1. Special Report on 2014 World AIDS Day
2014 世界愛滋病日特別報告
Current Situation of HIV/AIDS Epidemic in Taiwan
and Its Prevention and Control Policy
台灣地區愛滋病流行現況及其因應之道
2. 2014 World AIDS Day
世界愛滋病日
Close the gap
(ending the AIDS epidemic by 2030)
關閉鴻溝
Zero Discrimination
零歧視
Zero Increase (of HIV Infection)
零增加
Zero (AIDS-related) Death
零死亡
3. 愛滋病(AIDS)的全
名為
後天免疫缺乏症候群
Acquired
Immuno-deficiency
Syndrome
•是由
人類免疫缺乏病毒
Human
Immunodeficiency
Virus
HIV
(俗稱愛滋病病毒)
所引起的疾病。
6. Table 64-4. Transmission of HIV Infection
Routes Specific Transmission
Known Routes of Transmission
Inoculation in blood Transfusion of blood and blood products
Needle sharing among intravenous drug abusers
Needlestick, open wound, and mucous
membrane exposure in health care workers
Tattoo needles
Sexual transmission Anal and vaginal intercourse
Perinatal transmission Intrauterine transmission
Peripartum transmission
Breast milk
Routes Not Involved in Transmission
Close personal contact Household member
Health care workers not exposed to blood
7. Adults and children estimated to be living with HIV 2011
Western &
Central Europe
900 000
Eastern Europe
& Central Asia
1.4 million
[1.1 million – 1.8
[830 000 – 100 000]
Middle East & North
Africa
300 000
[250 000 – 360 000]
million]
Sub-Saharan Africa
23.5 million
[22.1 million – 24.8
million]
East Asia
830 000
[590 000 – 1.2 million]
South & South-East
Asia
4.0 million
[3.1 million – 4.6 million]
Oceania
53 000
[47 000 – 60 000]
North America
1.4 million
[1.1 million – 2.0 million]
Caribbean
230 000
[200 000 – 250 000]
Central &
South America
1.5 million
[1.2 million – 1.7
million]
Total: 34.0 million [31.4 million – 35.9 million]
16. Harm Reduction Program (減害計畫） in Taiwan
Education, counseling, and anonymous testing
program (ECAP)
Needle-Syringe program (NSP)
Methadone maintenance program (MMP)
Pilot program started at
Nov. 2005 at four
cities/counties
Nationwide program:
Aug 2006-till now
17.
18. AIDS education in detention centres and prisons
Pilot Nationwide harm-reduction programmes
Figure: Effectiveness of AIDS education and harm-reduction programmes in Taiwan.
Lyu, Su and Chen., Lancet 2012; Feb issue.
26. A Study on Risk Factors of HIV-1 Infection among MSM in
1,191 study subjects from 3 gay saunas and 8 gay bars in Taipei and New Taipei Cities
(152 subjects from gay saunas, 1,039 subjects from gay bars)
blood samples and questionnaires were collected
Pre-test counseling
HIV-1 and Syphilis tests
HIV-1 (+), n=53
(6 from gay saunas, 47 from gay bars)
Syphilis (+)
HIV-1 (-), n=1,138
(146 from gay saunas, 992 from gay bars)
• Post-counseling, partner
notification and contact
tracing
• Perform detune test to
determine the incidence
1 from gay saunas
25 from gay bars
Encourage subjects to be tested regularly
Study design
Taipei in 2012
PLoS ONE in press, 2014
27. Prevalence and incidence rates of HIV-1 infection
among MSM in Taiwan in 2012
Prevalence Incidence*
(%) (per 100 person-years)
Gay bars 4.44 (47/1039) 5.24
Gay saunas 3.94 (6/152) 3.16
Total 4.52 (53/1191) 4.98
* Determined by detuned test
