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					   History Of HIV/AIDS
Identified in 1981- Loss Angelies USA
 HIV- Human Immunodeficiency

          Virus
 AIDS- Acquired Immune Deficiency

         Syndrome
 HIV virus was found by

        Lucmontignayr & Robert Galoo
It is a Retro Virus – Two Type HIV 1,

                                HIV 11
               Sri Lanka
   1986- First Patient was found. But
    He was a foreigner.
   1987- First Sri Lankan HIV Patient
    was Identified
   Since then more and more Pt: were
    detected annually. Initially most of
    them were having contact with
    foreigner.
   But now a days......... ?????
   Let us joint hands to control and
    prevent HIV/AIDS Sri Lanka.
   Need TEAMS Work
     T – Together
     E – Every
     A – Achieve
     M – More
     S – Success
Situation Up to 2005 December
 800                                               743
 700
                                             614
 600
 500
 400                              358                    HIV
                                                         AIDS
 300
                                                 207
 200                  145                     179
                                    119
 100                    58
          23
  0
   1987 1989 1991 1993 1995 1997 1999 2001 2003 2005
    HIV/AIDS Estimates for Sri Lanka
            as end of 2005
   People living with HIV/AIDS
               Adults >15 years 5000
            Children <15 years <100
   Deaths in 2005                140
   Adults Prevalence >15 years <0.1%
   HIV Cases (743)by gender
         Male 432       Female 311
   AIDS Cases (207) by gender
         Male 146       Female 61
                Basic Data
   Male to Female ratio of reported HIV cases
    - 1.4:1
   Cumulative AIDS death reported 144
   Cumulative perinatally transmitted cases
    reported      24
   Cumulative foreign HIV cases reported 56
   Number of HIV tests carried out during
    2005              266.786
   HIV sero-positivity rate for2005    0.05%
         Mode of Transmission
 Sexually    96.4%
 (85.4% heterosexual, 11% bisexual)
 Mother to Child 2.9%

 Through Blood transfusion 0.7%

   >50% age group 25 – 39 year
   Common District
     Colombo,Gampaha,Kalutara Kurunagala,
     Kandy,Jaffna,Galle,..?Badulla,Monaragala
    Reported HIV / AIDS Cases are
           low in Sri Lanka
   Reasons could be
    a) Social stigma & Discrimination
    b) Limited availability of counselling
       & testing
•   What is Second Generation
    Surveillance
•   There were 23 sample collecting centre
•   Selected 5 high risk groups between 15 to
    49 year age
         5 High Risk Groups
1) Female sex worker- Identified and
   enrolled by field visits
2) STD Clinics attendees excluding
   routine pre employment but antenatal screening
    were enrolled at selected sentinel sites
3) New & Old TB Patients
4) Service personals – Army personnel
                         in active service
5) Transport Workers – Lorry drivers & Lorry
                          cleaners
Last two groups are considered as representing
    clients of sex workers
           What will be the results ...?
   9765 were tested
   North western province -               3 HIV positives among
    STD clinic attendance sero prevalence 1%

   Western province –            2 STD Clinics attendees (0.3%)
    ,one female sex worker (0.2%) , One TB Pt (0.3%)

   Southern Province- 2 STD Clinics attendees (0.5%)
   Uva Province- 1 STD Clinic attendees (0.4%)
    Age of positive range 24 – 43 year. Five were males
    ( Source - Report of the 2003 HIV sentinel surveillance )
             Target Groups

   Commercial sex workers
   High risk females
   Transport workers
   Service personnel
   Foreign employees
   Secret transport managers
   Youths
   Adolescents 13 – 18 age
THANK YOU
 RE-DPDHS Monaragala
     17th February 2006

				
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posted:12/14/2011
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