Perfil Epidemiológico De Pacientes Com Hiv/Aids Do Estado Do Paraná: Estudo Ecológico

Abstract

Objetivo: realizar o levantamento do perfil epidemiológico dos pacientes com HIV/AIDS do estado do Paraná. Método: trata-se de um estudo ecológico que utilizou como unidade de análise os 399 municípios do Estado do Paraná nos quais são operacionalizados pelas ações do Programa Estadual de Controle da DST/AIDS e Hepatites Virais, analisando o perfil epidemiológico do Sistema Nacional de Vigilância em Saúde 2011. Resultados: o primeiro caso de AIDS registrado no Paraná foi em 1984, até junho de 2010, foram registrados 28.376 casos. As cinco cidades com maior número de casos foram: Curitiba (10.549), Londrina (2.166), Foz do Iguaçu (1.348), Maringá (1.124) e Paranaguá (1.113). Conclusão: observa-se que o quadro epidemiológico de HIV/AIDS no Brasil ainda é um problema com poucas expectativas de solução. Destaca-se também que o perfil de infectados vem se modificando ao longo dos anos.

Sentimentos e significados: hiv na impossibilidade de amamentar

“…This can cause emotional discomfort and guilt in these mothers, as they cannot breastfeed and then "fail" to contribute to the beneficial aspects of breastfeeding the baby. 3 These women suffer at first for not breastfeeding and then for condemning HIVpositive serology in the face of fear of stigma and social discrimination. Thus, it becomes possible to realize that social charging puts them in awkward situations.…”

“…It is reported that, at this time, there was no complete knowledge as to the cause of the disease, as it was supposed to be related to the compromise of cellular immunity related to risky sexual behaviou and homosexual relations. [2][3] It is noted that in that same decade, Brazil was also hit by an HIV epidemic that, at first, affected homo and bisexual men and hemophiliacs and, later, injecting drug users. Since then, there has been a change in the epidemiological profile of people with HIV, the feminization of this epidemic, that is, the rapid increase in cases among women, with high rates of seropositive pregnant women being cataloged, a factor considered to be a public health problem through the possible vertical transmission of HIV.…”

“…Since then, there has been a change in the epidemiological profile of people with HIV, the feminization of this epidemic, that is, the rapid increase in cases among women, with high rates of seropositive pregnant women being cataloged, a factor considered to be a public health problem through the possible vertical transmission of HIV. [3][4] AIDS has been controlled with the introduction of antiretroviral therapy or HAART (highly active antiretroviral therapy) to make survival of HIVpositive individuals possible and currently about 36.9 million people worldwide live with the virus. In addition, efficient treatment to control the disease and improve the quality of life is shown, as well as to decrease the transmission rate of the virus.…”

“…Approximately 65% of vertical transmission (VT) occurs during labor or delivery itself; 35% occur in the intrauterine environment, often in the last weeks of pregnancy, and the rate of VT during breastfeeding is between 7% and 22%, renewing itself with each exposure. [2][3][4][5][6] It is described that one of the policies adopted by the World Health Organization (WHO) for TV prophylaxis are programs that recommend the use of antiretrovirals by mothers, the use of injectable Zidovudine (AZT) for women in labor and delivery and AZT oral solution for the newborn. In this regard, the WHO also recommends that mothers not breastfeed their children and not donate milk.…”

Perfil epidemiológico de pessoas diagnosticadas com síndrome da imunodeficiência adquirida

“…A epidemia de HIV/AIDS é um acontecimento global, enérgico e instável que passa por um acúmulo de sub epidemias regionais. É consequência das disparidades da sociedade brasileira em que o alastramento da contaminação pelo HIV e AIDS expõe as expressivas mudanças do seu perfil epidemiológico (Sales, et al, 2017).…”