HIV/AIDS in Brazil at a glance 11th Advanced HIV Course 1 – 3 September 2013, Aix-en-Provence,...
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![Page 1: HIV/AIDS in Brazil at a glance 11th Advanced HIV Course 1 – 3 September 2013, Aix-en-Provence, France Ana Flor Hexel Cornely Clinical Hospital, Porto Alegre.](https://reader036.fdocuments.us/reader036/viewer/2022062511/5514e687550346b0478b59f8/html5/thumbnails/1.jpg)
HIV/AIDS in Brazil at a glance
11th Advanced HIV Course
1 – 3 September 2013, Aix-en-Provence, France
Ana Flor Hexel Cornely
Clinical Hospital, Porto Alegre
Barbara Silva de Souza
Saint Louis Hospital, Paris
Diego Lins Guedes
Oswaldo Cruz University Hospital, Recife
![Page 2: HIV/AIDS in Brazil at a glance 11th Advanced HIV Course 1 – 3 September 2013, Aix-en-Provence, France Ana Flor Hexel Cornely Clinical Hospital, Porto Alegre.](https://reader036.fdocuments.us/reader036/viewer/2022062511/5514e687550346b0478b59f8/html5/thumbnails/2.jpg)
HIV/AIDS in Brazil at a glance
Today’s Outline:
1.Epidemics
2.Diagnostic
3.Clinical Care and Treatment
4.Prevention
5.Future changes and global response
• World’s fifth largest territory
• World's fifth largest population • 190 million inhabitants
![Page 3: HIV/AIDS in Brazil at a glance 11th Advanced HIV Course 1 – 3 September 2013, Aix-en-Provence, France Ana Flor Hexel Cornely Clinical Hospital, Porto Alegre.](https://reader036.fdocuments.us/reader036/viewer/2022062511/5514e687550346b0478b59f8/html5/thumbnails/3.jpg)
HIV/AIDS in Brazil: epidemics
• Incidence: 20.2 cases/100,000 inhabitants
• 500,000 HIV-infected patients (2012)
• ~ 130,000 undiagnosed
• Features of the HIV epidemic in Brazil:
• Prevalence rates lower in the general population (0.6%) than in more vulnerable groups (5.9% IVDUs, 10.5% MSM, 4.9% sex workers)
Available at http://www.aids.gov.br/sites/default/files/anexos/publicacao/2013/53077/em_portugu_s_93155.pdf
Incidence/100000 hab/ region Brazil
17.5
AIDS incidence/year/region Brazil 2000-2009
![Page 4: HIV/AIDS in Brazil at a glance 11th Advanced HIV Course 1 – 3 September 2013, Aix-en-Provence, France Ana Flor Hexel Cornely Clinical Hospital, Porto Alegre.](https://reader036.fdocuments.us/reader036/viewer/2022062511/5514e687550346b0478b59f8/html5/thumbnails/4.jpg)
HIV/AIDS in Brazil: diagnosis
• 37% of overall HIV testing coverage
• Higher coverage amongst the most vulnerable:
• 54% MSM
• 65.1% Sex workers
• 44.3% Drug users
• 2.9 million rapid HIV tests in 2012
Available at http://www.aids.gov.br/sites/default/files/anexos/publicacao/2013/53077/em_portugu_s_93155.pdf
HIV testings performeds by SUS, 2003-2011
![Page 5: HIV/AIDS in Brazil at a glance 11th Advanced HIV Course 1 – 3 September 2013, Aix-en-Provence, France Ana Flor Hexel Cornely Clinical Hospital, Porto Alegre.](https://reader036.fdocuments.us/reader036/viewer/2022062511/5514e687550346b0478b59f8/html5/thumbnails/5.jpg)
HIV/AIDS in Brazil: clinical care and treatment
• 313,000 people have access to
ARV therapy (free of charge)
• Treatment program covers 200,000
people (>90% of all in need of such
support)
• 20 available ARV, 11 locally
produced
• CD4 cell count HIV, viral load and
resistance tests (RENAGENO)
availableAvailable at http://www.aids.gov.br/sites/default/files/anexos/publicacao/2013/53077/em_portugu_s_93155.pdf
![Page 6: HIV/AIDS in Brazil at a glance 11th Advanced HIV Course 1 – 3 September 2013, Aix-en-Provence, France Ana Flor Hexel Cornely Clinical Hospital, Porto Alegre.](https://reader036.fdocuments.us/reader036/viewer/2022062511/5514e687550346b0478b59f8/html5/thumbnails/6.jpg)
HIV/AIDS in Brazil: prevention
• Free distribution of condoms,
constantly rising up (146 m to
500 m/year, 2002 – 2010)
• Since 2010: post exposure
prophylaxis to unprotected
sexual intercourse
• Robust and sustainable PMTCT
Available at http://www.aids.gov.br/sites/default/files/anexos/publicacao/2013/53077/em_portugu_s_93155.pdf
Number of condoms distributed by year. Brazil, 2002-2011
![Page 7: HIV/AIDS in Brazil at a glance 11th Advanced HIV Course 1 – 3 September 2013, Aix-en-Provence, France Ana Flor Hexel Cornely Clinical Hospital, Porto Alegre.](https://reader036.fdocuments.us/reader036/viewer/2022062511/5514e687550346b0478b59f8/html5/thumbnails/7.jpg)
HIV/AIDS in Brazil: future challenges and global response
• Universal testing of pregnant women by 2015 (84% of them
tested in 2010/2011)
• Improve surveillance strategies (early detection), ARV to
vulnerable populations (MSM, sex workers, discordant partners
and prisoners)
• South-to-South cooperation
Available at http://www.aids.gov.br/sites/default/files/anexos/publicacao/2013/53077/em_portugu_s_93155.pdf
![Page 8: HIV/AIDS in Brazil at a glance 11th Advanced HIV Course 1 – 3 September 2013, Aix-en-Provence, France Ana Flor Hexel Cornely Clinical Hospital, Porto Alegre.](https://reader036.fdocuments.us/reader036/viewer/2022062511/5514e687550346b0478b59f8/html5/thumbnails/8.jpg)
Thank you!Sunset in the Tapajós River, Amazon