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Is HIV and AIDS the
same thing?
Chapter 21.1 Key Terms
• Human Immunodeficiency Virus (HIV)- virus
that primarily infects cells of the immune system
and that causes AIDS
• Acquired Immune Deficiency Syndrome (AIDS)-
disease that is caused by HIV infection, which
weakens the immune system
• Pandemic- disease that spreads quickly through
human populations all over the world
HIV
• “Human Immunodeficiency Virus”
• A specific type of virus (a retrovirus)
• HIV invades the helper T cells to replicate itself.
• No Cure
AIDS
• Acquired Immunodeficiency Syndrome
• HIV is the virus that causes AIDS
• Disease limits the body’s ability to fight infection
• A person with AIDS has a very weak immune system
• No Cure
Chapter 21.2 Key Terms
• Helper T Cell- white blood cell that activates the
immune response and that is the primary target
cell of HIV infection
• Opportunistic Infection- illness due to an
organism that causes disease in people with
weakened immune systems; commonly found in
AIDS patients
• Asymptomatic stage- infection in which the
infectious agent, such as HIV, is present but
there are few or no symptoms of the infection
Three Phases of HIV
Phase 1- Asymptomatic
Stage
• Short, flu-like illness, swollen glands, fatigue, diarrhea, weight
loss, or fevers - occurs one to six weeks after infection
• no symptoms at all
• Infected person can infect other people
• Lasts for an average of ten years
• HIV antibodies are detectable in the blood
Phase 2 - Symptomatic
• The symptoms worsen
• Mental changes, forgetfulness & abnormal thinking patterns
Phase 3 - HIV  AIDS
• Immune system
weakens
• Emergence of
opportunistic infections
and cancers
• The illnesses become
more severe leading to
an AIDS diagnosis
Opportunistic Infections associated
with AIDS
• Bacterial
• Tuberculosis (TB)
• Pneumocystis pneumonia
• Viral
• Kaposi Sarcoma-purple-red
blotches on the skin
• Influenza (flu)
Modes of HIV/AIDS
Transmission
Through Bodily Fluids
• Blood products
• Semen
• Vaginal fluids
• Breast Milk
Through IV Drug Use
• Sharing Needles
• Without sterilization
• Increases the chances of contracting HIV
Through Sex
• Intercourse (penile penetration into the vagina)
• Oral
• Anal
• Digital Sex
Mother-to-Baby
• Before Birth
• During Birth
• Postpartum
• After the birth
Chapter 21.3 Key Terms
• Universal Precautions- set of procedures used to
avoid contact with body fluids & to reduce the
risk of spreading HIV & other diseases
• HIV-antibody test- detects HIV antibodies to
determine if a person has been infected with
HIV
• HIV Positive- person who tests positive in 2
different HIV tests
• Drug Combination Therapy- AIDS treatment
program in which patients regularly take more
than one drug
Testing Options for
HIV
Anonymous Testing
• No name is used
• Unique identifying number
• Results issued only to test recipient
23659874515
Anonymous
Confidential Testing
• Person’s name is recorded along with HIV results
• Name and positive results are reported to the State
Department and the Centers for Disease Control and
Prevention
• Results issued only to test recipient
Oral Testing
• Orasure
• The only FDA approved HIV
antibody.
• As accurate as blood testing
• Draws blood-derived fluids from the
gum tissue.
• NOT A SALIVA TEST!
T cell count test
• Shows the strength of a patient’s immune system
• This test can also tell whether a person has
developed AIDS
Viral load test
• Measures of the number of viruses in the blood
• The higher the viral load, the more infectious the
person’s body fluids are likely to be and the closer
that person is to having AIDS
Retest
• Should be retested 6 months after the first test
• An initial negative test can be misleading if the test is
done too soon after infection
Treatment Options
Three ways to protect yourself?
• Practice abstinence
• Avoid multiple partners- Monogamous Relationship
• Don’t share needles, syringes, drug injection
equipment, or any item that may put a person in
contact with blood
Abstinence
• It is the only 100 % effective method of not acquiring
HIV/AIDS.
• Refraining from sexual contact: oral, anal, or vaginal.
• Refraining from intravenous drug use
Monogamous relationship
• A mutually monogamous (only one sex partner)
relationship with a person who is not infected with
HIV
• HIV testing before intercourse is necessary to prove
your partner is not infected
Protected Sex
• Use condoms (female or male) every time you have sex (vaginal
or anal)
• Always use latex or polyurethane condom (not a natural skin
condom)
• Always use a latex barrier during oral sex
When Using A Condom
Remember To:
• Make sure the package is not expired
• Make sure to check the package for damages
• Do not open the package with your teeth for risk of tearing
• Never use the condom more than once
HIV/ AIDS drugs
• Side effects include kidney & liver damage
• 30% of people who start taking some of these drugs
become so sick they have to stop taking them
GLOBAL HIV STATISTICS
 37.7 million [30.2 million–45.1 million] people globally were living with
HIV in 2020.
