1. The document summarizes Malaysia's HIV/AIDS situation and recommendations for interventions. It reports that while HIV transmission is declining overall, sexual transmission now accounts for over 50% of new cases, especially among heterosexuals and men who have sex with men. 2. Key recommendations include expanding access to antiretroviral treatment, strengthening prevention services for at-risk groups, and implementing proven interventions like condom promotion and harm reduction programs. 3. Achieving the UNAIDS 90-90-90 targets of diagnosing 90% of HIV cases, treating 90% of those diagnosed, and virally suppressing 90% of those treated is an important goal.
Women & Girls: Behavioral Health, HIV, HEP and more Alton King
Whether at home or abroad, women and girls are feeling the lopsided effects of HIV. Put another way, nearly 1,000 young women are newly infected with HIV daily. Trauma and intimate
partner violence (IPV) are but numerous factors driving this epidemic. SAMHSA is undertaking a multifaceted approach to engage behavioral health issues, the SAVA syndemic, and the opioid epidemic through innovative behavioral health programs.
Leandro Mena, MD, MPH
Chair and Professor of Population Health Science
Department of Population Health Science
University of Mississippi Medical Center
Women & Girls: Behavioral Health, HIV, HEP and more Alton King
Whether at home or abroad, women and girls are feeling the lopsided effects of HIV. Put another way, nearly 1,000 young women are newly infected with HIV daily. Trauma and intimate
partner violence (IPV) are but numerous factors driving this epidemic. SAMHSA is undertaking a multifaceted approach to engage behavioral health issues, the SAVA syndemic, and the opioid epidemic through innovative behavioral health programs.
Leandro Mena, MD, MPH
Chair and Professor of Population Health Science
Department of Population Health Science
University of Mississippi Medical Center
Testicular cancer for public awareness by Dr RubzDr. Rubz
A presentation prepared for Charity Dinner with Fun Charity. All the profits of the event will go to FReHA (a NGO which supports women's and reproductive health.)
NATIONAL AIDS CONTROL PROGRAM
1992- - NACP 1 launched to show down the spread of HIV infection
- national AIDS control board constituted
- NACO setup
1999- - NACP 2 begins focusing on behaviour change , increased decentralization and NGO involvement.
- state AIDS control societies developed .
2002- - national AIDS control policy adopted.
- national blood policy adopted.
2004- - antiretroviral treatment initiated .
2006- - national council on AIDS constituted under chairmanship of prime minister.
- national policy on paediatric ART formulated.
2007- - NACP 3 launched for years (2007-2012)
2012- - NACP 4 launched for next 5 years
This presentation discusses:
Why it is a Global Health Issue?
Difference between HIV and AIDS?
Signs and Symptoms
Routes of Transmission
Risk factors
Diagnosis
Prevention
Treatment
Epidemiology of HIV & AIDS.pptx presentation 2024Motahar Alam
Epidemiology of HIV/AIDS encompasses the study of the distribution and determinants of HIV infection and AIDS-related illnesses within populations. HIV (Human Immunodeficiency Virus) is the virus that causes AIDS (Acquired Immunodeficiency Syndrome), a condition characterized by a weakened immune system, making individuals susceptible to various infections and illnesses.
Key aspects of the epidemiology of HIV/AIDS include:
Prevalence and Incidence: Prevalence refers to the total number of people living with HIV/AIDS within a population at a specific time, while incidence refers to the rate of new infections occurring within a given period. These measures help understand the burden of the disease and its spread over time.
Demographic Patterns: HIV/AIDS affects different demographic groups differently. Factors such as age, gender, race/ethnicity, socioeconomic status, and geographical location can influence susceptibility, access to healthcare, and outcomes. For example, in many regions, young adults and certain minority populations may have higher rates of infection.
Transmission Routes: Understanding how HIV is transmitted is crucial for prevention efforts. HIV primarily spreads through unprotected sexual intercourse, sharing contaminated needles or syringes, and from mother to child during childbirth or breastfeeding. Other modes of transmission include blood transfusions (though rare in regions with screening protocols) and occupational exposure.
Risk Factors: Certain behaviors and circumstances increase the risk of HIV transmission. These include having multiple sexual partners, engaging in unprotected sex, using intravenous drugs, lack of access to healthcare, poverty, stigma, and discrimination. Additionally, structural factors such as laws and policies can influence risk behaviors and access to prevention and treatment services.
