2015 Sessions: 90 90-90 fast-track targets for 2020
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The document discusses UNAIDS' 90-90-90 targets for 2020 to end the AIDS epidemic. It notes that while new HIV infections and AIDS-related deaths have declined since 2001, treatment scale-up remains slow with only half of people living with HIV estimated to access treatment by 2015. It advocates for integrated active case management strategies to accelerate case detection, maximize retention, and deploy viral load testing to meet the fast-track 90-90-90 targets by 2020 in order to end the AIDS epidemic in Asia and the Pacific region by 2030.
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- Viral load suppression rates could not be fully assessed due to low rates of viral load completion among eligible patients.
- Namibia has successfully integrated EWI monitoring into its ART program. Improvement areas include patient adherence, retention, medication availability, and viral load monitoring. Corrective actions are being implemented.
Tb recent updates
Global TB burden updates provide information on the TB situation globally and in India. Key points include:
- India accounts for over a quarter of the global TB burden, with an estimated 28 lakh incident cases in 2016 and 4.2 lakh deaths.
- WHO has revised their estimates of India's TB burden upwards based on new evidence, though the trend still shows a decline in incidence and mortality.
- India has achieved the MDG target of reducing prevalence and mortality by 50%, but a huge burden remains, especially among economically productive groups.
- The government of India's strategic vision is to achieve a TB-free India by 2025 through universal access to quality diagnosis and treatment.
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This presentation was given by Professor Russell Stothard on 27th June 2019 during Nigeria's 1st International Scientific Conference on NTDs Control and Elimination in Nigeria
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The US President's Emergency Plan for AIDS Relief (PEPFAR) is changing its strategy for supporting Uganda's HIV response in 2016. PEPFAR currently funds over 80% of Uganda's HIV programs but cannot sustain testing and treating everywhere due to limited resources. It will focus on specific populations and areas with higher HIV prevalence to implement the UNAIDS 90-90-90 approach. PEPFAR will maintain current patients on treatment but may redirect resources to targeted districts and populations. While celebrating 11 years of assistance, PEPFAR's major achievements include supporting treatment for 644,000 Ugandans and safe male circumcision for over 1.9 million. However, HIV rates remain high and Uganda needs to increase its own funding
Introduction of the annual report 2015 - English
Introduction to the work of WHO in the Eastern Mediterranean Region: Annual report of the Regional Director 1 January–31 December 2015
national aids control program phase IV
NACP IV aims to halt and reverse the HIV epidemic in India from 2014-2019. Key strategies include intensifying prevention services for high-risk groups, increasing access to comprehensive care and treatment, expanding IEC services, building program capacities, and strengthening strategic information management systems. The goal is to reduce new HIV infections by 50% from the 2007 baseline. Prevention efforts will focus on high-risk groups like female sex workers, while care, support and treatment will be expanded through more ART centers and linkage to health services.
NACP Basics
This document summarizes the National AIDS Control Programme (NACP) in India. It discusses the four phases of NACP from 1992 to 2024, which aim to prevent new HIV infections and provide treatment. Key aspects of NACP include targeted interventions for high-risk groups, integrated counseling and testing centers, prevention of parent-to-child transmission, post-exposure prophylaxis, coordination with tuberculosis programs, and World Health Organization treatment guidelines. The document also outlines the structure of the National AIDS Control Organization.
PPT Castelli "Dall'HIV all'AIDS fino alla coinfezione: una diagnosi difficile?"
This document discusses the challenges of diagnosing HIV, AIDS, and co-infections. It notes that distinguishing between HIV infection, AIDS, and co-infections can be difficult. Point-of-care rapid tests have helped increase HIV testing, though they cannot identify acute HIV infections. The document emphasizes the importance of confirming positive rapid HIV tests with supplemental tests due to the potential for false positives in low prevalence populations.
Global and Indian plan to End TB
- TB is the 9th leading cause of death worldwide, with India leading the count of cases and deaths.
- WHO's END TB Strategy and UN SDGs aim to end the global TB epidemic by 2035, reducing incidence by 90% and deaths by 95% from 2015 levels.
