HIV/ AIDS in Goa Monitoring & Evaluation Unit Goa State AIDS Control Society st Floor, Dayanand Smruti Building, Swami Vivekanand Road, Panaji, Goa 403 00 Tel: 2427286/24238/242259 FAX: 242258 Email: goaaids@dataone.in goaaids@gmail.com Website: www.goasacs.nic.in
Life in the 2 st century Should be better for all. We can pass no greater gift To the next generation Than a healthier future. That is our vision. Together the people of Goa Can make it a reality. Let us join and work together To face the challenge HIV/ AIDS imposes.
A: Global Scenario Figures at a Glance First case detected among MSM in USA in 98. Reported number of AIDS cases in 99was 0.37 million. Estimated number of people living with HIV/AIDS as on December, 2009 was 33.3 million. People newly infected with HIV in the year 2009 were 2.6 million. World wide 2.5 million children are living with HIV. Number of children (0-4 years) infected during the year 2009 was 3.70 lakh which accounts for 4.23 per cent of the total infected. About half of the new infections occur in young adults before they are 25 years old and who if untreated, will die within 0 years of contracting the infection. Everyday 7000 new infections occur in the world in 2009 despite the fact more is known than ever before about prevention and control of the epidemic. About 000 are in children under 5 years of age and 6000 are in adults age 5 years and above. 97% of all HIV/ AIDS infected people are living in developing countries. HIV /AIDS was considered as a male disease two decades ago. Now, it is distributed almost equally among male and female. Worldwide women comprise an increasing number of adults living with HIV/ AIDS. Women accounted for about 5 % of the adults infected in 2009. In Sub-Saharan Africa, women represent more than half (60%) of all people living with HIV/ AIDS. HIV/ AIDS has had profound impact on teens and young adults. 4% of new HIV infections and almost one-third of the global total of people living with the disease are aged 5-24. In certain African countries, HIV infection rates are five times higher among young women than men. Since the onset of epidemic 25 million deaths have occurred all over the world. During 2009 alone, there were.8 million deaths due to AIDS of which 72% occurred in Sub-Saharan Africa. HIV/ AIDS is among the top ten killer world wide and at given current rate of HIV infection it may soon move to the top five. World over the predominant mode of transmission is through sexual intercourse being 75%, followed by injecting drug use (0%), Perinatal (0%) and blood and blood products (5%).
B: Indian Scenario First case of HIV detected among Female Sex Workers in Chennai in 986. It is estimated that India had approximately.2 lakh new HIV infections in 2009 as against 2.7 lakh in 2000. Of the.2 lakh estimated new infections in 2009, the six high prevalence States account for only 39% of the cases, while State of Orissa, Bihar, West Bengal, Uttar Pradesh, Rajasthan, Madhya Pradesh account for 4% of new infections. As per the latest estimates, 24 lakh people are living with HIV/ AIDS in India at the end of year 2009. Adult HIV prevalence at National level has declined from 0.4% in 2000 to 0.3% in 2009, the estimated number of new annual HIV infections has declined by more than 50% over the past decade. The adult HIV prevalence in India is 0.26% among women and 0.38% among men in 2008 and 0.25% among women and 0.36% among men in 2009. HIV prevalence infection is now prevalent in all parts of the country. All the high prevalence States show a clear declining trend in adult HIV prevalence. HIV has declined notably in Tamil Nadu to reach 0.33% in 2009. However, the low prevalence States of Chandigarh, Orissa, Kerala, Jharkand, Uttarakand, Jammu & Kashmir, Arunachal Pradesh and Meghalaya show rising trends in adult HIV prevalence in the last four years. The four high prevalence States of South India (Andhra Pradesh, Karnataka, Maharashtra, and Tamil Nadu) account for 55% of all HIV infections in the country. West Bengal, Gujarat, Bihar and Uttar Pradesh are estimated to have more than lakh PLHA each and together account for another 22% of HIV infections in India. The States of Punjab, Orissa, Rajasthan and Madhya Pradesh have 50,000 to lakh HIV infections each and together account for another 2% of HIV infections. It is estimated that.72 lakh people died of AIDS related causes in 2009 in India. Wider access to ART has resulted in a decline of the number of people dying due to AIDS related causes. The trend of annual AIDS deaths is showing a steady decline since the roll out of free ART programme in India in 2004. In India higher percentage of males have high risk behaviour and the disease is more common in males than in females. The number of women infected is steadily rising one in every four cases reported is a woman. Almost 83% of the reported cases belong to the age group 5-49 years i.e. mainly the people who are sexually active and in the economically productive age group. Relatively, the disease affects females of younger age group more than males. About 43% of the females infected belonged to the age group 5-29 as against 27% for males. The predominant mode of transmission is through heterosexual contacts (88.6%), followed by perinatal (5.4 %), IDUs (.7%) and blood and blood products (.%) and not specified 3.2%.
C: Goan Scenario First case of HIV detected in 987. Total number of HIV cases detected in Goa since 987 to 20 upto June is 3,806. Total AIDS cases reported to Goa SACS in 20 (upto June) is,445. Reported AIDS death upto May 20 is 787. HIV infection is now prevalent in all parts of Goa and majority of the cases are reported in the four coastal talukas viz. Salcete (7.%), Mormugao (6.5%) in South Goa District and Tiswadi (.5%) and Bardez (5.5%) in North Goa District during 2009. HIV infection is now prevalent in all parts of Goa and majority of the cases are reported in the four coastal talukas viz. Salcete (3.8%), Mormugao (9.9%) in South Goa District and Tiswadi (8.9%) and Bardez (5.2%) in North Goa District during 200. 85% of the cases detected in Goa during 200 belong to the age group 5-49 years. The disease is more common in males than females. Out of every five cases detected three are males. Whereas in 997, out of four cases detected three were males. While nearly 44% of the females infected belong to the age group 5-34, more than 32% of the infected males belonged to this age group. Nearly 52.7% of males and 38.7% of females of the total detected cases were in the age group 35-49 years during 200. During 999-200, Sexual route is the predominant mode of transmission in the range of 83 to 95% followed by Perinatal 4 to 7.6%. Transmission through blood and blood products and infected syringes and needles is negligible in Goa. As per the Sentinel Surveillance Survey 2008, HIV Prevalence rate amongst STD patients was 4.80%, MSM 6.40%, FSW 6.40 % and among antenatal mother was 0.67 %.
