广东省艾滋病流行概况及预防控制策略brll

单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,广东省艾滋病流行概况及预防控制策略,General HIV/AIDS Epidemic Situation and Prevention Strategy in Guangdong,广东省艾滋病防治研究所,Guangdong Center for Disease Control,王晔,Wang Ye,November 20,2007,主要内容,Major contents,流行概况,Epidemic situation,HIV,流行率监测,HIV epidemic monitoring,吸毒者人群行为学监测,Behavior monitoring on drug users,问题与挑战,Problems and challenges,当前我省应采取的预防控制策略,Prevention and control strategies should be taken in our province at present,流行概况,Epidemic Situation,1986,年：发现首例境外,HIV,感染者；,In 1986:the first HIV infected case was found on a non-Guangdong person,1990,年：首次从出境归来的本省,HIV,感染者；,In 1990:the first HIV infected case was found on a Guangdong person returning from abroad,1996,年：首次从本省静脉吸毒者中检出,HIV,感染者：,In 1996:the first HIV infected case was tested from a Guangdong injected drug user,1986,1996,年：感染例数虽逐年有所上升，但仍呈较平稳的状态，年平均上升仅为,10.2%,，此后报告感染例数迅速增加：,1986-1996:infected cases are rising but still stable with an average rate of 10.2%,after this report the cases increase rapidly,2005,年：由于开展大筛查而达到高峰，年报告数为,5223,例：,In 2005:with the investigation reaching the summit,the cases are 5223 reported for this year.,2006,年维持平稳，当年报告,5180,例。,In 2006:the situation is stable and the reported cases are 5180.,流行概况,Epidemic Situation,2006,年底：,At the end of 2006:,累计报告,HIV,感染者,18207,例，,Accumulated reported HIV infected cases are 18207,AIDS,病人,1641,例，死亡,677,例。,AIDS patients are 1641 cases and 677 dead.,报告数居全国第五位。,The reported cases ranks No.5 throughout the nation.,据专家估计，我省到,2007,年底估计存活的,HIV,感染者约,4.9,万。,Experts estimate that the living HIV infected persons are about 49,000 by end of 2008 in Guangdong.,户籍分布,Distribution of Permanent Residency,18207,例中：,Among 18207:,广东省籍：,8500,，占,46.7,；,From Guangdong:,外省籍：,4023,，占,22.1,；,From other provinces:,港奥台：,39,；,From HK,Macao and Taiwan,境外：,122,；,From abroad,户籍不详：,5523,，占,30.3%,；,From unknown places,广东省累计报告,HIV,感染者地区分布（,2006.12),Distribution of Accumulated HIV/AIDS Cases in Guangdong(Dec.2006),广东省,1986,2006,年累计报告,HIV,感染者地区分布,Distribution of Accumulated HIV/AIDS Cases in Guangdong(1986-2006),性别分布,Gender distribution,男性：,15203,例，占,83.5,；,Male,女性：,3004,例，占,16.5,。,Female,广东省,1986,2006,年,HIV,感染者性别分布,Distribution of Accumulated HIV/AIDS Cases in Guangdong(1986-2006),年龄分布,Age distribution,年龄不详：,4797,例，占,26.3,Unknown,年龄清楚：,13410,例，占,63.7,Known,传播途径分布,Spread channels distribution,传播途径不详：,7030,例，占,38.6,Unknown,传播途径清楚：,11177,例；占,61.4,Known,广东省,1986,2006,年,HIV,感染者传播途径变化情况,Changes of Transmission Channels of HIV/AIDS in Guangdong(1986-2006),目前我省,HIV/AIDS,流行特点,Current HIV/AIDS Epidemic characteristics in Guangdong,全省,21,个市均出现,HIV,流行，珠江三角洲地区仍是流行最严重的地区，但,HIV,传播正从珠江三角洲向两翼漫延，疫情呈全省低流行，局部高流行态势；,All 21 cities have epidemics.Pan-pearl Delta is still the most serious area with a tendency spreading to both wings.The epidemic appears as low throughout the province and high in some cities.,吸毒人群仍是,HIV,感染的最主要人群，但经性途径感染者逐年增加，女性感染者和母婴传播明显增多。,HIV,正从高危人群向一般人群扩散；,Drug users are still the major group infected with HIV.There is an increasing tendency by means of sexual transmission.The infections of female and mother-to-child transmission has an obvious increase.,只有个别通过既往卖血、输血或血液制品感染，近几年无明显变化；,Only several cases infected with blood selling and transfusion and blood products and there is no obvious change in recent years.,男男同性恋者中的,HIV,感染情况有待进一步查明。,The infection situation among MSM is pending for further investigation.,HIV,流行率监测,HIV Epidemic Monitoring,1992,年开始建立监测哨点，到,2007,年全省在,21,个市共设立：,Monitoring stations have been established since 1992.Up to 2007,in 21 cities there are:,I,类哨点,64,个；,Stations of Category I,II,类哨点,194,个；,Stations of Category II,针对性病门诊就诊者、暗娼和青年学生的综合哨点,5,个。,5 Comprehensive stations for sexual diseases,prostitutes and young students.,吸毒者监测,Monitoring on drug users,HIV,感染率从,1996,年的,0.02,升至,2006,年的,4.37,；,Infected rate increased from 0.02%in 1996 to 4.37%in 2006,阳性哨点比例从,1998,的,25,（,2/8,）升至,2006,年的,87,（,34/39,）,HIV positive stations increased from 25%in 1998(2/8)to 87%in 2006(34/39),其中,2006,年有,5,个检出率在,10,以上，最高为,23,。,In 2006,there are 5 stations with an inspection rate above 10%,the highest 23%.,性病门诊就诊者监测,Monitoring on incoming patients at the sexual disease clinics,HIV,感染率从,1997,年的,0.03,升至,2006,年的,0.20,；,HIV infected rate increased from 0.03%in 1997 to 0.20%in 2006,阳性哨点比例从,1998,年的,10,（,1/10,）升至,2006,年的,56,（,9/16,）。,HIV positive stations increased from 10%in 1998(1/10)to 56%in 2006(9/16),2006,年最高为,0.79,。,The highest is 0.79%in 2006,暗娼监测,Monitoring on prostitution,1998,年首次检出,HIV,感染者（,0.14,），但一直维持在较低的感染率；,The first cases were tested in 1998(0.14%)but keeping a low rate.,2006,年检出率为,0.53,。,The tested rate for 2006 is 0.53%.,孕产妇监测,Monitoring on pregnant women,孕产妇的两个点除,2002,年检出一例,HIV,感染者外，其他时间还未检出。,At the two stations for pregnant women,only one case was found in 2002 and there is no report afterwards.,高危人群行为学监测吸毒行为,Monitoring on behavior of high risk population drug use,高危人群行为学监测安全套使用,Monitoring on behavior of high risk population usage of condoms,开展的干预工作,Interventions carried out,场所内的宣传教育,Publicity and education in