- India's NSP 2017-2025, aligned with global strategies, aims to eliminate TB in India by 2025 through a framework with 4 pillars - Detect, Treat, Prevent, Build.
- The strategy calls for multi-sectoral participation from all stakeholders to reach the last person with TB and make India TB-free through improved diagnosis, treatment, social support and an enabling policy environment.
National Tuberculosis Elimination Programme.pptx
RNTCP is renamed as a NTEP (National Tuberculosis Control Programme) --> to reach the SDG target of TB Elimination
Similar to 2015 Sessions: 90 90-90 fast-track targets for 2020 (20)
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SS 2017: National Programme for Tuberculosis Control and Chest Diseases-NPTCCD
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current hiv situation in india and national aids control programme an overview
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Sexual Health a life cycle perspective
The document discusses neuroplasticity and rapid maturation in the teen brain related to independence, identity, peer approval and sex. It also discusses how slow developing brain input influences neuronal wiring and the power of pornography. Finally, it outlines the typical stages of the sexual response cycle from emotional intimacy and neutrality to arousal, desire, and satisfaction or orgasm.
SS2017: Understanding gender identity
This document discusses topics related to gender identity and transgender health. It provides definitions for terms like cisgender, transgender, gender non-binary, gender fluid, and gender spectrum. It examines theories of gender identity development and discusses challenges faced by the transgender community, like higher risks for HIV and other STIs. Guidelines are presented for screening and risk assessment of transgender individuals to address their specific healthcare needs. References are also provided for further reading.
SS 2017: Challenges in Hepatitis B Vaccination
1) Hepatitis B vaccination faces several challenges, including ensuring safety, demonstrating efficacy of recombinant vaccines, determining duration of protection, addressing cost and non-responders.
2) Studies showed plasma-derived and recombinant vaccines provided protection for decades, though antibody levels declined over time. Cellular immune responses persisted despite low antibody levels.
3) Global elimination of Hepatitis B is possible by 2090 through high coverage birth dose vaccination, treatment of high-risk groups, and developing a cure for chronic infection. However, this will require significant ongoing financial investment.
SS 2017: Treatment Updated on Hepatitis B or C co-infection
SS 2017: Treatment Updated on Hepatitis B or C co-infectionSri Lanka College of Sexual Health and HIV Medicine
This document summarizes information about hepatitis B and C co-infection with HIV. It notes that co-infection leads to faster progression of liver disease and higher rates of liver cancer and mortality. Treatment for both viruses is important, with newer regimens like tenofovir alafenamide having comparable efficacy to tenofovir disoproxil fumarate but being more tolerable with less bone and kidney toxicity. Achieving a sustained virologic response reduces complications of liver disease and improves overall health outcomes.SS 2017: Immunotherapy for Genital HPV
This document summarizes immunotherapy for genital HPV infection. It discusses the life cycle of HPV and how it avoids detection by the immune system. Immunotherapeutic strategies aim to make HPV antigens accessible to antigen-presenting cells to stimulate cytotoxic T-cells. Treatment options discussed include photodynamic therapy, cryotherapy, laser ablation, surgery, imiquimod cream, and intralesional immunotherapy with killed Mycobacterium w vaccine. A randomized clinical trial found that intralesional Mycobacterium w vaccine and topical imiquimod cream were similarly effective in clearing anogenital warts, though the vaccine was associated with a self-limiting granulomatous reaction.
SS 2017: Anal Cancer and its precursors and clinical implications
SS 2017: Anal Cancer and its precursors and clinical implications Sri Lanka College of Sexual Health and HIV Medicine
1) Anal cancer risk is greatly increased in people with HIV, especially gay and bisexual men with HIV who are at around 100 times higher risk compared to the general population.
2) HPV vaccination is recommended for those under 26 to prevent anal cancer and precancers, but there is no evidence of benefit in older populations.
3) If anal cancer precancers are found, there is no evidence that screening or treatment improves outcomes and treatments have very high failure rates.
