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By Kumudini Hettiarachchi-Sunday, December 13, 2015
Consultant veneorologist claims Sri Lanka has low prevalence of HIV cases
With much attention being focused on an increase in the number of men, women and
deficiency Virus (HIV), human rights activists are up in arms against suggestions that
compulsory testing should be carried out on students in all universities and those in
Advanced Level classes.
While activists are adamant that not only
such compulsory testing but also picking out
categories such as university students and
schoolchildren is unacceptable, claiming that
usually such hype comes around December
1 which is World AIDS (Acquired Immune
Deficiency Syndrome) Day.
at the end of the third quarter (September) this year. (See graphic)
The so-called rise
in numbers,
according to Dr.
Weerasinghe, could
be due to two
reasons. It may be
due to new
infections or the
more likely
possibility is that
with extensive
awareness and
testing in place,
more people are
getting themselves
tested, with old
infections being
detected now.
In 2014 alone,
close to 900,000
tests have been
carried out for HIV,
the Sunday Times learns.
Referring to the modes of HIV/AIDS transmission in Sri Lanka, Dr. Weerasinghe
details them as occurring through blood transfusions, from mother-to-child and a
majority, about 95%, through sexual interaction.
What has Sri Lanka done to stymie HIV transmission?
Not a single blood unit is transfused without screening for HIV, points out Dr.
Weerasinghe, with the latest virus screening technology covering both antigens and
antibodies and drastically reducing the window period which was earlier six months,
to a few days and few weeks. (The window period is the gap between potential
exposure to the HIV infection and the test giving an accurate result.)
The elimination of mother-to-child transmission of HIV has been carried out parallel
with the battle against syphilis, it is learnt.
Usually, there are between 350,000 to 400,000 pregnancies each year and in 2014,
168,221 mothers were screened, with five being detected with HIV and administered
anti-retroviral therapy, successfully preventing the virus from being transmitted to their
babies.
The target is to screen all pregnant women for HIV by the end of next year, in keeping
emerged globally. Continued strengthening of STI control and further declines helped
to avert emergence of an HIV epidemic despite multiple factors, including an
uncircumcised male population and a protracted civil war, that have facilitated growth
of HIV epidemics in other countries.
STI control efforts in Sri Lanka are organised around STI clinics at district hospitals
and linked to strong primary health care services in communities, such that STI
services include both clinic- and community-based activities.
AIDS spreading to youngsters?Are more and more schoolchildren contracting HIV/AIDS?
The data do not reveal this, stresses Dr. Weerasinghe, showing tables of
figures to the Sunday Times.
Pointing out that there are 48 schoolchildren who are living with HIV/AIDS
having got the virus through mother-to-child transmission awhile back, not
recently, he says that they are receiving treatment.
There is no need to dramatise this situation or stigmatise the children.
Meanwhile, in the age-group 15-24 years, three new infections have been
detected in those over 19 years old which is a clear indication that they are
not schoolchildren but working youngsters.
The Sri Lanka College of Venereologists is geared to guide the country in a major leap to
eliminate AIDS, assured Dr. Weerasinghe, pointing out that extensive internal discussions are
on and a report is being compiled.The way forward is:
- Promotion of HIV testing with clear targets at community-level,
healthcare settings, migrant returnees and outreach programmes.
- From June 2016 onward to test and treat all found to be HIV Positive,
irrespective of what their viral-load is.
- From 2016 onward, to screen all pregnant women.
- Continue targeted interventions among female sex workers, men who
have sex with men, beach boys and drug-users.
-Launch a communication strategy, social marketing of services and
condom promotion.
- Improve services including human resources, logistics and infrastructure
to combat sexually transmitted diseases.
-Strengthen stakeholder involvement.
-Improve the management of co-infections such as Tuberculosis and
Hepatitis B.
- Improve monitoring and evaluation, surveillance and research.
Posted by Thavam