 1.5 million [1.0 million–2.0 million] people became newly infected with
HIV in 2020.
 680 000 [480 000–1.0 million] people died from AIDS-related illnesses
in 2020.
 27.5 million [26.5 million–27.7 million] people were accessing
antiretroviral therapy in 2020.
 79.3 million [55.9 million–110 million] people have become infected with
HIV since the start of the epidemic.
 36.3 million [27.2 million–47.8 million] people have died from AIDS-
related illnesses since the start of the epidemic.
People living with
HIV
 In 2020, there were 37.7 million [30.2 million–45.1
million] people living with HIV.
o 36.0 million [28.9 million–43.2 million] adults.
o 1.7 million [1.2 million–2.2 million] children (0–14
years).
o 53% of all people living with HIV were women and
girls.
 84% [67– >98%] of all people living with HIV knew
their HIV status in 2020.
GLOBAL HIV STATISTICS
• 26.0 million [25.1 million–26.2 million] people were accessing antiretroviral
therapy
• as of the end of June 2020.
• 38.0 million [31.6 million–44.5 million] people globally were living with
HIV in 2019.
• 1.7 million [1.2 million–2.2 million] people became newly infected with
HIV in 2019.
• 690 000 [500 000–970 000] people died from AIDS-related illnesses in
2019.
• 75.7 million [55.9 million–100 million] people have become infected with
HIV since the start of the
• epidemic (end 2019).
• 32.7 million [24.8 million–42.2 million] people have died from AIDS-
related illnesses since the start
• of the epidemic (end 2019).
AIDS-related deaths
AIDS-related deaths have been reduced by 64%
since the peak in 2004 and by 47% since 2010.
In 2020, around 680 000 [480 000–1 million]
people died from AIDS-related illnesses
worldwide, compared to 1.9 million [1.3
million–2.7 million] people in 2004 and
1.3 million [910 000–1.9 million] people in
2010.
AIDS-related mortality has declined by 53% among
women and girls and by 41% among men and boys
since 2010.
HIV/tuberculosis (TB)
.
TB remains the leading cause of death among people living with HIV,
accounting for
around one in three AIDS-related deaths.
.
In 2018, an estimated 10.0 million [9.0 million–11.1 million] people
developed TB
disease, approximately 9% of whom were living with HIV.
-
People living with HIV with no TB symptoms need TB preventative
therapy, which lessens the risk of developing TB and reduces TB/HIV
death rates by around 40%.
-
1.8 million people living with HIV across 65 countries started preventive
treatment for
TB in 2018.
.
It is estimated that 44% of people living with HIV and TB are unaware of
their coinfection and are therefore not receiving care.
GLOBAL HIV STATISTICS
• 37.7 million [30.2 million–45.1 million] people
globally were living with HIV in 2020.
• 1.5 million [1.0 million–2.0 million] people
became newly infected with HIV in 2020.
• 680 000 [480 000–1.0 million] people died
from AIDS-related illnesses in 2020.
• 27.5 million [26.5 million–27.7 million] people
were accessing antiretroviral therapy in 2020.
• 79.3 million [55.9 million–110 million] people
have become infected with HIV since the start of the
epidemic.
• 36.3 million [27.2 million–47.8 million] people
have died from AIDS-related illnesses since the start
of the epidemic.
People living with HIV
• In 2020, there were 37.7 million [30.2
million–45.1 million] people living with HIV.
o 36.0 million [28.9 million–43.2 million]
adults.
o 1.7 million [1.2 million–2.2 million] children
(0–14 years).
o 53% of all people living with HIV were
women and girls.
• 84% [67– >98%] of all people living with
HIV knew their HIV status in 2020.
Province Number of people living with HIV Prevalence
KwaZulu-Natal 2029470 18.23%
Gauteng 1912590 13.05%
Eastern Cape 859329 13.04%
Mpumalanga 705174 15.41%
North West 524593 13.59%
Limpopo 515091 8.99%
Western Cape 452210 6.76%
Free State 419631 14.62%
Northern Cape 81778 7.13%
What percentage of the
population is living with HIV in
each province
Province District People living with HIV- 2016 estimates (Number) People living with HIV- 2017
estimates (Number) Increase/decrease in the number of People living with HIV between 2016 –
2017 Percentage increase in People living with HIV between 2016 – 2017
Western Cape
Cape Town 300 424 311 469 11 045 3.7
Cape Winelands 48 348 49 738 1 390 2.9
Eden 38 886 37 839 -1 047 -2.7
West Coast 19 683 20 383 700 3.6
Central Karoo 1 842 2 577 735 39.9
Overberg 12 569 14 764 2 195 17.5
Total 421 752 436 771 15 019 3.6
South Africa 6 966 273 7 109 879 143 606 2.1
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Aids present

  • 1.
