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The number of cases of STDs (Sexually Transmitted Diseases) increased by 53% on the Great ABC in five years. There were 2,501 cases registered in 2013, compared to 3,830 cases last year. The data were submitted by the prefectures (except Rio Grande da Serra, who did not respond until the closing of this edition) and include cases of AIDS / HIV, syphilis and viral hepatitis.
The IST Program Coordinator (Sexually Transmitted Infections The Diadema virus, Alexander Yamaçake, explained that the patient is diagnosed with HIV when the test stresses the presence of the virus in his body. "When there is also a comorbidity, that is, another infectious picture, such as pneumonia and tuberculosis, the diagnosis is that of AIDS. "
Of those infected, most are men." The number of AIDS cases have increased dramatically among men, especially the youngest, "said the infectious and responsible agent of Armi (Reference Clinic for Infectious Diseases) of Santo André, Humberto Onias. Cases of hepatitis have been more common in older patients, "he said, noting that late diagnosis often occurs due to a lack of symptoms for several years in the affected person. d & # 39; hépatit e
living with AIDS and HIV remains a permanent situation. The drop in mortality due to good drug results has caused many people not to prevent themselves and this is reflected in the increase of all badually transmitted diseases "(see table below for addresses of equipment available on Great ABC)
CONTÁGIO
AMO manager, 42, was diagnosed HIV positive in 2017. Homobadual, he says that the contagion occurred in a badual relationship, when the condom s & nbsp; Is broken. "I had information about a remedy that I could take if I suspected of having been in contact with the virus (emergency prophylaxis), but I talked to my partner, we have done periodic examinations and evaluated the side effects. " In a few weeks, the director, who is following up at Armi de Santo André, has begun to experience many symptoms.
"I had headaches, fever, patches on the body. At first I thought it might be a virus, or maybe dengue fever, but the tests spread the disease. Over the days and I have not progressed, I remembered the episode of condom break-up and I looked for Armi for a quick test, which also became negative ", a- he said. "The reception was much better than I expected, and even after the experience of the pros and my reports, I found that it was appropriate to have a more detailed blood test. Three days later, they called me to go to the site and reported that the result was positive for HIV, "he said.
The patient immediately started treatment with the drug and only two months went from acute, because of low immunity, to HIV disease with undetectable viral load, when transmission is impossible. "Strictly follow the treatment is very important because in addition to worry about HIV itself, I also have to worry about other diseases, "he said." Taking charge of this referral service was fundamental to being able to better to cope with the disease. Psychological monitoring, vaccines, medications, indication of physical activity, all help a lot, "he concluded.
Pre- and post-exposure drugs work in prevention
In addition to the condom, which is distributed free of charge in all UBS (Basic Health Units) in the region, the SUS (Sistema Único de Saúde) provides drugs that can be used before and after exposure to the virus. Known as PEP (post-exposure prophylaxis) and PrEP (pre-exposure prophylaxis), treatments are methods that prevent the virus from attaching to the patient's body.
PEP is recommended for people who have had unprotected bad, who have experienced badual violence, or who have had an accident at work with a sharp object. The therapy is available in all referenced services of the Grande ABC, such as outpatient clinics for infectious diseases, CTA (Screening and Counseling Centers) and CRT (Reference and Training Centers) in STD / AIDS.
PrEP, however, is available in the region only at Policlínica Centro, located at Avenida Armando Ítalo Setti, 40, in the Baeta Neves district, in São Bernardo. The unit serves patients in the city and other municipalities. The service is intended for men who have bad with men (MSM), transgender people, bad workers and serodiscordant couples for HIV, that is, when only one person is diagnosed. positive for the virus.
unprotected bad
The increase in the number of AIDS / HIV and other STD notifications is a reflection of the lack of prevention during bad, experts say. "We need to work with different (preventive) actions and a lot of dialogue, especially with the most vulnerable populations.A rapid diagnosis and appropriate treatment reduce the risk of transmission, but the condom remains the most effective means of protection", said the specialist of infectious diseases of the Armi (Ambulatory Reference Clinic for Infectious Diseases) in Santo André, Humberto Onias [19659002] The specialist points out that most people infected with HIV are young men, " They have not seen the time when the disease has killed most of the patients.The drop in mortality, due to the success of the treatments, makes that some people do not take care of themselves. 19659002] Coordinator of IST program (Sexual and Aradicular Infections) of Diadema, Alexandre Yamaçake reinforces the perception of the infectiologist. "This new generation does not have a v "It is up to us to inform them objectively.Even if it is a treatment – continuous and with side effects – we can not trivialize and reinforce all prevention methods to avoid contracting these diseases, because they do not cure all. "
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