1. The document discusses HIV/AIDS, noting that it is a retroviral disease caused by HIV that leads to immunosuppression.
2. It provides background on the origins of HIV, believed to have crossed from chimpanzees to humans in central Africa in the early 20th century.
3. The major modes of HIV transmission are listed as sexual contact, parenteral inoculation, and mother-to-child. Clinical features include opportunistic infections and weight loss. Treatment focuses on prevention through abstinence, faithfulness, and condom use while a cure is not known.
1. The document discusses HIV/AIDS, noting that it is a retroviral disease caused by HIV that leads to immunosuppression.
2. It provides background on the origins of HIV, believed to have crossed from chimpanzees to humans in central Africa in the early 20th century.
3. The major modes of HIV transmission are listed as sexual contact, parenteral inoculation, and mother-to-child. Clinical features include opportunistic infections and weight loss. Treatment focuses on prevention through abstinence, faithfulness, and condom use while a cure is not known.
1. The document discusses HIV/AIDS, noting that it is a retroviral disease caused by HIV that leads to immunosuppression.
2. It provides background on the origins of HIV, believed to have crossed from chimpanzees to humans in central Africa in the early 20th century.
3. The major modes of HIV transmission are listed as sexual contact, parenteral inoculation, and mother-to-child. Clinical features include opportunistic infections and weight loss. Treatment focuses on prevention through abstinence, faithfulness, and condom use while a cure is not known.
1. The document discusses HIV/AIDS, noting that it is a retroviral disease caused by HIV that leads to immunosuppression.
2. It provides background on the origins of HIV, believed to have crossed from chimpanzees to humans in central Africa in the early 20th century.
3. The major modes of HIV transmission are listed as sexual contact, parenteral inoculation, and mother-to-child. Clinical features include opportunistic infections and weight loss. Treatment focuses on prevention through abstinence, faithfulness, and condom use while a cure is not known.
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UNIVERSITY OF DAR ES SALAAM
“No pit holes, everybody counts”
WORLD AIDS DAY-1ST DEC 2017 Presenter: JADDI, HAJI M. Introduction • AIDS is a retroviral disease • Caused by the Human Immune Virus (HIV) • Characterised by profound Immunosuppression • Opportunistic infections, • Secondary neoplasms, and • Neurological manifestations Introduction • Truly staggering epidemic • HIV-1 and HIV-2 • HIV-1 global and HIV-2 discovered in West Africa and found principally in West Africa • HIV-2 more virulent, faster progression and associated with greater morbidity Background of HIV/AIDS………. • It is widely believed that HIV originated in Kinshasa , in Republic of Congo around 1920 when HIV crossed species from chimpanzee to human during meat trading in the heavy rain forests of central and western Africa. HIV/AIDS hypothesises • There are two main and sounding hypothesises 1. HIV/AIDS hypothesis this postulates that “ a new infectious epidemic of Immune deficiency syndrome (AIDS) is the result of infection by an exogenous retrovirus called Human Immune Virus. The postulates also stated that; • HIV is sexually transmitted via semen. • There is destruction of CD4+ which the hallmark of AIDS • Increased cytotoxic CD8 LYMPHOCYTES which destruct cell mediated immunity HIV/AIDS hypothesises…………. 2.Chemical AIDS hypothesis this proposes that AIDS epidemics of United States and Europe are caused by recreational drugs, alias, life style and anti-HIV drugs. Routes of spread • Sexual Contact – 75% • Parental Inoculation – intravenous drug abusers and recipients of blood and blood products. • Passage of virus from Infected mothers to children through the placenta or through breast milk. Clinical Features
• Terminal phase of HIV infection is known as
AIDS. • Opportunistic Infections – fungal, bacterial, viral, neoplasms Major Signs • Weight loss >10% of body weight • Chronic diarrhoea >1 month • Prolonged fever >1 month (int or perm) Minor Signs • Persistent cough >1 month • Generalised pruritic dermatitis • Recurrent herpes zoster • Oro-pharyngeal candidiasis • Chronic progressive and disseminated herpes simplex infection • Generalised lymphadenopathy End stage AIDS patient Treatment • No cure known, prevention. • ABC Abstinence, faithfulness and Condom use. Prevention • Abstinence • Sexually active: stick to one sexual partner. • Condom use Why HIV????? • Since its description in 1980s HIV/AIDS has become one of the most devastating epidemics in human history. • Millions of new infections occur every year predominantly in resources poor settings where access to diagnosis and treatment of HIV remain inadequate hence causing more loss of human resources Epidemiology of HIV/AIDS • According to 2016 united Nations joint program for HIV/AIDS 36.7million of world`s population were living with HIV or AIDS, roughly half of them were man and more than 2million were children • In Tanzania 4.7% of adult population by 2016 were living with HIV or AIDS, With lowest prevalence of 0.2% in Zanzibar and highest prevalence of 15.4% in Njombe. Goals of WHO&MOH • WHO under UN umbrella had 2015 millennium development goals (MDGs) number 6 that aimed at combating HIV/AIDS by 2015. • Also WHO under UNAIDS has 90-90-90 ambitious treatment target to help end the AIDS epidemic, at which by 2020 90% of people diagnosed with HIV will receive sustained antiretroviral therapy will know their HIV status. Goals of WHO&MOH………. • MOH has a special agent called TACAIDS that deals with AIDS combating movements, funding the movements and making platforms to achieve zero HIV infection in the country. conclusion • Education to patients and care givers on adherence to drugs to decrease resistance • Education to minimize stigma • More research for determination of proper treatment “No pit holes, everyone counts” Reference texts • National health policy of Tanzania • Pathology basis of diseases Contran, Kumar et ol • Tacaids.go.tz • Medical microbiology, Jawetz,Menelick&Aldeberg