Global Distribution: HIV/AIDS is a global pandemic, but its prevalence varies widely between countries and regions. Sub-Saharan Africa remains the most affected, with the highest burden of HIV infections worldwide. However, significant progress has been made in some regions, while new challenges emerge in others, such as Eastern Europe and Central Asia.
Progress in Prevention and Treatment: Efforts to combat HIV/AIDS include prevention strategies such as promoting condom use, harm reduction programs for injecting drug users, pre-exposure prophylaxis (PrEP), and comprehensive sexual education. Antiretroviral therapy (ART) has transformed HIV/AIDS into a manageable chronic condition for many, reducing mortality and transmission rates.
Challenges and Future Directions: Despite significant progress, challenges remain in the global response to HIV/AIDS. These include disparities in access to healthcare, stigma and discrimination, funding gaps, emergence of drug-resistant strains, and persistent barriers to prevention and treatment in certain populations.
Fast-track the end of AIDS in the EU - practical evidence-based interventions.
Presentation by: Annette Verster, WHO
In a two-day meeting under the auspices of the Maltese Presidency of the Council of the European Union (30-31 January 2017), HIV experts from across the European Union discussed how to reverse this trend and how to prepare Europe to achieve the set target of ending AIDS by 2030.
Acquired immunodeficiency syndrome (AIDS) is a chronic, potentially life-threatening condition caused by the human immunodeficiency virus (HIV). By damaging your immune system, HIV interferes with your body's ability to fight infection and disease.
The National AIDS Control Programme (NACP), launched in 1992, is being implemented as a comprehensive programme for prevention and control of HIV/AIDS in India. Over time, the focus has shifted from raising awareness to behavior change, from a national response to a more decentralized response and to increasing involvement of NGOs and networks of PLHIV.
HIV discrimination among health providers in Malaysia by Dr RubzDr. Rubz
Although doctors took oath that they will treat everyone the best they can and without judging anyone but discrimination still exist especially in HIV affected people. Due to this issue, Pertubuhan Advokasi Masyarakat Terpinggir Malaysia has taken a step to engage with doctors at government sector and desensitize them and find the line to stand together.
Prostate cancer for public awareness by DR RUBZDr. Rubz
A presentation prepared for Charity Dinner with Fun Charity. All the profits of the event will go to FReHA (a NGO which supports women's and reproductive health.)
Breast Cancer for public awareness by Dr RubzDr. Rubz
A presentation prepared for Charity Dinner with Fun Charity. All the profits of the event will go to FReHA (a NGO which supports women's and reproductive health.)
This is the first phase (qualitative) of the current project we are working on with the supervision of University Malaya and Yale School of Medicine.It will be publish as IBBS 2013 by end of the year. This slide is just a rough picture of what we are doing at the moment. This is copyright protected!
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
Game Changer by Dr Shaari Ngadiman
1. WHAT NEED TO BE DONE
GAME CHANGER – PAST AND FUTURE
MINISRY OF HEALTH MALAYSIA
2. Reported HIV and AIDS-related deaths, Malaysia 1986
– 2014 (Jan-Jun)
Cumulative HIV = 103,348
Cumulative deaths = 16,742
PLHIV (end of 2013) = 86,606
3. Reported HIV cases by mode of transmission and
PWID/Sexual transmission ratio, Malaysia 2000-2013
8. Cascade for HIV treatment and care, Malaysia, 2013
85,322
59,725
17,202
14,622
10,235
5,118
0
50,000
100,000
Diagnosed PLHIV Enrolled in care Initiated ART Retained on ART
after 12 months
Received viral load
test
Suppressed viral
load*
Number
* Number of patients initiating ART who are still on ART at 12 months
and have VL of <1000copies/ml
263.0 245.4
370.8
333.9
0.0
50.0
100.0
150.0
200.0
250.0
300.0
350.0
400.0
450.0
500.0
National Melaka
Historical City
Kuantan Kota Kinabalu
MedianCD4atARTinitiation
10. WHAT WE ALREADY KNOW
Reducing trend
Predominantly male
Increasing female but slow
Majority PLHIV : PWID
Sexual transmission… past 3 years >50% new
cases:
Heterosexual (majority)
MSM
Age group….maintained
ARV coverage….. 52.2% (2014 June)
11. WHAT WE ALREADY KNOW
Screening
Accessibility good
Numbers improving
But ….. KP may be still not reached
Workable intervention
Need aggressive intervention….
