HIV and AIDS

Orientation
Jose Narciso Melchor C Sescon, MD, FPOGS
President
AIDS Society of the Philippines, Inc
Sub-Saharan
Africa*
23.5 million
[22.1 24.8 million]
South & South-
East Asia*
4.0 million
[3.1 5.2 million]
34 Million PLHIVs
2011 Global Estimated HIV Cases
Sources:
*Regions with the highest number of actual cases
The Philippines is one of the
nine countries with increasing
25 percent prevalence
At the crossroads of an epidemic
The other country are Bangladesh, Guinea-Bissau, Indonesia,
Kazakhstan, Kyrgyzstan, Republic of Moldova and Sri Lanka
Source : UNAIDS Global Report 2012
The Philippine AIDS Registry
March 2014
March 2014 - AIDS Registry
Quick Facts
March 2014 - AIDS Registry
Number of New HIV Cases per Month (2011-2014)
March 2014 - AIDS Registry
Number of HIV/AIDS Cases Reported in the Philippines by
Year, Jan 1984 to March 2014 (N=17,948)
March 2014 - AIDS Registry
Comparison of the Distribution of Male and Female HIV Cases
by Age-Group and Certain Highlighted Years
March 2014 - AIDS Registry
Reported Mode of HIV Transmission
Geographic Distribution
March 2014 - AIDS Registry
Demographic Distribution (1984 2014)
March 2014 - AIDS Registry
Reported Mode of HIV Transmission Among OFWs
March 2014 - AIDS Registry
Number of Confirmed HIV Positive Blood Units
Month 2014
January 40
February 29
March 45
Filipinos on ARV
As of March 2014 18 Treatment Hub
6,168 Filipino on Antiretroviral Therapy (ARV)
6,148 Adult regimen
20 pediatric regimen
Antiretroviral Drugs
HIV
HUMAN the virus can infect only human beings

IMMUNO-DEFICIENCY the effect of the virus is
to create a deficiency (a failure to work properly)
within the bodys immune system

VIRUS This organism is a retrovirus, which
means it can reproduce itself by taking over the
machinery of the human cell
AIDS
AQUIRED the infection may be transmitted from one
person to another

IMMUNE the immune system is compromised

DEFICIENCY The body can no longer fight off
infections; individual may suffer from two or more
opportunistic infections

SYNDROME The person would experience a
collection of symptoms which could be fatal
3, 4, 5
3 MODES OF TRANSMISSION
PAKIKIPAG-TALIK NG WALANG PROTEKSYON
(UNPROTECTED PENTRATIVE SEX)
BIBIG (ORAL)
PUERTA (VAGINAL)
PWET (ANAL)

PAGSALIN NG DUGONG NA MAY HIV (TRANSFER
OF INFECTED BLOOD AND BLOOD PRODUCTS)

INFECTED MOTHER TO CHILD TRANSMISSION
4 BODY FLUIDS
DUGO (BLOOD)

TAMOD (SEMEN)

HEMA (VAGINAL FLUIDS)

GATAS NG INA (BREASTMILK)
With high concentration of HIV
5 WAYS TO PREVENT HIV TRANSMISSION
A ABSTINENCE
B BE MUTUALLY FAITHFUL
C CORRECT AND CONSISTENT CONDOM USE
D DO NOT USE ALCOHOL OR DRUGS
E EDUCATION AND EARLY DETECTION
PRINCIPLES OF TRANSMISSION
E EXIT: where the virus leaves the body (blood,
semen, vaginal fluid, breast milk)

S SUFFICIENCY OF QUANTITY: the amount of
virus sufficient to cause infection

S SURVIVAL: The ability of the virus or
microorganism to thrive in an environment

E ENTRY: where the virus enters the body
HIV Myths and misconception
1. Sharing eating utensils with an HIV.
2. Hugging kissing, or shaking hands with someone
who is HIV.
3. Using the same toilet seat or doorknob handle
after an HIV.
4. Swimming in the pool.
5. Mosquitoes and other blood sucking insects.
6. Sitting next to someone with HIV.
7. Saliva, tears, and sweat.
8. Coughing and sneezing
San Lazaro Hospital (NCR)

Phil. General Hospital (NCR)
RITM (NCR)


Ilocos Training & Reg Med.
Ctr (I)
Baguio General Hospital
(CAR)
Bicol Reg. Training & Teaching
Hosp (V)
Vicente Sotto Mem. Med. Ctr
(VII)
Corazon Locsin Montelibano
Mem. Reg Hospital (VI)


