Outlook on the Spanish EU Outlook on the Spanish EU

PresidencyPresidency

1st semester 2010 1st semester 2010

HIV in Europe: Working together for

Optimal Testing and Earlier Care

Olivia Castillo SoriaHead of Area of Prevention and Coordination

AIDS National Secretary Plan

Principles of the Spanish Programme during Principles of the Spanish Programme during the EU Presidency the EU Presidency

INNOVATIONTechnologicalEconomic Social Institutional

EQUALITYPromote equalitySolidarityCohesion

Innovate to renew

Leadership

Values and principles of Western culture

EU Commision PrioritiesEU Commision Priorities

Public Health Working GroupPresidential Working Group

Inequality Council Conclusions, Dec 2009

HIV Council Conclusions

Tobacco

Cross-border vaccination

“Friend Group” of Presidency Pandemic FluPresidency group

Ministry of Health and Social Policy

Priorities

Social health determinants and reduction of inequalities.

Promoting organ donation, transplants and advanced therapies.

Improve clinical excellence in chronic diseasesBest practice exchange: E-HealthFood safetyConsumer protectionSafety of medicines

Public and Foreign Health Directorate Priorities

Innovation in Public Health: monitoring social health determinants and reduction of inequalities.

Fight HIV

Multi-Sector coordination Fight against stigma and discrimination Early diagnosis Prevention in drug users and their partners Prevention in men having sex with men Prevention in immigrants Prevention in young people People who are HIV+ and their partners Diagnostic Surveillance System for new HIV International co-operation

HIV/AIDS Multi-Sector Plan 2008-2012 Priorities

Estimation of the new annual infections for Estimation of the new annual infections for sexual transmission between carriers of HIVsexual transmission between carriers of HIV

Personas con VIH Nuevas infecciones anuales por transmisión sexual

75%

Identified

25%

Unidentified

46% of new infections

54% of new infections

Estimation more conservative hipotesis USA ( Marks G, Crepaz N, Janssen RS. AIDS 2006. )

New infections for sexual transmisionHIV +

New alternatives for screening: Spanish New alternatives for screening: Spanish experience:experience:

Pilot study of rapid test in pharmacies

• Implemented in 2 Autonomous Regions: – Basque Country: 20 pharmacies (Alava, Vizcaya,

Guipuzcoa) – Catalonia: 36 pharmacies (21 towns - Barcelona)

• Anonymous• Consent to the test• Pharmacist training• Rapid test + Counselling• If HIV positive referred to Health System

New alternatives for screening: Spanish New alternatives for screening: Spanish experience:experience:

Pilot study of rapid test in pharmacies

OBJECTIVES:• Increase test coverage• Reduce timing of late diagnosis in

risk people• Improve life quality and reduce

transmission of HIV infection• Encourage early diagnosis in at risk

people (who do not want to access the Health System)

• Basque Country:– 2268 tests– 0.75% HIV positive– 76.5% Men– 23.5% Women– Age average: 37.8– 41.80% Inmigrants– Through unsafe sex:

• 53% heterosexuals• 35% homosexuals

• Catalonia:– 1153 tests– 0.87% HIV positive– 71% Men– 29% women– Age average: 33.78– 20% Inmimgrants– Through unsafe sex:

• 40% heterosexuals• 40% homosexuals

New alternatives for screening: Spanish experience:New alternatives for screening: Spanish experience:Pilot study of rapid test in pharmacies

1. Inequalities: Equality of opportunities

2. Stigma: respect their rights

3. Discrimination: Accept them

4. Prevention: reducing late diagnosis

5. International cooperation: solidarity

Key points on HIV/AIDS Conference

Conference proposal: Conference HIVConference proposal: Conference HIV

Place: Madrid

Date: 7 and 8 of April

Conference proposal: Conference HIVConference proposal: Conference HIV

• Inequality and Inequality and prevention:prevention:

– Social health Social health determinantsdeterminants

– Vulnerable populationVulnerable population– Outreach programmesOutreach programmes– Reducing late Reducing late

diagnosisdiagnosis

• International Cooperation: International Cooperation: Alliance of ESTHER Alliance of ESTHER Programme:Programme:

– Spanish implementation:Spanish implementation:• South AmericaSouth America• Training programmeTraining programme• On-line courseOn-line course

– Technical meeting?Technical meeting?– Economical Interest GroupEconomical Interest Group