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巴西针对注射吸毒者中人类免疫缺陷病毒/获得性免疫缺陷综合征疫情的应对措施。

Brazilian response to the human immunodeficiency virus/acquired immunodeficiency syndrome epidemic among injection drug users.

作者信息

Mesquita Fábio, Doneda Denise, Gandolfi Denise, Nemes Maria Inês Battistella, Andrade Tarcísio, Bueno Regina, Piconez e Trigueiros Daniela

机构信息

STD/AIDS Control Program of São Paulo City Health Department, São Paulo, Brazil. mesquitaberkeley@hotmail. com

出版信息

Clin Infect Dis. 2003 Dec 15;37 Suppl 5:S382-5. doi: 10.1086/377547.

Abstract

The Brazilian response to the human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) epidemic is being observed all over the world because of its success. Understanding the role of injection drug users (IDUs) in the epidemic and the political response thereto is a key factor in the control of the epidemic in Brazil. This paper summarizes some of the most important analyses of the Brazilian response to the HIV/AIDS epidemic among and from IDUs. Key elements of the response include the support of the Brazilian Universal Public Health System, the provision of universal access to highly active antiretroviral therapy, and the creation of harm reduction projects that are politically and financially supported by the federal government. The response among and from IDUs is a key element in overall control of the HIV/AIDS epidemic. The response to the epidemic among and from IDUs has been headed in the correct direction since its beginning and is now being intensively expanded.

摘要

巴西对人类免疫缺陷病毒(HIV)/获得性免疫缺陷综合征(AIDS)疫情的应对措施因其成效而受到全球关注。了解注射吸毒者(IDUs)在疫情中的作用以及针对此的政治应对措施,是巴西控制疫情的关键因素。本文总结了对巴西针对IDUs群体以及来自IDUs群体的HIV/AIDS疫情应对措施的一些最重要分析。应对措施的关键要素包括巴西全民公共卫生系统的支持、普遍提供高效抗逆转录病毒疗法,以及创建由联邦政府提供政治和财政支持的减少伤害项目。IDUs群体内部以及来自该群体的应对措施是全面控制HIV/AIDS疫情的关键要素。自开始以来,针对IDUs群体内部以及来自该群体的疫情应对措施一直朝着正确方向发展,目前正在大力扩展。

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