Total No. of tests conducted for HIV/AIDS testing, 986 to 20 No. of Blood Sample tested HIV +ve cases Positivity No. of AIDS Cases @ Rate Year (%) Gen ANC Total Gen ANC Total M F T 986 229-229 - - - - - - - 987,255 -,255 3-3 0.24 - - - 988 3,822-3,822 6-6 0.6 - - - 989 0,20-0,20 8-8 0.8-990 0,07-0,07 8-8 0.8-99 8,603-8,603 30-30 0.35 2-2 992 8,690-8,690 44-44.66 3 4 993 7,978-7,978 23-23.54 3-3 994 4,533-4,533 95-95 4.30 3 4 995 2,279-2,279 203-203 8.9 4 2 6 996 2,959-2,959 327-327.05 3 4 997 3,526-3,526 473-473 3.4 2 2 4 998 4,903-4,903 522-522 0.65 4 5 999 7,804-7,804 750-750 9.6 2 2 4 2000 7,83-7,83 807-807 0.33 2 3 200 7,26-7,26 80-80.0 39 9 48 2002 3,848-3,848 999-999 7.2 5 7 68 2003,682 2,567 4,249,06 38,054 7.40 05 57 62 2004,22 3,77 4,938 956 47,003 6.7 39 54 93 2005,84 3,068 4,882,029 4,070 7.9 9 6 80 2006,023 7,357 8,380 940 75,05 5.52 58 23 8 2007 2,485 0,432 22,97,029 65,094 4.77 79 38 7 2008 5,684,053 26,737 954* 65,09 3.8 74 3 05 2009 2,220 2,253 33,473 90 58 959 2.86 20 64 84 200 2,627,802 33,429 769* 52 82 2.46 02 52 54 20 (June) 0,46 6,65 7,03 335* 7 352 2.06 42 20 62 Total 2,32, 9 68,864 3,0,775 3,348 458 3,806 4.57,002 443,445 Gen = General, ANC =Antenatal Clinic *Includes TS/TG case each reported for the year 2008, 200 & 20.
Year Sex-wise HIV/ AIDS cases detected/ reported in Goa, No. of Blood samples Tested* HIV +ve cases 986 to 20 Male Female Total No. of AIDS Cases @ Positivity Rate (%) Male Female Total 986 229 - - - - - - - 987,255 3 0 3 0.24 - - - 988 3,822 5 6 0.6 - - - 989 0,20 3 5 8 0.8-990 0,07 2 6 8 0.8-99 8,603 6 4 30 0.35 2-2 992 8,690 53 9 44.66 3 4 993 7,978 54 69 23.54 3-3 994 4,533 38 57 95 4.30 3 4 995 2,279 78 25 203 8.9 4 2 6 996 2,959 294 33 327.05 3 4 997 3,526 420 53 473 3.4 2 2 4 998 4,903 459 63 522 0.65 4 5 999 7,804 492 258 750 9.6 2 2 4 2000 7,83 559 248 807 0.33 2 3 200 7,26 538 263 80.0 39 9 48 2002 3,848 652 347 999 7.2 5 7 68 2003,682 646 370,06 8.70 05 57 62 2004,22 623 333 956 8.52 39 54 93 2005,84 634 395,029 8.7 9 6 80 2006,023 595 345 940 8.53 58 23 8 2007 2,485 662 367,029 8.24 79 38 7 2008 5,684 582 37 954* 6.0 74 3 05 2009 2,220 534 367 90 4.25 20 64 84 200 2,627 499 269 769* 3.55 02 52 54 20 (June) 0,46 98 36 335* 2.92 42 20 62 Total 2,32,9 8,859 4,486 3,348* 5.73,002 443,445 @ Reported to GSACS *Includes TS/TG case each reported for the year 2008, 200 & 20.
