Secretaria da Saúde de Santo André. Centro Médico de Especialidades - Infectologia. Santo André, São Paulo, Brasil.
Instituto Adolfo Lutz. Centro de Virologia. São Paulo, São Paulo, Brasil.
Rev Saude Publica. 2022 May 27;56:37. doi: 10.11606/s1518-8787.2022056004314. eCollection 2022.
The world has been dealing with Aids for forty years, covid-19 accentuated societal inequalities and promoted a rupture in care and prevention, including for people living with HIV. We compiled official HIV indicators, analyzed the impact of covid-19 in Brazil, at São Paulo State (SP), and compared it to the municipality of Santo André (in the state of São Paulo), which adopted linkage/retention strategies to mitigate the impact of covid-19. From 2019 to 2020, suppression/adhesion rates remained stable. The number of new treatments decreased both in Brazil (-19.75%) and São Paulo (-16.44%), but not in Santo André, where 80% of new patients started treatment within 30 days from their first TCD4 test (70% in São Paulo and 64% in Brazil). However, PrEP dispensing increased during this period. The distribution of 2,820 HIV self-tests in Santo André lead to only one documented new HIV diagnosis linked to care. Synergistic strategies to swiftly diagnose and connect new cases, ensuring retention as well as rescuing missing patients deserve priority in the fight against HIV, especially in times of covid-19.
世界已经与艾滋病抗争了四十年，新冠疫情加剧了社会不平等，并导致医疗和预防工作出现断裂，包括艾滋病毒感染者在内。我们整理了官方的 HIV 指标，分析了新冠疫情对巴西圣保罗州的影响，并将其与圣保罗州的圣安德烈市进行了比较，后者采取了关联/保留策略来减轻新冠疫情的影响。2019 年至 2020 年期间，抑制/坚持治疗率保持稳定。巴西（-19.75%）和圣保罗州（-16.44%）的新治疗人数均有所减少，但圣安德烈市的新患者中有 80%在首次 TCD4 检测后 30 天内开始治疗（圣保罗州为 70%，巴西为 64%），且在此期间 PrEP 的发放有所增加。圣安德烈市共发放了 2820 份 HIV 自检试剂，仅发现一例与治疗相关的新 HIV 诊断。在抗击艾滋病的过程中，需要优先考虑采取协同策略，迅速诊断和联系新病例，确保保留治疗，并挽救失联患者，尤其是在新冠疫情时期。
