hiv prevention in the 21st century

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HIV prevention in the 21 st century Reaching the goals of the National HIV/AIDS Strategy

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Reaching the goals of the National HIV/AIDS Strategy. This presentation was originally conducted at the Office of HIV Planning's Community Empowerment Workshop held at St. Luke's Church on October 16, 2012.

TRANSCRIPT

Page 1: HIV Prevention in the 21st Century

HIV prevention in the 21st century

Reaching the goals of the National HIV/AIDS Strategy

Page 2: HIV Prevention in the 21st Century

Road Map to HIV Infection

Page 3: HIV Prevention in the 21st Century

HIV Prevention 1.0

Page 4: HIV Prevention in the 21st Century

National HIV AIDS Strategy

Coordinated response

Reduce HIV rate

Reduce HIV-related health inequalities

Increase access to care for people living with HIV and improve their

health outcomes

Page 5: HIV Prevention in the 21st Century

HIV Prevention 2.0

Structural Interventions• Condoms• HIV testing

laws

Test and Treat

Targeted and routine HIV testing

Behavioral interventions for High Risk Individuals

PrEP and PEP

Prevention with

Positives

Syringe exchange/h

arm reduction

http://youtu.be/7BVMUXu7w5U http://youtu.be/mKGO7DeK61M

Page 6: HIV Prevention in the 21st Century

Still working on…..

Vaccine

Microbicides

Cure

Page 7: HIV Prevention in the 21st Century

High Impact HIV Prevention

Page 8: HIV Prevention in the 21st Century

An Overview of HIV Prevention

Content courtesy of Roget Tatoud

Page 9: HIV Prevention in the 21st Century

Intro to ‘Test and Treat’

Most people in HIV treatment (ART) reach undetectable VL

People with undetectable viral load are significantly less likely to transmit virus

Collectively, individuals with lower VL lead to communities with lower community VL = less transmissions

Failures in the system of care pose barriers to full success of T&T: Late diagnosis Non-linkage or flawed linkage to care Insufficient use of ART Non-adherence to ART

Page 10: HIV Prevention in the 21st Century

Test and Treat Components (HRSA) Testing and identification of PLWHA as soon as

possible Linkage of people testing positive for HIV to HIV

care Patient education to encourage self

management and facilitate retention in care, adherence to treatment, and prevention of STIs

Supportive services for promotion of sexual health maintenance

Monitoring and evaluation of test and treat strategy

Page 11: HIV Prevention in the 21st Century

Overview of HIV ‘Test and Treat’

Content courtesy of Roget Tatoud

Page 12: HIV Prevention in the 21st Century

-

5,000

10,000

15,000

20,000

25,000

19,691

15,753

11,500

7,719 6,793

5,366

Philadelphia Estimate for Stage of Engagement in Care

Source: AACO, Dr. Kathleen Brady

Page 13: HIV Prevention in the 21st Century

Overview of Continuum of Care

Content courtesy of Roget Tatoud

Page 14: HIV Prevention in the 21st Century

Overview of Pre-Exposure Prophylaxis

Content courtesy of Roget Tatoud

Page 16: HIV Prevention in the 21st Century

An Overview of HIV Prevention

Content courtesy of Roget Tatoud

Page 17: HIV Prevention in the 21st Century

Contact

Nicole JohnsOffice of HIV Planning

340 N. 12th StreetSuite 203

Philadelphia, PA 19107215-574-6760 ext. 108

[email protected]

For more information on Roger Tatoud:http://www.rogertatoud.com/