Transcript 海南省基本情况 - Institute for Community Research

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海南省艾滋病流行形势
与防治对策
HIV/AIDS Epidemic, Control and Prevention
Measures in Hainan Province
Hainan Center for Disease Control and Prevention
2011年10月
主要内容 : KEY TOPICS
海南省基本情况
海南省艾滋病流行形
势与特点
海南省艾滋病防治对
Basic overview of Hainan
Transmission and
characteristics of HIV/AIDS in
Hainan
Provincial HIV/AIDS control/
prevention tactics and policies
策与措施
我省今后5年艾防规划
Hainan’s 5-year HIV/AIDS
plan
春牛春杖，
无限春风来海上。
便丐春工，
染得桃红似肉红。
春幡春胜，
一阵春风吹酒醒。
不似天涯，
卷起杨花似雪花。
— 苏轼
海 南 概 况: Overview of Hainan
海南省位于中国最南端，北以琼州海峡与
广东省划界，西临北部湾与越南民主共和
国相对，东濒南海与宝岛台湾相望，东南
和南边在南海中与菲律宾、文莱和马来西
亚为邻。
海南省行政区域包括海南岛和西沙群岛、
中沙群岛、南沙群岛的岛礁及其海域。
Hainan is China’s Southernmost province. The
Qiongzhou straight marks to border of
Guangdong province to the North. To the west is
Vietnam, Taiwan is to the Northeast, and The
Philippines and Malaysia to the south.
Hainan administrative areas include Hainan and
surrounding sea, Xisha, Dongsha and Nansha
islands.
Overview of Hainan
海南全省陆地总面积3.54万平方公里，
海域面积200多万平方公里，是中国陆地面积最
小，海洋面积最大的省。 海南岛四周低平，中
间高耸，以五指山、鹦歌岭为隆起核心，向外围
逐级下降。山地、丘陵、台地、平原构成环形层
状地貌，梯级结构明显.2008年末全省常住人口为
864.7300万人，少数民族约140多万人。汉族、黎族、
苗族、回族是世居民族。前海南乡亲及其后裔遍布五大
洲，据估计应有500多万人。侨乡文昌海外人口比岛内
。
还多
Hainan has an area of 35.4 thousand square kilometers,
and 2 million sq km of maritime waters. It is the province
with the least land are and most maritime area in all of
China. The center of the island is mountainous, and
slopes down towards the coast in cascading ring-like
plateau formations.
In 2008 Hainan had a resident population of over 8.5 million people, of which ethnic minorities are nearly 1.5 million.
Han, Li, Hui, Miao are all ethnic minorities native to Hainan. People from Hainan, and descendents from Hainan, are
spread across 5 continents and likely total nearly 5 million worldwide. There are now more people from Wenchang
living abroad than in Hainan.
海 南 概 况: Overview of Hainan
海南省行政建制始于秦始皇
时期（公元前214年），大
致经历了始置、罢弃、遥领、
重建的过程。早期的海南岛
一直从属于现在的广东省 。
A centralized Hainan administration began during the Qin Huashi period of rule,
(around 214 BC). The province has experienced uprisings, abandonment, remote
rule and reconstruction. Early Hainan Island was governed as part of Guangdong
province.
海 南 概 况: Overview of Hainan
海南岛地处热带，与夏威夷纬度相近，长
夏无冬。岛上终年气候宜人，四季鸟语花香。海洋、
矿物、动植物资源丰富，尤其石油与天然气蕴藏量
可观，洋浦开发区为中国南方最大的近海石油天然
气加工、储存和出口基地。海南所孕育的热带雨林
和红树林为中国少有的森林类型，海南丰富的生物
在中国占有十分显著的地位，是开展科研、旅游和
教学最理想的选择之地。
Hainan has a tropical climate, and due to its latitude, has
long summers and no winter. Hainan has abundant animal,
marine, plant and mineral resources. It also has
considerable reserves of natural gas and oil. The Yangpu
development zone is southern China’s largest offshore oil
and gas processing, storage and export base. Hainan’s
tropical rain and mangrove forests are rare in china. The rich
ecology is of special importance to the nation, and creates
an ideal environment for traveling and teaching.
一、海南省基本情况: Overview of Hainan
1、海南省是一个1988年新建立的省份，
位于我国的最南端，北与广东、广
西相连，南与马来西亚、印度尼西
亚、文莱、新加坡，东与菲律宾、
西与越南隔海相望。既是中国的南
疆，又是中国与东南亚、南亚、大
洋州、非洲、欧洲等许多国家交往
的海上交通要冲。
2、海南省人口865万，陆地面积3.54
万平方公里。设2个地级市、6个县
级市、10个县。是我国最大的经济
特区，也是我国著名的侨乡，累计
有130万华侨分布在全球60多个国
家和地区，其中在新、港、马、泰
等东南亚分布着40多万。
3、省会设在海口，位于海南岛北部的
琼州海峡，是海南省的政治、经济
和文化中心。海口在建省后，人口
迅速增长，迄今，已发展成为180
万人口的中等城市。
1. Hainan was established as a province in 1988, and is
China’s southernmost province. Guangdong and Guangxi
are to the north, to the south are Malaysia, Singapore,
and Wencai, to the east Philippines and the west Vietnam.
Hainan is an important port for South and Southeast Asia,
