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1985   1991   1994
First cases appear

Acquired Immune Deficiency Syndrome (AIDS)
is used to refer to the disease; First AIDS cases
reported in Africa

HIV is isolated


AIDS becomes the No. 1 killer in Africa


        Philippine National AIDS Council            2
+++++++++++++++++++++
First case reported


Establishment of PNAC


Enactment of RA 8504

Adoption of Implementing Rules and
Regulations drafted by multisectoral
members of the PNAC
      Philippine National AIDS Council   4
Where did HIV come from?


Most likely theory:

“Crossed over" into the human population from a
particular species of Chimpanzee.

Probably through blood contact that occurred during
hunting and field dressing of the animal.




                                      5
What is the difference between HIV and AIDS?




                 Can only infect human beings




              Attacks the body’s immune
              system by weakening its defenses against
              diseases/infections


      An organism, a characteristic of which is that it
      reproduces itself, taking over the machinery of the
      human cell
                                                      6
How HIV infects ?




CD4




           CD4 cell helps us to fight against various infections
How HIV infects ?




HIV
                                                                         OI’s

      HIV attacks CD4 cell, multiply inside and gradually kills them.
      Once CD4 are destroyed our body’s resistance to fight infections
      goes down and person suffers from lots of infections
How HIV infects ?




This end stage of HIV infection is called AIDS. It takes many years for AIDS to
develop and till that time infected person usually remains healthy.
Overview of HIV
                                    Natural History of HIV Infection
                  1000

                   900
                                                          CD4+ T cells
                   800

                   700
                                 Acute HIV
                                 infection                                                                  TB
                   600           syndrome                      Asymptomatic

                   500
                                                                                                            HZV
CD4+ Cell Count




                   400        Window
                              Period                                                                              OHL
                                                              Relative level of
                   300                                        Plasma HIV-RNA                                            OC
                   200                                                                                       PPE
                                                                                                                             PCP
                   100                                                                                                             CM
                                        Antibody                                                            CMV, MAC
                      0
                            0 1 2 3 4 5              1    2    3 4     5    6    7   8   9 10 11

                                 Months ……..                                    Years after HIV Infection
                   National AIDS/STI Prevention and Control   National AIDS/STI Prevention & Control
                   Program                                                   Program                         Module 1 Sub Module 3 – PPT02
                                                                      Department of Health
A  Acquired               Transmitted from person to person.


                         It affects the body's immune system, part of the

I Immune-                body which usually works to fight off germs such
                         as bacteria and viruses.




D Deficiency             It makes the immune system work improperly.




S Syndrome               Someone with AIDS may experience a wide range
                         of different diseases and opportunistic infections.




              Office of the WHO Representative in the
                             Philippines
What is the difference between HIV and AIDS?



AIDS means that
the virus has
almost
destroyed the
immune system
- Occurs in
about (ave.)
8years from HIV
infection
                                   12
Philippine National AIDS Council   13
Source of illustration: DOH, Remedios AIDS
Foundation, UNICEF

                                    Philippine National AIDS Council   14
Source: DOH, Remedios AIDS
Foundation, UNICEF




                             Philippine National AIDS Council   15
Source of illustrations: DOH, Remedios AIDS
                     Foundation, UNICEF


Philippine National AIDS Council                                   16
Sources of illustrations: DOH, Remedios AIDS
                     Foundation, UNICEF; UNODC


Philippine National AIDS Council                                    17
How does a Person With HIV look like?


You can’t tell if a
  person has HIV by
  merely looking at
  him/her
HIV Counseling and Testing

                                  1. Client or partner have or
                                     in the past suffered
                                     from symptoms of STI
                                  2. Client or partner have
                                     multiple sexual partners
                                  3. Client or partner have
                                     history of injecting drug




       National AIDS/STI Prevention & Control
                      Program
               Department of Health
What if I test HIV-positive?



•the sooner you take steps to protect your health, the better.




•Early medical treatment, a healthy lifestyle and a positive attitude can
help you stay well and may delay the onset of AIDS and prevent some
life-threatening conditions.


                                                         21
TREATMENT
 National AIDS/STI
Prevention & Control
      Program
Department of Health




                            • Anti-retrovirals (ARV)
                               – for treatment (lifetime)
                                  and PROPHYLAXIS)
                              -available for free in the
                               DOH-designated
                               Treatment Hubs

                            As of December 2009
                               more than 800 PLHIV on
                               ARV including children
Article I : Education
                                  and Information
                                  Article II : Safe
                                  Practices and
                                  Procedures
                                  Article III : Testing,
                                  Screening , and
                                  Counseling
                                  Article IV : Health and
                                  Support Services
                                  Article V :   Monitoring
                                  Article VI :
Promulgates policies and
                                  Confidentiality
    prescribes measures
Establishes a comprehensive HIV   Article VII :
    and AIDS monitoring system    Discriminatory Acts and
Strengthens PNAC                  policies
                                  Article VIII : The
                                  Philippine National AIDS
Philippine National AIDS Council   25
5th AMTP Strategies Framework
                                                  GOAL
         By 2016, the country will have prevented the further spread of HIV infection and
       reduced the impact of the disease on individuals, families, sectors and communities

