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Legal Med - HIV
Legal Med - HIV
What YOU should know.
Objectives
● Equip you with the basic knowledge about HIV and AIDS;
● Encourage you to put into practice the appropriate
preventive measures from HIV infection;
● Inspire you to take on and promote a healthy lifestyle.
GOALS
If you’re negative: If you’re positive:
Remain aware, Remain aware,
uninfected, and healthy,
healthy. and productive.
Number of newly diagnosed
HIV cases per day
2008: 1
2010: 4
2012: 9
2014: 17
2015: 22
2017: 30
HIV/AIDS Statistics
as of Dec 2015…
Reported Modes of Transmission:
Males: MSM 81%, male-female 14%, needle sharing 4%
Females: male-female sex 91%, needle sharing 4%
Mother to child: 78 children, 6 adolescents
Blood transfusion: 20 people
99% of IDUs from Central Visayas
Almost half of all MSM cases from NCR
48% of females who engage in transactional sex are from
Central Luzon
Types of Infection
● 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
What is the difference?
HIV
HUMAN – the virus can only
ACQUIRED - The infection may
AIDS
Approx. 2 to 10 years
HIV AIDS
Infection ASYMPTOMATIC
From
6 months
to… ?
Death due to AIDS complications
Remember these numbers!
3 4 4 5
3 Modes of Transmission
• Unprotected, penetrative sex
⁻ Penis-to-anus, penis-to-vagina, penis-to-mouth
⁻ Most common but not easily transmitted
• Mother-to-child (Parent-to-child)
⁻ During pregnancy, delivery or breastfeeding
⁻ Least efficient transmission
4 Body Fluids
• Blood
• Semen
• Vaginal fluids
• Breast milk
4 Requisites for HIV Infection
● EXIT - the means by which the virus leaves
the body of an infected person
● SUFFICIENCY - the amount of virus
transmitted
● SURVIVE - the ability of the virus to
survive in a new environment
● ENTRY - to another body.
5 Means of HIV Prevention
A – Abstain from sex.
B – Be faithful to your partner faithful.
C – Correct and consistent use of
condom.
D – Do not use illegal drugs or share
needles.
E – Educate yourself and Early
detection
Preventing HIV Transmission
Thru Blood & Blood Products
● Blood safety programs
● Universal precautions
● Harm reduction program
Preventing HIV Transmission from
HIV-Positive Mother to Baby
HIV-positive women can still give birth
to HIV-negative babies if they follow
certain precautions:
● Take ARVs during pregnancy
● Deliver the baby thru caesarian operation
● Use infant formula instead of breast milk
How to know if a person
has HIV?
● HIV Anti-Body Testing - A person’s HIV status
can only be determined through HIV antibody
testing
● Access to HIV Screening
● Voluntary counseling & testing (VCT) –
individuals willing to undergo testing
● Provider-initiated counseling & testing
(PICT) – a situation where doctors encourage
patients to undergo testing
HIV Testing (Flow Chart)
Pre-test counseling (Social Hygiene Clinics)
Albay Province
● Tabaco City Health Office
● Legazpi City Health Office
● Daraga Rural health Unit
Camarines Sur Province
● Naga City Health Office
Camarines Norte Province
● Daet Rural Health Unit
Sorsogon Province
● Sorsogon City Health Office
● Matnog Rural health Unit
Services Offered in SHCs
● Sexually Transmitted Infection (STI) Treatment
● Free HIV Counseling & Testing at Social Hygiene
Clinics
● Laboratory Services-Grams Stain, KOH, RPR, Wet
Mount, HIV
● Free Condoms
Treatment Hubs – Region V
● Bicol Regional Training and Teaching Hospital
- Legazpi City
● Bicol Medical Center
- Naga City
Republic Act 8504
Philippine AIDS Prevention and Control Act of 1998
R.A. 8504
Article IRR CONTENTS
Rule 1 Title and Application
Art. I Rule 2 Education and Information
Art. II Rule 3 Safe Practices and Procedures
Art. III Rule 4 Testing, Screening and Counseling
Art. IV Rule 5 Health and Support Services
Art.V Rule 6 Monitoring
Art.VI Rule 7 Confidentiality
Art.VII Rule 8 Discriminatory Acts and Policies
Art.VIII Rule 9 The Philippine National AIDS Council
Art. IX Rule 10 Miscellaneous Provisions
Article I
Who needs to know about HIV and AIDS?
