AIDS Acquired Immune Deficiency Syndrom

Transcription

1 HIV and AIDS World, Europe and Poland Dorota Chrominska-Szosland MD, PhD Nofer Institute of Occupational Medicine Lodz-Poland HIV Human Immunodeficiency Virus AIDS Acquired Immune Deficiency Syndrom 1

2 Adults and children estimated to be living with HIV, 2005 Western & Eastern Europe North America & Central Asia Central Europe 1.3 mln 1.5 mlnm East Asia Caribbean North Africa & Middle East 7South & South-East Asia Latin America Sub-Saharan.6 mln 1.6 mln Africa Oceania 24.5 mln Total: 38.6 ( ) mln Estimated number of people living with HIV globally, Mllion Number of people living with HIV

3 Estimated number of people living with HIV globally, Number of people living with HIV Mllion Oceania NorthAfrica& MiddleEast Europe & Central Asia Latin America & Caribbean North America & Western Europe Asia Sub-Saharan Africa HIV/AIDS CUBA (1) 1983 National AIDS Commitee anihilation all blood products, which were comming not from Cuba ban of blood importation all blood donors on Cuba had to be tested 1984 epidemiologic supervision system for AIDS symptom detection 1985 first AIDS case on Cuba 3

4 HIV/AIDS CUBA (2) 1986 HIV tests production on Cuba screening for HIV people who later than 1975 were traveling abroad for countries where HIV infections were detected screening for HIV sexual partners infected people (every 3 months through 1 year) 1986 sanatoriums for HIV infected people 1987 first report from Cuba HIV/AIDS CUBA (3) Effective national program against AIDS : intensive education of infected people (6-8 weeks in sanatorium) obligatory HIV tests for pregnant women HIV infected people obliged to give names all sexual partners from last 6 months HIV tests done in all STD (sexual transmited diseases) infected people people encourage to voluntary HIV tests 4

5 Estimated number of adults and children newly infected with HIV, 2005 Western & Eastern Europe North America & Central Asia Central Europe East Asia North Africa & Middle Caribbean East South & South- East Asia Latin America Sub-Saharan Africa(65%) Oceania 2,7 mln Total: 4,1 (3,4 6.2) mln Estimated adult and child deaths from AIDS, 2005 Western & Eastern Europe North America & Central Asia Central Europe East Asia North Africa & Middle Caribbean East South & South-East Asia Latin America Sub-Saharan Africa Oceania 2,0 mln Total: 2,8 (2,4 3,3) mln 5

6 Estimated adult and child deaths from AIDS, Number of deaths due to AIDS Million Children (<15 years) estimated to be living with HIV, 2005 Western & Eastern Europe North America & Central Asia Central Europe East Asia North Africa & Middle Caribbean East South & South-East Asia Latin America Sub-Saharan Africa Oceania 2,0 mln Total: 2,3 (1,7 3,5) mln 6

7 Estimated number of children (<15 years) newly infected with HIV, 2005 Western & Eastern Europe North America & Central Asia Central Europe East Asia North Africa & Middle Caribbean East South & South-East Asia Latin America Sub-Saharan Africa Oceania Total: ( ) Estimated deaths in children (<15 years) from AIDS, 2005 Western & Eastern Europe North America & Central Asia Central Europe less less 100 East Asia North Africa & Middle Caribbean East South & South- East Asia Latin America Sub-Saharan Africa Oceania Total: ( ) 7

8 Over new HIV infections a day in 2005 More than 95% are in low and middle income countries About 1500 are in children under 15 years of age About 1500 are in children under 15 years of age About are in adults aged 15 years and older of whom: almost 50% are among women over 40% are among young people (15-24) 25 years of AIDS Million First cases of unusual immune deficiency are identified among gay men in USA, and a new deadly disease noticed 2 Acquired Immune Deficiency Syndrome (AIDS) is defined for the first time 3 The Human Immune Deficiency Virus (HIV) is identified as the cause of AIDS 4 In Africa, a heterosexual AIDS epidemic is revealed 5 The first HIV antibody test becomes 6 Global available Network of People living with HIV/AIDS (GNP+) (then International Steering Committee of People Living with HIV/AIDS) founded 7 The World Health Organisation launches the Global Programme on 10 AIDS 8 The first therapy for AIDS zidovudine, or AZT -- is 9 approved for use in the USA People living with HIV Children orphaned by AIDS in sub- Saharan Africa 9 In , HIV prevalence in young pregnant women in Uganda and in young men in Thailand begins to decrease, the first major downturns in the epidemic in developing countries 10 Highly Active Antiretroviral Treatment launched 11 Scientists develop the first treatment regimen to reduce motherto-child transmission of HIV 12 UNAIDS is created 13 Brazil becomes the first developing country to provide antiretroviral therapy through its public health system 14 The UN General Assembly Special Session on HIV/AIDS. Global Fund to fight AIDS, Tuberculosis and Malaria launched 15 WHO and UNAIDS launch the "3 x 5" initiative with the goal of reaching 3 million people in developing world with ART by Global Coalition on Women and AIDS launched 1.1 8

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14 HIV/AIDS ROMANIA The beginning of 90-ies 1094 HIV infections in children The reason: giving small amount of infected blood (5-10 ml) for immunity raising insufficient equipment sterilization 50% of children died within 2 years Till HIV/AIDS cases cases in children; died from AIDS 14

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38 HIV and AIDS in Poland 1985 February 2007 Adult and children infected Persons infected due to to intravenous drug using AIDS cases AIDS deaths

39 HIV/AIDS epidemiological situation in Poland in the years AIDS cases AIDS cases deaths due to AIDS HIV infections HIV infections registered in Poland in the years by age no data 39

40 HIV in Poland Average annual rates of HIV infections reported at the National Institute of Hygiene as newly detected in the years (by voivodeships) Number of infected ( ) AIDS in Poland Average annual rates of AIDS reported at the National Institute of Hygiene detected in the years (by voivodeships) Morbidity of diseaser ( ) 40

41 Average rates of HIV infections recorded in 2005 by voivodeships (per inhabitants) POLAND POLSKA Dolnośląskie Pomorskie Warm-Mazurskie Łódzkie Opolskie Mazowieckie Sląskie Kujawsko-Pomorskie Kujaw-Pomorskie Zachodniopomorskie Małopolskie Podlaskie Lubelskie Podkarpackie Wielkopolskie Świętokrzyskie 1,21 1,4 1,52 1,16 1,09 0,94 0,83 0,67 0,6 0,57 0,53 0,31 1,72 4,19 2,38 2,69 1, Possible ways of AIDS transmission in the years

42 HIV infections in Poland in the years by age brak danych 4 > < Years 2001 The HIV epidemiological situation in voivodeship lodzkie: Total 50 HIV infections Incidence rate 1,9 Intravenous drug users(%) 48, ,0 36, ,8 41, ,3 44, ,5 38,5 42

43 Years 2001 The AIDS epidemiological situation in voivodeship lodzkie: Total 5 AIDS Incidence rate 0,19 Deaths , , , ,