Africa, Europe, and many other regions.
2. Hainan has a population of 8,650,000, and 354,000 sq
km of land. It has 2 prefecture-level cities, and 10
counties. Hainan is China’s largest free economic zone. It
is also the origin of many overseas Chinese, with over
1300000 Hainanese people spread over 60 countries
throughout the world. 400000 of those people are in Hong
Kong, Thailand, and other Southeast Asian countries.
3. The provincial capital is Haikou, located on the
Qiongzhou straight in northern Hainan. Haikou is
Hainan’s cultural, political and social center. Haikou has
experienced rapid population growth since Hainan's
establishment, with over 1,800,000 current residents.
一、海南省基本情况: Overview of Hainan
行政区划：至1999年底，全省有2个地级市、6个县级市、4个县、6个民
族自治县、5个市辖区，1个办事处（西南中沙群岛办事处、县级）和洋
浦经济开发区管理局。
＊行政管理体系：小政府大社会。省直接管理县。
Administrative Divisions: Through the end of 1999, Hainan had 2
prefecture level cities, 6 county-level cities and 4 counties, 6 ethnic
minority autonomous zones, and 5 municipal districts, Dongsha
Islands Office, and the administration of Yangpu Economic
Development Zone.
＊ Administrative Systems: Small government, big society. Direct
provincial management of counties.
海口世纪大桥远景 : View of Haikou Century Bridge
海口市区远景图: View of Haikou City
一、海南省基本情况: Overview of Hainan
4、海南省作为一个旅游大省，近
年来每年进出我省的国内外游
客超过2000万人次，旅游业的
发展促进了相关的服务行业的
发展，成了我省的一项重要经
济支柱。
5、三亚市是海南省第2大城市，
市区人口26万，流动人口20
万人，每年到三亚旅游的人数
超过1000万。随着人口的流动，
也带来了一些公共卫生的问题，
其中包括性病和艾滋病的流行
问题。
4. Hainan is a travel destination,
attracting more than 20 million Chinese
tourists each year. The tourist industry
and related development have become
the foundation of Hainan’s economy.
5. Sanya is the 2nd largest city in
Hainan, with a population of 260, 000,
and migrant population of 200, 000.
Annual tourists to Sanya total more than
10,000,000. High population mobility
(including migrant populations and
tourists) have fueled public health
problems, including the spread of
HIV/STIs.
三亚市区远景图: View of Sanya City
三亚市鹿回头山顶公园: Luhuitou Mountain Park
一、海南省基本情况: Overview of Hainan
6、琼海市位于海南岛东部，人口44万人，闻名遐尔的万泉河从琼海市境内
流入大海。琼海市博鳌镇是“亚洲论坛”永久会址所在地，论坛每年定期
在博鳌召开年会。据统计，自2000年以来，各种会议及“黄金周”期间，
接待游客、与会人员约520万人次，平均每年有170万人次，会议及“黄金
周”期间，各宾馆、酒店住房率达90%以上，比平时提高30%。
6. Qionghai is located in Eastern Hainan, has a population of 440,000, and
is famous fro the Wanquan River that flows through the city into the sea.
Bo Ao, near Qionghai, is “Asia’s Forum”, where many international
meetings and conferences are held annually. The annual ‘golden week’,
during which many conferences are held, has attracted over 5,200,000
visiting attendees and tourists, with an annual average of more than
1,700,000 attendees. During the conference season, hotels and
guesthouses operate at more than 90% occupancy, more than 30%
increase over the remainder of the year.
博鳌亚洲论坛成立会址景区景观: View of Scenic Boao Asia Forum
博鳌水城: Boao
一、海南省基本情况: Overview of Hainan
儋州市位于海南岛西北部，面
积3265平方公里，有98万人口，
是海南省土地面积最大、人口
最多的市县，也是海南西部的
经济、交通、通信和文化中心，
洋浦经济开发区位于该市境内。
洋浦经济开发区是海南开发建
设的“重中之重”。洋
浦发展以重化工业为重点，主
要建设石油化工和浆纸制造
等工业项目。 2007年，这个
开发区以不到全省千分之一
的土地，创造出占全省４０％
以上的工业产值，进出口占
６０％，提供全省国税的一半。
Danzhou city, located in northwest
Hainan, is 3265 sq meters, the area
with most land and largest population
in Hainan (98000 people). It is the
economic, cultural, transportation and
communications center of Western
Hainan.
Yangpu development zone is
Hainan’s key economic development
zone, with production of
petrochemical pulp, paper
manufacturing and other industrial
projects.
洋浦经济开发区: Yangpu Economic Development Zone
二、海南省艾滋病流行形势分析
Analysis of Hainan’s AIDS Epidemic
 1、流行强度流行率：

