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The update outcome of Pediatric program in China

The update outcome of Pediatric program in China. National Center for AIDS/STD Control & Prevention Chinese Center for Disease Control & Prevention Zhao Yan MD. Annual cases of pediatric HIV patients receiving treatment in China 2002- 2009. ARV for pediatric use in China.

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The update outcome of Pediatric program in China

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  1. The update outcome of Pediatric program in China National Center for AIDS/STD Control & Prevention Chinese Center for Disease Control & Prevention Zhao Yan MD

  2. Annual cases of pediatric HIV patients receiving treatment in China 2002- 2009

  3. ARV for pediatric use in China • 大部分儿童一线、二线药品由克林顿基金会捐赠mostly donated by Clinton Foundation • 部分可由国内厂家生产的儿童剂型药品，及部分儿童使用的成人剂型药品由国家经费负责采购 ARV which can be produced in China are bought by government

  4. Currently available pediatric ARV in China

  5. Gender

  6. Transmission route

  7. Age distribution

  8. First line regimen distribution

  9. Technical documents

  10. problems and challenges • 治疗覆盖省份多、范围广，难度大 broad areas in China • 人力资源不足，缺乏能力强的专科及儿科医生 human resources • 儿童治疗与成人相比存在特有的困难：如病毒学特点的不同、依从性、青少年心理问题等 characteristics of children • 抗病毒药物的国产化困难，需要更多品种的药物 more sorts of ARV • 药品供应链的连续性存在风险，急需建立一套完整规范的药品管理体系 continuous provision of ARV • 母婴阻断中婴幼儿早期诊断与国家儿童抗病毒治疗工作的脱节，需加强合作与联系 PMTCT and early diagnose of infants, linkage of PMTCT • 如何发现更多的感染者及对感染者的系统管理 discovery and management of HIV-infected • 随着疾病的进程，耐药的发生 resistance of ARV

  11. working plan • 继续开展一线儿童抗病毒治疗，扩展二线抗病毒治疗，做到全国范围的全面可及 extending ART broadly • 扩大治疗范围的同时强调儿童治疗质量的提高，探讨提高儿童治疗质量的方法 enhance the quality of treatment • 增强人员培训力度，增加参与抗病毒治疗工作的医护人员的质量和数量 strengthen training ability • 加强HIV感染儿童的系统管理 HIV-infected mangement • 改善现有治疗条件，确保药品供应的连续性，增加药物的可及性， increase the sorts of ARV • 婴幼儿治疗 ARV on infant • 监督与评估 monitor and evaluation

  12. Thank you for your attention ！

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