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"Turnover" of HIV infection – Switzerland: Standard

Turnover seems to have succeeded. After several ups and downs, the number of new HIV infections in 2017 fell below 500 for the first time. According to the Federal Office of Public Health (FOPH), prevention policies in recent years have contributed to this.

445 new cases were reported last year, 16 percent less than in 2016. "We believe this is a turnaround," Daniel Koch of FOPH said Monday in front of Federal Parliamentary media. In the late 1980s, there were around 2,000 new infections per year. Ten years later, the number had dropped to almost 500 and then rose again.

Does not change, especially men affected, women only 22 percent new HIV case. Two-thirds of women are foreign nationals. For men, the proportion of foreigners is less than 50 percent.

Also not changed, men have a high HIV risk of having sex with men. More than half of newly infected men have been infected on this road. The number of new HIV cases above average also occurred last year in Zurich and the Lake Geneva Region: almost every second new HIV infection was detected in this main region.

Effective therapy

Koch traced the progress back to preventive measures and campaigns in recent years. Prevention includes regular tests. In voluntary counseling and testing centers, the number of HIV tests increased last year 11 percent, like BAG wrote in a message from Monday. For men who have sex with men, the number of tests has been reduced 20 percent for.

Routine tests help to avoid new infections where infected people do not know they are HIV positive. In addition, care can start quickly, which leads to better results. According to BAG, the current burden of treatment for viral consequences can be reduced so that people infected with HIV are no longer contagious.

Rubber is still one of them

Therefore, everyone who is treated contributes to prevention, said Matthias Cavassini, chief physician at the University Hospital CHUV in Lausanne. A relatively recent circulation is oral chemoprophylaxis (PrEP) for people at high risk of exposure. This preparation will play a bigger role in the future, Cavassini explained.

Koch, however, warns against ignoring this positive development: HIV remains an incurable disease. "That still applies: With dubious sex contact, his condom."

The seriousness of the disease even today is shown by new estimates in 2017 60 to80 AIDS cases. Many of those affected have ended 50 years old, as Koch said. "They don't consider themselves a risk group and cannot be tested."

Not only HIV

There is also good news for other sexually transmitted diseases. After a strong increase in recent years, the number of infections is almost stable. In 2017, 754 cases of syphilis were reported, 11,101 cases of chlamydia and 2809 cases of gonorrhea. Is this a turnaround, open.

In syphilis, 60 percent of infections involve men who have sex with men. In gonorrhea, the proportion is just under 40 percent. Chlamydia is found mainly in women, which has to do with routine examinations. This sexually transmitted disease in many battles is a mystery, Koch said. (SDA)

Created: 19.11.2018, 12:35 hours

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