CDC-NIMH Conference Closing Meditations Thomas J. Coates PhD Professor of Medicine Director, AIDS Research Institute University of California San Francisco.

Slides:



Advertisements
Similar presentations
HIV/AIDS The Epidemic in ANE and E&E So what do we do now? Paul De Lay Senior Advisor on HIV/AIDS Office of HIV/AIDS.
Advertisements

HIV/ AIDS - Yemen Successes and challenges Dr. Fouzia Abdullah Gharama Programme Manager Ministry of Public Health & Population.
HIV/AIDS Results Monitoring and Evaluation Systems Measuring the Multi-Sector Response.
No one left behind: Increased coverage, better programmes and maximum impact for key populations WHO Consolidated Guidelines on HIV Prevention, Diagnosis,
Turning the tide: Not without prisons! Promoting comprehensive national HIV responses.
STD Screening in HIV Clinics: Value and Implications Thomas Farley, MD MPH Tulane University Deborah Cohen, MD MPH RAND Corporation.
On the integration of programs… Luis Gutierrez Alberoni.
HIV in Texas: The Ways Forward Ann Robbins Manager of HIV/STD Prevention and Care Department of State Health Services.
Nationals HIV/AIDS Strategy and how the mission of Women Accepting Responsibility, Inc. is helping to meet this goal. By She’kell Hutchinson Program Director,
SOUTH CAROLINA EPIDEMIOLOGIC PROFILE Data available in an Integrated Epidemiologic Profile Core Epi Section Socio-demographic characteristics of.
© Aahung 2004 Millennium Development Goals Expanding the Agenda:
THE EPIDEMIOLOGY OF HIV/AIDS. HIV/AIDS – USA 2009 Living with HIV/AIDS = 1.2 million Incidence = 56,000/year MSM = 53% Heterosexuals = 31% IDUs.
HIV Disease in Older Patients Donna M. Gallagher, ANP The International AIDS Society–USA DM Gallagher, ANP. Presented at IAS–USA/RWCA Clinical Conference,
Finding and Using HIV Prevention Research to Develop Programs Jeffrey Bernstein, MS Ellen Goldstein, MA Center for AIDS Prevention Studies University of.
THE PREVENTION OF MOTHER TO CHILD TRANSMISSION of HIV (PMTCT)
A Webinar Hosted by The National Harm Reduction Coalition The National Black Leadership Commission on AIDS The Coalition for Positive Health Empowerment.
Monitoring the effects of ARV treatment programmes on prevention Gabriel Mwaluko 1, Mark Urassa,2, John Changalucha,2, Ties Boerma 3 1 TANESA Project,
African Americans and HIV: CA Office of AIDS Response Michelle Roland, MD Chief, Office of AIDS California Department of Public Health.
 Insufficient Reliable data in this region  Estimated people living with HIV  The number of new HIV infections in the region increased.
EngenderHealth/UNFPA Project – Ethiopia/Ukraine Strengthening the integration of HIV prevention in maternal health services. Increasing the capacity of.
Overview of the State of the HIV Epidemic in Canada Regional Session on USA and Canada XIX International AIDS Conference Howard Njoo MD, MHSc, FRCPC Director-General.
Financial Incentives & HIV prevention in Sub-Saharan Africa: Evidence from Three Experimental Interventions Berk Özler & Damien de Walque Development Research.
National AIDS Program in Palestine Dr. Asad Ramlawi Director General of PHC.
San Francisco Department of Public Health HIV Partner Services Update 2011 San Francisco STD Prevention and Control Services May 2011.
GAY MEN'S HEALTH CRISIS Homophobia and H.I.V. among gay and bisexual men in the U.S. CHAMP Forum Sean Cahill, Ph.D. Managing Director, Public Policy, Research.
Program Collaboration and Service Integration: An NCHHSTP Green paper Kevin Fenton, M.D., Ph.D., F.F.P.H. Director National Center for HIV/AIDS, Viral.
Comprehensive HIV Prevention Strategies for Most at Risk Populations (MARPs) Anne Goldzier Thomas, Ph.D. US Department of Defense/PEPFAR Ethiopia National.
Prevention and Control of Viral Hepatitis Infection: WHO Framework for Global Action Prevention and Control of Viral Hepatitis Infection: WHO Framework.
COUNTRY PRESENTATION (DRUGS AND HIV/AIDS)– Nepal Dr. Krishna Kumar Rai, Director National Centre for AIDS and STD Control, Ministry of Health and Population.
HIV/AIDS BI-ANNUAL REVIEW 2008 Prevention -Goal, Indicators and Targets TACAIDS.
