HIV/AIDS problem statements, Natural History and Lab test...

1. HIV/AIDS Come forward…..Take Leadership…..Stop AIDS Dr Naresh T Chauhan Department of PSM

4. Global summary of the AIDS epidemic, 2008 Total 33.4 million [31.1 – 35.8 million] Adults 31.3 million [29.2 – 33.7 million] Women (aged 15 and above) 15.7 million [14.2 – 17.2 million] Children under 15 years 2.1 million [1.2 – 2.9 million] Total 2.7 million [2.4 – 3.0 million] Adults 2.3 million [2.0 – 2.5 million] Children under 15 years 430 000 [240 000 – 610 000] Total 2.0 million [1.7 – 2.4 million] Adults 1.7 million [1.4 – 2.1 million] Children under 15 years 280 000 [150 000 – 410 000] Number of people living with HIV in 2008 People newly infected with HIV in 2008 AIDS-related deaths in 2008

6. Total: 33.4 million (31.1 – 35.8 million) Western & Central Europe 850 000 [710 000 – 970 000] Middle East & North Africa 310 000 [250 000 – 380 000] Sub-Saharan Africa 22.4 million [20.8 – 24.1 million] Eastern Europe & Central Asia 1.5 million [1.4 – 1.7 million] South & South-East Asia 3.8 million [3.4 – 4.3 million] Oceania 59 000 [51 000 – 68 000] North America 1.4 million [1.2 – 1.6 million] Latin America 2.0 million [1.8 – 2.2 million] East Asia 850 000 [700 000 – 1.0 million] Caribbean 240 000 [220 000 – 260 000] Adults and children estimated to be living with HIV, 2008

7. Western & Central Europe <100 [ <100 – <200] Middle East & North Africa 3300 [1600 – 5300] Sub-Saharan Africa 230 000 [120 000 – 350 000] Eastern Europe & Central Asia 1400 [<500 – 2700] South & South-East Asia 11 000 [4900 – 17 000] Oceania <100 [ <100 – <500] North America <100 [<100 – <200] Latin America 3900 [2100 – 5700] East Asia 1500 [<1000 – 2300] Caribbean 1300 [<1000 – 2100] Estimated deaths of children (<15 years) due to AIDS, 2008 Total: 280 000 (150 000 – 410 000)

8. 0 10 20 30 40 50 60 70 Cambodia Haiti Mozambique Rwanda Côte d'Ivoire Zambia Kenya South Africa Zimbabwe Botswana Life expectancy at birth ( years ) Predicted life expectancy Predicted loss in life expectancy due to HIV/AIDS in children born in 2000 Loss in life expectancy due to HIV/AIDS

12. 3.97 m. Indians Living with HIV 1998 2002 2003 HIV Prevalence reaches 1% amongst general population in TN, AP & Karnataka Gujarat remained in medium prevalence Gujarat remained in medium prevalence >1% Antenatal women >5 % High risk groups < 5 % High risk groups 1990 1986 1994 2001 2000 First case of HIV detected in Chennai HIV Prevalence reaches over 5% amongst high risk group in Maharahtra & Manip ur HIV Prevalence reaches over 1% amongst women in Maharashtra & Manipur EVOLUTION OF HIV EPIDEMIC– INDIA 1986-2003 High level of HIV among ANC clinic attendants in Maharashtra & TN some sites reporting over 5%

13. Natural History of HIV infection

14. Progress of HIV

15. Development of HIV/AIDS

16. Transmission routes

17. How testing is done?

18. Pre and post test counseling

19. Type of tests

20. Lab diagnosis

21. Lab diagnosis

24. MEDIAN PREVALENCE OF HIV IN GUJARAT (STD & ANC) SENTINEL SURVEILLANCE

25. Life skills

27. Don’t EVER give up!