Sex-wise reported number of AIDS Deaths, 993 20 Year Male Female Total Cumulative figures (993-2000) 3 4 200 4 5 2002 2 2 4 2003 2 32 2004 23 9 32 2005 67 24 9 2006 75 33 08 2007 67 42 09 2008 88 27 5 2009 9 49 40 200 60 29 89 20 (May) 7 28 Total 543 244 787
Taluka-wise percentage distribution of HIV cases detected in Goa, 998 to 20 Taluka Proportion (%) of HIV positive cases detected 998 999 2000 200 2002 2003 2004 2005 2006 2007 2008 2009 200 20 (June) Tiswadi 9.2 2.4 5.8 4.4 4.7 3. 7.4 5.7.8.0 2.6.5 8.9 2.2 Bardez.5 0.3 3.9 4.5. 2.8 5.7 2.3 4.2 4.5 4.0 5.5 5.2 5.5 Pernem.9 2.0.2 2.9 2.2.6 2..2 3.5 2.4.7.6.3 2.7 Bicholim 2.9 2.7 2.7 2.2 3.2 2.8 2.7 2.8 3.7 3.4 2.6 3.3 2.2 3.3 Satari.5 0.5 0.4 0.6. 0.8 0.7.7.0..3 2. 2. 2.4 Ponda 6.5 3.8 4.8 6.0 3.9 7.2 5.0 6.0 5.8 4.7 5.8 4.8 4.4 3.9 Salcete 8.8 7.5 8.5 2.6 9. 8.9 20.4 8.7 8.6 7.8 8.0 7. 3.8 3.7 Mormugao 9.9 8.0 9.3 23.0 26.4 2.4 9.0 9.2 9.5 4.4 6. 6.5 9.9 6.7 Sanguem 0.6.2.4 2.2.9 2.9.3 3.5.6 2.5.3 3.3 3.0 2. Quepem 2.3.7 2.7 3. 3.0 2.5 2.4 2.2.5 3.8 2.2 2.5 3.0 2. Canacona 0.4 0.8 0.7..7..8.9 2.3 2.8 2.4.2 3.5 0.3 Others # 4.5 29. 8.6 8.4.7 4.9.5 4.8 6.5 2.6 22.0 20.8 22.7 25. Total 00.0 00.0 00.0 00.0 00.0 00.0 00.0 00.0 00.0 00.0 00.0 00.0 00.0 00.0 # Others include those belonging to other States, foreigners as also those not specified. Taluka-wise distribution of HIV cases detected in Goa, 998 to 20 No. of HIV positive cases detected Taluka 998 999 2000 200 2002 2003 2004 2005 2006 2007 2008 2009 200 20 (June) Tiswadi 00 93 27 5 47 33 66 6 3 22 04 68 4 Bardez 60 77 2 6 30 50 27 33 49 33 40 7 52 Pernem 0 5 0 23 22 6 20 2 33 24 6 4 0 9 Bicholim 5 20 22 8 32 29 26 29 35 35 25 30 7 Satari 8 4 3 5 8 7 7 9 2 2 9 6 8 Ponda 34 29 39 48 39 73 48 62 55 48 55 4 34 3 Salcete 98 3 49 73 9 92 95 98 75 83 72 54 06 46 Mormugao 04 35 56 84 263 28 82 92 83 48 54 49 53 56 Sanguem 3 9 8 9 30 2 36 5 26 2 30 23 7 Quepem 2 3 22 25 30 25 23 23 4 39 2 22 23 7 Canacona 2 6 6 9 7 7 20 22 29 23 27 Others # 76 28 50 67 7 5 0 52 55 223 209 87 75 84 Total 522 750 807 80 999 06 956 029 940 029 954 90 769 335 # Others include those belonging to other States, foreigners as also those not specified.
Age / Sex-wise distribution of HIV cases detected in Goa, 2008 to 20 2008 2009 200 20 (June) Age group TS/ TS/ TS/ M F T M F T M F T M F TG TG TG <4 40 (6.9) 29 (7.8) 0 69 (7.3) 20 (3.7) 20 (5.4) 40 (4.4) 24 (4.8) 20 (7.4) 0 44 (5.7) 4 (7.0) (8.) T 0 25 (7.5) 5-24 26 (4.5) 36 (9.7) 0 62 (6.5) 27 (5.) 3 (8.5) 58 (6.4) 28 (5.6) 9 (7.) 0 47 (6.) (5.6) 8 (5.9) 0 9 (5.6) 25-34 35-49 97 (33.8) 262 (45.0) 56 (42.) 24 (33.4) (00. 0) 0 354 (37.) 386 (40.5) 7 (32.0) 270 (50.6) 37 (37.3) 49 (40.6) 308 (34.2) 49 (46.5) 36 (27.3) 263 (52.7) 00 (37.2) 04 (38.7) 0 237 (30.8) 333 (47.8) 54 (27.3) 98 (49.5) 44 (32.4) 54 (39.7) 0 99 (29.6) 52 (45.4) >50 57 (9.8) 26 (7.0) 0 83 (8.7) 46 (8.6) 30 (8.2) 76 (8.5) 48 (9.6) 26 (9.6) 0 74 (9.6) 2 (0.6) 8 (3.2) 0 39 (.6) Not specified - - - - - - - - - - - (0.7) - (0.3) Total 582 37 954 534 367 90 499 269 769 98 36 335 Proportion (%) of HIV cases by sex in different age groups, 2008 to 20 Age group M F 2008 2009 200 20 (June) TS/ T M F T M F TS/TG T M F TS/TG T TG <4 58.0 42.0 0.0 00.0 50.0 50.0 00.0 54.5 45.5 0.0 00.0 56.0 44.0 0.0 00.0 5-24 42.0 58.0 0.0 00.0 46.6 53.4 00.0 59.6 40.4 0.0 00.0 57.9 42. 0.0 00.0 25-34 55.7 44.0 0.3 00.0 55.5 44.5 00.0 57.4 42.2 0.4 00.0 54.5 44.5.0 00.0 35-49 67.9 32. 0.0 00.0 64.4 35.6 00.0 7.7 28.3 0.0 00.0 64.5 35.5 0.0 00.0 >50 68.7 3.3 0.0 00.0 66.5 39.5 00.0 64.9 35. 0.0 00.0 53.8 46.2 0.0 00.0 Not specified - - - - - - - - - - - - 00.0-00.0 Total 6.0 38.9 0. 00.0 59.3 40.7 00.0 64.9 35.0 0. 00.0 59. 40.6 0.3 00.0
