Aspects of HIV in Denmark Jane Agergaard, MD, PhD Department of Infectious Diseases Aarhus University Hospital Skejby Denmark.

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Denmark; 5.5 mill. inh.. 5,773 hiv patients Copenhagen 1.2 mill. inh. – pt (70.4 %) Aarhus 311,000 inh. – 654 pt (11.3 %) Odense 190,000 inh.

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Aspects of HIV in Denmark Jane Agergaard, MD, PhD Department of Infectious Diseases Aarhus University Hospital Skejby Denmark

Epidemiology new cases pr. year Constant during 10 years 70% men, <50% ethnic Danes MSM transmission in Denmark Hetero-sexual transmission in immigrants Cohort of gets older! More co-morbidities Danish national patient register/CPR register Danish HIV cohort database 6000 pts, VL, CD4, ART regimens » E.g. » Helleberg M, Clin Infect Dis Jul;57(2): doi: /cid/cit232. Epub 2013 Apr 10. CD4 decline is associated with increased risk of cardiovascular disease, cancer, and death in virally suppressed patients with HIV. Helleberg MClin Infect Dis. » Lohse N, Clin Infect Dis Jan 1;42(1): Epub 2005 Nov 30. Virological control during the first 6-18 months after initiating highly active antiretroviral therapy as a predictor for outcome in HIV-infected patients: a Danish, population-based, 6-year follow-up study. Lohse NClin Infect Dis. » Jensen-Fangel S et al, AIDS Jan 2;18(1):89-97., Low mortality in HIV-infected patients starting highly active antiretroviral therapy: a comparison with the general population. Jensen-Fangel SAIDS.

Testing Pregnant women/Anonymous GP/hospitalisation Travellers/immigrants/MSM Symptoms not explained Contact tracing No legislation in DK 1 HIV pos. found for every 4 index case Counselling means finding more » HIV and partner notification in Denmark, Rodkjaer LO, Ostergaard LJ, Frydenberg M. Infektionsmedicinsk afdeling Q, Arhus Universitetshospital, Skejby, DK-8200 Arhus.

Youth group Background The kids were lonely and sad Tabus and personal problems Time at diagnose – traumatic event Outpatients clinic Lifelong treatment Adherence Living with the disease as a secret Anxiety- stress – depression Sexually transmitted disease/Control your sex life Members years of age Majority with another ethnic background than Danish Heterosexual, homosexual, bisexual Born with HIV or infected in youth

Activities youth group Weekend tour /Youth day at outpatients Education Activities » walk, paint, sessions with guest instructors aso. Socialising/Informal talks with friends and adults Confidentiality Blood tests and consultations Adherence improve » Others take same medication » If adherent no need for regular consultations