Causes: Gonorrhea

BACTERI Chlamydia
A Syphilis
Scabies
PARASITE Skin-to-skin
S
Pubic lice
contact
Genital Herpes
VIRUSES
Genital Warts
Hepatitis B Blood-borne
HIV
FUNGUS Candidiasis
PROTOZOAN Trichomoniasis
Common Signs & Symptoms
during urination
Pain
during sexual contact
abdominal

Abnormal Abnormal
discharge growth

Itchiness Ulcerations
H
I
V
 Acquired
Human
I mmune
I mmunodeficiency
Deficiency
Virus
S yndrome
• HIV/AIDS begins with an infection

• The infection is caused by a virus

(not a bacteria)
• Attacks the immune system

• May be transmitted sexually

• Has prolonged asymptomatic period

 Exposure to HIV
6 months
“window period”

Approx. 2 to 10 years
HIV ASYMPTOMATIC
AIDS
Infection

From
6 months
to… ?

Death due to AIDS complications

23445
• Asymptomatic

• Symptomatic
• Unprotected, Penetrative Sex
⁻ anal sex
⁻ vaginal sex
⁻ oral sex

• Blood and Blood Products

⁻ blood transfusion
⁻ organ transplant
⁻ sharing needles in injecting drug use

• Mother-to-Child (MCT)
⁻ during pregnancy
⁻ delivery
⁻ breastfeeding
• Blood

• Semen

• Vaginal fluid

• Breast milk
E - Exit

S - Sufficient

S - Survive

E - Enter
 A – Abstain from sex.

 B – Be mutually faithful to your partner.

 C – Correct and consistent use of

condom.

 D – Do not use illegal drugs or share

needles.

 E – Educate yourself.
 23445
PHASES MODES BODY REQUISITES MEANS
of of FLUIDS FOR Of
INFECTION TRANSMISSION TRANSMISSIO PREVENTION
N
1984 1st Filipino was diagnosed with AIDS

1985 NAMRU-2
1st HIV screening
RITM

HIV spread worldwide

1991 #1 killer in Africa

1992 PNAC was established

1984
to 593 cases of HIV & AIDS
LOW & SLOW PREVALENCE
1994
1998 Enactment of RA 8504
(Philippine AIDS Prevention &
Control Act of 1998)
2004 2,200 cases of HIV & AIDS
HIDDEN & GROWING PREVALENCE

2014 22,527 cases of HIV & AIDS

FAST & FURIOUS PREVALENCE
2015 Jan 536 2016 Jan 804
Feb 646 Feb 751
Mar 667 Mar 735
Apr 560 Apr 772
May 748 39,622 May 741
Jun 772 HIV & AIDS cases Jun 841
Jul 682 (HARP) Jul 764
Aug 598 Aug 764
Sep 694 Sept 765
Oct 651 Oct 819
Nov 627 Nov 758
Dec 650 Dec 750
NEW CASES 7,831 NEW CASES 9,264
 45,023 DIAGNOSED HIV CASES IN THE PHILIPPINES
(Jan 1984 to Jun 2017)

10000
Number of newly diagnosed HIV
9000
cases per day
8000

30
Number of Diagnosed HIV Cases

7000 2014
6000
2012 17
5000
2010
4000
2008 9
3000
1 4
2000

1000

0 SEX 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
MALE 0 2 3 4 12 14 19 29 56 48 60 64 79 102 75 118 105 82 117 130 131 138 141 219 279 473 731 1,466 2,193 3,186 4,584 5,758 7,509 8,874 5,116
FEMALE 0 0 7 25 26 18 20 37 28 24 39 51 37 52 42 71 53 38 57 54 61 61 69 90 63 55 104 125 156 152 230 253 322 390 285

Source: HIV/AIDS & ART Registry of the Philippines (HARP), June 2017
 GlobalProfile
Global Profile

Increasing >25-49%
Indonesia
Australia
Papua New Guinea
Mongolia
Sri Lanka
Philippines
Pakistan
Afghanistan Source: UNAIDS 2016 Estimates, Prevention Gap Report 2016