16. NEW TREATMENT TARGET FOR 2020
90% PLHIV know their status
90% diagnosed with HIV receive sustained ART
90% of all who receiving ART will have viral
suppression
90-90-90
17. FAST TRACK STRATEGY
Provide life saving HIV treatment
Every 10% increase in treatment coverage, there is 1%
decline of new infection
Treatment as prevention……….
Treatment to discordant married couple
Option B+ to pregnant mothers
Strengthen & Bold prevention services for KP
Reach them
Community testing …..T&T ….. Referral guideline
MSM & reaching hidden MSM
18. FAST TRACK STRATEGY
Targeted intervention at high HIV prevalence
Priority areas
Implement proven interventions
Condoms
Harm Reductions
Male circumcision
Appropriate massage esp. on SRH
Consolidated effort eg. CGZ
20. SUMMARY OF KEY INTERVENTIONS
HIV PREVENTION STATUS
1. The correct and consistent use of condoms with condom-compatible lubricants is
recommended for all key populations to prevent sexual transmission of HIV and
sexually transmitted infections (STIs).
2. Among men who have sex with men, PrEP is recommended as additional HIV
prevention choice within a comprehensive HIV prevention package. (NR)
3. Where sero-discordant couples can be identified and where additional HIV
prevention choices for them are needed, daily oral PrEP (specifically tenofovir or
the combination of tenofovir and emtricitabine) may be considered as a possible
additional intervention for the uninfected partner
4. PEP should be available to all eligible people from key populations on a
voluntary basis after possible exposure to HIV.
5. Voluntary medical male circumcision is recommended as an additional, important
strategy for the prevention of heterosexually acquired HIV infection in men,
particularly in settings with hyper-endemic and generalized HIV epidemics and
low prevalence of male circumcision.
21. SUMMARY OF KEY INTERVENTIONS
HARM REDUCTION FOR PWID STATUS
6. All people from key populations who injects drugs should have access to
sterile injecting equipment through needle and syringe programmes
7. All people from key populations who are dependent on opioids should
be offered and have access to opioid substitution therapy
8. All people from key populations with harmful alcohol or other substance
use should have access to evidence-based interventions, including brief
psycho-social interventions involving assessment, specific feedback and
advice.
9. People likely to witness an opioid overdose should have access to
naloxone and be instructed in its use for emergency management of
suspected opioid overdose. NR
22. SUMMARY OF KEY INTERVENTIONS
HIV TESTING AND COUNSELLING (HTC) STATUS
10. Voluntary HTC should be routinely offered to all key populations both
in the community and in clinical settings. Community-based HIV testing
and counselling for key populations linked to prevention, care and
treatment services, is recommended, in addition to PITC.
HIV TREATMENT AND CARE
11. Key populations living with HIV should have the same access to ART and
ART managements as other populations
12. All pregnant women from key populations should have the same access
to services for PMTCT and follow the same recommendations as women
in other populations
23. SUMMARY OF KEY INTERVENTIONS
PREVENTION AND MANAGEMENT OF CO-INFECTION AND
C0-MORBIDITIES
STATUS
13. Key populations should have the same access to TB prevention,
screening and treatment services as other populations at risk of or
living with HIV.
14. Key populations should have the same access to hepatitis B and C
prevention, screening and treatment services as other populations at
risk of or living with HIV.
15. Routine screening and management of mental health disorders
(depression and psycho-social stress) should be provided for people
from key populations living with HIV in order to optimize health
outcomes and improve their adherence to ART. Management can range
from co-counselling for HIV and depression to appropriate medical
therapies.
24. SUMMARY OF KEY INTERVENTIONS
SEXUAL AND REPRODUCTIVE HEALTH STATUS
16. Screening, diagnosis and treatment of STI should be offered routinely
as part of comprehensive HIV prevention and care for key populations.
17. People from key populations, including those living with HIV, should be
able to experience full, pleasurable sex lives and have access to range
of reproductive options.
18. Abortion laws and services should protect the health and human rights
of all women, including those from key populations.
19. It is important to offer cervical cancer screening to all women from key
populations.
20. It is important that all women from key populations have the same
support and access to services related to conception and pregnancy
care, as women from other groups.
25. WHAT ELSE
Depend on us
Sit and discuss
Understand the epidemiology
Design appropriately
Deliver
Sustain
Review regularly including M&E
Adjust accordingly for the need.