Tuesday , April 20 2021

The answer to HIV in the City of Buenos Aires: changes, news and challenges – 01/12/2018



Brand Studio by GCBA

Every December 1 marks the Day of AIDS around the world. More than thirty years after the start of the epidemic, many scientific and social progressions have changed the oppressive reality of the first moments and has made an infection of HIV chronic conditions, which is no longer synonymous with death.

Both techniques to diagnose HIV and the treatment have improved their efficiency and have been simplified. The fast attempt, which was only used at the start of the epidemic for special cases (such as women who have come to the birth without an attempt), is now a widespread technique, available in more than 40 places in the public health system, which allows the humans to have a result in 15 minutes.

Regarding the treatment and control of the infection, the progress was enormous. New drugs were designed, their side effects were reduced and the number of ingestions was reduced. This means that people have more possibilities to control the infection, have no inconvenience and do not need to take tens of pills because when complicated high-performance therapy began in the mid-90s.

Added to this is the progress in the recognition of rights on sexual diversity. According to Agustín Red, a Communication Specialist and a member of the Coordination of Sexual Health and AIDS of the Ministry of Health of Buenos Aires, "this recognition not only limits the stigma and discrimination that characterized the first public and communication discourses about the epidemic, but also reducing the fear and shame to ask, allows the matter to be talked about more clearly and openly and facilitates the access of people to services and resources to take care of themselves. "

Basic information

HIV is a virus that affects the cells responsible for protecting us from diseases. His full name is Human Immunodeficiency Virus.

* If people who have HIV do not deal with, the virus multiplies, their defenses go down and signs and symptoms (Syndrome) appear indicating that the defenses have decreased (Immuno-Deficiency) due to the presence of HIV in their body (Acquired). At that time people have AIDS.

* The treatment prevents the virus from reproduction and, therefore, ensures that people with HIV do not have AIDS.

* However, the treatment is also very effective for people who already have AIDS. Because it allows to recover their defenses, eliminate symptoms and control the infection. As soon as you start, better.

* HIV is transmitted but not spread. What is the difference? Conjunctive diseases (like the flu) pass from one person to another with a simple contact. Instead, HIV is not delivered by hugging, kissing, sharing of glasses or silver, drinking a companion or sharing clothes. Not even if you have sex with condoms. It is not delivered by dividing the bathroom, the sink or the bed. The insects either do not transmit it and the sweat and the bluebells.

* HIV is only transmitted when it has sex without a condom or latex field or by dividing needles, engines, tubes, canoes or any other item that is cut or punished. In the case of pregnant women with HIV, the virus may be transmitted to the baby during pregnancy, at the time of delivery or if breastfeeding. It is prevented from medication and a child's formula.

The test of HIV, a fundamental first step for care

When people know that they have the virus, they can start their treatment, take preventive measures and maintain their health. But nobody can know it first. Therefore, facilitating access to the test is one of the basic strategies to respond to the epidemic, as it is demonstrating the increase in hospital-based tests in recent years.

The test is voluntary, free and confidential. It is not necessary to be a legitimate age to do so, the young people can sign their consent without accompanying any adult. It is made in hospitals and health centers and there are more than 40 places that use the fast test technique and return the result in 15 minutes. (http://www.buenosai-res.gob.ar/salud/vih/test-de-vih-sida-y-centros-de-testeo)

Advice to treatment and indetectable viral load

The easiest is to try, more people are diagnosed and start their treatment right away. This is another one of the changes that have occurred in the last 30 years. Up to a few years, the recommendations indicated that people with HIV begin to take a medication when their own defenses could not control the virus. At present, the treatment begins as soon as the infection is diagnosed.

The effectiveness of doctors allows, in a very short time, the amount of virus in the blood is so small that laboratory tests do not detect it. The purpose of treatment is to achieve exactly that: the study called "male load in the blood" results in "undetermined". This is not just a very good indicator of the person's health under treatment, but it is likely to convey the virus to another person that is almost not existing.

