Download STD-AIDS

Dr.Bujji Babu
M.D.
Bujjibabu HIV Clinic
HIV / STD
• Among the three modes of transmission of
HIV viz. Blood borne, Vertical and Sexual,
SEXUAL TRANSMISSION accounts for
the most HIV infection in the world.
HIV / STD
• The concentration of HIV in genital tract
secretion from both males and females is
increased at times when Sexual
transmission is thought to be enhanced.
• One of the most important cofactor for HIV
transmission being inflammation of genital
tract.
HIV / AIDS
• Transmission of Sexually acquired HIV
described as R = B x D x C
R-> No. of Secondary infection from a
given infection.
B->The mean efficiency of Transmission.
D->Duration of Infectiousness.
C->The mean partner change rate.
HIV / AIDS
• All tools needed for HIV prevention have
already been developed for prevention of
STD, but not properly deployed, like :
-Behavior change
-Having lesser number of partners.
-Safe sex practices (Usage of Condoms
etc.) especially CSW’s.
-Early detection and therapy.
HIV / STD
• Treatment of STD’s has proven a successful HIV
intervention
• Several biological studies have demonstrated
that STD’s >> the shedding of HIV in both male
and female genital secretions
• Treatment of STD’s << the shedding of HIV.
• STD’s probably << mucosal resistance to HIV.
HIV / AIDS
• INDIAN SCENERIO
OF STD’s
Cure
Treatment Complition
Correct Treatment
Correct Diagnosis
Seeking care
Aware & Worried
Population with STD's
100.1
0
50
100
150
HIV / AIDS
•
1.
2.
3.
Controlling STDs and HIV
Promote behavioral change
Assure availability of effective STD care
Promote early health care seeking for
STD symptoms
4. Detect and treat asymptomatic infection
HIV / STD
• Increase awareness and improve health
care behavior
• National / local media campaigns
• Education for youth in / out of school
community initiatives (Peer education /
clubs)
• Education in health facility waiting area
• Education as part of STD service
• Work place education programme
HIV / STD
ART & STD treatment
• No drug interactions
• Usual course of treatment for STD is
sufficient with ART
HIV / STD
HIV – PAC
Evaluate-Intervention
Access –the
epidemic and
response
Integrate-STD
Prevention and care
Advocate- STD
Strength- STD services