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Outlook on the Spanish EU Presidency 1st semester 2010. HIV in Europe: Working together for Optimal Testing and Earlier Care. Olivia Castillo Soria Head of Area of Prevention and Coordination AIDS National Secretary Plan. INNOVATION Technological Economic Social Institutional. - PowerPoint PPT Presentation
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Outlook on the Spanish EU Outlook on the Spanish EU
PresidencyPresidency
1st semester 2010 1st semester 2010
HIV in Europe: Working together for
Optimal Testing and Earlier Care
Olivia Castillo SoriaHead of Area of Prevention and Coordination
AIDS National Secretary Plan
Principles of the Spanish Programme during Principles of the Spanish Programme during the EU Presidency the EU Presidency
INNOVATIONTechnologicalEconomic Social Institutional
EQUALITYPromote equalitySolidarityCohesion
Innovate to renew
Leadership
Values and principles of Western culture
EU Commision PrioritiesEU Commision Priorities
Public Health Working GroupPresidential Working Group
Inequality Council Conclusions, Dec 2009
HIV Council Conclusions
Tobacco
Cross-border vaccination
“Friend Group” of Presidency Pandemic FluPresidency group
Ministry of Health and Social Policy
Priorities
Social health determinants and reduction of inequalities.
Promoting organ donation, transplants and advanced therapies.
Improve clinical excellence in chronic diseasesBest practice exchange: E-HealthFood safetyConsumer protectionSafety of medicines
Public and Foreign Health Directorate Priorities
Innovation in Public Health: monitoring social health determinants and reduction of inequalities.
Fight HIV
Multi-Sector coordination Fight against stigma and discrimination Early diagnosis Prevention in drug users and their partners Prevention in men having sex with men Prevention in immigrants Prevention in young people People who are HIV+ and their partners Diagnostic Surveillance System for new HIV International co-operation
HIV/AIDS Multi-Sector Plan 2008-2012 Priorities
Estimation of the new annual infections for Estimation of the new annual infections for sexual transmission between carriers of HIVsexual transmission between carriers of HIV
Personas con VIH Nuevas infecciones anuales por transmisión sexual
75%
Identified
25%
Unidentified
46% of new infections
54% of new infections
Estimation more conservative hipotesis USA ( Marks G, Crepaz N, Janssen RS. AIDS 2006. )
New infections for sexual transmisionHIV +
New alternatives for screening: Spanish New alternatives for screening: Spanish experience:experience:
Pilot study of rapid test in pharmacies
• Implemented in 2 Autonomous Regions: – Basque Country: 20 pharmacies (Alava, Vizcaya,
Guipuzcoa) – Catalonia: 36 pharmacies (21 towns - Barcelona)
• Anonymous• Consent to the test• Pharmacist training• Rapid test + Counselling• If HIV positive referred to Health System
New alternatives for screening: Spanish New alternatives for screening: Spanish experience:experience:
Pilot study of rapid test in pharmacies
OBJECTIVES:• Increase test coverage• Reduce timing of late diagnosis in
risk people• Improve life quality and reduce
transmission of HIV infection• Encourage early diagnosis in at risk
people (who do not want to access the Health System)
• Basque Country:– 2268 tests– 0.75% HIV positive– 76.5% Men– 23.5% Women– Age average: 37.8– 41.80% Inmigrants– Through unsafe sex:
• 53% heterosexuals• 35% homosexuals
• Catalonia:– 1153 tests– 0.87% HIV positive– 71% Men– 29% women– Age average: 33.78– 20% Inmimgrants– Through unsafe sex:
• 40% heterosexuals• 40% homosexuals
New alternatives for screening: Spanish experience:New alternatives for screening: Spanish experience:Pilot study of rapid test in pharmacies
1. Inequalities: Equality of opportunities
2. Stigma: respect their rights
3. Discrimination: Accept them
4. Prevention: reducing late diagnosis
5. International cooperation: solidarity
Key points on HIV/AIDS Conference
Conference proposal: Conference HIVConference proposal: Conference HIV
Place: Madrid
Date: 7 and 8 of April
Conference proposal: Conference HIVConference proposal: Conference HIV
• Inequality and Inequality and prevention:prevention:
– Social health Social health determinantsdeterminants
– Vulnerable populationVulnerable population– Outreach programmesOutreach programmes– Reducing late Reducing late
diagnosisdiagnosis
• International Cooperation: International Cooperation: Alliance of ESTHER Alliance of ESTHER Programme:Programme:
– Spanish implementation:Spanish implementation:• South AmericaSouth America• Training programmeTraining programme• On-line courseOn-line course
– Technical meeting?Technical meeting?– Economical Interest GroupEconomical Interest Group