1. + Colombia What do you know about? Viviam Patricia Cañon G Internal Medicine – Infectious Diseases viviacanon@gmail.com

2. +

3. +

4. + Colombia some data Life expectancy at birth 1990: 75 2000: 77 2009: 80 Mortality rates by cause: Injuries: 97 per 100.000 Antenatal care coverage (%) at least 4 visits 83% Prevalence of tuberculosis : 63 per 100.000 population Smear positive tuberculosis treatment sucess rate (%) 2000: 80 2008: 76 Physicians per 10.000 population: 13.5 Median availability of selected generic medicines (%) Public: 86.7 Private: 87.9 Total expenditure on health as % of gross domestic product 2000: 6.8 2008: 5.9

5. + Colombia some data Population using improved drinking water resources Urban: 99 Rural: 73 Total:92 Smear positive tuberculosis treatment sucess rate (%) 2000: 80 2008: 76

6. + Colombia some data Prevalence of HIV among adults aged 15-49 years: 0.5% Antiretroviral coverage among peopla with advanced HIV infection (%): 17 HIV mortality rate (per 100.000 population): 31

7. + Colombia some data Prevalence HIV in pregnant women: 0.22% More risk: 15-24 years Barranquilla, Pereira and Cali Subsidiary system

8. + Colombia some data

9. +

10. +

11. + Some particular issues Coinfection HIV- TBC OI: Tuberculosis Cryptococcosis P jiroveci Histoplasmosis (4 ) Leishmaniasis Fast progressors??

12. + What we need? We are here! We have a lot of patients We have almost all therapies: Except Tipranavir Organization Better information systems Access to: Technology We have big clinical centers Investigation potential