                                      STRATEGIC OBJECTIVES
To improve the        To improve the        To enhance             To strengthen       To strengthen
coverage and          coverage and          policies for scaling   capacities of the   partnerships and
quality of            quality of TCS        up                     PNAC and its        develop capacities
prevention            programs for          implementation,        members to          for the 5th AMTP
programs for          people living with    effective              oversee the         implementation of
persons at most       HIV (including        management and         implementation of   LGUs, private
risk, vulnerable      those who remain      coordination of        the 5th AMTP        sector, civil
and living with HIV   at risk and           HIV programs at                            society, including
                      vulnerable) and       all levels                                 communities of at-
                      their families                                                   risk, vulnerable,
                                                                                       and living with HIV

                                           KEY STRATEGIES
• Develop evidence-based, targeted,         Provide enabling       Expand, build,      Develop capacity of
  comprehensive programs                    environment            strengthen          partners
• Capacitate service providers                                     management,
                                                                   partnerships and
• Provide equitable access to programs                             collaboration
• Enhance decentralized implementation


                                   Philippine National AIDS Council                                   26
♠ Behavior-related factors
♠ Programmatic factors
♠ Governance-related factors



         Philippine National AIDS Council   27
1. Continuing risky behavior among the
   most-at-risk populations (MARPs)
2. Stigma & discrimination against
   persons living with HIV (PLHIVs)
   complicate the situation
3. Both behaviors (1 & 2) stem from a
   low knowledge of HIV and AIDS

             Philippine National AIDS Council   28
Philippine National AIDS Council   29
1. Lack of political support from
   the national and local levels




           Philippine National AIDS Council   30
Investment coverage         Total            Est. funding gap   Annual average
                            Investments            (2011-2016)        funding gap
                               (2011-2016)

Nationwide                     18,899,888,952       16,286,288,952     2,714,381,492

Category A, B & C               7,960,103,333        5,346,503,333      891,083,889

Category A & B                  7,018,804,751        4,405,204,751      734,200,792

Category A only                 5,902,690,007        3,289,090,007      548,181,668

In Philippine Pesos



                           Philippine National AIDS Council                       31
Philippine National AIDS Council   32
Link of STI and HIV ( Relationship)



   Sexual Mode of Transmission
            the same


      People with STI easily get
   HIV and pass the virus from one
         person to another



       Preventive Measures
            the same



    Clinical Services entry point
           HIV education
Source of graphic: the-sticlinic.com




                                       Philippine National AIDS Council   34
35
Pain passing urine       Severe itchiness                      Pain




Yellowish/abnormal      Ulcerations                     Abdominal pain
discharge

                     Philippine National AIDS Council                    36
♠ Caused by bacteria called
  neisseria gonorrheae
♠ Usual incubation period is
  3 to 7 days
♠ Can be spread through
  sexual contact
♠ Can affect genitals, throat
  and anus

Symptoms
♠ Yellowish/ Purulent
  discharge (tulo)
♠ Pelvic inflammation in
  women
♠ Scrotal swelling in men



                    Philippine National AIDS Council   37
♠ Caused by chlamydia
  trachomatis
♠ Can infect the cervix,
  urethra, rectum, throat
  and eyes
♠ Also known as the
  silent STI

Symptoms
♠ Pelvic inflammation
♠ Discharge
♠ Scrotal swelling in men




              Philippine National AIDS Council   38
♠ Caused by spirochete treponema
  pallidum
♠ Chronic systemic disease (9-90 days)
♠ The organism moves through skin or
  mucus membrane and into the
  bloodstream
♠ Can be transmitted through mother to
  child, blood transfusion, sexual contact
                                                   Source: Robert Taylor MD at
                                                   www.healthac.org

Symptom
♠ Lesions




                        Philippine National AIDS Council                         39
♠ Caused by          Symptoms
  human papilloma ♠ Lesions
  virus (HPV)        ♠ Warty growths
♠ Transmitted
  directly from skin
  to skin during
  sexual contact




                   Philippine National AIDS Council   40
♠ Caused by       Symptoms
  herpes          ♠ Multiple, painful
  simplex virus 2   shallow ulcers
♠ Incubation      ♠ Painful urination
  period is 2-12
  days




                     Philippine National AIDS Council   41
Until a cure is found…

 the only effective
prevention is NOT
            to allow
 the virus to enter
     the body
Hiv 101 dr susan gregorio