California HIV Prevention Indicators 2 nd Edition McCandless RR 1,Truax SR 2, Aoki BK 1, Lemp GF 1, Montgomery M 2, Webb DS 2, Lees N 2 1 Universitywide.
HIV and AIDS Data Hub for Asia-Pacific HIV and AIDS Data Hub for Asia-Pacific Review in slides China 1.
Socio-behavioral Issues in Aging and HIV: Critical for Success in Prevention and Care Sherry Deren Center for Drug Use and HIV Research, NYU College of.
Resource Needs Model Rachel Sanders October 28 th, 2010.
Kevin Fenton, MD, PhD National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention August 5, 2008 Update on the US HIV/AIDS Crisis: Current Trends,
Human Sexuality Sexually Transmitted Infections. STIs/STDs Sexually Transmitted Infections: More accurate than “STDs” A less judgmental term?
TB, STDs, HIV, HEPATITIS C and SUBSTANCE ABUSE: A Local Perspective Paula Kriner, MPH Imperial County Public Health Department Management of TB, STDs,
Abby Kelly-Smith, Chair Sexual Violence Primary Prevention Council Indiana State Department of Health.
STATE OF THE STATE SHELLEY LUCAS HIV/STD PREVENTION & CARE BRANCH DEPT OF STATE HEALTH SERVICES AUGUST 3, 2015.
TARGETED CAPACITY EXPANSION PROGRAM: SUBSTANCE ABUSE TREATMENT FOR RACIAL/ ETHNIC MINORITY POPULATIONS AT HIGH RISK FOR HIV/AIDS.
Introduction to NCHHSTP National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Office of the Director Jonathan Mermin, MD, MPH National.
Hepatitis C: The Silent Epidemic Wednesday, October 21, 2015 John W. Ward, M.D. Division of Viral Hepatitis Centers for Disease Control and Prevention.
Global Fund in Estonia Kaja Põlluste, MD, MPH Department of Public Health & Department of Internal Diseases University of Tartu Estonia.
Ministry of Health Health Surveillance Secretariat NATIONAL STD/AIDS PROGRAMME.
1 HIV/STD in Texas Ann Robbins Texas Department of State Health Services June 2009.
HIV/AIDS in Eastern Europe Setting the Stage for Prevention HIV/AIDS in Eastern Europe Setting the Stage for Prevention Thomas E. Novotny, MD, MPH April.
Office of Global Health and HIV (OGHH) Office of Overseas Programming & Training Support (OPATS) HIV Prevention Training Package Session 2: Combination.
Effective HIV & SRH Responses among Key Populations Module 2: The Comprehensive Package of Programmes and Services.
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Division of Sexually Transmitted Disease Prevention.
Collaborative Effort of HIV, Domestic Violence and Homeless Service Organizations to Develop Integrated Services as Strategy for HIV Risk Reduction for.
STD/HIV Prevention Seattle & King County Robert Marks
NDPHS Expert Group on HIV/AIDS and Associated Infections Draft problem tree 5 December, 2011 Chair Dr. Ali Arsalo and ITA Ms Outi Karvonen.
XVII Annual International AIDS Conference SHAZ! Shaping the Health of Adolescents in Zimbabwe Mudekunye, S. Laver University of Zimbabwe-University of.
HIV Prevention: A Winnable Battle Centers for Disease Control and Prevention.
POLICIES INVOLVING STRUCTURAL INTERVENTIONS TO REDUCE RISKS ASSOCIATED WITH HIV/AIDS IN COMMUNITIES OF COLOR IN CHICAGO, ILLINOIS William Ebomoyi, Ph.D.
EG HIV/AIDS & AI Internal Strategy and Action Plan Country priorities according to a survey in January-February 2014.
Commentary Thailand national guidelines for implementing HIV prevention among men who have sex with men and transgender populations As of March 2013 Frits.
INITIATIVES OF HIGH LEVEL TASKFORCE FOR WOMEN, GIRLS, GENDER EQUALITY AND HIV FOR EASTERN AND SOUTHERN AFRICA TACAIDS.
TB AND HIV: “THE STRATEGIC VISION FOR THE COUNTRY” Dr Lindiwe Mvusi 18 May 2012 MMPA Congress 2012.
Quick Review This presentation is the first in a series of presentations intended to familiarize you with disparities calculation Part I: YOU ARE HERE!
IAS Satellite Session 25th July 2017 Daniel Were, PhD
Dr. Monica Beg, Chief, HIV/AIDS Section, UNODC
HIV and Education EFA Media Training Ludo Bok - UNAIDS secretariat
COMBINATION PREVENTION
HIV/AIDS in India World AIDS Day 2006 December 1
Tearing Down Fences HIV/STD Prevention in Rural America
Secondary Prevention.
Lesson 3: Treatment as Prevention
HUMAN IMMUNODEFICIENCY VIRUS (HIV) PREVENTION & CARE
Presentation transcript:

