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Introduction to HIV/AIDS M O D U L E  1
Module 1: Outline ,[object Object],[object Object]
Module 1: Objectives ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],S E S S I O N  1
Scope of the HIV/AIDS Pandemic
Global HIV/AIDS in 2004*   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Estimated Number of Adults Infected with HIV, according to the Region, 1980 through 2003
HIV/AIDS Pyramid (2001) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Impact of Global HIV ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
2003 5.1 m 5.1 m.  Indian  living  with  HIV
HIV Estimates in India                                     
New Challenges…...New Opportunities HIV + U5MR
Adult HIV Prevalence  High Prevalence States
Karnataka 0 1 2 3 4 5 1998 1999 2000 2001 2002 2003 % HIV prevalence Year * Data from consistent sites Median HIV prevalence in ANC population in  AP, Karnataka, Maharashtra  and Tamil Nadu, India,  1998−2003* Source:  National AIDS Control Organization Andhra Pradesh Maharashtra Tamil Nadu 2004 Report on the Global AIDS Epidemic
HIV ,[object Object],[object Object],[object Object],[object Object]
AIDS ,[object Object],[object Object],[object Object],[object Object],[object Object]
HIV and AIDS ,[object Object],[object Object]
HIV-1 and HIV-2 ,[object Object],[object Object],[object Object]
HIV-1 and HIV-2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Introduction to HIV/AIDS ,[object Object],[object Object]
Transmission of HIV ,[object Object],[object Object],[object Object],[object Object],[object Object]
Transmission of HIV HIV is not transmitted by ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mode of Transmission among  AIDS cases in India:  December 2004 (n=96978)
MTCT  in 100 HIV+ Mothers  The majority of children do not get infected even when we do nothing 0 10 20 30 40 50 60 70 80 90 100 # uninfected # infected during BF for 2 yrs # infected during delivery #infants infected during pregnancy 63 uninfected 15 15 7
Risk  of  PTCT  Transmission ,[object Object],[object Object]
0 20 40 60 80 100 Bihar Gujarat Uttar Pradesh Urban Male Urban Female Rural Male Rural Female % Source:  National AIDS Control Organization, National Baseline General Population Behavioural Surveillance Survey 2001 Proportion of Respondents Stating That HIV  can be Transmitted Through Sexual Contact,  Selected States in India  2004 Report on the Global AIDS Epidemic
Prevention of  HIV Transmission ,[object Object],[object Object],[object Object],[object Object],[object Object]
Prevention of  HIV Transmission ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Rationale for PPTCT in India 27 million pregnancies per year 1,62,000 infected pregnancies Cohort of 55,425 infected newborns per year 0.6% prevalence 30% transmission Most of these children die within 2-5 years
Natural History of HIV Infection
Natural History of HIV Infection ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Natural History of HIV Infection ,[object Object],[object Object],[object Object],[object Object]
HIV Disease ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HIV Disease ,[object Object],[object Object]
Progression of HIV Infection ,[object Object],[object Object],[object Object]
HIV Disease ,[object Object],[object Object],[object Object],[object Object],[object Object]
HIV Disease _______________Head__________________ Toxoplasmosis (Toxo) Cryptococcal meningitis _______________Eyes__________________ Cytomegalovirus (CMV) ___________Mouth and Throat__________ Candidiasis (Yeast) ________________Lungs________________ Pneumocystis carinii pneumonia (PCP) Tuberculosis (TB) Histoplasmosis _________________Gut_________________ Cytomegalovirus (CMV) Cryptosporidiosis Mycobacterium avium complex (MAC) ________________Skin_________________ Herpes simplex Shingles _______________Genitals______________ Genital herpes Human papillomavirus (HPV) Vaginal candidiasis (Yeast)
HIV Disease  : Summary ,[object Object],[object Object],[object Object],[object Object],[object Object]
Module 1: Key Points ,[object Object],[object Object],[object Object],[object Object]
Module 1: Key Points (continued) ,[object Object],[object Object],[object Object],[object Object]

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Final pptct mod 1

  • 1. Introduction to HIV/AIDS M O D U L E 1
  • 2.
  • 3.
  • 4.
  • 5. Scope of the HIV/AIDS Pandemic
  • 6.
  • 7. Estimated Number of Adults Infected with HIV, according to the Region, 1980 through 2003
  • 8.
  • 9.
  • 10. 2003 5.1 m 5.1 m. Indian living with HIV
  • 11. HIV Estimates in India                                    
  • 13. Adult HIV Prevalence High Prevalence States
  • 14. Karnataka 0 1 2 3 4 5 1998 1999 2000 2001 2002 2003 % HIV prevalence Year * Data from consistent sites Median HIV prevalence in ANC population in AP, Karnataka, Maharashtra and Tamil Nadu, India, 1998−2003* Source: National AIDS Control Organization Andhra Pradesh Maharashtra Tamil Nadu 2004 Report on the Global AIDS Epidemic
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23. Mode of Transmission among AIDS cases in India: December 2004 (n=96978)
  • 24. MTCT in 100 HIV+ Mothers The majority of children do not get infected even when we do nothing 0 10 20 30 40 50 60 70 80 90 100 # uninfected # infected during BF for 2 yrs # infected during delivery #infants infected during pregnancy 63 uninfected 15 15 7
  • 25.
  • 26. 0 20 40 60 80 100 Bihar Gujarat Uttar Pradesh Urban Male Urban Female Rural Male Rural Female % Source: National AIDS Control Organization, National Baseline General Population Behavioural Surveillance Survey 2001 Proportion of Respondents Stating That HIV can be Transmitted Through Sexual Contact, Selected States in India 2004 Report on the Global AIDS Epidemic
  • 27.
  • 28.
  • 29. Rationale for PPTCT in India 27 million pregnancies per year 1,62,000 infected pregnancies Cohort of 55,425 infected newborns per year 0.6% prevalence 30% transmission Most of these children die within 2-5 years
  • 30. Natural History of HIV Infection
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36.
  • 37. HIV Disease _______________Head__________________ Toxoplasmosis (Toxo) Cryptococcal meningitis _______________Eyes__________________ Cytomegalovirus (CMV) ___________Mouth and Throat__________ Candidiasis (Yeast) ________________Lungs________________ Pneumocystis carinii pneumonia (PCP) Tuberculosis (TB) Histoplasmosis _________________Gut_________________ Cytomegalovirus (CMV) Cryptosporidiosis Mycobacterium avium complex (MAC) ________________Skin_________________ Herpes simplex Shingles _______________Genitals______________ Genital herpes Human papillomavirus (HPV) Vaginal candidiasis (Yeast)
  • 38.
  • 39.
  • 40.

Editor's Notes

  1. High prevalence in South …… High vulnerabilities in the North Loss of all HDI gains -- if action is not taken