H I V i n S W E D E N
Christina Carlander, MD. Department of Infectious Diseases, Västerås Hospital, VästeråsJohanna Brännström, MD, PhD. Department of Infectious Diseases, Karolinska University Hospital, Stockholm
Jan Jessen Krut, MD, PhD, Department of Infectious Diseases, Östra Hospital; Gothenburg S W E D E N
Maybe not so difficult when…
…only 7020 individuals living with hiv in Sweden
61% 39%
T e s t i n g, t r e a t m e n t & C a r e
• Free and anonymous HIV-testing & care.
• Since 2004/2005 also free ART.
• 30 specialized clinics
• Multi-professional teams (physicians, nurses and counsellors. Closecollaboration with psychiatrists, specialists in addiction medicine andmaternal health when needed).
• InfCare HIV - National HIV CohortI. Clinical support decision toolII. National quality registerIII. Research database
Including > 99% of all Swedish patients
… but there are challenges
0
100
200
300
400
500
600
700
800
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
Born & Infected in Sweden
Born Abroad - Infected in Sweden
Born in Sweden - Infected Abroad
Born & Infected Abroad
• A majority of patients are diagnosed late
• 1/3 have missed opportunities within Swedish Health Care
• 2/3 of migrant patients are not offered testing at immigration
• Remaining stigmatization
CD4<350
CD4<200
orAIDS
CD4≥350AID
S
non-Late Presenter (nLP): CD4≥350 or PHI
Late Presenter with Advanced HIV (LPAH) 38%PHI Late Presenter (LP) 58%
H I V i n S W E D E N
Christina Carlander, MD. Department of Infectious Diseases, Västerås Hospital, VästeråsJohanna Brännström, MD, PhD. Department of Infectious Diseases, Karolinska University Hospital, Stockholm
Jan Jessen Krut, MD, PhD, Department of Infectious Diseases, Östra Hospital; Gothenburg S W E D E N
Maybe not so difficult when…
…only 7020 individuals living with hiv in Sweden
61% 39%
T e s t i n g, t r e a t m e n t & C a r e
• Free and anonymous HIV-testing & care.
• Since 2004/2005 also free ART.
• 30 specialized clinics
• Multi-professional teams (physicians, nurses and counsellors. Closecollaboration with psychiatrists, specialists in addiction medicine andmaternal health when needed).
• InfCare HIV - National HIV CohortI. Clinical support decision toolII. National quality registerIII. Research database
Including > 99% of all Swedish patients
… but there are challenges
0
100
200
300
400
500
600
700
800
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
Born & Infected in Sweden
Born Abroad - Infected in Sweden
Born in Sweden - Infected Abroad
Born & Infected Abroad
• A majority of patients are diagnosed late
• 1/3 have missed opportunities within Swedish Health Care
• 2/3 of migrant patients are not offered testing at immigration
• Remaining stigmatization
CD4<350
CD4<200
orAIDS
CD4≥350AID
S
non-Late Presenter (nLP): CD4≥350 or PHI
Late Presenter with Advanced HIV (LPAH) 38%PHI Late Presenter (LP) 58%