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Hiv 101 dr susan gregorio

  • 1. 1985 1991 1994
  • 2. First cases appear Acquired Immune Deficiency Syndrome (AIDS) is used to refer to the disease; First AIDS cases reported in Africa HIV is isolated AIDS becomes the No. 1 killer in Africa Philippine National AIDS Council 2
  • 4. First case reported Establishment of PNAC Enactment of RA 8504 Adoption of Implementing Rules and Regulations drafted by multisectoral members of the PNAC Philippine National AIDS Council 4
  • 5. Where did HIV come from? Most likely theory: “Crossed over" into the human population from a particular species of Chimpanzee. Probably through blood contact that occurred during hunting and field dressing of the animal. 5
  • 6. What is the difference between HIV and AIDS? Can only infect human beings Attacks the body’s immune system by weakening its defenses against diseases/infections An organism, a characteristic of which is that it reproduces itself, taking over the machinery of the human cell 6
  • 7. How HIV infects ? CD4 CD4 cell helps us to fight against various infections
  • 8. How HIV infects ? HIV OI’s HIV attacks CD4 cell, multiply inside and gradually kills them. Once CD4 are destroyed our body’s resistance to fight infections goes down and person suffers from lots of infections
  • 9. How HIV infects ? This end stage of HIV infection is called AIDS. It takes many years for AIDS to develop and till that time infected person usually remains healthy.
  • 10. Overview of HIV Natural History of HIV Infection 1000 900 CD4+ T cells 800 700 Acute HIV infection TB 600 syndrome Asymptomatic 500 HZV CD4+ Cell Count 400 Window Period OHL Relative level of 300 Plasma HIV-RNA OC 200 PPE PCP 100 CM Antibody CMV, MAC 0 0 1 2 3 4 5 1 2 3 4 5 6 7 8 9 10 11 Months …….. Years after HIV Infection National AIDS/STI Prevention and Control National AIDS/STI Prevention & Control Program Program Module 1 Sub Module 3 – PPT02 Department of Health
  • 11. A Acquired Transmitted from person to person. It affects the body's immune system, part of the I Immune- body which usually works to fight off germs such as bacteria and viruses. D Deficiency It makes the immune system work improperly. S Syndrome Someone with AIDS may experience a wide range of different diseases and opportunistic infections. Office of the WHO Representative in the Philippines
  • 12. What is the difference between HIV and AIDS? AIDS means that the virus has almost destroyed the immune system - Occurs in about (ave.) 8years from HIV infection 12
  • 14. Source of illustration: DOH, Remedios AIDS Foundation, UNICEF Philippine National AIDS Council 14
  • 15. Source: DOH, Remedios AIDS Foundation, UNICEF Philippine National AIDS Council 15
  • 16. Source of illustrations: DOH, Remedios AIDS Foundation, UNICEF Philippine National AIDS Council 16
  • 17. Sources of illustrations: DOH, Remedios AIDS Foundation, UNICEF; UNODC Philippine National AIDS Council 17
  • 18. How does a Person With HIV look like? You can’t tell if a person has HIV by merely looking at him/her
  • 19.
  • 20. HIV Counseling and Testing 1. Client or partner have or in the past suffered from symptoms of STI 2. Client or partner have multiple sexual partners 3. Client or partner have history of injecting drug National AIDS/STI Prevention & Control Program Department of Health
  • 21. What if I test HIV-positive? •the sooner you take steps to protect your health, the better. •Early medical treatment, a healthy lifestyle and a positive attitude can help you stay well and may delay the onset of AIDS and prevent some life-threatening conditions. 21
  • 22. TREATMENT National AIDS/STI Prevention & Control Program Department of Health • Anti-retrovirals (ARV) – for treatment (lifetime) and PROPHYLAXIS) -available for free in the DOH-designated Treatment Hubs As of December 2009 more than 800 PLHIV on ARV including children
  • 23. Article I : Education and Information Article II : Safe Practices and Procedures Article III : Testing, Screening , and Counseling Article IV : Health and Support Services Article V : Monitoring Article VI : Promulgates policies and Confidentiality prescribes measures Establishes a comprehensive HIV Article VII : and AIDS monitoring system Discriminatory Acts and Strengthens PNAC policies Article VIII : The Philippine National AIDS
  • 24.
  • 26. 5th AMTP Strategies Framework GOAL By 2016, the country will have prevented the further spread of HIV infection and reduced the impact of the disease on individuals, families, sectors and communities STRATEGIC OBJECTIVES To improve the To improve the To enhance To strengthen To strengthen coverage and coverage and policies for scaling capacities of the partnerships and quality of quality of TCS up PNAC and its develop capacities prevention programs for implementation, members to for the 5th AMTP programs for people living with effective oversee the implementation of persons at most HIV (including management and implementation of LGUs, private risk, vulnerable those who remain coordination of the 5th AMTP sector, civil and living with HIV at risk and HIV programs at society, including vulnerable) and all levels communities of at- their families risk, vulnerable, and living with HIV KEY STRATEGIES • Develop evidence-based, targeted, Provide enabling Expand, build, Develop capacity of comprehensive programs environment strengthen partners • Capacitate service providers management, partnerships and • Provide equitable access to programs collaboration • Enhance decentralized implementation Philippine National AIDS Council 26
  • 27. ♠ Behavior-related factors ♠ Programmatic factors ♠ Governance-related factors Philippine National AIDS Council 27
  • 28. 1. Continuing risky behavior among the most-at-risk populations (MARPs) 2. Stigma & discrimination against persons living with HIV (PLHIVs) complicate the situation 3. Both behaviors (1 & 2) stem from a low knowledge of HIV and AIDS Philippine National AIDS Council 28
  • 30. 1. Lack of political support from the national and local levels Philippine National AIDS Council 30
  • 31. Investment coverage Total Est. funding gap Annual average Investments (2011-2016) funding gap (2011-2016) Nationwide 18,899,888,952 16,286,288,952 2,714,381,492 Category A, B & C 7,960,103,333 5,346,503,333 891,083,889 Category A & B 7,018,804,751 4,405,204,751 734,200,792 Category A only 5,902,690,007 3,289,090,007 548,181,668 In Philippine Pesos Philippine National AIDS Council 31
  • 33. Link of STI and HIV ( Relationship) Sexual Mode of Transmission the same People with STI easily get HIV and pass the virus from one person to another Preventive Measures the same Clinical Services entry point HIV education
  • 34. Source of graphic: the-sticlinic.com Philippine National AIDS Council 34
  • 35. 35
  • 36. Pain passing urine Severe itchiness Pain Yellowish/abnormal Ulcerations Abdominal pain discharge Philippine National AIDS Council 36
  • 37. ♠ Caused by bacteria called neisseria gonorrheae ♠ Usual incubation period is 3 to 7 days ♠ Can be spread through sexual contact ♠ Can affect genitals, throat and anus Symptoms ♠ Yellowish/ Purulent discharge (tulo) ♠ Pelvic inflammation in women ♠ Scrotal swelling in men Philippine National AIDS Council 37
  • 38. ♠ Caused by chlamydia trachomatis ♠ Can infect the cervix, urethra, rectum, throat and eyes ♠ Also known as the silent STI Symptoms ♠ Pelvic inflammation ♠ Discharge ♠ Scrotal swelling in men Philippine National AIDS Council 38
  • 39. ♠ Caused by spirochete treponema pallidum ♠ Chronic systemic disease (9-90 days) ♠ The organism moves through skin or mucus membrane and into the bloodstream ♠ Can be transmitted through mother to child, blood transfusion, sexual contact Source: Robert Taylor MD at www.healthac.org Symptom ♠ Lesions Philippine National AIDS Council 39
  • 40. ♠ Caused by Symptoms human papilloma ♠ Lesions virus (HPV) ♠ Warty growths ♠ Transmitted directly from skin to skin during sexual contact Philippine National AIDS Council 40
  • 41. ♠ Caused by Symptoms herpes ♠ Multiple, painful simplex virus 2 shallow ulcers ♠ Incubation ♠ Painful urination period is 2-12 days Philippine National AIDS Council 41
  • 42. Until a cure is found… the only effective prevention is NOT to allow the virus to enter the body

