Transcript HIV AND AIDS

MS FRCS MCh(Urology)
Member of Parliament
Role of Parliamentarian
Legislator
Budget Allotment
Prevention
Drugs
Treatment Centers / Facilities
Rehabilitation
Awareness
Natural History
Acute Infection
2 to 3 weeks
Recovery + Serovonversion
2 to 4 weeks
Asymptomatic Chronic Infection
Average 8 years
Symptomatic Infection
AIDS
Death
HIV
HIV Antigen
2 to 6 weeks
Window Period
HIV Antibody
After 6 weeks
Tests
Test
Specificity Sensitivity
Cost
Tridot
96
96
Rs. 150
ELISA
99%
99%
Rs. 250
Western
Blot
100%
Rs. 1500
Tests
Test
RTA –
PCR
Specificity
Sensitivity
Cost
100%
100%
Rs. 4500
Why AIDS is Unique?
Plague
Small Pox
Tuberculosis
Malaria
Syphilis
Asymptomatic Stage
Average 8 years
Range 3 to 15 years
HIV + ve but not AIDS Patient
Cultural Change / Challenge
Homosexuality
Promiscuity
Premarital Sex
Casual Sex
Legislation
Mandatory Premarital Testing?
Mandatory Testing before employment?
Compulsory Testing of Antenatal Mothers?
Punish Doctors refusing treatment of HIV /
AIDS patients?
Guidelines for safe medical practice – safety
of Medical and Paramedical personnel
Questions?
Condom vending machines in educational
institutions?
Condom vending machines in Army
barracks?
Making it Compulsory to put hoardings on
safe practice of sex and warning against
AIDS in all Public / Private industries
Disease Spread
Air
Coughing
Sneezing
Disease Spread
Urine
Faeces
Transmission
Food
Water
Disease Spread
Sweat
Saliva
Tears
Disease Spread
Semen
Vaginal Fluid
Disease Spread
Sexual Intercourse
Vaginal sexual intercourse
Man to Women
Women to Man
Disease Spread
Anal Sex
M with M
M with W
Disease Spread
Oral Sex
Disease Spread
Use of Condoms
When Properly Used
Disease Spread
Tissue
Transplantation
Disease Spread
Blood and Blood Products
Blood Transfusion
Intravenous Drug Users
Health care workers
Disease Spread
Doctor to Patient
Infected Physician
Dental Procedures
Patient to Doctor
Disease Spread
Inanimate Objects
Cloths
Towel
Tooth brush
Shaving Blade
Disease Spread
Vectors
Mosquitoes
Bed Bugs
Disease Spread
Using Public Toilet
Disease Spread
Ear, Nose Piercing
Disease Spread
Tattooing
Mother to Foetus
During Pregnancy
At the time of Birth
Breast Feeding
Prevention
Abstinence Before Marriage
Faithfulness after Marriage
Life is a pain.
And enjoyment
of love is an
Anaesthetic
Cesare Pevese
Safe Sexual Practice
Use of Condoms
When Properly Used
Disease Spread
Washing of Genitalia after sexual
intercourse
Disease Spread
Masturbation
Circumcision
Postexposure Prophylaxis
After Sexual Intercourse
AZT
After Solid Needle Prick
AZT
After Large Bore Needle Prick
AZT + LPV/r
Sexually Transmitted Diseases
Syphilis
Chancroid
Gonorrhoea
HPV
Herpes
LGV
Fungal Infections
Vaccines
Research level