Western Visayas Med. Ctr
(VI)


Davao Medical Center (XI)
Zamboanga City Med. Ctr
(IX)


18 Treatment Hubs
Makati Med Ctr (NCR)


The Medical City (NCR)


Cagayan Valley Medical Center
(II)
Jose B. Lingad Memorial Medical
Center (III)
Gov. Celestino Gallares Mem
Hosp (VII)
Eastern Visayas Regional Medical
Center (VIII)
Northern Mindanao Medical
Center (X)
National Center for Disease Prevention and
Control
Famous Filipinos with HIV
1. Dolzura Cortez
2. Sarah Jane Salazar
3. Rodel Naval
4. Wanggo Gallaga
Famous International Personalities
with HIV
Earvin Magic Johnson
Famous Basketball Player
Greg Louganis
Olympic Gold Medalist - Diving
Freddie Mercury
Queen
Rock Hudson
Famous Actor
Howard Ashman
Talented Playwright, lyricist and
director
Best Original song for Beauty
and the Beast during OSCAR
Arthur Ashe
Famous Tennis player
Republic Act No. 8504
Complete Title

An Act Promulgating Policies and
Prescribing Measures for the Prevention
and Control of HIV/AIDS in the
Philippines, Instituting a Nationwide
HIV/AIDS Information and Educational
Program, Establishing a Comprehensive
HIV/AIDS Monitoring System,
Strengthening the Philippine National
AIDS Council, and for other Purposes
Short Title

Philippine AIDS Prevention
and Control Act of 1998
RA 8504
EDUCATION AND INFORMATION
SAFE PRACTICES & PROCEDURES
TESTING, SCREENING & COUNSELING
VOLUNTARY
PRE & POST TEST COUNSELING
HEALTH & SUPPORT SERVICES
MONITORING
CONFIDENTIALITY
DISCRIMINATORY ACTS AND POLICIES
PNAC


RA 8504
HIV/AIDS Test Results All results of HIV/AIDS testing shall be confidential
and shall be released only to the
a) person who submitted himself/herself to such a test;
b) either parent of a minor child who has been tested;
c) a legal guardian in the case of insane persons or orphans;
d) a person authorized to receive such results in conjunction with the
AIDSWATCH program as provided in Section 27 of this Act;
e) a justice of the Court of Appeals or the Supreme Court, as provided
under subsection (c) of this Act and in accordance with the provision
of Section 16 hereof.
RA 8504
Medical Confidentiality refers to the relationship of trust
and confidence created or existing between a patient or a
person with HIV and his attending physician, consulting
medical specialist, nurse, medical technologist and all other
health workers or personnel involved in any counselling,
testing or professional care of the former; it also applies to
any person who, in any official capacity, has acquired or may
have acquired such confidential information.
Voluntary HIV Testing refers to HIV testing done on an
individual who, after having undergone pre-test counselling,
willingly submits himself/herself to such a test


The PNAC
Function

The central advisory, planning and
policy-making body for the
comprehensive and integrated HIV &
AIDS prevention and control program in
the country
The PNAC: Membership & Composition
17 Government
Organizations (GOs)

Representatives from 6
Non- Government
Organizations (NGOs)

