HIV, Hepatitis and TB in Sweden Epidemiological data and prevention activities

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1 HIV, Hepatitis and TB in Sweden Epidemiological data and prevention activities Maria Axelsson Public Health Agency of Sweden

2 Number of cases HIV reported cases in Sweden Sid.

3 Number of cases HIV cases Sweden by route of transmission 600 Heterosexual MSM PID Other Unknown Sid

4 Number of people living with HIV infection in Sweden andel kvinnor andel män skattat antal Source: Estimates; databas InfCareHIV Sid

5 Antal Reported cases of Hepatitis B per country of infection okänt/ej angivet Sverige Utlandet Totalt Sid

6 Antal Reported cases of Hepatitis C per route of transmission Sexuell Blodtransfusion/blodprodukt Annan Okänt/ej angiven Injektion Totalt Sid

7 cases/ inh TB-incidence in Sweden , ,3 0 year Sid

8 TB-cases in Sweden 2016 by origin (n=734) Eastern Europe and Western Europe former USSR 1 % 6 % South America 1 % Unknown 0 % Sweden 10 % Northern Africa and the Middle East 8 % Africa 46 % Asia 28 % Sid

9 New National Strategy to Combat HIV/AIDS and Certain Other Communicable Diseases 2016 Focus areas: Men who have sex with men Injecting drug users Migrants Gender equality Sid

10 Collaborations A National HIV/Hepatitis Council, consisting of key stakeholders from other national Agencies, Counties and Civil Society, serves as an support board to the Public Health Agency of Sweden. Meetings with county councils and non-governmental organisations twice a year Sid

11 Collaboration with nongovernmental organisations Sid

12 Prevention for people who inject drugs In 2015 PHAS published Guidance for health promotion and preventive work with hepatitis and HIV focusing people who inject drugs. The objective is to support regional and local actors who in their work come in contact with PWID. Starting point is everyone's right to health. Sid

13 Prevention PWID HIV/Hepatitis prevention programmes for PWID have not been delivered at scale. National NEP coverage has been insufficient. The background is legal and political Now an ongoing process to change restrictive laws and policies Many NEP has been starting last years NEP can now also offer: testing, basic health care, vaccination, treatment and more Sid

14 NEP Sweden since Sid

15 Prevention Migrants Obligation to offer a health examination for all asylum seekers (The obligation does not involve family linked immigration) Asylum seekers is a hard-to-reach group About 40 % undergo health screening Testing for HIV, STI, TB and hepatitis are offered but voluntary All diagnosed with HIV and TB get free care and medication. Also undocumented migrants have that right Sid

16 Prevention Men who have Sex with Men (MSM) Mostly through NGO Information Campaigns about safe sex Information Campaigns about HIV and STI s Testing for HIV PrEP (PreExpositions Profylax for HIV)? Sid

17 Prevention Youths and young adults Mandatory education about sexual- and relationship in schools since 1955 Today - age-appropriate education from first grade including gender equality, body integrity, relationship and sexuality Youth-friendly services was established in 1975 Today there are clinics in all cities with a high school. They include all young people and many clinics are LGBT- certified. Also serving as lowthreshold services for contraceptives and provides counselling for unwanted pregnancies Sid

18 National HIV Campaign : HIV Today is not like Yesterday - Up-to-date facts - Focus on treatment (ART) and testing - Targeting the general public and health care workers Sid 18.

19 HIV today is not like yesterday. Did you know that the treatment of HIV in Sweden today is so effective that it lowers the level of the virus to virtually zero and the risk of transmission is very low? Living with HIV today is not like yesterday. Read more on Sid.

20 Sid

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