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HIV/AIDS Treatment and Care Clinical protocols for the WHO European Region 23 November 2007 World AIDS Day PowerPoint PPT Presentation


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HIV/AIDS Treatment and Care Clinical protocols for the WHO European Region 23 November 2007 World AIDS Day. Jeffrey V. Lazarus WHO Europe, STI/HIV/AIDS Programme. Annual number of newly reported cases – all WHO EURO countries. WHO/UNAIDS estimates , end of 2007:

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HIV/AIDS Treatment and Care Clinical protocols for the WHO European Region 23 November 2007 World AIDS Day

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Hiv

HIV/AIDS Treatment and Care

Clinical protocols for the WHO European Region

23 November 2007

World AIDS Day

Jeffrey V. Lazarus

WHO Europe, STI/HIV/AIDS Programme


Annual number of newly reported cases all who euro countries

Annual number of newly reported cases – all WHO EURO countries

WHO/UNAIDS estimates, end of 2007:

PLHIV: 2,360,000 (1.8–3.2m)

Number of casesreported to WHO, end 2006:

New HIV infections: 1 012 820

New AIDS cases: 327 068

New AIDS deaths: 177 641

*Preliminary and incomplete data


Hiv

Newly reported HIV cases, 19892006

HIV cases: 503 766

AIDS cases: 23 606

AIDS deaths: 10 134

HIV cases: 26 922

AIDS cases: 15 873

AIDS deaths: 7 533

HIV cases: 458 215

AIDS cases: 287 589

AIDS deaths: 159 974


Policy framework

Policy framework

  • Universal access by 2010 to HIV/AIDS prevention, treatment, care and support, 2006

  • Global STI Strategy

  • Dublin Declaration on Partnership to fight HIV/AIDS in Europe and central Asia (2004)

  • Global Health Sector Strategy for HIV/AIDS, 2003

  • UNAIDS/WHO “3 by 5” Initiative

  • UNGASS Declaration, 2001

  • Millennium Development Goals, 2000

  • Regional WHO resolutions


5 pillars for ua by 2010

5 pillars for UA by 2010

  • 1. Enabling people to know their HIV status through confidential HIV testing and counselling

  • 2: Maximizing the health sector's contribution to HIV prevention

  • 3: Accelerating the scale-up of HIV/AIDS treatment and care

  • 4: Strengthening and expanding health systems

  • 5: Investing in strategic information to guide a more effective response

    How WHO is working with countries to scale up HIV prevention, treatment, care and support: http://www.who.int/hiv/toronto2006/towardsuniversalaccess.pdf


Hiv aids treatment and care protocols for cis countries

HIV/AIDS Treatment and Care protocols for CIS countries

  • Developed and published in March 2004

  • Rationale

    • Scale up access to treatment and care

    • Availability of funds (GFTAM, WB)

    • Similar health care systems

    • No guidance at country level on provision of comprehensive HIV/AIDS treatment and care

  • Background for developing National Protocols


Process and progress

Process and progress

  • Series of technical consultations

    • HIV/AIDS Clinical Staging and AIDS case definition (May 24-26, Copenhagen)

    • Sexual and reproductive health for PLHIV (June 1-3, Stresa, Italy)

    • HIV/Hepatitis co-infection (June 9-11, Lisbon)

    • HIV/AIDS treatment for IDUs (June 13-15, Lisbon)

    • Vaccination of PLHIV

      (June, Copenhagen)


Identified gaps

Identified gaps

  • Clinical management of HIV/Hepatitis co-infection

  • Sexual and reproductive health for PLHIV

  • Vaccination of PLHIV

  • PMTCT for female IDUs


Identified chapters to be improved

Identified chaptersto be improved

  • HIV/AIDS treatment and care for IDUs

  • Management of TB/HIV co-infection

  • HIV testing and counselling

  • ART for adults


The result 13 protocols edited by irina eramova srdan matic monique munz

The result: 13 protocolsEdited by Irina Eramova, Srdan Matic, Monique Munz

  • 1. Patient evaluation and antiretroviral treatment for adults and adolescents

  • 2. Management of opportunistic infections and general symptoms of HIV/AIDS

  • 3. Palliative care for people living with HIV/AIDS

  • 4. Management of tuberculosis and HIV coinfection

  • 5. HIV/AIDS treatment and care for injecting drug users

  • 6. Management of hepatitis C and HIV coinfection

  • 7. Management of hepatitis B and HIV coinfection

  • 8. Prevention of hepatitis A, B and C and other hepatotoxic factors in people living with HIV/AIDS

  • 9. Support for sexual and reproductive health in people living with HIV/AIDS

  • 10. Prevention of HIV transmission from HIV-infected mothers to their infants

  • 11. Paediatric HIV&AIDS treatment and care

  • 12. Immunization of people living with HIV/AIDS and people at risk of HIV infection

  • 13.Post-exposure prophylaxis for HIV infection


Advocacy and strategic information www euro who int aids

Advocacy and strategic informationwww.euro.who.int/aids


The goal

The goal


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