广东省艾滋病流行概况及预防控制策略.ppt

1、广东省艾滋病流行概况及预防控制策略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广东省艾滋病防治研究所Guangdong Center for Disease Control 王晔王晔Wang YeNovember 20,2007主要内容主要内容Major contents流行概况流行概况 Epidemic situationHIV流行率监测流行率监测 HIV epidemic monitoring吸毒者人群行为学监测吸毒者人群行为学监测B

2、ehavior monitoring on drug users问题与挑战问题与挑战 Problems and challenges当前我省应采取的预防控制策略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流行概况流行概况Epidemic Situation1986年：发现首例境外HIV感染者；In 1986:the first HIV infected case was found on a non-Guangdong person1990年：首次从出境归来

3、的本省HIV感染者；In 1990:the first HIV infected case was found on a Guangdong person returning from abroad1996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 user19861996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

4、 but still stable with an average rate of 10.2%,after this report the cases increase rapidly2005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

5、行概况流行概况Epidemic Situation2006年底：At the end of 2006:累计报告HIV感染者18207例，Accumulated reported HIV infected cases are 18207AIDS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 li

6、ving HIV infected persons are about 49,000 by end of 2008 in Guangdong.户籍分布户籍分布Distribution of Permanent Residency18207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广东省累计报告广东省累计报告

7、广东省累计报告广东省累计报告HIVHIV感染者地区分布（感染者地区分布（感染者地区分布（感染者地区分布（2006.12)2006.12)Distribution of Accumulated HIV/AIDS Cases in Guangdong(Dec.2006)Distribution of Accumulated HIV/AIDS Cases in Guangdong(Dec.2006)广东省广东省19862006年累计报告年累计报告HIV感染者地区分布感染者地区分布Distribution of Accumulated HIV/AIDS Cases in Guangdong(1986-

8、Distribution of Accumulated HIV/AIDS Cases in Guangdong(1986-2006)2006)性别分布性别分布Gender distribution男性：15203例，占83.5；Male女性：3004例，占16.5。Female广东省广东省19862006年年HIV感染者性别分布感染者性别分布Distribution of Accumulated HIV/AIDS Cases in Guangdong(1986-2006)Distribution of Accumulated HIV/AIDS Cases in Guangdong(1986-2

9、006)年龄分布年龄分布Age distribution年龄不详：4797例，占26.3Unknown年龄清楚：13410例，占63.7Known传播途径分布传播途径分布Spread channels distribution传播途径不详：7030例，占38.6Unknown传播途径清楚：11177例；占61.4 Known广东省广东省19862006年年HIV感染者传播途径变化情况感染者传播途径变化情况Changes of Transmission Channels of HIV/AIDS in Guangdong(1986-2006)目前我省目前我省HIV/AIDS流行特点流行特点Curr

10、ent 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 s

11、ome 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

12、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流行率监测流行率监测 HIV Epidemic Monitoring1992年开始建立监测哨点，到2007年全省在21个市共设立：Moni

13、toring stations have been established since 1992.Up to 2007,in 21 cities there are:I类哨点64个；Stations of Category III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.吸毒者监测吸毒者监测Monitoring on drug usersHIV感染率从1996年的0.02升至

14、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性病门诊就诊者监测Mo

15、nitoring 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 200

16、6暗娼监测暗娼监测Monitoring on prostitution1998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高危人群行为学监测安全套使用Monitoring on behavior of high