  • 2. Is HIV and AIDS the same thing?
  • 3. Chapter 21.1 Key Terms • Human Immunodeficiency Virus (HIV)- virus that primarily infects cells of the immune system and that causes AIDS • Acquired Immune Deficiency Syndrome (AIDS)- disease that is caused by HIV infection, which weakens the immune system • Pandemic- disease that spreads quickly through human populations all over the world
  • 4. HIV • “Human Immunodeficiency Virus” • A specific type of virus (a retrovirus) • HIV invades the helper T cells to replicate itself. • No Cure
  • 5. AIDS • Acquired Immunodeficiency Syndrome • HIV is the virus that causes AIDS • Disease limits the body’s ability to fight infection • A person with AIDS has a very weak immune system • No Cure
  • 6. Chapter 21.2 Key Terms • Helper T Cell- white blood cell that activates the immune response and that is the primary target cell of HIV infection • Opportunistic Infection- illness due to an organism that causes disease in people with weakened immune systems; commonly found in AIDS patients • Asymptomatic stage- infection in which the infectious agent, such as HIV, is present but there are few or no symptoms of the infection
  • 8. Phase 1- Asymptomatic Stage • Short, flu-like illness, swollen glands, fatigue, diarrhea, weight loss, or fevers - occurs one to six weeks after infection • no symptoms at all • Infected person can infect other people • Lasts for an average of ten years • HIV antibodies are detectable in the blood
  • 9. Phase 2 - Symptomatic • The symptoms worsen • Mental changes, forgetfulness & abnormal thinking patterns
  • 10. Phase 3 - HIV  AIDS • Immune system weakens • Emergence of opportunistic infections and cancers • The illnesses become more severe leading to an AIDS diagnosis
  • 11. Opportunistic Infections associated with AIDS • Bacterial • Tuberculosis (TB) • Pneumocystis pneumonia • Viral • Kaposi Sarcoma-purple-red blotches on the skin • Influenza (flu)
  • 13. Through Bodily Fluids • Blood products • Semen • Vaginal fluids • Breast Milk
  • 14. Through IV Drug Use • Sharing Needles • Without sterilization • Increases the chances of contracting HIV
  • 15. Through Sex • Intercourse (penile penetration into the vagina) • Oral • Anal • Digital Sex
  • 16. Mother-to-Baby • Before Birth • During Birth • Postpartum • After the birth
  • 17. Chapter 21.3 Key Terms • Universal Precautions- set of procedures used to avoid contact with body fluids & to reduce the risk of spreading HIV & other diseases • HIV-antibody test- detects HIV antibodies to determine if a person has been infected with HIV • HIV Positive- person who tests positive in 2 different HIV tests • Drug Combination Therapy- AIDS treatment program in which patients regularly take more than one drug
  • 19. Anonymous Testing • No name is used • Unique identifying number • Results issued only to test recipient 23659874515 Anonymous
  • 20. Confidential Testing • Person’s name is recorded along with HIV results • Name and positive results are reported to the State Department and the Centers for Disease Control and Prevention • Results issued only to test recipient
  • 21. Oral Testing • Orasure • The only FDA approved HIV antibody. • As accurate as blood testing • Draws blood-derived fluids from the gum tissue. • NOT A SALIVA TEST!
  • 22. T cell count test • Shows the strength of a patient’s immune system • This test can also tell whether a person has developed AIDS
  • 23. Viral load test • Measures of the number of viruses in the blood • The higher the viral load, the more infectious the person’s body fluids are likely to be and the closer that person is to having AIDS
  • 24. Retest • Should be retested 6 months after the first test • An initial negative test can be misleading if the test is done too soon after infection
  • 26. Three ways to protect yourself? • Practice abstinence • Avoid multiple partners- Monogamous Relationship • Don’t share needles, syringes, drug injection equipment, or any item that may put a person in contact with blood
  • 27. Abstinence • It is the only 100 % effective method of not acquiring HIV/AIDS. • Refraining from sexual contact: oral, anal, or vaginal. • Refraining from intravenous drug use
  • 28. Monogamous relationship • A mutually monogamous (only one sex partner) relationship with a person who is not infected with HIV • HIV testing before intercourse is necessary to prove your partner is not infected
  • 29. Protected Sex • Use condoms (female or male) every time you have sex (vaginal or anal) • Always use latex or polyurethane condom (not a natural skin condom) • Always use a latex barrier during oral sex
  • 30. When Using A Condom Remember To: • Make sure the package is not expired • Make sure to check the package for damages • Do not open the package with your teeth for risk of tearing • Never use the condom more than once
  • 31. HIV/ AIDS drugs • Side effects include kidney & liver damage • 30% of people who start taking some of these drugs become so sick they have to stop taking them
  • 32. GLOBAL HIV STATISTICS  37.7 million [30.2 million–45.1 million] people globally were living with HIV in 2020.  1.5 million [1.0 million–2.0 million] people became newly infected with HIV in 2020.  680 000 [480 000–1.0 million] people died from AIDS-related illnesses in 2020.  27.5 million [26.5 million–27.7 million] people were accessing antiretroviral therapy in 2020.  79.3 million [55.9 million–110 million] people have become infected with HIV since the start of the epidemic.  36.3 million [27.2 million–47.8 million] people have died from AIDS- related illnesses since the start of the epidemic.
