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《中国时事》中国将进一步加强艾滋病防治
2011-03-01 10:24:56 来源: 国际在线(北京)
国际在线消息：中国国务院日前发布文件，要求进一步加强艾滋病防治工作，力争到2015年重点地区和重点人群疫情快速上升的势头得到基本遏制，到2020年全国疫情得到较好控制。本台记者为此专访了中国疾病预防控制中心性病艾滋病预防控制中心主任吴尊友。他介绍说，目前中国艾滋病疫情上升幅度已得到控制，艾滋病防控战略目标切合实际，但仍具挑战。下面请听详细报道。
近年来中国艾滋病疫情呈上升态势，据估算，中国现有艾滋病感染者和病人约74万人。中国疾病预防控制中心性病艾滋病预防控制中心主任吴尊友介绍说，近年来，中国政府在艾滋病防控方面采取了推广安全套、开展吸毒人员美沙酮维持治疗以及免费抗病毒治疗等有效措施，艾滋病疫情的上升幅度得到控制，但艾滋病流行形势依然严峻：
“目前疫情变得更加复杂，性传播成为主要传播方式，疫情从高危人群向一般人群扩散，形势还是很严峻，特别是在新报告的感染病人当中病人越来越多，死亡的病人也在增加，这种死亡更多的是因为社会歧视造成感染者不愿意检测暴露自己的感染身份而耽误了治疗机会。”
为加强艾滋病防治，中国国务院日前发布文件，要求进一步落实艾滋病防治政策，扩大监测检测覆盖面，最大限度发现艾滋病病毒感染者；扩大预防母婴传播覆盖面，有效减少新生儿感染；扩大综合干预覆盖面，减少艾滋病病毒传播几率；扩大抗病毒治疗覆盖面，提高治疗水平；加强血液管理，保障临床用血安全。此外，这份文件还提出加强医疗保障，在基本药物目录中适当增加抗艾滋病病毒治疗和机会性感染治疗药品的种类，减轻艾滋病病毒感染者和病人医疗负担。吴尊友对此表示，这一举措将对减少艾滋病人死亡发挥积极作用。
“从2003年国家实施免费抗病毒的治疗以后，由于艾滋病感染造成的死亡有大幅度的减少和下降。现在不是抗病毒的治疗费用贵，而是机会性感染（由于免疫系统功能低下，感染了艾滋病病毒的人患传染病和恶性肿瘤等疾病的机会增加）。随着我们抗病毒治疗的推进，机会性感染造成病人死亡，经费的负担又超出了我们原来的范围，所以从新的政策里面就希望能把这些基本的医疗，能够涵盖艾滋病病人，使得抗病毒的治疗效果加强，对减少病人死亡、提高病人生活质量应该说是一个大的推进。”
国务院发布的文件同时要求，加强关怀救助，提高艾滋病病毒感染者和病人生活质量。加强权益保护，消除社会歧视，保障艾滋病病毒感染者和病人及其家庭成员在就医、就业、入学等方面的合法权益。此外，还要求加大科研力度，力争艾滋病疫苗、抗病毒药物、快速诊断试剂研制取得突破，同时加强国际合作，借鉴其他国家防治经验，提高艾滋病防治工作水平。
文件还制定了艾滋病防治的战略目标。力争到2015年重点地区和重点人群疫情快速上升的势头得到基本遏制，到2020年全国疫情得到较好控制，继续保持低流行水平。吴尊友对此表示，这一疫情控制目标切合实际，但仍具有挑战。
“控制这种疾病现在面临的挑战，最主要有几个方面：一个是由于歧视，我们对每年死亡的病人也进行了分析，大约80％的死亡病人没有来的及上抗病毒治疗，不能享受国家政策而受益。第二个挑战是特殊人群，像男男同性恋的人群，这个人群感染率在上升。所以在十二五期间（今后五年），要加强重点地区的艾滋病防治工作，如果我们能把这些问题解决作为十二五的战略目标，到2020年把这个疫情控制住应该是没有什么问题。” (本文来源：国际在线 )
艾滋病不治会早死，早治才康复 艾滋病不治会早死，早治才康复 艾滋病不治会早死，早治才康复 艾滋病不治会早死，早治才康复
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| 图示∶2010年12月即将出版的《中国特色医疗金鉴》登载的刘君主任及其机构 |
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"China's current affairs," China will further strengthen AIDS prevention and control
2011-03-01 10:24:56 Source: International Online (Beijing)
International Online News: China's State Council has issued a document requiring further strengthen AIDS prevention and control work, and strive to focus on key areas and by 2015 the epidemic among the trend of rapid increase in the basic curb the epidemic by 2020 the country was better controlled. Our reporter in China for this exclusive interview with CDC Director of STD and AIDS prevention and control center WU Zun. He said that the current AIDS epidemic rise of China has been brought under control, AIDS prevention and control of the strategic targets are realistic, but remain challenging. Please listen to the detailed report.