1991年我省发现首例艾滋病病毒感
染者。

截止2011年6月30日，全省累计报
告

HIV/AIDS1080例，其中

AIDS 307例，

死亡 346例。

2009年按国家艾滋病疫情方法估计，
我省估计15-49岁年龄组感染人数
有2500人。流行率约为2.89/万。
HIV/AIDS prevalence and transmission
rates
Hainan’s first AIDS case was reported in
1991.
As of June 30, 2011, a total of 1080
HIV/AIDS cases had been reported in
Hainan, of which 307 were living with
AIDS and 346 had already died.
According to 2009 national AIDS
epidemic calculations, there were an
estimated 2500 cases among Hainan
residents aged 15-49, a prevalence of
.03%
二、海南省艾滋病流行形势分析
Hainan’s AIDS Epidemic: Analysis and Trends
近两年我省HIV/AIDS疫情报告数在全国排序位于第25位，
占全国报告数的0.22%。
按照总人口患病率比较，我省排序位于第15位，处于中等
水平。
Of all China’s provinces, Hainan ranks 25th for
HIV/AIDS cases, accounting for .22% of the nation’s
total infections.
HIV/AIDS cases in proportion to the population rank
Hainan the 15th province in HIV/AIDS prevalence.
2、流行的时间分布: Epidemic Phases
我省已经完成了原始的传染源输入和传染源积蓄两个历史阶
段，现在开始进入增长阶段。
Hainan has completed the introduction and spreading
phases of the epidemic, and has already entered the
expansion phase.
（2）海南省艾滋病流行的三个时期:
3 Phases of the AIDS Epidemic in Hainan
三个流行时期：3 Epidemic Phases

1991—1993年为传入期。这期间感染的主要原因是经境外传入，共发现11例感
染者。均是经境外感染后返回国内时监测被发现的。
* Phase 1: 1991 to 1993. Initial introduction of the disease. During this phase, 11 total
cases were discovered. Carriers not local to Hainan were returned to their province of
origin for treatment.

1994—2001年为散发期，这期间主要是外省传入的有偿供血感染者明显增加，
境内由性接触传播也跟着增长，感染的原因由境外感染为主转为以境内感染为主。
* Phase 2: 1994 to 2001. Spreading phase. During this phase the epidemic was fueled
by migration of carriers to Hainan, who had been infected while selling plasma. There
was an increase in sexual transmissions during this time, and establishment the disease
among local populations.

