Monday , October 3 2022

:: El Litoral – News – Santa Fe – Argentina


About 7,000 Santa's people are diagnosed and receive antiretroviral treatment, but there are some 3,800 people who carry the virus and do not know it, according to the projection of the STD and AIDS State Committee.

In the city, awareness raising activities are being carried out. On Friday, for example, free tests were made in the urban esplanade. Photo: The Coast

Damage in the World Against Disease They estimated that there were 10,800 people with HIV in the Santa Fe province. Around 7,000 people in Santa Fe are diagnosed and have antiretroviral treatment, but there are about 3,800 people who carry & # 39; the firms and do not know it, according to the projection of the ETS Provincial and AIDS Committee. About 7,000 Santa's people are diagnosed and receive antiretroviral treatment, but there are some 3,800 people who carry the virus and do not know it, according to the projection of the STD and AIDS State Committee.

Gastón Neffen

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Twitter: @ gneffen

35 years after the French Montagnier and biochemist French physiologist Françoise Barré-Sinoussi noted that the human immune virus (HIV) – won a Nobel Prize in 2008-, AIDS continues to be a challenge to the global health system with more 36 million cases detected (1.8 million new infections each year), especially in the poorest regions of the planet, such as the African continent. In Santa Fe, it is estimated that there are 10,800 patients who have been infected, according to the projection of the STD and AIDS State Committee.

In an interview with El Litoral, Damián Lavarello, the committee co-ordinator, said that around 5,500 people were receiving antiretroviral treatment in the Santa Fe hospital and health center network – the nationwide delivery medication- about 900 more patients from Iapos and about 600 of people with social and free work. "There is a diagnosis of 7,000 patients in the province, but it is estimated that there are between 3,500 and 3,800 people who do not know that they have been infected with the virus," he said.

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The trend is similar at a national level. In Argentina, it is estimated that there are 130,000 people with HIV (between 120,000 and 135,000). 70% are diagnosed and received; to 30% na. Central fact, because people do not take the viral load medication is anonymous and the chances of transferring the disease are really reduced.

"At present," Lavarello insists, "HIV infection is a chronic disease with very tolerant treatment, which is usually only one tablet a day. We have patients who have been taking the medication for 25 years with good results okay. "
There is a very different scenario that was faced in the mid 1980's and it is important to terminate the stigma, the discrimination and the prejudice that chased patients for decades. But we should not relax: a topic that worries about Santafesinos doctors is that cases are not only summarized in the largest cities for the years – Rosario, Santa Fe, Rafaela, etc. – but they are also found in smaller towns such as Ceres, Florence and Roasting, among many other people.

There are two central prevention strategies: the use of condoms, which continues to be an effective barrier against the virus and against sexually transmitted diseases – no matter how much "duds" is said – and find it early to avoid danger there will be a magic carrier

World Health Organization Photo: Infographic – El Litoral.

Vertical transmission

In Santa Fe there is another positive fact: the vertical transmission of the virus during pregnancy is less than half the national average. "O 140 annual transfers of women with HIV, there are 2 or 3 transfers in the province, which is a figure that represents 2%, averaging 5% on average the country, "said the officer.

At present, detecting the virus is key, because when it is done in time it allows to reach the delivery time with a very low viral load, even uncovered. That is why two HIV tests should be done during pregnancy and also for the couple. The tests were also made to detect syphilis, Chagas and hepatitis B.

"In the case of a syphilis, which grew up in the province, it is essential because there is a risk that the baby dies in the womb if the mother is suffering from the disease. Unfortunately, there is a Seven cases of this type each year, "said Lavarello.

With the protection down

Santa Fe doctors who work with patients with HIV have a tendency for concern: using condoms is relaxing and that is why sifilis and gonorrhea are also grown (see the boxes). In relation to HIV, when they confirm a case, sometimes the person is surprised and says things like "so strange, I have not heard anything about the disease for a long time".

That is another relevant point, in Argentina the system works efficiently when a positive case is detected (there is a quality medication and supply flows) but there are almost no preventative prevention campaigns new – if they were made in the 80's. and 90 & # 39; – neither is it going to search actively – with a test to detect the virus – for people who have already been infected (with some exceptions).

In Santa Fe, at the beginning of the epidemic, most cases were found among men who had sex with other men. Then the approach between the heterosexual was inflated, because in the first group there was a much more realistic perception of risk and they protected each other. Now, the huge increase in treatments may have influenced – believe some doctors – that the gay community takes less care – also heterosexual – and more cases will come back.

Increases are another challenge. People who use cocaine, derivatives and other drugs tend to have more difficulties in maintaining treatment, which in 90% of cases are effective.

A final issue, which causes concern in the teams, is that people with higher AIDS cases continue to arrive in hospitals and live for up to 8 years with the dissatisfied virus, which is # 39; n mean that they can infect dozens of couples during all those years. years

Syphilis cases have a trip

In 2011, there were 3,875 cases of syphilis, and last year the number increased to 11,709 patients, according to the Ministry of Health of the Nation. In Santa Fe there are no official figures, but doctors recognize that there is an increase in cases.

Symptoms usually appear 20 days after the bacteria (Treponema pallidum spirochete) go to the body. It starts with small wounds – which do not hurt – in the vagina, penis, mouth or anus, which disappears without treatment.

Six months later, body vaccinations, fever and hair loss may appear. If the disease can move on it can lead to blindness, dementia, paralysis and other serious illness (including death). If the disease is detected, the treatment is not complicated and antibiotics are effective in controlling the bacteria.

They ask the G20 to get more involved

Dr. explained Pedro Cahn, scientific director of Fundación Huésped, should 90% of people with HIV know their diagnosis, agree to receive treatment and keep their viral load dissatisfied, it would be possible to control HIV / AIDS epidemic in 10 years.

"This is the responsibility of world leaders and it is not impossible because most countries have equipment such as testing, treating and improving the quality of life for people with HIV," he said.

"In the past nine years, the G20 did not contain any of the official documents of HIV. It is mentioned only in the document signed by the Health Ministers in Mar del Plata, in 2018, and in a completely devolved way, "said Kurt Frieder, president of the Institute of Guests, who was also a G20 Global Health group co-ordinator.

"The role of the G20 will be crucial in designing joint actions to tackle HIV in its member countries, including the contribution of financial resources such as the need to support response in countries low and medium income ", the conclusion was reached to Dr. César Núñez, regional director for Latin America and the Caribbean from Onusida.

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