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ARVIN RAY M. DELOS SANTOS, RMT
MPH -1 LYCEUM NORTHWESTERN UNIVERSITY
CONTROL OF COMMUNICABLE DISEASE
OBJECTIVES
 To learn the basics of HIV / AIDS
 To understand how can we control
and protect ourselves from the
spread of HIV
Venereal
Disease
Sexually
Transmitted
Disease
Sexually
Transmitted
Infection
Virus
(Retrovirus RNA)
that attacks and
destroys the body’s
IMMUNE SYSTEM
HIV is different in structure form
other Retrovirus. The HIV viron
is 100nm in diameter. Its
innermost region consists of a
cone-shaped core that includes
two copies of the ssRNA
(positive sense) genome, the
enzyme reverse transcriptase,
integrase and protease, some
minor proteins and the major
core protein.
• HIV infects the T-cell of the immune system and results
in an infection with a long incubation period (10 yrs)
• AIDS is the late stage of HIV infection; a disease in
which the immune system breaks down and is severely
damaged and has difficulty fighting the disease.
• People who have AIDS are likely to develop serious
infections such as opportunistic infections
• People infected with HIV progresses to AIDS when their
viral load increases and CD4 count fall below 200 or
they experience an AIDS-defining complication
ORAL POLIO
VACCINE THEORY
CONSPIRACY
THEORY
COLONIALISM
THEORY
HEAVENLY
THEORY
HUNTER THEORY
Most accepted theory.
That SIV was
transferred to humans
after chimps being
killed and eaten or
their blood getting into
hunters’ cuts/wounds.
BLOOD SEMEN
BREASTMILK VAGINAL FLUID
http://whatnext.tht.org.uk/simplescience/ourimmunesystem/
Condition of a person with HIV when the
immune system is already weak or
destroyed and the body can no longer fight
off common infection.
If left untreated, HIV can lead to AIDS.
AIDS can lead to DEATH.
ORAL SEX – putting the
mouth on the penis (fellatio),
vagina (cunnilingus)
In general, there’s little to no
risk of getting HIV from oral
sex. Except if the oral cavity
have sores or wounds.
TEARS SWEATSALIVA
KISSING SHARING UTENSILS
SWIMMING POOLS SHARING
TOILET
MOSQUITO BITE
What are
the signs &
symptoms
of HIV
Lack of energy Unexplained
weight loss
Frequent fevers
and sweats
Short-term
memory loss
Yeast infection Skin rashes or flaky skin Herpes infection sores
What is an
opportunistic
infection?
It is an infection or malignancy that
attacks the body by taking advantage of
an immune system that has been
severely weakened by an advanced HIV
infection
Source: Avert.org
Lung Infection
Ex: TB
Swollen
Lymph Nodes
Fungal
Infections
Kaposis
sarcoma
Herpes Zoster Meningitis rash
How will I
know if I am
HIV positive?
A person’s HIV
status can only
be determined
through HIV
antibody testing
Source: Microsoft, Clipart
♦ Provider-initiated counseling &
testing (PICT) – a situation where
doctors encourage patients to
undergo testing
♦ Voluntary counseling & testing
(VCT) – individuals willing to
undergo testing of their own free
will
Source of illustration: DOH, Remedios AIDS
Foundation, UNICEF
HIV testing is strictly
voluntary, confidential,
and must be accompanied
by pre- and post-test
counselling
Pre-test counselling
Screening Test
HIV antigen Test
HIV Screening Laboratory
Post-test counselling
Confirmatory
Test (if positive)
- Western Blot or Immunoblot
San Lazaro Hospital
RAPID TESTS WESTERN BLOT (Confirmatory Test)
“Gold Standard Test for HIV”
What if I
test
positive?
Seek early medical treatment
Adopt a healthy lifestyle and positive
attitude.
Regular blood test to determine CD4
count and viral load – lab tests
Adherence to anti-retroviral drugs
Treatment of opportunistic infections
Is there a cure
for HIV?
How can I
protect myself
from HIV?
ducation & arly detection
BSTINENCE: Do not have sex. In the case
of adolescents, delaying sexual debut (age
of first sexual encounter) will help.