In recent years, the upward trend of China's AIDS epidemic, it is estimated that China's current AIDS patients and about 74 million people. Chinese Center for Disease Control and Prevention director of STD and AIDS prevention and control center WU Zun said that in recent years, the Chinese government has taken to promote AIDS prevention and control of condoms, methadone maintenance treatment to carry out drug addicts and free anti-retroviral therapy and other effective measures, the rise in AIDS epidemic amplitude under control, but the AIDS epidemic situation is still grim:
"The current epidemic has become more complex and become a major mode of transmission of sexually transmitted, the epidemic from high-risk groups to the general population, the situation is still very serious, especially in the newly reported infections were more and more patients, the death of patients is increasing This is more a death caused by infection because of social discrimination are reluctant to reveal their infection status detection and delayed access to treatment. "
In order to strengthen AIDS prevention and control, China's State Council has issued a document requiring the implementation of AIDS prevention policies to further expand the coverage of surveillance and testing to maximize the detection of HIV infection; to expand the coverage of prevention of mother to child transmission, the effective reduction of neonatal infection; to expand the coverage of comprehensive intervention to reduce risk of HIV transmission; to expand the coverage of antiretroviral therapy to improve the treatment level; enhance blood management, protection of safety of blood for clinical use. In addition, the document also proposed to strengthen health care, the essential drugs list in the appropriate increase in anti-HIV therapy and opportunistic infection treatment types of drugs to reduce HIV infection and the patient care burden. Mr Wu responded by saying that the move to reduce AIDS deaths will play an active role.
"From 2003, national implementation of free anti-viral treatment, because of AIDS deaths has greatly reduced and reduced. This is not the cost of expensive anti-viral treatment, but the opportunistic infections (due to immune system dysfunction, infection people suffering from HIV and other infectious diseases and malignant diseases the opportunity to increase). As we advance of antiretroviral therapy, opportunistic infections lead to death, the burden of funding and beyond our original scope, so the new policy on the inside hoped to these basic health care, to cover the AIDS patients, making therapeutic effect of strengthening the anti-virus, to reduce deaths and improve the patients quality of life should be said to be a big advance. "
State Council issued a document at the same time, strengthen care assistance, to improve HIV infection and the patient quality of life. Strengthen rights protection, elimination of social discrimination, protection of HIV infected patients and their family members and medical care, employment, schooling and other aspects of legal rights. It also requires increased research efforts, and strive to AIDS vaccines, antiviral drugs, rapid diagnostic kits developed a breakthrough, while strengthening international cooperation, learn from the experience of other countries, control and improve the level of AIDS.
It also established the strategic goal of AIDS prevention. Strive to focus on key areas and by 2015 the epidemic among the trend of rapid increase in the basic curb the epidemic by 2020, get a better control of the country, continue to maintain low prevalence levels. Mr Wu expressed that the disease control targets are realistic, but still has challenges.
"Control of the challenges now facing the disease, the most important there are several aspects: one is due to discrimination, we have patients who die each year analyzed, about 80% of deaths of patients and did not come on antiviral therapy, can not enjoy benefit of national policy. The second challenge is the special groups, like gay men and people, the infection rate is rising. So in five-second period (the next five years), to strengthen AIDS prevention and control of key areas, if we able to solve these problems as a second five strategic objectives, by 2020 the epidemic under control should not be any problem. "(This article Source: International Online)
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