MK HIV AIDS and Media by Dr Munawar Khan SACP

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November 2012

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HIV/AIDS & Role of Media:

HIV / AIDS & Role of Media Presenter DR M MUNAWAR KHAN BCC COORDINATOR Enhanced HIV/AIDS Control Program

PowerPoint Presentation:

Dr Munawar Khan Bcc SACP

Sindh AIDS Control Program:

3 Sindh AIDS Control Program Objectives To create awareness of the seriousness of the disease Ensure that people of Sindh are equipped with knowledge and tools to protect themselves Reduce transmission of HIV and other STI infections through blood and blood products In case of infection, the patient should be encouraged to seek treatment Dr Munawar Khan Bcc SACP

Infra Structure and Services on Ground :

Infra Structure and Services on Ground Provincial Implementation UNIT (PIU) At I. I Depot, Rafique Shaheed Road near JPMC. Referral Lab Established for laboratory diagnosis and confirmation of HIV/AIDS Cases & Sexually Transmitted Infections. Voluntary Counseling & Testing centers 21 VCT Centers have been Established for screening of HIV/AIDS cases STIs clinics 46 STIs Clinics have been Established at teaching and DHQ hospitals for management of STI,s Establishment of Resource Center With Facilities of Digital Library. For trainees and projects staff PPTCT Centers 03 ( Prevention of Parents to Chid Transmission ) Dr Munawar Khan Bcc SACP

PowerPoint Presentation:

HIV came from a similar virus found in chimpanzees - SIV. HIV probably entered the United States around 1970 CDC in 1981 noticed unusual clusters of Kaposi’s sarcoma in gay men in NY and San Francisco, which led to the disease to be called GRID (Gay Related Immune Deficiency). By 1982 the disease was apparent in heterosexuals and was renamed AIDS (Acquired Immune Deficiency). Dr Munawar Khan Bcc SACP

PowerPoint Presentation:

Global summary of the AIDS epidemic  2011 34.2 million 30.7 million 16.7 million 3.4 million 2.5 million 2.2 million 330 000 1.7 million 1.5 million 230 000 Number of people living with HIV People newly infected with HIV in 2011 AIDS deaths in 2011 Total Adults Women Children (<15 years ) Total Adults Children (<15 years ) Total Adults Children (<15 years ) Dr Munawar Khan Bcc SACP 6

PowerPoint Presentation:

Global estimates for adults and children  2011 People living with HIV 34.2 million New HIV infections in 2011 2.5 million Deaths due to AIDS in 2011 1.7 million Dr Munawar Khan Bcc SACP 7

PowerPoint Presentation:

Over 7000 new HIV infections a day in 2011 About 97% are in low and middle income countries About 900 are in children under 15 years of age About 6000 are in adults aged 15 years and older, of whom: ─ almost 47% are among women ─ about 41% are among young people (15-24) Dr Munawar Khan Bcc SACP 8

PowerPoint Presentation:

2011 global HIV and AIDS estimates Children (<15 years) Children living with HIV 3.4 million New HIV infections in 2011 330 000 Deaths due to AIDS in 2011 230 000 Dr Munawar Khan Bcc SACP 9

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Every minute, 6 persons die of an AIDS related illness Every minute, 9 more persons become HIV positive

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Dr Munawar Khan Bcc SACP

PowerPoint Presentation:

12 A combination of risk factors is currently putting Pakistan at serious risk of further transmission from high to low risk groups through bridging populations. Pakistan’s HIV epidemic Dr Munawar Khan Bcc SACP

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13 Dr Munawar Khan Bcc SACP

HIGH RISK GROUPS IN PAKISTAN:

HIGH RISK GROUPS IN PAKISTAN Pakistanis Living / Visiting Countries of High Risk Sailors/ Long distance Truck Drivers Mobile and Seasonal Workers – Men on Move Sex Workers – FSWs / CSWs, MSM, Hijras and their Clients Multi-Transfused [Hemophiliacs, Thalassaemics ] Kidney Dialysis patients Intravenous Drug Users Wives of deported HIV/AIDS patients [Innocent bystanders] Children born to HIV Positive Mothers Professional Blood Donors Prisoners Foreigners Immigrants both Internal and External Refugees, Displaced or Trafficked persons Armed & Police Forces, Hostels with ‘ALL Male situation ’

HISTORY OF HIV IN PAKISTAN :

Dr Munawar Khan Bcc SACP HISTORY OF HIV IN PAKISTAN 1986 – An African Sailor Died in Karachi 1987 – First Pakistani Citizen Diagnosed with AIDS in Lahore 1987 – First Husband-Wife-Child transmission of HIV occurred in Rawalpindi 1993 – First Breastfed Baby gets AIDS in Karachi 2003 First outbreak among Injecting Drug Users was identified in Larkana

HIV & AIDS in Pakistan :

HIV & AIDS in Pakistan ( 2 nd Quarter 2010 ) Total Estimated Cases = 106000 Total reported HIV & AIDS cases in the country are = 7574 HIV Positive – 7049 AIDS Cases – 525 Dr Munawar Bcc SACP 16

SINDH:

SINDH Dr Munawar Khan Bcc SACP

SINDH:

SINDH Upto 31 st Sept,2012 TOTAL CASES = 5182 HIV Asymptomatic Cases= 4956 Male = 4652 93.87% Child/Boys = 36 0.73% Female = 241 4.86% Child/Girls = 24 0.48% AIDS CASES = 226 Male = 194 (85.48%) Child /Boys = 01 (0.44%) Female = 30 (13.28%) Child/Girls = 01 (0.44%) Dr Munawar Bcc SACP Dr Munawar Bcc SACP 18

