.9 million rapid HIV tests in 2012
Available at http://www.aids.gov.br/sites/default/files/anexos/publicacao/2013/53077/em_portugu_s_93155.pdf
HIV testings performeds by SUS, 2003-2011
HIV/AIDS in Brazil: clinical care and treatment
• 313,000 people have access to
ARV therapy (free of charge)
• Treatment program covers 200,000
people (>90% of all in need of such
support)
• 20 available ARV, 11 locally
produced
• CD4 cell count HIV, viral load and
resistance tests (RENAGENO)
availableAvailable at http://www.aids.gov.br/sites/default/files/anexos/publicacao/2013/53077/em_portugu_s_93155.pdf
HIV/AIDS in Brazil: prevention
• Free distribution of condoms,
constantly rising up (146 m to
500 m/year, 2002 – 2010)
• Since 2010: post exposure
prophylaxis to unprotected
sexual intercourse
• Robust and sustainable PMTCT
Available at http://www.aids.gov.br/sites/default/files/anexos/publicacao/2013/53077/em_portugu_s_93155.pdf
Number of condoms distributed by year. Brazil, 2002-2011
HIV/AIDS in Brazil: future challenges and global response
• Universal testing of pregnant women by 2015 (84% of them
tested in 2010/2011)
• Improve surveillance strategies (early detection), ARV to
vulnerable populations (MSM, sex workers, discordant partners
and prisoners)
• South-to-South cooperation
Available at http://www.aids.gov.br/sites/default/files/anexos/publicacao/2013/53077/em_portugu_s_93155.pdf