2002年—至今为增长期，这期间由于吸毒人群中共用注射器而引起局部地区的
吸毒人群中流行。
* Phase 3: 2002- present. Expansion phase. An increase in rates of new infections
amongst IV drug users sharing syringes.
1991-2011年6月全省HIV/AIDS年度报告情况
Annual June Complitation of Hainan’s HIV/AIDS Cases
250
200
AIDS人数
HIV/AIDS人数
150
100
50
0
91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11
0
0
0
0
1
0
2
2
3
0
HIV/AIDS人数 2
4
5
0
6
3
4
5
6
2 13 60 82 54 79 90 108 118 139 220 112
AIDS人数
Phases:
2
3
2
4 16 15 39 26 20 35 20
1991-94年 传入期
1995-2001年 散发期
2002-Present
Introduction
Spreading
Expansion
年份
海南省艾滋病地区分布与时间变化的关系
Hainan Geographical Distribution of HIV/AIDS: Changes Over Time
Hainan HIV/AIDS epidemic geographical distribution
1991
1995
海口市
海口市
0
1-10
11-50
51-100
101-200
0
1-10
11-50
51-100
101-200
海南省艾滋病地区分布与时间变化的关系
Hainan Geographical Distribution of HIV/AIDS: Changes Over Time
Hainan HIV/AIDS epidemic geographical distribution
2000
2005
海口市
海口市
0
1-10
11-50
51-100
101-200
0
1-10
11-50
51-100
101-200
海南省艾滋病地区分布与时间变化的关系
Hainan Geographical Distribution of HIV/AIDS: Changes Over Time
Hainan AIDS epidemic geographical distribution: 2010
海口市
0
1-10
11-50
51-100
101-200
海南省艾滋病地区分布情况:
Geographical Distribution of AIDS in Hainan
4、我省累计报告病例数居前五位的市县依次为：
三亚184例、儋州177例、海口125例、乐东117例和东
方109例。（按现住址统计）
4. The 5 cities and counties with the most reported cases of
HIV/AIDS in Hainan are: Sanya, 184; Danzhou, 177; Haikou,
125; Ledong 117; Dongfang, 109.
海南省艾滋病地区分布情况
Geographical Distribution of HIV/AIDS in Hainan
Geographical distribution of HIV/AIDS in Hainan by city
2010年全省各市县HIV/AIDS地区分布情况
白沙
昌江
不详
五指山
保亭
琼中
屯昌
临高
文昌
定安
琼海
澄迈
陵水
万宁
东方
海口
乐东
儋州
三亚
200 184
177
180
160
140
125
117
109
120
100
80
60
39
40
26 21
15
15 18 8
20
7 10 3 2 12 5 3
0
HIV/AIDS人数
# of HIV/AIDS cases
海南省艾滋病性别分布情况:
Age & Gender Distribution of HIV/AIDS in Hainan
Age Distribution of Hainan’s 1080 HIV/AIDS Cases
全省1080例HIV/AIDS的年龄性别分布
0
80 & older
80岁及以上
1
70-79岁 0
8
60-69岁 0 15
50-59岁 4 16
40-49岁 9
30-39岁
女性
男性
47
39
248
74
20-29岁
5
15-19岁
F
390
M
24
7
9
14 & younger
14岁及以下
0
50
100
150
200
250
300
350
400
450
全省1080例HIV/AIDS感染途径构成比:
Modes of transmission of Hainan’s 1080 HIV/AIDS Cases
1.48%
9.17%
0.93%
注射吸毒
8.80%
异性接触
50.65%
同性接触
输血/血制
品
母婴传播
28.98%
其他/不详
Injection drug use
Blood transfusion/medical
Heterosexual sex
Mother to child
Homosexual sex
Other/unknown
全省各年度HIV感染途径构成比分析:
Analysis of HIV transmission modes by year
100%
90%
80%
不详
Unknown
70%
Mother-Infant
母婴传播
transmission
60%
供血/使用血
Blood
transfusion/ use of
infected
液制品injection tools
50%
同性性接触
40%
Homosexual
transmission
30%
异性性接触
Heterosexual
transmission
20%
注射吸毒
10%
0%
Injection Drug use
91
93
95
97
99
01
03
05
07
09
11.6
我省不同年份MSM人群HIV感染趋势变化情况:
Yearly trends and changes in infection rates among MSM
Year/Time
Infection Rate (%)