CDC-NIMH Conference Closing Meditations Thomas J. Coates PhD Professor of Medicine Director, AIDS Research Institute University of California San Francisco CA USA

Risk behavior and HIV incidence increases Risk behavior and HIV incidence increases

Challenge #1 Can China Avoid Making Everyone Else’s Mistakes ò Keep prevalence low? ò Not allow treatment to reduce prevention efforts ò Convince people that HIV is still not a good disease to have ò Make sure that everyone gets treatment

AIDS Cases/491dead

7569 AIDS Cases/5589 dead 1989

20,333 AIDS Cases/14,349 dead 1994

27982 cases deaths

Rectal gonorrhea among MSM Preliminary: Continued increase into 2002 Source: City-wide STD case surveillance.

Early syphilis among MSM Preliminary: Continued increase into 2002 Source: City-wide STD case surveillance. Note: figures updated from abstract.

New HIV Infections, 1997 vs. 2001

Other prevention technologies ò Female-controlled methods including diaphragm ò Circumcision ò New VCT Technologies ò Appropriate STI control e.g., for viral infections ò Penile wipes

Public Health Decisions ò Evidence-based ò Values-based ò Security-based ò Constituency-based

Injection Drug Users ò Opportunities to do study the impact of harm reduction strategies ò Opportunities to prevent vertical transmission

Other Challenges ò Other prevention technologies ò Populations ò Topics ò Methods ò Issues

Voluntary Counseling and Testing ò Preventive strategy vs Intro to treatment vs surveillance ò Training and quality assurance for counseling ò New testing technologies for specific populations

Populations ò Infected individuals--positive prevention ò Pregnant women ò MSM and male CSWs ò Military ò Prisons ò The poor, especially the urban poor

Methods ò Behavioral reports ò Multidisciplinary strategies ò Bringing in economics, law, policy

Topics ò Evidence-based policy research ò Substance abuse and mental health ò Changing sexual norms ò Economic disparities

Probability of Survival After AIDS Diagnosis by Race, San Francisco,

Probability of Survival After AIDS Diagnosis by Race, San Francisco,

HAART use by neighborhood, San Francisco, 2001

5 year survival by neighborhood, San Francisco, 2001

Economic Development and Cultural Change ò Economic development leads to ò Decreased age of first intercourse ò Increased access to the internet and sexually explicit materials ò Increased risk behavior ò Commercial sex ò More mobility ò Less access to health care

Surveillance ò National and local ò Multidimensional and comprehensive ò Regular intervals

Stigma ò How stigma impacts various groups ò Attitudes towards persons with HIV and how this impacts availability of and access to services ò Combined stigmas: drug use, homosexuality, poverty, HIV, commercial sex ò Access to treatment and prevention services ò Legislation and policy and its impact on stigma ò Impact of treatment on stigma

Stigma ò Community, mass media, and other social interventions ò Intervene with perpetrators of stigma ò Intervene with public health officials and policy makers ò School-based interventions to reduce stigma ò Programs for parents

Technology Transfer ò Efficient and effective ò Quick ò Adaptable ò With high quality ò No need to “reinvent the wheel”

Blood Safety ò Ongoing study ò Motivations for donation ò Motivations and strategies for self-deferral

Ari.ucsf.edu and then go to web sites and then to AIDS Research Institute