This is another one of the important developments of recent times that affect each individual in particular and the development of the epidemic at global level. The more people with an undesirable male charge, lower the "male income rate" and better the ability to reduce new infections and control the epidemic in the middle and long term.

The rubber is never out of fashion According to these changes in the response to the epidemic of HIV, there are issues that do not change: the recommendation of the use of condoms is one of them. There is no other method that prevents HIV and other sexually transmitted infections avoiding unintended pregnancies.

This double protection guaranteed by the rubber makes it suitable for the entire population regardless of age, gender, identity or sexual orientation, or whether it has HIV or not. Therefore, a network of more than 200 sites of free distribution of condoms and lubricating gel has worked in the City for years, including spaces for the public health system, civil society organizations, cinemas and clubs and neighborhoods. (http://www.buenosaires.gob.ar/salud/sexual-y-vih)

Situation of the HIV-AIDS epidemic in the City of Buenos Aires

From 2003 to now (15 years) the Coordination of Sexual, AIDS and STI Ministry of Health of the City announced about 21,000 people with HIV diagnosis. 69% of the notifications come from the public system and 31% of people with social or paid work.

The male / female report is 2-1, which means that for every woman, diagnosed with HIV, two males have been diagnosed. The vast majority of people with HIV have been diagnosed between 20 and 50 years.

The most common form of transmission in both sexes is sex in more than 90% of cases. Sexual transmission among men increased by 37% in the first three years to 57% in the last.

The percentage of delayed diagnoses (people diagnosed with a certain symptom of the infection or have AIDS) decreased from 35% in 2012 to 25% in 2017, probably due to the implementation of the fast attempt and the active promotion in the centers of testing and public space.

These late diagnoses were more common in heterosexual men throughout the period and, although the analysis of triennials shows that they have decreased in all groups, the greatest decline is observed in the people of people with sex with other people (MSM) . That is, people who have sex with humans would improve access to early diagnosis.

People under 20 years

Between 2003 and 2017, 1,182 infections of HIV were reported in children under 20 years of age: 58% in children under 14 and 42% in adolescents from 15 to 19 years.

Vertical transmission (from mother to daughter) represents more than 90% of reported infections in children under 14, without gender differences. That is, they are boys / girls who have been born with HIV.

In the group of adolescents, predominance of transmission through sexual relations without rubber. Among women, 93% by transmission in heterosexual relationships and in the male, 26% of sexual relations with women and 64% through relationships between men.

The answer of healthy equipment

Births of women with HIV

Between the years 2003-2016 there were almost 3,500 births of women with HIV, with a progressive decline in the last years of the period. The vertical transmission (the number of children born with HIV with 100 children born to a woman with HIV) decreased from 6.98% in 2003 to 4.5% in 2016.

Improved access to diagnosis

The number of tests carried out in the CABA's public system is around 150,000 years. Those carried out in the special centers of the city (CePAD) increased from 10,230 in 2012 to 20,311 in 2017. The implemented, in 2013, of a new standard that includes the use of the fast attempt, allowed to expand the diagnosis proposal by means of the opening of new centers and the increase in the number of tests in pre-existing centers. Today there are 40 centers offering fast trials in health centers, hospitals and civil society organizations.

In 2015, the campaign began "Quick attempt for districts"which consists of offering HIV testing with the health trailer, since its beginning was more than 6,385 tests, detecting 86 positive cases (1.34%).

During 2017, 122,285 HIV tests were carried out in the laboratories of public hospitals, confirming 1759 positive cases (1.44%).

People under treatment in the public health system

So far, there are 14,245 people with HIV on antiretroviral treatment in the CABA's public system. According to the information available, the percentage of non-profitability of the population male charge is about 70%.

Distribution of condoms

In the CABA there are 200 mouths of distribution of condoms. The distribution increased by 2.5 million in 2002 to more than 7 million in 2018. (http://www.buenosaires.gob.ar/noticias/campana-test-rapido-de-vih-por-los-barrios).


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