1.75
1.97
3.23
6.19
2008
2009
2010
June 2011
各市县HIV感染途径分析
Modes of HIV Transmission by Cities and Regions
100%
Unknown
80%
Mother-Infant
不详
Blood transfusion/
medical
母婴传播
60%
Homosexual
供血和使用血
transmission
液/血液制品
同性性接触
40%
Heterosexual
异性性接触
transmission
注射吸毒
Injection Drug use
20%
0%
三亚
儋州
海口
乐东
东方
文昌
万宁
陵水
澄迈
临高
琼海
琼中
定安
屯昌
昌江
五指山
白沙
保亭
海南省艾滋病流行特征:
Characteristics of HIV Transmission in Hainan

1、从HIV传播途径来看，我省已经从“以
共用注射器吸毒传播为主的模式”，发展
为“以性接触传播和共用注射器吸毒传播
并重的模式”，近两年经性接触传播构成
比已超过经注射吸毒传播所占比例。

2、从地区分布来看，就全国范围比较，
海南省属低发地区，但HIV感染者和病人
的数量呈逐年上升趋势；从本省各市县来
看，艾滋病疫情分布地区差异较大。
1. The primary mode of HIV transmissions in
Hainan has evolved from injection drug use and
sharing of contaminated syringes, to sexual
transmission. In the past 2 years, new sexually
transmitted cases have exceeded new IDU related
infections.
2. Compared with the rest of the nation, Hainan still
has low HIV/AIDS prevalence. However, rates of
new infections are increasing. There are significant
regional differences in HIV/AIDS distribution
throughout the province.

3、男男性接触呈现较快增长态势；可能
成为我省下一波艾滋病流行的主要因素，
必须引起高度重视。
3. Rates of infection through homosexual
transmission are increasing, and with continued
growth could become a primary means of infection in
Hainan, requiring special focus and attention.
三、海南省艾滋病防治对策与措施
1、建立健全监测检测体系

（1）在全省设立艾滋病监测哨点，2010年我省共设了19个艾滋病丙肝监测哨点，开展对吸毒人群、暗
娼人群、男男性行为人群、性病门诊男性就诊者、流动人口、孕产妇、青年学生、无偿献血人群等8类
人群的监测。

（2）以县为单位，每年搜索各类高危人群（女性性服务者、吸毒者、男男性行为者、性病门诊就诊者）
样本进行血清学HIV抗体检测。

（3），包括HIV阳性者性伴追踪、自愿咨询检测、孕产妇检测、术前检测、无偿献血人群检测等数据，
全面分析各类人群HIV感染动态。

（4）加强对公安司法监管场所羁押人员开展HIV抗体常规筛查，让感染者浮出水面，以便加强管理，减
少二代传播的发生。
Establish Improved Surveillance and Testing Systems



In 2010 Hainan had 19 surveillance centers to test for AIDS and hepatitis C among female sex
workers, MSM, male STD clinic patients, migrant populations, pregnant women, young students,
unpaid blood donors, etc in 8 categories of population monitoring.
Collect samples for HIV testing among high-risk populations (female sex workers, drug users, MSM,
STD clinic patients). Collect and comprehensively review HIV testing results compiled by all various
testing agencies.
Conduct comprehensive analysis of dynamics of HIV infections among all populations including
pregnant women, unpaid blood donors, partners of HIV-positive patients.
Increase testing among imprisoned and detained populations, and improve care of any skin wounds
among them, to reduce risks of secondary transmissions.
三、海南省艾滋病防治对策与措施
Hainan’s AIDS Prevention and Intervention Measures
2、开展对高危人群的行为干预
2. Improving interventions for high-risk populations

（1）针对失足妇女的干预：外展干预、同伴教
育、安全套自动销售机和免费发放网络、妇女
健康中心、发放宣传材料和安全套


（2）针对嫖客人群的干预：在全省的宾馆、旅
馆以及桑拿、按摩等可能有提供性服务的公共
娱乐场所推行100%使用安全套干预措施。预防
艾滋病通过性乱行为传播。在性病门诊提供“4
个C”的服务。
1. Sex workers: outreach intervention, partner education,
condom vending machines and free condom distribution
networks, women’s health centers, distribution of health
information and condoms.