● Parents, students, teachers and school officials
● Health practitioners, health workers and personnel
● Clients of health practitioners, health workers and personnel,
whether in-patient or out-patient
● Employers and their employees, whether in the private or
government sector
● Filipinos going abroad
● Tourists and transients
● Communities
● Those with relatively higher risk of acquiring or transmitting HIV
Article I
What information must be disseminated and
learned?
● Definition of HIV and AIDS
● Causes and Modes of Transmission
● Consequences of Infection
● Means of Prevention
Article II
What are the safe practices?
● Universal precautions should be practiced for surgery,
dental work, embalming, tattooing, etc.
● Donated blood, tissue and organs should be tested for
HIV.
Article III
Testing and Screening
● Compulsory HIV testing is NOT allowed under R.A. 8504.
● Counseling should be given before and after the test.
How do we monitor?
● Institutionalizing the National AIDS Registry
● Reporting of all cases in hospitals, clinics, laboratories and accredited
testing centers
● Ensure the anonymity of those who are tested
Article VI
Confidentiality
● Strict observance of confidentiality is required in handling
medical information, identity and status of persons with HIV.
Violating Confidentiality
● Imprisonment six months to four years
● Administrative sanctions such as fines and possible suspension or
revocation of professional license
Article VII
Discriminatory Acts and Policies
Persons living with HIV cannot be denied access to:
•Employment and livelihood
•Admission in schools
•Travel and habitation
•Elective and appointive office
•Credit and insurance
•Health care
•Decent burial services
Article VIII
The Philippine National AIDS Council
● The Council shall be the central advisory, planning and policy making
body for the comprehensive and integrated HIV/AIDS prevention
and control program in the Philippines.
PNAC Members
•Secretary, DOH (Chair)
•Secretary, DepEd
•President, League of Provinces
•President, League of Cities
•Chairperson, CHED •Chair, Senate Cmte. on Health
•Director-General, TESDA •Chair, House Cmte. on Health
•Secretary, DOLE •Two representatives from
•Secretary, DSWD organizations of medical/health
professionals
•Secretary, DILG
•Six representatives from NGOs
•Secretary, DOJ
involved in prevention and control
•Director-General, NEDA efforts
•Secretary, DOT •Representative of organization of
•Secretary, DBM persons with HIV/AIDS
•Secretary, DFA
•Head, PIA
SOCIAL HYGIENE CLINICS
PROVINCE COORDINATOR CONTACT NO./EMAIL AD
LEGAZPI CHO LORELIE 09162626173/shc_Legazpi2015@rocketmail.com
BALLESTEROS
TABACO CHO DR.MARISSA 09198372390
SAGUINSIN/ 09178688473/chutabaco4511@gmail.com
BABETTE BURCE
DARAGA RHU MA.HENRIETTA 09103406442
BONAL
SORSOGON ROSANA JORDAN 09297723068/v-jjordan@yahoo.com
CHO
MATNOG RHU MA.LUISA DAUIS 09168603003/rhumatnog@gmail.com
DAET RHU MARIA ANDREA 09177937371/meanneapuya@yahoo.com
APUYA
NAGA CHO GRACE 09279759103
GUEVARRA/MARIA 09477095625/cesunaga_020613@yahoo.com
CORAZON ONZA
TREATMENT HUB (HACT)
HOSPITAL NAME CONTACT NO//EMAIL AD