1. HIV Prevention In Utah Heather E. Bush HIV/STD/Viral Hepatitis
Prevention Education Specialist
Communicable Disease Prevention Program
Utah Department of Health

2. HIV Infection Classification System
HIV Infection, Stage 1
CD4+ T-lymphocyte count of >500 cells/µl (>29%)
HIV Infection, Stage 2
CD4+ T-lymphocyte count of cells/µl (14-28%)
HIV Infection, Stage 3 (AIDS)
CD4+ T-lymphocyte count of <200 cells/µl (<14) or
AIDS-defining condition
HIV Infection, Stage Unknown
No CD4+ T-lymphocyte count and percentage

10. People Living with HIV Infection in Utah

12. People Living w/ HIV Infection, Utah, 2011*
Stage 1
Stage 2
Stage 3 (AIDS)
Stage Unknown
Total
206
(7.9%)
771
(29.6%)
1,406
(53.9%)
223
(8.6%)
2,606
-Stage 3 (AIDS) and Unknown decreased from 2010
-Stage 2 increased by 2% from 2010
*By end of December 31st, 2010

18. HIV/Syphilis Co-Infection
Co-infections are common among syphilis and HIV.
Fluctuates year to year.
We are starting to see an increase in syphilis cases with a previous diagnosis of HIV.
Indicates HIV+ not changing any behavior after they are notified about their HIV infection.

20. Utah State Education Code
53A (1)(b) That instruction shall stress the importance of abstinence from all sexual activity before marriage and fidelity after marriage as methods for preventing certain communicable diseases.
(2) (a) Instruction in the courses described in Subsection (1) shall be consistent and systematic in grades 7 through 12.
Teachers will comply with the parental consent requirements.
Schools will instruct students in community and personal health, physiology, personal hygiene, and prevention of communicable disease.

21. Utah State Education Code
The following may NOT be taught:
The intricacies of intercourse, sexual stimulation, or erotic behavior;
The advocacy of homosexuality;
The advocacy or encouragement of contraceptive methods or devices;
The advocacy of sexual activity outside of marriage.

22. Minor Consent Law
Minors may be tested and treated for STDs without parental or guarian consent or permission

23. Prevention Theory Behavior Change Theory Social Cognitive Theory
Theories of Reasoned Action
Stages of Change Model
Health Action Process Approach

24. Harm Reduction
Harm reduction is a set of practical strategies and ideas aimed at reducing negative consequences associated with drug use and sexual behaviors that lead to risk of HIV and other diseases.
Harm reduction incorporates a spectrum of strategies from safer use or sex, to managed use, to abstinence to meet high-risk individuals “where they’re at,” addressing conditions of risk along with the risk itself.

25. Historical of HIV Prevention
“ABC Prevention”
Abstinence (not engaging in sex, or delaying first sex)
Being safer, by being faithful to one's partner or reducing the number of sexual partners
Correct and consistent use of condoms
Awareness Campaigns

26. Names Project- The AIDS Memorial Quilt
Nominated for a Nobel Peace Prize in 1989
Remains the largest community art project in the world.
“Common Threads: Stories From The Quilt” won the Academy Award as the best feature-length documentary film of 1989.
Funds Raised by The Quilt for Direct Services for People with AIDS: over $4,000,000 (U.S.)
Number of visitors to the Quilt: more than18,000,000
Number of names on the Quilt: more than 94,000
Size: 1.3 million square feet.To see the entire Quilt spending only one minute per panel – over 33 days

27. The AIDS Memorial Quilt

28. HIV Prevention Activities
Education
“AIDS 101”
Testing
Conventional
Rapid
Outreach
condom distribution
Behavioral interventions
Scientifically proven
Targeted to high risk populations
High impact, high expense

29. National HIV Prevention Strategy
Vision for the National HIV/AIDS Strategy “The United States will become a place where new HIV infections are rare and when they do occur, every person, regardless of age, gender, race/ethnicity, sexual orientation, gender identity or socio-economic circumstance, will have unfettered access to high quality, life-extending care, free from stigma and discrimination.”

30. National HIV Prevention Strategy
The purpose of the National HIV/AIDS Strategy is to provide a roadmap for public and private stakeholders to better address the serious, ongoing HIV epidemic in the United States. The three primary goals focus on:
1. reducing the number of people who become infected with HIV,
2. increasing access to care and optimizing health outcomes for people living with HIV, and
3. reducing HIV-related health disparities.

31. Future of HIV Prevention
PreP/PEP
Condom Distribution
Testing
Linkage to care
Prevention with positives