2. Clients of sex workers: in all hotels, motels, saunas,
massage parlors (any entertainment venues where sex
service is provided) instate measures for promoting 100%
condom use. Educate about, and prevent risks of infection
through sexual promiscuity. In STI clinics provide‘4 Cs’ of
service and care.

（3）针对男男性行为人群：草根组织、同伴教
育、志愿者外展

（4）针对吸毒人群：


在吸毒严重的地区设立美沙酮维持治疗门诊，
全省共设立29家美沙酮门诊。覆盖2600人，约
占静脉注射吸毒人群的25%。
3. Men who have sex with men (MSM): support grassroots
organizing, partner education and volunteer outreach.

4. Drug using populations: Establish methadone treatment
clinics in regions with serious drug abuse problems. Hainan
already has 29 methadone clinics which treat 2600 people,
about 25% of IV drug users. Increase promotion of safe
needle exchange, expand beyond 20 existing needle
exchange centers, which current reach 12% of Hainan’s IV
drug users.

5. Encourage all departments and agencies to carry out
HIV/AIDS education and prevention, including construction

在吸毒人群当中推行清洁针具交换措施，全省
共建立了20个针具交换点，覆盖约12%的吸毒人
群。

收戒措施：约占吸毒者的40%。

（5）鼓励各部门、各机构开展艾滋病防控工作：
妇联组织、建设工地、大中学校等。
sites, women’s organizations, schools, etc.
省预防医学会指导外展干预: Hainan’s medical and prevention
teams leading outreach intervention
培训社会小组外展活动能力
Social Outreach Skills Building and Training Activities
社区关怀小组培训活动
Community Care Group Training Activities
 把我们的心连成海，做相亲相爱的一家人
 Connect our hearts, love and care for each other like a family
三亚市外展人员到公园开展外展干预:
Sanya city outreach staff conducting intervention in a park
烛光纪念
Candlelight Commemoration
三、海南省艾滋病防治对策与措施
3、开展免费自愿咨询检测服务
设立自愿咨询检测服务点，在全省县以上的疾病预防控制
中心、皮肤性病防治所、妇幼保健院、以及综合性医院建立
艾滋病抗体筛查实验室，并依托实验室开展免费艾滋病自愿
咨询检测服务。
Implementation of free voluntary testing and counseling services
At all of Hainan’s county level (and above) CDC stations, skin
and STI clinics, and hospitals should establish AIDS antibody
screening labs, along with free voluntary testing and counseling
services.
三、海南省艾滋病防治对策与措施
4、加强艾滋病感染者/病人的随访管理
对新报告的艾滋病病毒感染者/病人开展流调，加强随访管理，对感
染者/病人进行宣传教育和提供随访关怀服务，以控制二代传播的发
生及艾滋病的流行蔓延。随访频次为感染者每6个月随访一次、病人
每3个月随访一次。
Improve care and services for HIV/AIDS carriers
Improve epidemiological surveillance and follow up care for newly
reported HIV/AIDS patients. Improve education and resources for
continued comprehensive follow-up care for patients, be proactive in
curbing the spread of Hainan’s second generation HIV/AIDS epidemic.
Follow up with patients infected with HIV every 6 months, with AIDS
patients every 3 months.
三、海南省艾滋病防治对策与措施
5、开展抗病毒药物治疗、落实国家“四免一关怀”政策。
符合治疗条件
（1）临床诊断为艾滋病病人——出现临床症状。
（2）HIV抗体呈阳性，同时CD4细胞计数检测小于350/ul。
抗病毒药物治疗时应注意：
（1）服药的依从性。
（2）耐药性监测。
Expand antiretroviral therapy, and implement China’s “4 Frees, One Care” policy.
Comply with treatment stipulations
1. Clinical diagnosis of AIDS patients and symptoms.
2. HIV antibody testing, CD4 count detection at less than 350/ul.
Careful consideration of proper antiviral therapy:
1. Adherence to medication
2. Surveillance of antimicrobial resistance
全省417例CD4小于350的HIVAIDS病人地区分布情况
Geographical distribution of HIV/AIDS Cases with CD4 count less than 350
儋
州
三
亚
海
口
乐
东
东
方
文
昌
澄
迈
万
宁
临
高
琼
海
陵
水
定
安
屯
昌
昌
江
琼
中
白
五 沙
指
山
保
亭
100
90
80
70
60
50
40
30
20
10
0
HIV cases,
CD4 count less
than 350
AIDS
CD4小于
350的HIV
AIDS
累计接受免费抗病毒治疗病人地区分布
Geographical distribution of patients receiving free ARV treatment
40
35
30
25
20
15
10
5
海
口
儋
州
三
亚
乐
东
东
方
文
昌
澄
迈
琼
海
屯
昌
琼
中
白
沙
临
高
定
安
万
宁
陵
水
昌
五 江
指
山
保
亭
0
免费ART
治疗
Free ARV
Treatment
目前全省共设立7个免费抗病毒治疗点，覆盖海口, 三亚、
儋州、文昌、东方、乐东6个市县. 至2011年6月30日，共为
173名病人提供免费抗病毒治疗药物，目前仍坚持治疗的有
132人。
Currently Hainan has a total of 7 stations in 6 counties offering
free antiretroviral treatments: Haikou, Sanya, Danzhou,
Wenchang, Dongfang, Ledong. Through June 30, 2011, 173