Age / Sex-wise distribution of HIV cases detected in Goa, 2000 to 2007 Age group 0-4 5-29 30-49* 49+* 7 (3.0) 2000 200 2002 2003 2004 2005 2006 2007 M F T M F T M F T M F T M F T M F T M F T M F T 32 24 56 39 25 (5.4) (7.0) (6.0) (5.9) (6.8) 54 (27.6) 298 (53.3) 83 (4.8) 6 (6.5) 23 (49.6) 97 (39.) (4.4) 33 (4.) 277 (34.3) 395 (49.0) 94 (.6) 30 (5.6) 43 (26.6) 279 (5.9) 82 (5.2) 5 (5.7) 23 (46.8) 93 (35.4) 29 (.0) 45 (5.6) 266 (33.2) 372 (46.4) (3.9) 32 (4.9) 76 (27.0) 394 (60.4) 39 (6.0) 0 (2.9) 8 (52.2) 40 (40.3) 6 (4.6) 42 (4.2) 357 (35.7) 534 (53.5) 55 (5.5) 27 (4.2) 48 (22.9) 387 (59.9) 60 (9.3) 9 (5.) 87 (50.6) 47 (39.7) 4 (3.8) 46 (4.5) 335 (33.0) 534 (52.6) 74 (7.3) 38 (6.) 30 (20.9) 384 (6.6) 6 (9.8) 25 (7.5) 24 (37.2) 57 (47.) 24 (7.3) 63 (6.6) 254 (26.6) 54 (56.5) 85 (8.9) 37 (5.8) 20 (8.9) 425 (67..) 52 (8.2) 29 (7.3) 33 (33.7) 208 (52.7) 25 (6.3) 66 (6.4) 253 (24.6) 633 (6.5) 77 (7.5) 93 (5.6) 408 (68.6) 62 (0.4) 8 (34.2) 84 (53.3) 9 (5.5 2 (22.4) 592 (63.0) 8 (8.6) 9 (8.0) 424 (64.0) 80 (2.) 9 (32.4) 96 (53.4) 27 (7.4) 64 (6.2) 238 (23.) 620 (60.3) 07 (0.4) Not specified 7 (.3) (0.4) 8 (.0) 4 (0.7) 3 (.) 7 (0.9) (.7) 0 (0) (.) 24 (3.7) 3 (0.8) 27 (2.6) 0 (.6) 3 (0.9) 3 (.4) - - - - - - - - - Total 559 248 807 538 263 80 652 347 999 646 370 06 623 333 956 634 395 029 595 345 940 662 367 029 * The age group was 30-44 and 45+ for the year 999 to 200 and as such not strictly comparable for the later years Note: Figures within brackets indicate percentage to total Proportion (%) of HIV cases by sex in different age groups, 2000 to 2007 Age 2000 200 2002 2003 2004 2005 2006 2007 group M F T M F T M F T M F T M F T M F T M F T M F T 0-4 5.5 48.5 00.0 66.7 33.3 00.0 76.2 23.8 00.0 58.7 4.3 00.0 60.3 39.7 00.0 56. 43.9 00.0 57. 42.9 00.0 6.0 39.0 00.0 5-29 55.6 44.4 00.0 53.8 46.2 00.0 49.3 50.7 00.0 44.2 55.8 00.0 5.2 48.8 00.0 47.4 52.6 00.0 44.0 56.0 00.0 50.0 50.0 00.0 30-49* 75.4 24.6 00.0 75.0 25.0 00.0 73.8 26.2 00.0 72.5 27.5 00.0 7.0 29.0 00.0 75.0 25.0 00.0 69.0 3.0 00.0 68.4 3.6 00.0 49+* 88.3 2.7 00.0 73.9 26. 00.0 70.9 29. 00.0 8. 8.9 00.0 7.8 28.2 00.0 67.5 22.5 00.0 76.5 23.5 00.0 74.8 25.2 00.0 Not specified 87.5 22.5 00.0 57. 42.9 00.0 00.0 0.0 00.0 88.9. 00.0 76.9 23. 00.0 - - - - - -- - - - Total 69.3 30.7 00.0 67.2 32.8 00.0 65.3 34.7 00.0 63.6 36.4 00.0 65.2 34.8 00.0 6.6 38.4 00.0 63.3 36.7 00.0 64.3 35.7 00.0 * The age group was 30-44 and 45+ for the year 999 to 200 and as such not strictly comparable for the later years
Route of transmission of sero-positive cases detected in Goa, 2000 to 20 Route of transmission Sexual Infected syringes and needles Blood & blood Products Parent to child Others / not specified Total 2000 200 2002 2003 2004 2005 2006 2007 2008 2009 200 20 (June) 73 (90.6) - - (0.) 33 (4.) 42 (5.2) 807 666 (83.2) - 45 (5.6) 90 (.2) 80 903 (90.4) 6 (0.6) 3 (0.3) 4 (4.) 46 (4.6) 999 968 (95.3) - - 47 (4.6) (0.) 06 894 (93.5) 4 (0.4) 3 (0.3) 55 (5.8) 952 (92.5) 7 (0.7) 5 (0.5) 65 (6.3) - - 956 029 868 (92.3) 5 (0.5) (0.) 54 (5.8) 2 (.3) 940 966 (93.9) 882 (92.4) 856 (95.) - - 3 (0.3) 2 (0.2) 58 (5.6) 3 (0.3) 029-2 (0.2) 72 (7.6) 37 (4.) - 3 (0.3) 954 90 7 (92.5) 5 (0.7) 3 (0.3) 44 (5.7) 6 (0.8) 769 30 (92.5) (0.3) 0 (0.0) 23 (6.9) (0.3) 335
Proportion of females infected to total HIV cases detected in Goa, 987 to 20 Proportion of females to total Year HIV cases detected (%) 987 0.0 988 6.7 989 27.8 990 33.3 99 46.7 992 63.2 993 56. 994 29.2 995 2.3 996 0. 997.2 998 2. 999 34.4 2000 30.7 200 32.8 2002 34.7 2003 38.7 2004 37.9 2005 40.7 2006 4.4 2007 39.5 2008 42.8 2009 40.7 200 39.0 20 (June) 43.5