  • 33. People living with HIV  In 2020, there were 37.7 million [30.2 million–45.1 million] people living with HIV. o 36.0 million [28.9 million–43.2 million] adults. o 1.7 million [1.2 million–2.2 million] children (0–14 years). o 53% of all people living with HIV were women and girls.  84% [67– >98%] of all people living with HIV knew their HIV status in 2020.
  • 34. GLOBAL HIV STATISTICS • 26.0 million [25.1 million–26.2 million] people were accessing antiretroviral therapy • as of the end of June 2020. • 38.0 million [31.6 million–44.5 million] people globally were living with HIV in 2019. • 1.7 million [1.2 million–2.2 million] people became newly infected with HIV in 2019. • 690 000 [500 000–970 000] people died from AIDS-related illnesses in 2019. • 75.7 million [55.9 million–100 million] people have become infected with HIV since the start of the • epidemic (end 2019). • 32.7 million [24.8 million–42.2 million] people have died from AIDS- related illnesses since the start • of the epidemic (end 2019).
  • 35. AIDS-related deaths AIDS-related deaths have been reduced by 64% since the peak in 2004 and by 47% since 2010. In 2020, around 680 000 [480 000–1 million] people died from AIDS-related illnesses worldwide, compared to 1.9 million [1.3 million–2.7 million] people in 2004 and 1.3 million [910 000–1.9 million] people in 2010. AIDS-related mortality has declined by 53% among women and girls and by 41% among men and boys since 2010.
  • 36.
  • 37. HIV/tuberculosis (TB) . TB remains the leading cause of death among people living with HIV, accounting for around one in three AIDS-related deaths. . In 2018, an estimated 10.0 million [9.0 million–11.1 million] people developed TB disease, approximately 9% of whom were living with HIV. - People living with HIV with no TB symptoms need TB preventative therapy, which lessens the risk of developing TB and reduces TB/HIV death rates by around 40%. - 1.8 million people living with HIV across 65 countries started preventive treatment for TB in 2018. . It is estimated that 44% of people living with HIV and TB are unaware of their coinfection and are therefore not receiving care.
  • 38. GLOBAL HIV STATISTICS • 37.7 million [30.2 million–45.1 million] people globally were living with HIV in 2020. • 1.5 million [1.0 million–2.0 million] people became newly infected with HIV in 2020. • 680 000 [480 000–1.0 million] people died from AIDS-related illnesses in 2020. • 27.5 million [26.5 million–27.7 million] people were accessing antiretroviral therapy in 2020. • 79.3 million [55.9 million–110 million] people have become infected with HIV since the start of the epidemic. • 36.3 million [27.2 million–47.8 million] people have died from AIDS-related illnesses since the start of the epidemic.
  • 39. People living with HIV • In 2020, there were 37.7 million [30.2 million–45.1 million] people living with HIV. o 36.0 million [28.9 million–43.2 million] adults. o 1.7 million [1.2 million–2.2 million] children (0–14 years). o 53% of all people living with HIV were women and girls. • 84% [67– >98%] of all people living with HIV knew their HIV status in 2020.
  • 40.
  • 41. Province Number of people living with HIV Prevalence KwaZulu-Natal 2029470 18.23% Gauteng 1912590 13.05% Eastern Cape 859329 13.04% Mpumalanga 705174 15.41% North West 524593 13.59% Limpopo 515091 8.99% Western Cape 452210 6.76% Free State 419631 14.62% Northern Cape 81778 7.13%
  • 42. What percentage of the population is living with HIV in each province
  • 43. Province District People living with HIV- 2016 estimates (Number) People living with HIV- 2017 estimates (Number) Increase/decrease in the number of People living with HIV between 2016 – 2017 Percentage increase in People living with HIV between 2016 – 2017 Western Cape Cape Town 300 424 311 469 11 045 3.7 Cape Winelands 48 348 49 738 1 390 2.9 Eden 38 886 37 839 -1 047 -2.7 West Coast 19 683 20 383 700 3.6 Central Karoo 1 842 2 577 735 39.9 Overberg 12 569 14 764 2 195 17.5 Total 421 752 436 771 15 019 3.6 South Africa 6 966 273 7 109 879 143 606 2.1