Representatives from 2
Medical/Health
Professional groups

A representative of
PLHIVs

HOW WILL YOU KNOW IF A PERSON HAS HIV?
HIV TESTING
HAVE YOU HAD YOURSELF TESTED?
HIV Testing (Icon Clinic Process)
1. Client Profile Intake
2. Pre-test counseling
3. Blood extraction
4. Release of result
a. Non-reactive release result with
post-test counseling
b. Reactive for confirmatory within two
weeks
c. Release of Positive result with post-
test counseling with referral to
medical specialist and treatment hub
Terminologies
Source: UNAIDS Terminology Guidelines (October 2011)
Past terminology Preferred terminology
HIV/AIDS; HIV and AIDS Use the term that is most specific and appropriate in the context to
avoid confusion between HIV (a virus) and AIDS (a clinical
syndrome). Both HIV epidemic and AIDS epidemic are acceptable
but HIV epidemic is a more inclusive term.
Example using HIV
people living with HIV, HIV prevalence, HIV prevention, HIV testing
and counseling, HIV-related disease
Example using AIDS
AIDS diagnosis, children orphaned by AIDS, AIDS response,
national AIDS programme, AIDS service organization
AIDS virus There is no AIDS virus. The virus that causes AIDS is the HIV (human
immunodeficiency virus). Please note that virus is the phase HIV
virus is redundant. Use HIV.
Terminologies
Source: UNAIDS Terminology Guidelines (October 2011)
Past terminology Preferred terminology
AIDS-infected No one is infected with AIDS; AIDS is not an infectious agent. Avoid
HIV-infected in favour of people living with HIV or HIV-positive
person (if serostatus is known).
AIDS test There is no test for AIDS. Use HIV test or HIV antibody test. For early
infant diagnois, HIV antigen tests are used.
AIDS victim Use person living with HIV. The word victim is disempowering. Use
AIDS only when referring to a person with a clinical diagnosis of AIDS.
AIDS patient Use the term patient only when referring to a clinical setting. Use
patient with HIV-related illness (or disease) as this covers the full
spectrum of HIV-associated clinical conditions.
Risk of AIDS Use risk of HIV infection or risk of exposure to HIV (unless
referring to behaviours or conditions that increase the risk of disease
progression in an HIV-positive person)
Fight against AIDS Use response to AIDS or AIDS response.
Terminologies
Source: UNAIDS Terminology Guidelines (October 2011)
Past terminology Preferred terminology
High(er) risk
groups; vulnerable
groups
Use key populations at higher risk (both key to the epidemics
dynamics and key to the response). Key populations are distinct from
vulnerable populations, which are subject to societal pressures or social
circumstances that may make them more vulnerable to exposure to
infections, including HIV.
Commercial sex work This says the same thing twice in different words. Preferred terms are
sex work, commercial sex. Or the sale of sexual services.
Prostitute or
prostitution
These words should not be used. For adults, use terms such as sex
work, sex worker, commercial sex, transactional sex, or the sale of
sexual services. When children are involved, refer to commercial sexual
exploitation of children.
Intravenous drug user Drugs are injected subcutaneously, intramuscularly, or intravenously.
Use person who injects drugs to place emphasis on the person first. A
broader term that may apply in some situations is person who uses
drugs.
AIDS Society of the Philippines, Inc.
The AIDS Society of the Philippines (ASP) is a leading association
of individuals from the government, non-government agencies,
and the private sector, with a common unifying interest in
preventing the spread of HIV and AIDS. As a membership
organization, it counts among its members, experts and
professionals from diverse fields such as health and
development, infectious diseases, public health, business, and
media and communications.

ASP was established in 1996 by its Founding President, Dr. Ofelia
T. Monzon, who pioneered investigative studies on HIV/AIDS at
the Research Institute for Tropical Medicine in Alabang,
Muntinlupa.
Board of Trustee
Left to Right
1
st
row Karl Agbulos, Diana Mendoza, Dr. Carlos Calica
2
nd
row Nelia Dychinco Sevidal, Dr. Luis Gatmaitan
3
rd
row Dr. Jose Narciso Melchor Sescon, Dr. Rosaio Jessica Tactacan-Abrenica
Activities
ASP Webshow
After Hours
Biennial Philippine National
AIDS Convention 2012
International AIDS
Candlelight Memorial 2013
World AIDS Day 2012
Conduct appreciation lecture on
HIV and AIDS on private company
ASP Volunteer Programme
Mission
To provide technical expertise and facilitate
information and resource exchange among
stakeholders and communities to reduce HIV infection
in the Philippines through:

Knowledge Management
Capacity-building
Partnership and Membership Building
Resource Mobilization, and
Advocacy
Vision
The Philippines leading movement on HIV and AIDS
prevention and control with professionals and
advocates working synergistically to reduce the impact
of the disease and promote quality of life.
Core Values (Principles)
INTEGRITY
ASP is a professional organization that abides by the principles of
accountability, transparency, and responsibility in dealing with its various
stakeholders
EXCELLENCE
We deliver excellent and responsive services in an effective and efficient
manner
COMPASSION
We serve our clients, partners and other significant stakeholders with quality
care and compassion
RESPECT
We respect and value each stakeholders involvement, contribution and
engagement in HIV and AIDS prevention and control
CREATIVITY
We constantly develop and integrate creative and innovative approaches in
our various programs and activities for HIV prevention and control
For your sexual health needs
your safe place to know about sexual health

376-2541
0917-826-iCON (4266)
0932-877-iCON (4266)
asp.iconclinic@gmail.com
iconclinic.tumblr.com
Be a part of our Society
AIDS Society of the Philippines, Inc.

Telephone: 376-2541
Fax: 376-2546
info@aidsphil.org
aidsphil.org
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THANK YOU!