Download HIV/AIDS in Brazil

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
AIDS incidence/year/region Brazil 2000-2009
• Incidence:
inhabitants
• 500,000
(2012)
•
20.2
cases/100,000
HIV-infected
patients
~ 130,000 undiagnosed
Incidence/100000 hab/ region Brazil
• 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)
17.5
Available at http://www.aids.gov.br/sites/default/files/anexos/publicacao/2013/53077/em_portugu_s_93155.pdf
HIV/AIDS in Brazil: diagnosis
• 37% of overall HIV
testing coverage
HIV testings performeds by SUS, 2003-2011
• 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/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)
available
Available 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:
prophylaxis
post
to
Number of condoms distributed by year. Brazil, 2002-2011
exposure
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
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
Thank you!
Sunset in the Tapajós River, Amazon