Notes de l'éditeur

  1. Can only infect human beings Attacks the body’s immune system by weakening its defenses against diseases/infections An organism, a characteristic of which is that it reproduces itself, taking over the machinery of the human cell
  2. Can only infect human beings Attacks the body’s immune system by weakening its defenses against diseases/infections An organism, a characteristic of which is that it reproduces itself, taking over the machinery of the human cell
  3. Depending on audience, explain the following: High risk through vaginal sex Anal sex – 10 times higher risk than vaginal sex Oral sex regarded as a low-risk sexual activity Majority of infections in the Philippines through sexual transmission; increasingly from a male to another male
  4. More than 90% risk of acquiring HIV through transfusion of infected blood and blood products. Re-using or sharing needles or syringes in health care settings and through drug injection is a highly efficient way of transmitting HIV.
  5. Risk of mother-to-child transmission during pregnancy, child delivery or breastfeeding If no intervention, 15–30% risk of transmission from mother to child before and during delivery. Breastfeeding increases the risk of transmission by 5–15%.
  6. HIV aside from being also sexually transmitted. Other common STIs like gono and syphilis also increases transmission of HIV so that there is a need to aggressively address and/or manage STIs. Addressing STIs is also one of the strategy in controlling HIV since entry point for clinical services of both maybe the same.