E monogamous: Have ONE sexual
partner
orrect and consistent use of ONDOM
and safer sex practices
O NOT inject drugs
The Rapidly Evolving HIV Epidemic
in the Philippines
Epidemic red flags
in the Philippines
High percentage of needle sharing
Source of Data: The Filipino Youth 2002 YAFS Data Sheet; UA Briefer at a Glance
 Average sexual debut for male and female:
15 years of age
Poor knowledge on HIV/AIDS and STIs
Low condom use
High STI cases
No HIV Testing
RECENT NUMBERS ALSO SHOW THAT THE
15-24 AGE GROUP
IS THE FASTEST GROWING POPULATION
GETTING INFECTED
IN THE PHILIPPINES, THE MOST COMMON
WAY HIV IS SPREAD IS THRU
UNPROTECTED SEX!!!
SEPTEMBER 2019: THE PHILIPPINES DIAGNOSED
1,038 NEW HIV POSITIVE INDIVIDUALS
THIS IS ONE OF THE HIGHEST NUMBER EVER
RECORDED IN PHILIPPINE HISTORY
SINCE 1984
Source: HIV/AIDS and ART Registry of the Phils (HARP)
617 OF THOSE INFECTED ENGAGED
IN HOMOSEXUAL SEX,
136 IN HETEROSEXUAL SEX,
AND 258 IN BISEXUAL SEX.
Source: HIV/AIDS and ART Registry of the Phils (HARP)
Source: HIV/AIDS and ART Registry of the Phils (HARP)
PREGNANT WOMEN LIVING WITH HIV
13 PREGNANT WOMEN WERE NEWLY
DIAGNOSED LAST SEPTEMBER 2019.
SINCE 2011, A TOTAL OF 355
DIAGNOSED PREGNANT WOMEN
WERE REPORTED
OVERSEAS FILIPINO WORKERS
67 PEOPLE WERE DIAGNOSED
LAST SEPTEMBER 2019.
OF THAT NEW CASES 90%
WERE MALE AND ALL WERE
INFECTED THRU SEX.
Source: HIV/AIDS and ART Registry of the Phils (HARP)
94%
64,564 confirmed male HIV cases
6%
4,121 confirmed female HIV cases
HIV STATUS IN THE PHILIPPINES IS NOW A
“NATIONAL EMERGENCY”
Rate of HIV infection in the PHILIPPINES
has become the highest in the
ASIA-PACIFIC REGION.
Hiv   communicable disease
Hiv   communicable disease
Hiv   communicable disease
Hiv   communicable disease
Hiv   communicable disease

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Hiv communicable disease

  • 1. ARVIN RAY M. DELOS SANTOS, RMT MPH -1 LYCEUM NORTHWESTERN UNIVERSITY CONTROL OF COMMUNICABLE DISEASE
  • 2. OBJECTIVES  To learn the basics of HIV / AIDS  To understand how can we control and protect ourselves from the spread of HIV
  • 4. Virus (Retrovirus RNA) that attacks and destroys the body’s IMMUNE SYSTEM
  • 5. HIV is different in structure form other Retrovirus. The HIV viron is 100nm in diameter. Its innermost region consists of a cone-shaped core that includes two copies of the ssRNA (positive sense) genome, the enzyme reverse transcriptase, integrase and protease, some minor proteins and the major core protein.
  • 6. • HIV infects the T-cell of the immune system and results in an infection with a long incubation period (10 yrs) • AIDS is the late stage of HIV infection; a disease in which the immune system breaks down and is severely damaged and has difficulty fighting the disease. • People who have AIDS are likely to develop serious infections such as opportunistic infections • People infected with HIV progresses to AIDS when their viral load increases and CD4 count fall below 200 or they experience an AIDS-defining complication
  • 8. HUNTER THEORY Most accepted theory. That SIV was transferred to humans after chimps being killed and eaten or their blood getting into hunters’ cuts/wounds.
  • 10.
  • 12. Condition of a person with HIV when the immune system is already weak or destroyed and the body can no longer fight off common infection.
  • 13. If left untreated, HIV can lead to AIDS. AIDS can lead to DEATH.
  • 14.
  • 15.
  • 16. ORAL SEX – putting the mouth on the penis (fellatio), vagina (cunnilingus) In general, there’s little to no risk of getting HIV from oral sex. Except if the oral cavity have sores or wounds.