Sentinel Surveillance for HIV infection in Goa Year No. of sentinel sites HIV prevalence (%) STD-2 4.80 2008 ANC-3 0.67 MSM- 6.40 FSW- 6.40 2007 2006 2005 2004 2003 2002 200 2000 999 998 997 996 STD-2 ANC-2 MSM- STD-2 ANC-2 MSM- STD-2 ANC-2 MSM- STD-2 ANC-2 MSM- SW- STD-2 ANC-4 MSM- SW- STD-2 ANC-2 SW STD 2 ANC -2 SW STD 2 ANC -2 STD 2 ANC -2 STD 2 ANC -2 STD ANC 2 TB STD ANC - 5.60 0.8 7.93 8.60 0.50 4.80 4.0 0.00 4.90 6.02.3.68 30.4 4.7 0.34 9. 24.00 3.5.38 50.79 4.23 0.50 53.20 2.02.7 3.47 0.75 9.6.25 5.79 0.67 0.7 20.27 0.68 995 STD - 2.65 994 STD - 2.64 993 ANC - 0.00
Data on PPTCT programme in Goa, April 03 to June No. of PPTCT Centres: 3 Item 2003 (w.e.f. April) 2004 2005 2006 2007 2008 2009 200 20 Total. Total number of new ANC registered 2,903 3,755 3,208 8,39 2,758 2,705 2,98 3,743 8,588 78,780.2 Total number of women counseled 2,707 3,74 3,073 7,387 0,489,7 2,355,847 6,627 69,36.3 %age of women counseled among new ANC registered 93.2 98.9 95.8 90.8 82.2 87.5 95. 86.2 77.2 88.0.4 Total number of women who accepted HIV test 2,567 3,77 3,068 7,357 0,432,053 2,250,80 6,62 68,857.5 Proportion of women accepting HIV test among those counseled 94.8 00. 99.8 99.6 99.5 99.4 99. 99.6 99.8 99.3.6 Total number of women found HIV positive 38 47 4 75 65 65 58 52 7 458.7 HIV prevalence rate (%).48.26.34.02 0.62 0.59 0.47 0.44 0.26 0.67.8 Total number of women who received post test counseling.9 %age of women who received post test counselling among those tested.0 Total number of HIV positive women who collected HIV results. Percentage of HIV+ve women who collected the result 2. Number of spouses/ partners of HIV positive women counseled 2.2 %age of partners of +ve women counseled among those collected the report 2.3 %age of partners of +ve women counseled to all +ve women 2.4 Number of spouses/ partners of HIV positive women accepted HIV test 2.5 %age of partners of +ve women counselled accepting the test 2.6 Number of spouses/ partners detected HIV positive 2.7 HIV prevalence rate (%) of partners 3. Number of Women directly in labour without ANC registration 3.2 Number of women counseled who arrived in labour without ANC 2,4 3,373 2,63 6,049 8,602 9,938,599,202 6,86 6,99 93.9 90.7 85.8 82.2 82.5 90.0 94.7 94.9 93.6 90.0 37 44 33 60 50 50 39 32 356 97.4 93.6 80.5 80.0 76.9 76.9 67.3 6.5 64.7 77.7 3 44 25 50 46 30 9 3 6 264 83.8 00.0 75.8 83.3 92.0 60.0 48.7 40.6 54.5 74. 8.6 93.6 6.0 66.7 70.7 46.2 32.7 25.0 35.3 57.7 29 44 25 50 47 30 9 3 5 262 93.5 00.0 00.0 00.0 00.0 00.0 00.0 00.0 00.0 99.6 9 35 2 44 46 30 9 3 6 233 65.5 79.5 84.0 88.0 97.8 00.0 00.0 00.0 00.0 88.6 47,257,857 2,526 2,822 2,657 2,792 60 26 4,875 22,20,772 2,239 2,423 2,285 2,473 60 26 3,332
3.3 %age of women counselled who arrived in labour without ANC 83.0 95.5 95.4 88.6 85.9 86.0 88.6 00.0 00.0 89.7 3.4 Number of women accepted HIV test (out of 3.2) 22,20,772 2,239 2,423 2,285 2,473 60 26 3,332 3.5 %age pf women (without ANC) accepting the test among those counselled 00.0 00.0 00.2 00.0 00.0 00.0 00.0 00.0 00.0 00.0 3.6 Number of women detected HIV positive (out of 3.4) 3 8 2 3 0 0 49 3.7 HIV prevalence rate (%) 2.46 0.92 0.62 0.36 0.49 0.05 0.2 0 0 0.37 4. Total number of deliveries 4,039 4,947 4,6 7,9 9,57 7,049 7,23 8,778 4,409 57,33 4.2 Total number of live births to positive women (out of.6and 3.6) 4.3 Total number of mother-baby pair received NVP 4.4 Number of mother-baby pairs received NVP who were registered for ANC (out of.6) 4.5 Number of mother-baby pairs received NVP who come directly in labour without ANC (out of 3.6) 4.6 Proportion of mother-baby pairs receiving NVP among live births to +ve women 4.7 Number of babies received NVP (out of 4.2) 24 43 25 5 62 46 58 27 8 344 8 40 2 46 65 53 64 27 8 342 6 29 0 40 47 44 56 27 8 277 2 6 2 0 0 44 75.0 93.0 84.0 90.2 04.8 5.2 07. 00.0 00.0 99.4 20 4 9 40 49 4 56 27 8 30
