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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/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

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

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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
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