registered HIV/AIDS patients had received free antiretroviral
medication through these stations, 132 people are continuing to
receive treatments there.
三、海南省艾滋病防治对策与措施
Hainan AIDS Prevention Policies and Measures
6、广泛开展预防与控制艾滋病的健康
教育宣传
（1）党政机关开展防治知识和政策
宣讲。
（2）在学校开设艾滋病健康教育课
程。
（3）在外出打工的青年农民，开展
预防艾滋病的生
活技能培训。
（4）在农村地区刷写墙体广告。
（5）张贴宣传画。
（6）在宾馆酒家和娱乐场所发放宣
传小册子等。
（7）通过开展形式多样的艾滋病宣
传教育，提高大众人群 的防护意
识和艾滋病知识知晓率。
Control expansion of HIV/AIDS through aggressive
prevention health education
1. Government should disseminate information
about AIDS prevention and control policies.
2. Offer AIDS education in school health classes.
3. Young farmers and migrant laborers should
receive AIDS prevention and life skills training.
4. Write educational slogans in rural areas.
5. Hang educational posters
6. Distribute posters and educational pamphlets
in hotels and other entertainment venues.
7. Through increase in many forms and avenues
of education, raise public awareness,
consideration and knowledge of AIDS and
AIDS prevention.
领导出席宣传日活动:
Leaders Attend Education Activities
海口市开展农民工和大众宣传:
Haikou city education activities for migrant workers and general public
三、海南省艾滋病防治对策与措施
Hainan AIDS Prevention Policies and Measures
Enhance blood management/regulations,
to ensure safety of blood for clinical use
7、加强血液管理、保证临床用血安全
（1）在省会海口设立一家血液中心，
在东、西、南北、中5个市县设立
血站，其余每个市县设立临床用血
储备库，形成血液供应网络系统。
（2）实行无偿献血制度，全省均取缔
了有偿供血的现象，各家医院的临
床用血均统一由省血液中心及其血
库提供。
（3）每一份给病人使用的血液必须经
过两次血液感染因子（HIV、梅毒、
乙型肝炎、丙型肝炎、疟原虫）的
检测筛查。
1. Establish a blood supply center in Hainan’s
capital, Haikou, and blood banks in Hainan’s
east, north, west and south county seats. All
remaining cities and counties will be supplied
blood for clinical use through the centralized,
regulated blood supply network
2. Implementation of voluntary blood donation
system, throughout the province ban all
compensated blood donation. All hospitals’
clinical use blood may only be obtained
through the unified provincial blood center
networks.
3.
All blood for donation must be screened
twice for HIV, hepatitis B and C, syphilis,
malaria and parasites.
三、海南省艾滋病防治对策与措施
Hainan AIDS Prevention Policies and Measures
8、建立艾滋病综合防治示范区
在全省建起1个国家级艾滋病综合防治示范区和7个省与国家共
建的综合防治示范区，通过示范区的建立探讨适合中国国情和我
省省情的艾滋病综合防治工作模式，积累经验，为别的市县提供
借鉴。
Make Hainan one of the nation’s model provinces for comprehensive
HIV/AIDS treatment, control and prevention. Through this process, and
through thorough implementation of all AIDS treatment and control
measures, gain valuable experiences and become a successful
example for other cities and counties.
三、海南省艾滋病防治对策与措施
Hainan AIDS Prevention Policies and Measures
9、与国际组织合作开展艾滋病防治项
目
通过多项国际组织合作项目的参与实
施，有效的推动与促进了我省各项艾
滋病防治工作的深入开展。
我省与国际组织合作的项目主 有：
全球基金项目，覆盖全省18个市县；
中盖项目，覆盖海口、三亚、儋州、
万宁4个市县；联合国人口基
金项目，覆盖昌江县；中美女用安全
套项目，覆盖澄迈县、琼海市。
Conduct AIDS prevention projects in
cooperation with international organizations
Cooperate with international organizations
with experience conducting effective AIDS
related programs. Hainan has cooperated
with international organizations including:
Global Fund Gold project, covering 18
cities and counties; United Nations
Population Fund Gold Projects, covering
Changjiang County; and the China-US
Women’s Health Project (Female Condom
project) in Chengmai county and Qionghai.
四、艾防工作五年规划
5 Year AIDS Prevention Plan
 工作目标：采取综合防治措施，减少艾滋病新发感染，
降低病死率，减少对受艾滋病影响人群的歧视，提高感
染者和病人的生存质量。到2015年将存活的感染者和病
人控制在4800人左右。
 Comprehensive prevention and control measures, reduction of
new HIV infections, reduced mortality rates, combating
discrimination against HIV/AIDS affected populations, improving
HIV/AIDS patients’ quality of life. By 2015, stabilizing number of
surviving patients to around 4800 people.
四、艾防工作五年规划
5 Year AIDS Prevention Plan
策略和措施