Year-wise cases of CD4/ CD8 Count, 200 to 20 Activity 200 (From March). No. of New cases 2. No. of Old cases for repeat of counts 3. No. of cases performed within 6 months of previous estimation. 4. No. of tests performed free of charge 5. No. of tests performed on payment 2002 2003 2004 2005 2006 2007 2008 2009 200 200 20 Total (Mar 0 to June ) 00 98 9 2 587 77 708 88 696 576 627 02 4769 8 34 30 35 87 650 999 468 980 258 2754 736 9664 7 4 2 28 22 20 63 45 2 2 0 23 - - 5 660 358 537 2276 244 302 3307 838 3292 08 3 2 42 54 9 68 2 8 5 6 3 762
No. of patients screened/treated at ART Centre April 05 to June S. No:. Number of patients screened for ARV eligibility. Adult males 250.2 Adult Females 765.3 TG 3.4 Children (<4 years) 306.5 Total 4584 2. Number of patients enrolled for ARV treatment 2. Males 79 2.2 Females 683 2.3 Children (<4 years) 05 2.4 Total 967 3. Number of patients who discontinued 3. Died 426 3.2 Transferred out 3 3.3 Stopped treatment 44 3.4 Lost to follow-up 89 3.5 No. of patients not returned to ART centre whose 5 treatment status is MIS in this month 3.6 Total 677 4 Total Number of patients alive and on ART 290
Details of Sexually Transmitted Diseases detected in Government STD Clinics in Goa, 200 to 2008 2005 2006 2007 2008 (upto Feb) S. 200 2002 2003 2004 Type of Diseases No M F T M F T M F T M F T M F T M F T M F T M F T. Syphilis (early 0 3 3 8 4 2 35 60 95 53 56 09 35 68 03 3 8 2 7 3 0 Primary).2 Chancroid 7 24 95 6 20 8 67 28 95 5 0 6 20 4 24 6 7 5 4 9 2-2.3 Herpes genitalis 50 29 79 9 5 34 23 5 38 25 3 38 24 3 37 23 5 28 33 3 46 3 4.4 Donovanosis 4 5 2 3 - - - - - - - - - - - -.5 Other unclassified genital ulcers - - - - - - - - - - - - - - - 23 5 28 4 8 22 2-2 Sub. Total 60 4 274 33 9 224 25 236 9 32 23 5 20 7 67 9 86 70 29 99 7 8 2. Inguinal swelling 8 2 0 3 3 6 2-2 5 4 29 7 7 24 23 7 30 26 6 32 9 5 4 (Bubo) LGV 3. Urethral discharge 3. Gonorrhoea 59 59 72 72 43 43 24 24 4 2 6 4 4 7 7 2 2 3.2 Nongonococcal Urethritis 3 3 94 94 07 07 46 8 54 80 80 27 27 6 6 Sub. Total 72 72 83 83 37 37 3 3 50 0 60 84 84 34 34 8 8 4. Vaginal discharge 4. Vaginitis 59 59 97 97 84 84 48 48 63 63 27 27 9 9 8 8 4.2 Bacterial vaginosis 0 0 7 7 2 2 5 5 - - 4.3 Trichomoniasis 64 64 3 3 2 2 7 7 4 4 7 7 4 4 4.4 Candidiasis 274 274 294 294 223 223 97 97 75 75 5 39 396 78 78 53 53 4.5 Cervictis 99 99 76 76 63 63 45 45 4 4 25 25 7 7 4.6 Gonococcal 3 3 4 4 - - 2 2 - - - - 4.7 Chlamydial 40 40 6 6 - - - - - - 4.8 Other unclassified vaginal discharge 40 40 7 7 Sub. Total 667 667 55 55 384 384 299 299 258 258 5 492 497 250 250 64 64 5. Balanoposthitis 44 44 6. Genital warts 50 47 97 49 9 68 3 7 48 7 5 22 2 4 2 6 3 5 8 4 5 7. Other types of - - - - - - - syphilis. Secondary 22 5 73 33 4 74 32 37 69 4 9 33 6 2 8 2. Late 5 4 9 2 2 0 2 4 4 0 - - - - - - 3. Cong. 0 0 0 2 - - - - - - 8. Scrotal swelling (epididymoorchitis)/ 29-29 0-0 2-2 3 0 3 33 33 24 0 24 39 0 39 32-32 Gonococcal and Chlamydial 9. Others 424 350 774 652 243 895 63 539 70 562 3 873 2 63 84 32 65 97 39 63 202 26 7 33 0. Total 905 25 256 02 98 2020 09 080 2099 858 692 550 280 363 643 340 58 92 279 350 629 49 73 22
Details of Sexually Transmitted Diseases detected in Government STD Clinics in Goa, 2008 to 20 Type of Diseases 2008 2009 200 20 (June) M F O T M F O T M F O T M F O T.Vaginal/ Cervical Discharge (VCD) 267 0 257 303 0 303 480 0 480 42 0 42 2.Genital Ulcer (GUD)-non herpetic 54 9 0 73 24 7 0 4 29 6 0 45 2 8 0 20 3.Genital Ulcer (GUD) herpetic 23 24 0 47 22 0 0 32 25 0 0 35 4 2 0 6 4.Lower Abdominal Pain (LAP) 44 0 44 66 0 66 75 0 75 63 0 63 5.Urethral Discharge (UD) 243 243 80 80 72 72 37 37 6.Ano-rectal Discharge (ARD) 2 0 3 0 0 3 0 0 3 0 0 0 0 7.Inguinal Bubo (IB) 20 0 0 20 7 2 0 9 2 0 3 5 3 0 8 8.Painful Scrotal Swelling (SS) 2 0 2 5 0 5 5 0 5 20 0 20 9.Genital Warts 3 8 22 5 4 0 29 5 5 0 0 4 3 0 7 0.Other STIs 63 56 2 22 84 88 0 272 93 02 0 295 5 55 0 06. Asymptomatic STI treatment 46 3 0 77 4 92 0 206 322 04 0 426 59 58 0 27 2 No of people living with HIV/AIDS (PLHAs) attended with 3 0 24 3 8 0 3 2 2 0 24 2 3 0 5 STI/RTI during the month Total No. of cases 608 460 4 072 475 60 0 085 678 805 0 483 304 607 0 9
