Rodriguez L, Balaguera H, Delgado JC; International Conference on AIDS (15th : 2004 : Bangkok, Thailand).
Int Conf AIDS. 2004 Jul 11-16; 15: abstract no. MoPeE4298.
UNAB-FADER, Bucaramanga, Colombia
Issues: There is a demonstrated need for more comprehensive and higher quality surveillance of sexually transmitted diseases. Existing methods across the world vary substantially. The municipality of Bucaramanga, a city of 558,700 inhabitants in the northeast of Colombia, did not have a formal notification system. Description: An STD/HIV-AIDS surveillance pilot program was implemented from January 01 to December 31, 2003, based on the US Centers for Disease Control's (CDC) model. The CDC's 1999 HIV/AIDS case definition was used. Reporting sources included all governmental and private health care institutions and clinical laboratories in Bucaramanga. Data were collected using the CDC's passive/active reporting model. Data included date of birth, gender, place of residence, HIV risk exposure category, laboratory and clinical data, and a unique identification number that prevented duplication and preserved confidentiality. Lessons learned: It is possible to adapt surveillance models for STDs-HIV/AIDS from developed countries to developing ones. As of December 31, 2003, 1266 STDs have been reported of which 731 were human papilloma virus infection, 242 were syphilis and 206 were HIV. The incidence rate of HIV/AIDS was 35 per 100,000 compared to 26 per 100,000 in 2002. 56% of the cases were between the ages of 20 and 40, 30% women, 37% had no access to health care services, 60% were heterosexuals, 4% died. CD4 and HIV viral load results were obtained right after diagnosis in less than 20% of cases. There were no reported cases associated with IV drug use. The local government continued funding for surveillance and has started a treatment program for the newly infected patients without access to health services. Recommendations: Develop a methodology to maximize institutional adherence to the surveillance system, especially in regards to accurate data recording and patient follow-up. Analyze the database to plan and evaluate prevention and therapeutic programs.
Publication Types:
Keywords:
- Acquired Immunodeficiency Syndrome
- Centers for Disease Control and Prevention (U.S.)
- Colombia
- Delivery of Health Care
- Developed Countries
- Developing Countries
- Female
- HIV Infections
- HIV Seropositivity
- Health Planning
- Humans
- Incidence
- Models, Biological
- Research
- Sexually Transmitted Diseases
- Virus Diseases
- organization & administration
- therapy
Other ID:
UI: 102280577
From Meeting Abstracts