4) An annual digital anal exam is recommended for MSM over 50 with HIV to aid early detection of anal cancer.SS 2017: Prevention of cervical cancer
Dr Chintana Hapuachchige
MBBS, MD, MRCOG
Consultant Gynaecological Oncologist, National Cancer Institute, Maharagama
SS 2017: Novel Strategies to Improve STI Screening
SS 2017: Novel Strategies to Improve STI ScreeningSri Lanka College of Sexual Health and HIV Medicine
Novel Strategies to Improve STI Screening discusses strategies to improve screening for sexually transmitted infections (STIs). It notes that early diagnosis of STIs is crucial but screening remains rare in resource-limited settings. The document discusses developing point-of-care tests that meet the WHO ASSURED criteria of being affordable, sensitive, specific, user-friendly, rapid, equipment-free and deliverable. It describes developing a DNA biosensor to detect Neisseria gonorrhoeae that shows potential to diagnose STIs in clinical samples sensitively and specifically. While integration with microfluidics and further clinical studies are needed, biosensors combined with communication technologies may help improve STI screening.SS 2017: The resistance march
Antimicrobial resistance has been an ongoing issue since the discovery of early antimicrobial treatments. Resistance first emerged in the early 1900s in Neisseria gonorrhoeae and has since developed to nearly all classes of antimicrobials used to treat it. Resistance is now widespread globally to previously effective drugs. New treatment guidelines must consider emerging resistance patterns and combine antimicrobials to preserve effectiveness. Ongoing surveillance is also needed to monitor resistance trends and ensure optimal treatment strategies.
SS 2017: Pre-exposure prophylaxis Sexually Transmitted Infections
SS 2017: Pre-exposure prophylaxis Sexually Transmitted InfectionsSri Lanka College of Sexual Health and HIV Medicine
PrEP has been successful in preventing HIV transmission but has led to increased bacterial STI rates. Research suggests PrEP using antibiotics may help control STIs by reducing transmission, though evidence is limited. Doxycycline treatment in one study reduced STI incidence in HIV+ men. However, widespread antibiotic use risks antimicrobial resistance. PrEP for STIs needs more research on effects and should be part of comprehensive prevention strategies that consider targeting, monitoring, and equity. It may contribute to global goals if risks like resistance are addressed.SS 2017: Syphilis in post elimination era - control strategies
SS 2017: Syphilis in post elimination era - control strategiesSri Lanka College of Sexual Health and HIV Medicine
Syphilis remains a major public health problem globally despite efforts to eliminate it. It is reemerging in many countries due to various factors like increased commercial sex work, migration, and lack of condom use. Prevalence is high among high-risk groups like sex workers, MSM, and drug users. While rates decreased in some areas like India and China in the 2000s, most regions have seen a rise in syphilis cases over the last decade. Enhanced screening, treatment, contact tracing and education of at-risk populations are needed to improve syphilis control and work towards elimination.SS 2017: Mycoplasma genitalium :“Status in South Asia”
SS 2017: Mycoplasma genitalium :“Status in South Asia”Sri Lanka College of Sexual Health and HIV Medicine
Sunil Sethi, Professor, STD division, Department of Medical Microbiology, Postgraduate Institute of Medical Education and Research, Chandigarh,India
SS 2017: Diagnosis of Vaginal Conditions
The document discusses the diagnosis of various vaginal conditions. It begins by covering vaginal physiology and changes that can occur over a woman's lifetime. It then discusses the most common physiological and pathological causes of vaginal symptoms, including infections like bacterial vaginosis, yeast, and trichomoniasis. The document provides details on evaluating patients with vaginal complaints through symptoms, clinical examination, pH, wet mount, gram stain, and other tests. It also provides examples of diagnostic approaches and classifications of common vaginal infections and conditions.
Detection of HIV-TB co infection New approaches
1. Early detection of HIV-TB co-infection is challenging but important as TB is a leading cause of death among people living with HIV. New diagnostic approaches like Xpert MTB/RIF can improve detection rates.
2. TB is more difficult to diagnose, spreads faster, and is more deadly in people living with HIV. The risk of developing active TB increases with lower CD4 counts.
3. Screening and testing algorithms along with new tests like Xpert MTB/RIF, LF-LAM, and treatment of latent TB are recommended to reduce the high TB mortality among people living with HIV.
