HIV/AIDS in Brazil at a glance

11th Advanced HIV Course

1 – 3 September 2013, Aix-en-Provence, France

Ana Flor Hexel Cornely

Clinical Hospital, Porto Alegre

Barbara Silva de Souza

Saint Louis Hospital, Paris

Diego Lins Guedes

Oswaldo Cruz University Hospital, Recife

HIV/AIDS in Brazil at a glance

Today’s Outline:

1.Epidemics

2.Diagnostic

3.Clinical Care and Treatment

4.Prevention

5.Future changes and global response

• World’s fifth largest territory

• World's fifth largest population • 190 million inhabitants

HIV/AIDS in Brazil: epidemics

• Incidence: 20.2 cases/100,000 inhabitants

• 500,000 HIV-infected patients (2012)

• ~ 130,000 undiagnosed

• Features of the HIV epidemic in Brazil:

• Prevalence rates lower in the general population (0.6%) than in more vulnerable groups (5.9% IVDUs, 10.5% MSM, 4.9% sex workers)

Available at http://www.aids.gov.br/sites/default/files/anexos/publicacao/2013/53077/em_portugu_s_93155.pdf

Incidence/100000 hab/ region Brazil

17.5

AIDS incidence/year/region Brazil 2000-2009

HIV/AIDS in Brazil: diagnosis

• 37% of overall HIV testing coverage

• Higher coverage amongst the most vulnerable:

• 54% MSM

• 65.1% Sex workers

• 44.3% Drug users

• 2.9 million rapid HIV tests in 2012

Available at http://www.aids.gov.br/sites/default/files/anexos/publicacao/2013/53077/em_portugu_s_93155.pdf

HIV testings performeds by SUS, 2003-2011

HIV/AIDS in Brazil: clinical care and treatment

• 313,000 people have access to

ARV therapy (free of charge)

• Treatment program covers 200,000

people (>90% of all in need of such

support)

• 20 available ARV, 11 locally

produced

• CD4 cell count HIV, viral load and

resistance tests (RENAGENO)

availableAvailable at http://www.aids.gov.br/sites/default/files/anexos/publicacao/2013/53077/em_portugu_s_93155.pdf

HIV/AIDS in Brazil: prevention

• Free distribution of condoms,

constantly rising up (146 m to

500 m/year, 2002 – 2010)

• Since 2010: post exposure

prophylaxis to unprotected

sexual intercourse

• Robust and sustainable PMTCT

Available at http://www.aids.gov.br/sites/default/files/anexos/publicacao/2013/53077/em_portugu_s_93155.pdf

Number of condoms distributed by year. Brazil, 2002-2011

HIV/AIDS in Brazil: future challenges and global response

• Universal testing of pregnant women by 2015 (84% of them

tested in 2010/2011)

• Improve surveillance strategies (early detection), ARV to

vulnerable populations (MSM, sex workers, discordant partners

and prisoners)

• South-to-South cooperation

Available at http://www.aids.gov.br/sites/default/files/anexos/publicacao/2013/53077/em_portugu_s_93155.pdf

Thank you!Sunset in the Tapajós River, Amazon