随访艾滋病感染者:用爱召唤“失踪”者


随访艾滋病感染者:用爱召唤“失踪”者
www.gx.xinhuanet.com  2008年12月06日 10:43:47  来源:柳州日报
 

 

    今年的“世界艾滋病日”,宣传主题仍然是“遏制艾滋,履行承诺”,宣传口号是“倡导、参与、落实”。对艾滋病病毒(HIV)感染者、艾滋病(AIDS)病人的随访和管理,是落实国家“四免一关怀”政策,控制艾滋病进一步传播和流行的关键环节。记者日前采访发现,因感染者“失踪”导致的失访率过高已成为当前防艾面临的主要难题之一。

    七八百人无法联系

    目前,我市在市区和社区卫生服务中心建立了艾滋病病人随访管理队伍,队伍人数31人,对全市艾滋病感染者、艾滋病病人进行医学随访,并为其和其家人提供相关的预防知识和行为干预。

    “由于2006年以前到免费艾滋病自愿咨询检测门诊咨询检测的人采取匿名的方式,现在至少有七八百名被发现的艾滋病病毒感染者无法取得联系。”说起艾滋病病毒感染者随访和管理难,市疾控中心艾滋病科的小张道出了其中原因之一。

    据资料显示,目前我国有60多万艾滋病病毒感染者、艾滋病病人,其中有16万多人是被检测发现的,但发现后接受随访和管理的只有5万多人。换句话说,感染者的失访率超过60%。在我市,今年1月到10月为止,艾滋病病毒感染者、艾滋病病人的首次随访率为90%,二次随访率为60%,三次以上随访率就更低了。

    感染者失访原因多

    12年前,我市发现了首例艾滋病感染者,艾滋病发病的平均潜伏期为8年至10年,现在是早期感染者进入发病高峰的阶段,估计应有近30%的感染者需要接受抗病毒治疗。可是由于许多病人长期不与随访人员联系,增加了治疗的难度。

    市疾控中心结防所副所长周平认为,艾滋病病毒感染者和病人多为吸毒者,经济较困难,尽管市疾控中心对部分就诊病人的HIV确认检测、CD4细胞检测及肝功能检测费用给予免费,但大部分病人的检测及机会性感染的治疗等费用仍须病人自费,对于病情较重须转院治疗的贫困病人无法实现转介。此外,近年来进城打工的农民感染者正在明显增加,由于农民工居无定所,给随访增加了困难。

  抗艾应多部门参与

    有关人士认为,虽然大多数部门已认识到防治艾滋病的重要性,但目前仍未形成全社会广泛参与的防治格局。仍需大力倡导,同时争取多方面资源参与防艾工作。除了卫生部门负责辖区内感染者和病人的治疗及疫情监测工作外,公安、司法、民政、劳动和社会保障、人事等部门也应按职责分工,密切配合,共同做好管理工作。如感染者中的流动人口越来越多,性传播途径所占比例增高,但目前基层的实际是,流动人口管理分布于政府不同部门,彼此如何协调缺乏法律授权。

    从社会层面看,我们要积极营造“管理也是一种关怀,感染者自觉接受随访管理是一种责任”的氛围,并消除大家歧视艾滋病病毒感染者和病人心理,配合防艾工作。 (记者 曾繁华)

Follow-up AIDS: Love calls "missing" persons
 
 
 
12 years www.gx.xinhuanet.com 2008 on 10:43:47 on 06 Source: Liuzhou Daily
 

     This year's "World AIDS Day" to promote the theme remains "Stop AIDS, to fulfill commitments," is the slogan of "advocacy, participation, to implement." AIDS virus (HIV) infection, AIDS (AIDS) patients were followed up and management of the implementation of the "Four Frees and One Care" policy to control the further spread of the AIDS epidemic and the key link. An interview with reporters a few days ago found that the infection as a result of "missing" caused by the high rate of defaulters Fang Yi has now become the face of one of the major problems.

     Qi Babai was unable to contact

     At present, the city and the urban community health service centers set up AIDS patient follow-up management team, ranks number 31 on the city's AIDS-infected people, AIDS patients, medical follow-up, and for their families and provide relevant prevention knowledge and behavior intervention .

     "Since 2006 to free voluntary HIV counseling and testing out-patient counseling and testing to take anonymous, at least Qi Babai were found HIV-infected people can not get in touch." Talking about HIV and management of follow-up difficult, City Branch of the CDC AIDS Zhang told one of the reasons for them.

     According to statistics, China currently has more than 60 million HIV-infected people, AIDS patients, of whom 160,000 people have been found in testing, but found that after the follow-up and management of only 50,000 people. In other words, the infected persons lost to follow-up rate of over 60%. In the city this year in January to October, the HIV-infected people, AIDS patients were followed up for the first time the rate was 90%, the second follow-up rate of 60%, more than three times the rate of follow-up on the lower.

     Lost to follow-infected people more reasons

     12 years ago, the city discovered the first case of AIDS, AIDS, the average incubation period of 8 to 10 years, this is the early peak incidence of infection from entering the stage, the figure is nearly 30% of infected people in need of anti-virus Treatment. However, many patients with long-term follow-up contact, an increase of treatment more difficult.

     City CDC deputy director of the Anti-end Ping believes that HIV and AIDS patients for drug addicts, the economy more difficult, despite the city on the part of the CDC's HIV treatment to patients confirmed detection, CD4 cell testing and liver function testing costs Given free of charge, but most of the patients and detection of opportunistic infections, such as the cost of the treatment of patients still at their own expense, to be transferred for treatment of serious disease of poverty can not be achieved referral of patients. In addition, in recent years, farmers working in cities are infected with a noticeable increase in migrant workers as a result of no fixed abode, an increase of follow-up to the difficulties.

Should be involved in multi-sectoral anti-Ai

     Observers note that, although the majority of the department has recognized the importance of AIDS prevention and treatment, but not yet the whole society to participate in a wide range of prevention and control structure. Still advocate the same time, for many resources to participate in the work of Fang Yi. In addition to the health department is responsible for infected area and the patient's treatment and epidemic monitoring, public security, judicial, civil affairs, labor and social security, and personnel departments should be division of responsibilities, in close coordination to jointly do a good job in management. If infected people in an increasing number of floating population, the proportion of sexually transmitted channels increased, but the real grass-roots level is that the management of floating population distribution in different government departments, how to coordinate with each other lack of legal authority.

     From a social perspective, we have to create a positive, "Management is also a concern, and consciously accept the infected person is a follow-up management responsibility" atmosphere, and the elimination of discrimination against people infected with HIV and mental patients, with the work of Fang Yi. (Zeng Fanhua Reporter)