DEATH CASES TILL 31st Sept, 2012:

DEATH CASES TILL 31 st Sept, 2012 DEATH = 182 Male = 163 89.56% Child = 02 1.10% Female = 11 6.04% Child = 06 3.32% Dr Munawar Bcc SACP

District wise HIV/AIDS Registered Patients in Sindh till 30th September 2012:

District wise HIV/AIDS Registered Patients in Sindh till 30th September 2012 District HIV Positive Percentage% AIDS Positive Percentage% Total SINDH Karachi 3714 74.94 67 29.65 3781 Larkana 313 6.32 3 1.33 316 Hyderabad 55 1.11 2 0.88 57 Sukkur 40 0.81 0 0.00 40 Mirpurkhas 11 0.22 1 0.44 12 Dadu 16 0.32 2 0.88 18 Jacobabad 7 0.14 0 0.00 7 Sanghar 79 1.59 0 0.00 79 Sh. Benazirabad Nawabshah 6 0.12 1 0.44 7 Jamshoro 1 0.02 0 0.00 1 Shikarpur 6 0.12 1 0.44 7 Qambar 10 0.20 0 0.00 10 Thatta 9 0.18 1 0.44 10 Matiyari 1 0.02 0 0.00 1 Kashmor 3 0.06 0 0.00 3 Khairpur 4 0.08 0 0.00 4 Tarparkar 1 0.02 0 0.00 1 Ghotiki 4 0.08 0 0.00 4 Badin 5 0.10 0 0.00 5 Naushahroferoz 1 0.02 1 0.44 2 Unknown 377 7.61 136 60.18 513 Sub-Total 4663 94.09 215 95.13 4878 Dr Munawar Khan Bcc SACP

Other Provinces Patients registered in Sindh :

Other Provinces Patients registered in Sindh 21 District HIV Positive Percentage% AIDS Positive Percentage% Total Baluchistan 94 1.90 3 1.33 97 Punjab 62 1.25 3 1.33 65 NWFP ( KPK) 58 1.17 2 0.88 60 AJK 4 0.08 0 0.00 4 Gilgit Baltistan 1 0.02 0 0.00 1 FATA 5 0.10 1 0.44 6 Foreigner Patients registered in Sindh Foreign Countries 69 1.39 2 0.88 71 Most of the foreigners belonging to Sub-Saharan Africa and most of them are detected in prisons. Total 4956 100.00 226 100.00 5182 Total HIV infected cases reported in Sindh Province 4956 Total AIDS Positive cases reported in Sindh Province 226 Total HIV/AIDS 5182 Dr Munawar Khan Bcc SACP

DECEMBER 2011 4th Round:

DECEMBER 2011 4 th Round Sindh is in the concentrated phase of epidemic among : IDU’s = 42% Hijra Sex workers =15.45% Dr Munawar Khan Bcc SACP

HIV/AIDS Surveillance Round-4 results:

HIV/AIDS Surveillance Round-4 results Dr Munawar Khan Bcc SACP IDU MSW HSW Total FSW HFSW BFSW SFSW KKFSW Beg FSW MFSW Karachi Total Tested 361 353 351 392 131 30 75 96 30 30 Positives 151 20 41 7 6 0 0 1 0 0 % Positives 42 6 12 2 5 0 0 1 0 0 Larkana Total Tested 363 359 373 378 285 47 19 27 0 0 Positives 68 11 53 7 1 2 2 2 0 0 % Positives 19 3 14 2 0 4 11 7 0 0 Sukkur Total Tested 334 209 166 178 125 0 33 20 0 0 Positives 58 1 6 1 0 0 1 0 0 0 % Positives 17 0 4 1 0 0 3 0 0 0 Dadu Total Tested 150 0 0 0 0 0 0 0 0 0 Positives 24 0 0 0 0 0 0 0 0 0 % Positives 16 0 0 0 0 0 0 0 0 0

Genetic Subtypes of HIV:

Genetic Subtypes of HIV Groups : HIV 1 , HIV 2 Genetic sub types : Groups : HIV 1 - M(main),O(outlier),N (new) Subtypes( clades ) M(11 subtypes A I,CRF) HIV 2 —Six subtypes A-F Dr Munawar Khan Bcc SACP 24

Current Situation:

Current Situation Problems: Inadequate coverage of the issues Stories based on misinformation, Unnecessary Victimize , stigmatize, and Discriminate the People Living With HIV and AIDS

Factors Behind Inadequate Coverage:

Factors Behind Inadequate Coverage Socio-cultural norms Religious beliefs Invisibility of the virus Sensitivities / taboos attached to HIV and AIDS Lack of appropriate language

Role of the Media:

Role of the Media Take ownership Increase understanding of issues related to HIV and AIDS Create and promote an enabling environment for effective reporting on HIV and AIDS Address HIV and AIDS in their own media institutions

Role of Media:

Role of Media Clear perception/misconception Create awareness; generate motivation rather than hopelessness Encourage coverage; move from health emphasis Give due respect to PLWHA Create a supportive and enabling environment

Challenges:

Challenges Break the silence on HIV and AIDS End stigmatization and discrimination of PLWHA

PowerPoint Presentation:

Thank You

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