  • 19. What are the signs & symptoms of HIV
  • 20. Lack of energy Unexplained weight loss Frequent fevers and sweats Short-term memory loss Yeast infection Skin rashes or flaky skin Herpes infection sores
  • 21.
  • 22.
  • 24. It is an infection or malignancy that attacks the body by taking advantage of an immune system that has been severely weakened by an advanced HIV infection Source: Avert.org
  • 25. Lung Infection Ex: TB Swollen Lymph Nodes Fungal Infections Kaposis sarcoma Herpes Zoster Meningitis rash
  • 26. How will I know if I am HIV positive?
  • 27. A person’s HIV status can only be determined through HIV antibody testing Source: Microsoft, Clipart
  • 28. ♦ Provider-initiated counseling & testing (PICT) – a situation where doctors encourage patients to undergo testing ♦ Voluntary counseling & testing (VCT) – individuals willing to undergo testing of their own free will Source of illustration: DOH, Remedios AIDS Foundation, UNICEF
  • 29. HIV testing is strictly voluntary, confidential, and must be accompanied by pre- and post-test counselling
  • 30. Pre-test counselling Screening Test HIV antigen Test HIV Screening Laboratory Post-test counselling Confirmatory Test (if positive) - Western Blot or Immunoblot San Lazaro Hospital
  • 31. RAPID TESTS WESTERN BLOT (Confirmatory Test) “Gold Standard Test for HIV”
  • 33. Seek early medical treatment Adopt a healthy lifestyle and positive attitude. Regular blood test to determine CD4 count and viral load – lab tests Adherence to anti-retroviral drugs Treatment of opportunistic infections
  • 34. Is there a cure for HIV?
  • 35.
  • 36.
  • 37. How can I protect myself from HIV?
  • 38. ducation & arly detection BSTINENCE: Do not have sex. In the case of adolescents, delaying sexual debut (age of first sexual encounter) will help. E monogamous: Have ONE sexual partner orrect and consistent use of ONDOM and safer sex practices O NOT inject drugs
  • 39. The Rapidly Evolving HIV Epidemic in the Philippines
  • 40. Epidemic red flags in the Philippines High percentage of needle sharing Source of Data: The Filipino Youth 2002 YAFS Data Sheet; UA Briefer at a Glance  Average sexual debut for male and female: 15 years of age Poor knowledge on HIV/AIDS and STIs Low condom use High STI cases No HIV Testing
  • 41. RECENT NUMBERS ALSO SHOW THAT THE 15-24 AGE GROUP IS THE FASTEST GROWING POPULATION GETTING INFECTED
  • 42. IN THE PHILIPPINES, THE MOST COMMON WAY HIV IS SPREAD IS THRU UNPROTECTED SEX!!!
  • 43. SEPTEMBER 2019: THE PHILIPPINES DIAGNOSED 1,038 NEW HIV POSITIVE INDIVIDUALS THIS IS ONE OF THE HIGHEST NUMBER EVER RECORDED IN PHILIPPINE HISTORY SINCE 1984 Source: HIV/AIDS and ART Registry of the Phils (HARP)
  • 44. 617 OF THOSE INFECTED ENGAGED IN HOMOSEXUAL SEX, 136 IN HETEROSEXUAL SEX, AND 258 IN BISEXUAL SEX. Source: HIV/AIDS and ART Registry of the Phils (HARP)
  • 45. Source: HIV/AIDS and ART Registry of the Phils (HARP)
  • 46. PREGNANT WOMEN LIVING WITH HIV 13 PREGNANT WOMEN WERE NEWLY DIAGNOSED LAST SEPTEMBER 2019. SINCE 2011, A TOTAL OF 355 DIAGNOSED PREGNANT WOMEN WERE REPORTED
  • 47. OVERSEAS FILIPINO WORKERS 67 PEOPLE WERE DIAGNOSED LAST SEPTEMBER 2019. OF THAT NEW CASES 90% WERE MALE AND ALL WERE INFECTED THRU SEX.
  • 48. Source: HIV/AIDS and ART Registry of the Phils (HARP)
  • 49. 94% 64,564 confirmed male HIV cases 6% 4,121 confirmed female HIV cases
  • 50. HIV STATUS IN THE PHILIPPINES IS NOW A “NATIONAL EMERGENCY”
  • 51. Rate of HIV infection in the PHILIPPINES has become the highest in the ASIA-PACIFIC REGION.