December 1 celebrates the 30th anniversary of the World AIDS Day. The UN-AIDS has offered the global level for this opportunity the "know your state" motto, inviting all the people to test HIV.
In 2017, there were nearly 37 million people living with HIV in the world, the same year that 1.8 million people contracted the infection and 940,000 people died. The reason for this motto is based on the fact that the World Health Organization has approved some time ago, the global prevention strategy of the "90-90-90" name, and Originally designed by our fellow states Professor Julio Montaner, which aims to basically aim to 2020:
-90% of people who live with HIV know their HIV status
-90% of people diagnosed with HIV have antiviral therapy
90% of people receiving antiviral therapy have viral restraint.
In order to emphasize the importance of the role of treatments as a preventive measure, recent research indicates that, when patients with HIV are detected and treated correctly, the possibility of transferring these to & Ether or homosexual partners literally "zero". But for patients to be treated and their unhealthy infections, first you must diagnose them (1st of the 90 of the strategy).
In Argentina, 122,000 people suffer from HIV, but only 70% know it; that's why the "know your state" slogan is also very suitable for your country and city.
Unfortunately, many obstacles continue to prevent people from experiencing HIV. Stigma and discrimination also persist and do not encourage people to have tests, so patients are diagnosed and late when they already suffer from symptoms of the disease (AIDS), and unfortunately they have other infection; In our city, the percentage of late patients reaches 30%.
HIV testing programs should be expanded, and all sexually active people should be proven for HIV in the same way as they control cholesterol or blood glucose; but not to worry, the vast majority
Of these tests is negative (around 99.6%) given that the number of cases of HIV is low in our country, and very simple treatments are offered to the positive ones that will continue & # 39; n are asymptomatic clinically and do not infect other.
Unfortunately, we can not forget the fact that useful use of a condom is being questioned recently, and we have to answer again and strictly "that these condoms are extremely useful in preventing sexually transmitted diseases , including HIV. "As well as in another order, the use of proxylactic is a measure of proven effectiveness for preventing unnecessary pregnancy.
In relation to suspension, new data has been published which indicates the use of antiviral drugs in a preventative way for people who have not been infected (pre-exposure prophylaxis or "PrEP" ), whose objective is to be in the face of a patient relationship with a patient if you have a HIV infection, the person with no HIV infection is not infected by taking a daily pollen; This strategy has been extremely useful in some groups with high risk of infection; it has not yet implemented in ours
In treatments for people who have been infected with HIV, they are increasingly efficient, with fewer side effects and many of them in one pill.
Finally, the final control of an infectious disease through vaccine, as happens with a small pot and other infectious diseases; Although a number of investigations are underway, vaccine can be predicted for HIV in the near future.
HIV infection was "virus and non-moral disease"; and therefore it must be subject to the basic rules of medicine such as early diagnosis (knowing your state), access to treatments and education for the community on what is preventive.
(*) Former Health Secretary of the borough.