No. of blood units screened for HIV in State Government Blood Banks 2000 to 20 Year No. of units of blood collected HIV reactive %age reactive Voluntary Replacement Total Voluntary Replacement Total Voluntary Replacement Total 2000 2292 5699 799 (28.7) (7.3) 22 93 5 0.96.63.44 200 2720 6088 8808 (30.9) (69.) 35 82 7.29.35.33 2002 320 6254 9374 (33.3) (66.7) 47 20 67.5.92.78 2003 4453 5373 9826 (45.3) (54.7) 25 77 02 0.56.43.04 2004 605 4837 0,942 (55.8) (44.2) 52 55 07 0.85.4 0.98 2005 623 5440,67 (53.4) (46.6) 27 58 85 0.43.07 0.73 2006 6777 478,558 (58.6) (4.4) 8 23 3 0. 0.48 0.26 2007 7764 4632 2,396 (62.6) (37.4) 26 2 47 0.34 0.45 0.38 2008 852 5350 3,862 (6.4) (38.2) 24 35 59 0.28 0.65 0.42 2009 990 4266 4,76 (65.8) (34.2) 9 5 34 0.9 0.35 0.23 200 2053 3706 5759 (76.5) (23.5) 29 6 45 0.24 0.43 0.29 20 5287 998 7285 (June) (72.6) (27.4) 4 5 9 0.26 0.25 0.26 *Covers three Blood banks under Goa Government only.
No. of blood units screened for other transfusion related diseases in State Government Blood Banks 2000 to 20 Year No. Tested Reactive %age reactive Hep. B Hep. C VDRL Malaria Hep. B Hep. C VDRL Malaria 2000 7,490 99 N.A. 4 0.32 N.A. 0.9 0 200 8,726 42 N.A. 33 0.63 N.A. 0.38 0 2002 9,429 09 20 3 0.6 0.2 0.4 0 2003 9,826 0 25 0.03.27 0.0 0.0 2004 0,942 02 92 4 0 0.93 0.84 0.3 0 2005,67 92 57 22 0 0.79 0.49 0.9 0 2006,558 78 54 2 0 0.67 0.46 0.8 0 2007 2,396 84 56 9 0 0.68 0.45 0.5 0 2008 3,862 06 60 8 0 0.76 0.43 0.3 0 2009 4,76 08 27 0 0.76 0.9 0.08 0 200 20 (June) 5,759 4 3 7 0 0.72 0.20 0.0 0 7,285 63 3 2 0 0.86 0.8 0.03 0
Age group/ sex-wise direct walk-in persons undergoing testing, 999-2007 Age 999 2000 200 2002 2003 2004 2005 2006 2007 group M F T M F T M F T M F T M F T M F T M F T M F T M F T 0-4 2 7 9 2 3 5 6 5 22 37 20 3 5 49 37 86 84 75 59 99 8 27 29 94 223 5-29 70 37 07 5 29 80 23 84 207 095 2258 3353 252 599 85 283 983 2267 320 2245 2565 443 674 7 5 387 977 30-44* 76 29 05 43 6 59 34 8 25 940 200 240 254 68 935 286 796 082 455 942 397 487 389 876 555 34 896 45+* 25 5 40 32 9 5 43 25 68 6 27 288 34 60 94 56 95 5 74 6 90 49 37 86 80 47 27 Not specified 2 3 2 0 2 5 5 0 4 25 39 0 7 7 3 4 0 0 0 0 0 0 0 Total 75 89 264 30 65 95 306 200 506 2225 3632 5857 570 2378 2948 677 292 3590 934 3378 432 078 28 2296 346 863 2209
Proportion of direct walk-in to total persons tested at ICTCs, 999-20 Year No. of person tested for HIV No. of direct walk-in persons tested Proportion of direct walk-in to total persons tested (%) Total persons tested positive Direct walk-in persons tested +ve Number % Number % 999 7,804 264 3.4 750 9.6 78 0.6 2000 7,83 95 2.5 807 0.3 9 9.7 200 7,26 506 7.0 80. 83 6.4 2002 3,848 5,857 42.3 999 7.2 230 3.9 2003,682 2,948 25.2,06 8.7 79 6. 2004 0,22 3,590 35. 956 8.5 79 5.0 2005,84 4,32 36.4,029 8.7 372 8.6 2006,023 2,296 20.8 940 8.5 332 4.5 2007 2,485 2,500 20.0,029 8.3 39 5.6 2008 5,684 3,260 20.8 953 6. 365.2 2009 2,220 6,362 30.0 90 4.2 40 6.3 200 2,627 6,455 29.9 769 3.6 328 5. 20 (June) 0,46 3,690 35.4 335 3.2 34 3.6 Proportion of females and those in the age group 5-34 to total walk-in clients Proportion (%) of Year Females among walk-in clients Clients in the age-group 5-29 999 33.7 40.5 2000 33.3 4.0 200 39.5 40.9 2002 42.0 57.2 2003 80.8 62.8 2004 8. 63. 2005 78.3 59.4 2006 53.0 37.3 2007 38.5 44.9 Year Females among walk-in clients 2008 3.6 4.8 2009 27.4 58.3 200 33.2 59.5 20 34.8 59.5 Clients in the age-group 5-34 Note: As per NACO guidelines, from 2008 onwards the age group 5-29 has been changed to 5-34.