1、扩大宣传教育覆盖面，营造良
好社会氛围

Strategies and Measures

2、扩大综合干预覆盖面，提高干
预工作质量
1. Increasing education and publicity to improve social
climate around HIV/AIDS and related issues and
populations.


3、加强血液安全管理，预防医源
性传播
2. Improving quality and increasing scope of intervention
efforts.

3. Enhancing blood safety regulations, preventing medical
transmissions

4、扩大监测检测覆盖面，最大限
度发现感染者

4. Expanding surveillance and testing, for greatest possible
capacity to discover infected persons.

5、扩大抗艾滋病病毒治疗覆盖面， 

提高治疗水平和可及性
5. Improving access to treatment and therapy.
6. Strengthen services for infected persons, and full
implementation of prevention and care measures.

6、加强对感染者和病人的服务，
全面落实防治关怀措施


7、充分发挥社会力量的作用，开
展艾滋病综合防治工作
7. Fully employ social forces to carry out HIV/AIDS
prevention work


8、加强国内外合作与交流，借鉴
和吸收别人的成功经验，提高防治
队伍素质和防治水平。
8. Strengthen national and international collaborations and
exchanges, to learn and benefit from successful
experiences of others and improve treatment and
prevention quality.
四、艾防工作五年规划
5 Year AIDS Prevention Plan
建立健全艾滋病防治体系

1、实验室建设：按东西南
北中区域规划，装备五个
市县的实验室，以此辐射
到全省各个市县，使其能
够开展CD4检测和病毒耐药
性检测等。
Establish comprehensive AIDS
prevention and control systems
1. Laboratory construction: planning
for North, West, South and central
regional ..equip 5 cities with labs
and resources necessary to conduct
CD4 and viral resistance testing
throughout their regions.

2、建立系统的、敏感的监
测网络。及时掌握疫情的
变化趋势。
2. Establish systematic, sensitive case
monitoring network. Understand
trends of epidemic.

3、加强队伍建设和人才培
养。
3. Strengthen staff capacity building
and training.

4、鼓励和扶持NGO组织、
草根组织参与到艾滋病防
治工作中来。
4. Encourage and support NGOs and
grass roots organizations to
participate in AIDS prevention work.
LOGO