Global AIDS Program China-US Cooperation ??????? - ????

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Global AIDS Program China-US Cooperation
??????? - ????
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GAP Cooperation PrincipleGAP????

• Integrate with National Programs ????????
• Cooperation at all levels from National to
  County ???????-??????
• Maintain flexibility ?????
• Multiple resource support service oriented
  ????????-??????
• Human resource ????
• Technical assistance linkage to US CDC
  ????-???CDC??
• Management and planning support
  ???????

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GAP???????? China-U.S. Cooperation Provinces
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Estimated HIV Cases Known Unknown???????????
?
???
cases
??
??
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Recommend Key Strategy for China?????????
Prevention of 2nd Generation Transmission of
HIV??????
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Surveillance the key to Prevent 2nd
Generation Transmission ?? -???????????
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Prevent 2nd Generation Transmission of HIV??????
Early Detection Early Management???
???
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Surveillance ??
RCT ????
???? Case Finding Mechanism
???? Surveillance
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???? Case Management Mechanism
RCT/VCT ?? ??
Care Treatment ?????
Risk Reduction ??HIV??
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Surveillance ??
???????????????,???????????????
RCTVCT ?? ??
Care Treatment ?????
Risk Reduction ??HIV??
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Experience of Year 1??????
Surveillance ????

• Rapid expansion of sentinel surveillance system
  feasible
• ???????????????
• RCT as part of the surveillance testing procedure
  feasible
• ??????????????????
• Expanded sentinel surveillance system
• ?????????
• A cost-effective case-finding mechanism
• ???????????
• Can provide provincial level of estimation of
  HIV/AIDS
• ??????HIV/AIDS ?????

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Surveillance ??
RCT ????
???? Surveillance
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Surveillance??
High Risk Groups ???? Expand the
existing Sentinel Surveillance System ???????????
IDU ??????? CSW ????
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RCT ????
Surveillance ??
???? Surveillance
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Surveillance??
Low Risk Groups ???? Capture the routine Testing
results of Health services ???? ??????????? Blood
Bank ?? Hospital Admissions ???? MCH ???? STD
?????
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???? - ??

• Surveillance sites the more the better
• ???- ????
• Targeting highest risk group
• ??????
• Testing as many people as possible at each site
• ???? ???? ??
• Develop a case-management system to assure
  reduction of further transmission
• ?HIV?????????,??????

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Surveillance Focus for 2005 ?? - 2005???
Toward Surveillance
Program Direction ????
RCT Adequate Management ???? ???? (???)
Informing ?? (??)
Routine Testing ????
Increase Sites ????
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RCT as Intervention for High-Risk Groups
???? ?????????
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Surveillance ??
RCTVCT ?? ??
Care Treatment ?????
Risk Reduction ??HIV??
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Risk Reduction Intervention - IDU ??HIV????? - IDU
Needle Exchange ????
RCT ????
MMT ???
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Target High-Risk Groups?????? RCT - Reach
In ??
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Target IDU Groups?????? Add On - MMT
????-???
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Target High-Risk Groups?????? RCT - Out
Reach ????-??
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Surveillance ??
RCTVCT ?? ??
Care Treatment ?????
Risk Reduction ??HIV??
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Care Treatment Focus for 2005 ?????-2005???

• Development of county-level treatment sites with
  linkage to Case-Finding mechanism
• ???????,???????????
• Support ARV treatment for IDU focus on MMT
  sites
• ????????????????? ??????????
• Implementation of OI prophylaxis
• ????????????

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Diseases that Might be Prevented by Cotrimoxazole
(SMZ) Prophylaxis?????? (SMZ) ???????

• PCP???????
• Toxoplasmic encephalitis?????
• Disease caused by S. pneumoniae and H. influenzae
  ?????????????
• Disease caused by non-typhoidal Salmonella
• ????????????
• Staphylococcal disease????
• Isosporiasis??????
• Malaria??