CPD 2017: HIV Histopathology
This document discusses cancers that are more common among people living with HIV/AIDS compared to the general population. It notes that HIV weakens the immune system, making people more susceptible to infections that can lead to cancer. It highlights that HIV-positive individuals are at higher risk for cancers caused by viruses like Kaposi Sarcoma herpesvirus, Epstein-Barr virus, human papillomavirus, and hepatitis B and C. The introduction of antiretroviral therapy has reduced rates of Kaposi sarcoma and non-Hodgkin's lymphoma but not cervical cancer. Regular cancer screening is important for HIV-positive people according to guidelines.
2016 Sessions: Perinatal, Paediatric and adolescence: What are the HIV Priori...
2016 Sessions: Perinatal, Paediatric and adolescence: What are the HIV Priori...Sri Lanka College of Sexual Health and HIV Medicine
This document discusses several priorities related to perinatal, paediatric, and adolescent HIV. Priority 1 is early diagnosis of infant infection through tests like HIV DNA and RNA that can detect infection before antibodies are present. Priority 2 is ensuring appropriate paediatric HIV treatment formulations that are palatable, easy to administer, and stable for storage and transport. Priority 3 is obtaining long-term outcome data on rates of HIV transmission through breastfeeding while the mother is on combination antiretroviral therapy (cART). The document also discusses challenges in adolescent HIV including mental health issues, risk behaviors, and loss to follow up during transition from paediatric to adult care.2016 Sessions: 3 recent advances in oi management
2016 Sessions: 3 recent advances in oi managementSri Lanka College of Sexual Health and HIV Medicine
Sophia Archuleta, MD
Senior Consultant & HIV Program Director
National University Hospital, Singapore
2016 Sesions: Liver and HIV
Dr Upali Weragama MBBS(Pera), MD(Col), MRCP(UK), MAGA(USA)
Consultant Physician, Sri Lanka Police Hospital, Colombo
2016 Sessions: Mother to child transmission of HIV
2016 Sessions: Mother to child transmission of HIVSri Lanka College of Sexual Health and HIV Medicine
This document summarizes Sri Lanka's efforts to eliminate mother-to-child transmission of HIV from 2002 to the present. It outlines key milestones in Sri Lanka's prevention of mother-to-child transmission (PMTCT) program, including expanding antiretroviral treatment options for pregnant women and their babies over time. Charts show increasing HIV testing rates among pregnant women and decreasing numbers of babies born with HIV despite more women receiving PMTCT services. Sri Lanka aims to achieve elimination of mother-to-child transmission of HIV by the end of 2017.2016 Sessions: Strategic communication in HIV
Strategic communication is needed to achieve global and local HIV prevention goals. While Sri Lanka's HIV epidemic remains low, targeted interventions have reached thousands of high-risk groups. Recent data shows the majority of new HIV cases are from the general population. Therefore, mass communication programs targeting the general public through various media and life skills education are needed to significantly reduce new infections and end the AIDS epidemic by 2030, as required by global targets.
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- 1. 90-90-90 Fast Track Targets for 2020 20th Annual Scientific Sessions of the Sri Lanka College of Venereologists – 17th October 2015 Dr. Dayanath Ranatunga Country Manager – UNAIDS Sri Lanka
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- 4. New HIV Infections have Declined since 2001, but Remain Largely Unchanged in the Last 5 Years
- 5. Treatment has Accelerated, but ONLY HALF the People Living with HIV are Likely to Access Treatment by 2015
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- 9. 0 500 1000 1500 2000 2500 3000 3500 4000 Estimated PLHIV Diagnosed Treatments Category 4 Estimation 90 targets Actual reported Virally Suppressed Reported Date – Sri Lanka by 2014
- 10. However Scale-Up Rates are too Slow even with old targets – Better Strategies to Deploy Viral are Needed
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- 12. Regional Priorities to End the AIDS Epidemic by 2030
- 13. Ours Can be the First Region to End the AIDS Epidemic by 2030…but Strategic Fast-Track Actions are Required in the Next Five Years
- 14. Thank You