Number of persons counseled at ICTCs, 2002 to 20 2002 2002 2003 2003 2004 2004 2005 2005 2006 2006 2007 2007 2008 Male Male Female Female Total Male Total Female Male Total Female Male Total Female Male Total Female Male Total Female Male Total Female Male Female Total Total Male Male Female Female Total Total Male Male Female Female Total Total. Number. Number of persons of persons counseled counseled.. Pre-test. Pre-test 6 6 5793 904 5793 659 904 55 659 63455 5509634 525 5509 0724 525 5967 0724 5803 5967 770 5803 5837 770 542 0979 5837 7775 542 47820979 2,557 25577775 2354782 4468 2,557 5705*.2.2 Post-test.2 Post-test 69 69 843 462 843 633 462 764633 2397764 759 2397 249 759 3378 249 844 3378 2762 844 3606 2762 4892 455 3606 9047 4892 6934 455 39969047 09306934 0653996 4329 0930 4984*.3 Followup 2. Proportion of persons Counseled (%) 2. Proportion of of persons Counseled (%) (%).3 Follow-up 99 99 7 70 7 76 70 65 76 4 65 36 4 4 36 250 4 6 250 67 6 28 67 59 28 44 0359 58 44 46 03 04 58 79 46 72 04 5 2. Pre-test 82.2 90.3 86.0 99.7 99.4 99.6 92.2 99.4 95.6 99.7 99.4 99.6 99.6 99.6 99.6 99.6 99.8 00 2. 2. Pretest Pre- 82.2 90.3 86.0 99.7 99.4 99.6 92.2 99.4 95.6 99.7 99.4 99.6 99.6 99.6 99.6 99.6 99.8 00.0 00.0 00.0 00.0 2.2 Post-test 8.3 3. 0.6 9.7 34.3 20.5 2.7 46. 30. 4. 47.3 30.5 83.5 80.5 82. 88.8 85.4 87.5 2.3 Follow-up 5.2 20.5 7.0.8 7.6 3.9 2.8 34.2 26.2.0..0.0 0.9 0.9 0.7 0.9 0.8 2.2 Post- 8.3 3. 0.6 9.7 34.3 20.5 2.7 46. 30. 4. 47.3 30.5 83.5 80.5 82. 88.8 85.4 87.5 95.0 97.0 95.5 test 2.3 Follow- 5.2 20.5 7.0.8 7.6 3.9 2.8 34.2 26.2.0..0.0 0.9 0.9 0.7 0.9 0.8 0.7.6.0 up 2009 200 20 (June) Male Female Total Male Female Total Male Female TS/TG Total. Number of persons counseled. Pre-test 5007 6235 2245* 5038 659 2639* 6698 3732 5 0435.2 Post-test 3286 550 8790* 453 6356 20897* 6362 3564 5 993.3 Follow-up 49 9 268 254 28 472 57 26 0 283 2. Proportion of persons Counseled (%) 2. Pre-test 99.9 99.9 99.9 99.9 99.9 00.0 99.7 99.8 00.0 99.8 2.2 Post-test 88.6 88.3 88.5 96.6 96.5 96.6 95.2 95.6 00.0 95.3 2.3 Follow-up.0.9.3.7 3.3 2.2 2.3 3.7 0 2.7 *includes TS/TG
Sex-wise particulars of number of persons tested at ICTCs, 2002 to 20 S. No. 2002 2003 2004 2005 2006 2007 2008 2009 200 20 (June). Total number of persons tested. Male 7,434 6,538 5,974 5,980 5,860 7,806,25 4,988 5,03 6,683.2 Female 6,44 5,44 5,245 5,834 5,63 4,679 4,467 6,228 6,586 3,728.3 TS/TG 0 0 0 0 0 0 0 03 0 5.4 Total 3,848,682,22,84,023 2,485 5,684 * 2,220* 2,627 0,46 2. Number tested positive 2. Male 652 646 623 634 595 662 582 534 499 98 2.2 Female 347 370 333 395 345 367 37 367 269 36 2.3 TS/TG 0 0 0 0 0 0 0 03 0 2.4 Total 999,06 956,029 940,029 953 90 769 335 3. Proportion tested positive 3. Male 8.8 9.9 0.4 0.6 0.5 8.5 5.2 3.6 3.3 2.9 3.2 Female 5.4 7.2 6.3 6.7 6.7 7.8 8.3 5.9 4. 3.7 3.3 TS/TG 0 0 0 0 0 0 0 0 0.0 20.0 3.4 Total 7.2 8.7 8.5 8.7 8.5 8.3 6. 4.2 3.6 3.2 4. Total number of walk-in clients tested 4. Male 2,225 570 677 934,078,536 2,23 4,66 4,32 2,399 4.2 Female 3,632 2,378 2,92 3,378,28 964,032,746 2,25,286 4.3 TS/TG 0 0 0 0 0 0 0 0 09 5 4.4 Total 5,857 2,948 3,590 4,32 2,296 2,500 3,263 6,362 6,455 3,690 5. Number tested positive among walk-in clients 5. Male 32 07 92 92 9 228 86 209 8 77 5.2 Female 98 78 87 80 4 63 79 92 46 56 5.3 TS/TG 0 0 0 0 0 0 0 0 0 5.4 Total 230 265 79 372 332 39 365 40 328 34 6. Proportion tested positive among walk-in clients 6. Male 5.9 8.8 3.6 20.5 7.7 4.8 8.3 4.5 4.2 3.2 6.2 Female 2.7 3.3 3.0 5.3.5 6.9 7.3.0 6.9 4.4 6.3 TS/TG 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0. 20.0 6.4 Total 3.9 9.0 5.0 8.6 4.4 5.6.2 6.3 5. 3.6