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HIV, a virus.
HIV positive
HIV/AIDS
AIDS=Acquired Immunodeficiency
Syndrome
Why is HIV dangerous?
Evasion by mutation.
HIV/AIDS dynamics
AIDS:development of opportunistic
infections
Patterns of HIV Disease
Progression
HIV <5 %
Infection Rapid Progressors <3 years
<10 % Long-term
Non-progressors >10-15 yr
Normal, Stable CD4
When & where was HIV
discovered?
1st reported in the USA in early
1980’s
2.HIV/AIDS treatment
HIV is curable
Virgin cleansing.
Myths
• 3. HIV Infection
• HIV cannot be transmitted via oral sex
4.History of HIV/AIDS
HIV from outer space
5.AIDS Denial
There is no AIDS in Africa
2.Later symptoms:8-10yrs
Lack of energy(fatigue)
Weight loss(>10% of normal body
weight)
Persistent skin rashes
Recurrent diarrhoeal stools
Oral thrush
Herpes Zoster
Pruritic skin lesions
Seborrheic dermatitis
CHRONIC HERPES SIMPLEX
CRYPTOCOCCOSIS
Histoplasma
Mycosis Fungoides
There are over 25 AIDS defining
conditions
None is an absolute pointer to the
diagnosis of AIDS
High index of suspicion
How is HIV dignosed?
Screening tests:ELISA
Confirmatory:Western blot
Risk group:Everyone
High risk group:
Commercial sex workers
Hospital workers
Illicit drug users(needle sharing)
Long distance drivers
Pple with other STIs
Business people.
Awareness & VCT
Location of Servises:
PEPFAR Clinic,National Hospital
Abuja
University of Abuja teaching Hospital
Others:General
Hospitals,NGOs,Private hospitals &
Laboratories may charge a fee.
Stigmatization & Workplace
policy
Self stigmatization:Deny diagnosis
and access to treatment.
Family stigmatization.
Workplace stigmatization.
Workplace Policy
Aim is to Tackle
discrimination,stigmatization &
exclusivity,protect the rights of job
seekers and employment prospects.
Workplace policy
Stipulates that
1.No obligation will be placed on an
employee to reveal his/her HIV status to
the employer.
2.Health insurance coverage would be
available to employees regardless of HIV
status.
3.That HIV screening would not be
required of job applicants or persons in
employment.
How do you prevent HIV
progression to AIDS
Regular clinic & laboratory attendance
Healthy lifestyle:Exercise,good
nutrition,cessation of smoking,alcohol
Practise safer sex
Drugs if required
Attend support group & seek information
Support those infected & affected.
General Law of
prevention
A,B,C(sexual transmission)
Adequate blood screening b4
transfusion
PMTCT program
Avoid sharing
needles,sharps,Tattooing
No effective vaccine.
Post-exposure
Prophylaxis:0-72hrs
Rape
Needle Stick injuries
Involves the use of HAART to prevent
infection.
Conclusion