广西:艾滋病毒感染者43046例 性传播成主要途径


广西:艾滋病毒感染者43046例 性传播成主要途径
2008年12月31日 15:01 来源:广西新闻网-南国早报 
  12月30日,自治区防治艾滋病工作委员会全体会议在南宁召开。截至今年11月,我区累计报告艾滋病病毒感染者43046例,全人群感染率为0.08%。艾滋病流行形式开始向性途径传播转变,向公众扩散的危险性明显增加。

  防控“艾魔”不容懈怠

  截至2008年11月,我区累计报告艾滋病病毒感染者43046例,其中艾滋病病人9174例,是全国感染者报告数超过4万例的第三个省(区)。

  2008年报告的艾滋病病毒感染者和病人中,异性性传播占56.5%,注射毒品传播占21.4%,说明传播途径已转为性传播为主。全区所有市、县均有艾滋病疫情报告,但相对集中分布在柳州、南宁、钦州、贺州、崇左、贵港等市及周边县。

  我区多年来采取的综合防治措施已经使区内艾滋病疫情相对平缓增长,但由于艾滋病传染源已经在全区广泛扩散,来自区外的感染源的影响越来越明显。加之我区与越南北方艾滋病疫情最重的地区相邻,因此我区每年新感染艾滋病的人数仍然保持惯性增长,艾滋病防控形势依旧严峻。

  防控措施正在起效

  针对上述情况,我区政府部门正在探索符合广西实际的防控模式。目前,全区形成了以14个市为中心的艾滋病监测和艾滋病实验室服务网络,今年共为7万多人提供了艾滋病自愿咨询检测服务。全区普遍开展了吸毒人群和娱乐场所妇女的干预工作,推广使用安全套措施也被纳入公共服务场所的服务范围。

  为降低艾滋病在吸毒人群中的传播,全区开设的美沙酮维持治疗门诊总数已经达到了63个,累计有1万多人参加了美沙酮维持治疗。针具交换措施覆盖了2万多名吸毒者,每年发放注射器200多万支。针对男男同性恋的艾滋病监测和综合防治工作也开始起步实施。

  目前,全区共有38个免费艾滋病抗病毒治疗点正常运转,先后为8000多名艾滋病病人提供了治疗,近90%的病人治疗依从性良好。今年,有关部门为44万孕产妇提供了HIV抗体检测,检出HIV抗体阳性孕产妇460人,并及时采取了综合阻断措施。不少地方支持和帮助艾滋病感染者建立各种类型的自助组织,或是提供小额资金,支持感染者开展家庭生产活动。

  各部门共织防艾“网”

  记者了解到,政府下一步将着重完善防艾机制,改变全区艾滋病防治工作发展不平衡的现状,扩大综合防治服务的覆盖面。

  我区将尽快建立和完善地方政府承担艾滋病病人的机会性感染治疗费用的工作机制,如每年根据测算数据,针对死亡率高且多发的机会性感染治疗提供免费治疗药物。预计到2010年,我区将为2万例艾滋病病人提供服务,并为其中6000例机会性感染患者提供免费治疗药物。

  另外,性病预防工作也将进一步强化,规范化性病门诊将覆盖到县一级。预计到2010年,全区的美沙酮维持治疗门诊点将达到80所,各地针对辖区内暗娼的有效干预措施覆盖率达到90%,各市均开展男男同性恋人群预防艾滋病干预工作,进一步完善我区的艾滋病综合防治体系。(张若凡)
 

Guangxi: people living with HIV 43,046 cases of sexually transmitted into the main channel
At 3:01 p.m. on December 31, 2008 Source: Guangxi News Network - South China Morning Post
December 30, autonomous regions and AIDS Working Committee meeting held in Nanning. As of November of this year, I report a total area of HIV-infected 43,046 cases, the infection rate for the entire population 0.08 percent. AIDS epidemic began in the form of sexual transmitted changes to the public of the dangers of proliferation significantly increased.

Prevention and control, "Ai magic" can not be slack

As of November 2008, our region has a total of HIV-infected people report 43,046 cases, of which 9174 cases of AIDS patients, is the number of infected people report more than 40,000 cases of the third provinces (autonomous regions).

The 2008 report of the HIV and AIDS patients, accounting for heterosexual spread of 56.5 percent, the spread of injecting drug users accounted for 21.4 percent, that route of transmission of sexually transmitted mainly have to. All the region's cities and counties have AIDS epidemic report, but the relative concentration of distribution in Liuzhou, Nanning, Qinzhou, Hezhou, Chongzuo, such as Guigang City and the surrounding counties.

For many years our region to take comprehensive measures to combat the AIDS epidemic in the region has a relatively flat growth, but the source of infection due to AIDS in the region have been widely spread from infected areas outside the influence of the source of more and more obvious. In addition, our region and the North Vietnamese AIDS epidemic in areas adjacent to the heaviest, so in our region each year the number of new AIDS infections continues to maintain growth inertia, AIDS prevention and control situation is still grim.

Prevention and control measures are effective from

In response to these circumstances, our region is to explore with government departments in Guangxi prevention and control of the actual model. At present, Tibet has formed a 14 city-centric monitoring of AIDS and AIDS laboratory network this year for a total of 70,000 people has provided voluntary HIV counseling and testing services. The whole region carried out drug users and women in the entertainment interventions to promote condom use measures were included in the public service establishments, the scope of services.

In order to reduce AIDS transmission among drug users in the autonomous region set up by the total number of out-patient methadone maintenance treatment have reached 63, a total of 10,000 people took part in methadone maintenance treatment. Needle exchange measure covers more than 20,000 drug addicts, and every year more than 200 syringes 10,000. Against gay men and AIDS comprehensive prevention and monitoring work to start implementation.

At present, the region had a total of 38 free anti-AIDS virus treatment at the normal operation, one after another for more than 8,000 AIDS patients with the treatment, almost 90% of the patients good treatment compliance. This year, the departments concerned for the 440,000 maternal HIV antibody testing to provide a detection HIV-positive pregnant women 460, in a timely manner and to take comprehensive measures to block. A lot of local support and assistance to AIDS-infected people to establish various types of self-help groups, or the provision of small amounts of money to support the infected family to carry out productive activities.

Fang Yi weaving departments were "net"

Reporters learned that the next government will focus on improving the mechanism of Fang Yi, change the region's AIDS prevention and treatment of unbalanced development of the status quo, a comprehensive prevention and treatment services to expand coverage.

Our region will be established as soon as possible and improve the local government's commitment to AIDS treatment costs of opportunistic infections of the working mechanism, such as the annual estimates based on data for the high mortality rate and multiple treatment of opportunistic infections to provide free drug treatment. It is estimated that by the year 2010, our region will be 20,000 cases of AIDS patients and for which 6000 cases of opportunistic infections in patients with the provision of free treatment.

In addition, prevention of sexually transmitted diseases will further strengthen the standardization of sexually transmitted diseases clinic will cover the county level. It is estimated that in 2010, the region's out-patient methadone maintenance treatment will reach 80, around the area for sex workers and effective interventions to achieve coverage of 90% of the municipalities are to carry out gay men and AIDS prevention groups to intervene, to further improve the region's AIDS prevention and control system. (If Zhang Fan)