DEPARTMENT OF HEALTH – EPIDEMIOLOGY BUREAU

 Philippines has the fastest growing
HIV epidemic in Asia and the Pacific

Source: UNAIDS Global Report, 2017

Distribution of PLHIV by Sex

Female
7%

Male
93%
2016
2014
2012
2010
2008
2006
2004
2002
2000
1998
1996
1994
1992
1990
1988
1986
1984
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Female Male
Sharing of
Mode of Transmission
Mother-to-
Needles
Child
4%
0.3%
Male to
Female Sex
12% Blood/Blood
Needle Prick Products
Injury 0.1%
0.01%
Male to Male
Sex No data
82% 1%
(375 cases)
 Age Distribution <15
50> 0.3%
2%

35-49 15-24
18% 28%

25-34
51% 74 Cases –
No data on age
 HIV Cases in the Philippines by
Age Group
100% (January 1984 – December 2016)

80%

60%

40%

20%

0%

<15 y/o 15-24 y/o 25-34 y/o 35-49 y/o 50 y/o & older

They are getting younger

Department of Health – Epidemiology Bureau
 Young MSM have similar risks as older MSM. But
limited access to services

15 to 17 . 18 to 20 21 to 24
years old years old years old

Had anal sex

in the past 49% 60% 67%
12 months

Median number
of sex partners
in the past 12
2 3 3
months
Source: 2015 Integrated HIV Behavioral and Serologic Surveillance (IHBSS)
*2015 IHBSS data for M/TSM have been adjusted using Time Location Sampling (TLS) pooled weights for national
Lag between start of risky behaviors vs
protective behaviors

CONDOM LAG= 2 YEARS

Source: 2015 IHBSS

 2 out of 3 new HIV infections will be
among 15 to 24 year old MSM

20,000 19,300
17,900
18,000
16,400
Estimated number of new HIV infections

16,000 15,000
13,800
14,000
11,900
12,000

10,000

8,000

6,000

4,000

2,000

-
2017 2018 2019 2020 2021 2022
15-19 20-24 Total

Source: AIDS Epidemic Model (AEM) as of May 2017

*Note: Estimates are for the adult population (15yo & older)
Phase of Infection

AIDS
9%

Asymptomatic
Cases
91%
Geographic Distribution

ROTC
17%

Reg 11 NCR
6% 43%
Reg 3
8%

Reg 7
9%
Reg 4A 1,146 Cases (3%) –
14% No data on region
 Region V – BICOL
Total Cases – 498
(As of December, 2016)

Cat’
Cam nes
Norte 18
35
Masbate
44 Cam Sur
Sorsogon 192
62
Albay
146
1 Case –
No data on province
 HIV/AIDS in Bicol
2016 vs 2017*
Cases
Province
2016 2017*
Bicol 123 42
Albay 31 14
Camarines Norte 8 2
Camarines Sur 54 10
Catanduanes 5 0
Masbate 12 4
Sorsogon 13 12
*January 1-February 2017

Department of Health – Epidemiology Bureau

 Those who had multiple sexual partners

 Those whose partners had multiple sexual partners

 Those who had homosexual or male-to-male sex (MSM)

 Those who had any sexually transmitted infection (STI)

 Those who have received blood transfusion or organ transplant

 Those who shared injecting needles

 Those who are diagnosed with TB (TB-HIV co-infection)

 Those who are pregnant or planning to get pregnant

 Contact No.

(056) 211-1883
Ms. Rose Jordan
Ms. Shiela Doloiras
Dra. Nancy Labarete
 HIV test
is the only way to know
the presence of HIV.

 VOLUNTARY

 CONFIDENTIAL
1. “Window Period”
2. Pre-test counseling
3. Screening
4. Confirmatory test
5. Release of result
6. Post-test counseling
 ARVs
ANTI-RETROVIRAL DRUGS
 “Window Period”
 Pre-test counseling
 Screening
 Linkage to Care
 Confirmatory test
 Release of result
 Post-test counseling
 BRTTH – BICOL REGIONAL
TRAINING AND
TEACHING HOSPITAL
 LEGAZPI CITY
 BMC – BICOL MEDICAL
CENTER
 NAGA CITY
 What can
YOU do to
STOP the SPREAD
of HIV infection?
SPREAD the WORD
NOT theVIRUS...
Protect
yourself!
Thank You.