1. HIV surveillance in Norway Preben Aavitsland

2. Stated objective in 1986.. to have a continous overview of the spread of the disease in order to target preventive measures and plan resource needs.

3. Challenges of HIV surveillance The infection is often asymptomatic –Lab-diagnosis is required Strong need to protect individuals identity –Respect for risk groups Detailled data on transmission and demography are needed

4. Problem in Norway 1986 Laboratories are the main data source –Clinicians often forget to report Only clinicians have detailled information Gay community: Reports must be anonymous!

5. HIV case reporting: the Norwegian model ClinicianPatient Lab Centre A 1458 jhjnjvn nvvav ajavksh akjbsbvbkjvbasvbkjkczxvz xbvkzbzbccnkjcmzbcbzcj hjkKfjk<cz<cbjkvmj.bckz< cb.jczjbcuzcjHF<BZC<CB JAC<ZV<VBC<Cjbczb<cc jkvkzcuk<c<jhvk<zbckjhcz vlz<hvkuhavsafvjahv ____________________ B 1458 ncjvjnmvbbb<c<b<n<vbn mcbmnbmxbzmbnzbzbnz bcjbmzbcmb<zcn<bmb<z

6. A 1458 jhjnjvn nvvav ajavksh akjbsbvbkjvbasvbkjkczxvz xbvkzbzbccnkjcmzbcbzcj hjkKfjk<cz<cbjkvmj.bckz< cb.jczjbcuzcjHF<BZC<CB JAC<ZV<VBC<Cjbczb<cc jkvkzcuk<c<jhvk<zbckjhcz vlz<hvkuhavsafvjahv ____________________ B 1458 ncjvjnmvbbb<c<b<n<vbn mcbmnbmxbzmbnzbzbnz bcjbmzbcmb<zcn<bmb<z A 1458 Sex M / F Birth month __ and year ____ Country of birth Time, place and route of transmission Clinical information ________________________ B 1458 Sex M / F Birth month __ and year ____ Name and address of doctor

7. Case reporting is not enough Depends heavily on who is tested –No testing no reports no problem!!?? Solutions: –Keep up and measure testing numbers –Repeated prevalence measurements among pregnant women Rather representative of the whole population Tested anyway