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Accomplishments since Brussels 2007 conference

Accomplishments since Brussels 2007 conference. Prof. Jens Lundgren, MD DMSc Co-chair “HIV IN EUROPE” Initiative steering committee University of Copenhagen & State University Hospital, Denmark. Aim and structure of initiative. Aim

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Accomplishments since Brussels 2007 conference

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  1. Accomplishments since Brussels 2007 conference Prof. Jens Lundgren, MD DMSc Co-chair “HIV IN EUROPE” Initiative steering committee University of Copenhagen & State University Hospital, Denmark

  2. Aim and structure of initiative • Aim • Build a European platform for exchange and activities to improve early diagnosis and early case of HIV/AIDS across Europe • Kick-off: HIV in Europe 2007 conference, Brussels • Governance: • Steering Committee (12 members, 3 co-chairs) • Representation from patient advocacy, policy makers, health professionals and European public health institutions (WHO-Europe and ECDC, Global Fund) • HIV in Europe Secretariat • Political - EATG offices in Brussels (Nikos Dedes / Nicole Heine) • Operational – Copenhagen HIV Programme (Dorthe Raben / Michelle Ellefson)

  3. Long-term aim of initiative • Inform ECDC, WHO-Europe and Member State Health Authorities to have applied methods that reduce the problem • Kick-start • Monitor • Assessment of success: • Reduce % ”late presenters” among HIV-infected persons presenting for care • Currently 40-50% are late presenters

  4. Reasons for late presentation • Not previously diagnosed with HIV • Lack of impetus for testing • No access to screening / routine screening not done • Don’t seek testing because not perceived to be infected • Offered test but declined as not perceived to be at risk • Deterrants to be tested (stigmatisation) • Previously diagnosed with HIV - never accessed care • For personal, social and/or other reasons • Health system is not accomodating care

  5. The HIV in Europe initiative: 2007-2010 Coordination of the initiative Size of the problem # of infected population not yet in care Inventory of existing methodologies Develop new methodologies Requirements for data on assumptions required estimation A “late presenter” Definition Epidemiology in last decade (baseline) Indicator-disease guided testing Define diseases and conditions with HIV prevalence >0.1% Quantify degree of stigmatisation (stigma index) Mapping legislation that criminalises behaviours of persons infected with HIV across Europe

  6. Aims of the Stockholm conference • Renew the focus on the HiE initiative • Bring together researchers, health professionals, health policy makers, and patient advocacy groups • Discuss status and plans for new projects supported/initiated by HiE • Present concrete results • Definition of late presenter • First list of HIV indicator diseases • How best to implement current and future results derived from the initiative

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