MFavorov@cdc.gov
This presentation is the property of its rightful owner.
Sponsored Links
1 / 22

[email protected] PowerPoint PPT Presentation


  • 96 Views
  • Uploaded on
  • Presentation posted in: General

[email protected]

Download Presentation

[email protected]

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Mfavorov cdc

[email protected]

Integrated Surveillance for HIV, Viral Hepatitis, and Sexually Transmitted Diseasesin Central Asia Region CDC Central Asia Program, DIH, EPO; Division of Viral Hepatitis, NCID;Centers for Diseases Control and Prevention, AtlantaIn Partnership with: USAID, USA Embassies,and Ministries of Health of Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan, Uzbekistan


Surveillance

Surveillance

The process of systematic collection, collation and analysis of data with prompt dissemination to those who need to know, for relevant action to be taken.

Protocol for the Assessment of National Communicable Disease Surveillance and Response Systems.

Guidelines for Assessment Teams

WHO/CDS/CSR/ISR/2001.2

http://www.who.int/emc-documents/surveillance


What is integrated surveillance

What is Integrated Surveillance ?

Surveillance that identifies persons with

conditions, infections, diseases

that often have overlapping risk factors,

to achieve better public health interventions

‘Provisional Definition’

H.S. Margolis, MD - ‘Provisional Definition’, 2001


Reasons to combine viral hepatitis hiv aids and std surveillance control and prevention

Reasons to Combine Viral Hepatitis, HIV/AIDS and STD Surveillance, Control, and Prevention

  • Major public health problems

  • Routes of transmission overlap

  • Effective prevention tools

    • Immunization, treatment, risk reduction

  • Lack of national programs for integrated prevention activities leads to transmission of viral hepatitis, HIV/AIDS and STD


Major public health problems

Major public health problems


Routes of transmission overlap

Routes of transmission overlap


Effective prevention tools immunization

Effective prevention tools -Immunization


Mfavorov cdc

Missed Opportunities for Prevention of Hepatitis B Virus Infection

  • Of persons with acute hepatitis B:

    • 36% previously treated for an STD

    • 25% previously incarcerated

    • 11% both incarcerated and treated for an STD


Mfavorov cdc

Lack of national programs for integrated prevention activities leads to transmission of viral hepatitis, HIV/AIDS and STD


Hiv sti and hcv among idus in karaganda oblast kazakhstan 2002

Sites

Diseases

HIV

(anti-HIV +

EIA+IB)

Acute syphilis

(VDRL +;

TPPA +)

Chronic syphilis

(VDRL -;

TPPA +)

Other STI

(symptoms and sign)

HCV

(two + by consec. tests; Abbott)

Temirtau City

222\899

25%

103\899

11.5%

50\899

5.6%

52\899

5.8%

576\646

89.2%

Karaganda City

21\890

2.4%

116\890

13.0

57\890

6.4%

58\890

6.5%

442\605

73.1%

HIV, STI, and HCV among IDUs in Karaganda Oblast, Kazakhstan, 2002


Anti hiv among idus by lengths of drug use karaganda oblast kazakhstan 2002

Anti-HIVamong IDUs by lengths of drug use, Karaganda Oblast, Kazakhstan, 2002

N = 1799


Hiv hcv hbv and syphilis among idus by lengths of drug use kazakhstan 2002

HIV, HCV, HBV, and Syphilis among IDUs by lengths of drug use, Kazakhstan, 2002

N = 1799


Main principles for integrated sentinel surveillance building

Main principles for integrated sentinel surveillance building

  • Populations under surveillance:

    IDUs, SW, Prisoners, Pregnant, Clients of STD clinics, MSM, Donors, Police.

  • Comprehensive Integrated sentinel surveillance sites selection

  • Site specific samples size calculation

  • Unifiedoutreach(response driven sampling)

  • Standardize Laboratory Methods

  • Standard Reporting (Computerized)

  • Unified timelines


Mfavorov cdc

HIV, VH, Syphilis integrated sentinel surveillance sites in Central Asia

Kostanai

Pavlodar

Temirtau

Almaty

YangeYul

Osh

Functioning and proposed HIV surveillance sites


Mfavorov cdc

HIV, HCV regional integrated sentinel surveillance data from IDUs, 2003-2004

Prevalence of:

Anti-HCV

Anti-HIV


Mfavorov cdc

20%

20%

12%

2%

30%

6%

8%

Anti-HIV, anti-HCV among Sex Workers in Kazakhstan , sentinel surveillance data, 2004


Antibody to syphilis among idus in kazakhstan sentinel surveillance data 2004

Antibody to Syphilis among IDUs in Kazakhstan, sentinel surveillance data, 2004


Challenges

Challenges

  • Funding and/or referral sources for: vaccines, lab tests, medical care

  • Funding of prevention services flows through separate programs (hepatitis, HIV/AIDS, STD, immunization, corrections)

  • Staff of other programs (HIV/AIDS, STD, drug treatment, corrections) may not see viral hepatitis and STI prevention as part of their job

  • Incorporation of viral hepatitis and STI prevention messages into “client-centered” counseling


Mfavorov cdc

Integrating prevention services for viral hepatitis, HIV/AIDS,STDs and drug abuse is

GOOD PUBLIC HEALTH


Mfavorov cdc

Acknowledgement -

Tatiana Kalashnikova MD, Ph.D., D.Sc., Gulzhan Muratbayeva MD, Ph.D., Umid Sharapov MD, Andrew Dadu MD, Baurzhan Zhussupov, Maureen Sinclair MHP, Ed Maes Ph.D.;

Central Asia Program, Division of International Health, Epidemiology Program Office,

Rachel Bronzan, MD, MPH, Shakarishvili, Anna, MD, MPH, Ryan, Caroline MD, MPH; International Activities Unit, Division of STD Prevention, National Center for

HIV, STD and TB Prevention,

Harold Margolis MD, Jan Drobeniuc MD, Ph.D.; Division of Viral Hepatitis,

Centers for Disease Control and Prevention Atlanta, USA

Nikolay Kuznetsov MD, Valeriya Kryukova MD, Zoya Tukhtina MD,

Karaganda HIV Control and Prevention Center,

Sholpan Baimursina MD, Temirtau HIV Control and Prevention Center,

Isidora Erasilova MD, Nataliya Kovtunenko MD, Viktoriya Zeman MD;

Kazakhstan Republic HIV Control and Prevention Center,

Kanat Ermekbaev MD; Karaganda Oblast Health Commissioner,

Anatoliy Belonog MD, Aigul Kairolapova; Ministry of Health,

Svetlana Demenkova MD, Andrew Mikhailov, Ric Golubjatnikov Ph.D.,MPH,

John Doyle MD, Ph.D.;

Almaty Sexual Transmitted Infection Diagnostic Laboratory in affiliation with Wisconsin State Laboratory of Hygiene, Wisconsin, USA

Nurali Amanzhelov, NGO “Shapagat”

Almaz Sharman MD, Ph.D., D.Sc., Jennifer Adams Ph.D., Kerry Pelzman

Central Asia Office,

The United States Agency for International Development


  • Login