Pre-Exposure Prophylaxis (PrEP) against the HIV virus, indicated for seronegative people who have sexual relations with HIV-positive individuals, has arrived in Espírito Santo and is available from the Specialized Attention Service (SAE) in HIV / AIDS at Santa Casa Hospital the Misericórdia the Victory through the Unified Health System (SUS).
PrEP reduces the risk of HIV infection and is taken by taking one tablet a day from a drug that combines antiretrovirals Tenofovir (helps reduce the amount of HIV in the body) and Emtricitabine (inhibitor).
"This drug is very effective in reducing HIV transmission when taken correctly, and in any case we continue to recommend that the person use a condom in sexual intercourse to prevent infection with other diseases, such as syphilis. this person uses the antiretroviral drugs correctly to avoid having a viral load and prevents the virus from being passed on to her.The treatment is indicated for priority audiences: HIV-serodisable couples, gays, sex workers, transgenders and other men who have sex with men, "explains the coordinator of the state program on sexually transmitted diseases (STDs) and AIDS from the Secretariat of State of Health (Sesa), Sandra Fagundes.
PrEP takes a few days before it takes effect. According to the website of the department of surveillance, prevention and control of sexually transmitted diseases, HIV / AIDS and viral hepatitis, the Ministry of Health, protection starts from the seventh day for exposure by anal and twentieth day for vaginal exposure. The website also states that PrEP is only indicated after testing the HIV patient, because it is contraindicated for people who have already been infected with the virus.
When evaluating the coordinator of the SES STI and AIDS program, the introduction of antiretroviral therapy to prevent HIV transmission was an important measure as it will help stop the transmission chain of the virus. "Over the past five years, we have seen an increase in new cases of HIV infection among young men who have sex with men around the world, so the strategy of PrEP is to give priority to these people," said Sandra Fagundes.
In the period from 1985 to December 2017, 14,470 cases of HIV / AIDS were reported in the state of Espírito Santo, of which 9,599 men (66.3%) and 4,871 women (33.7%), with 70.8% cases of sexual transmission of HIV. In the past four years, the average is 1,166 new cases per year.
The HIV detection rate in Espírito Santo in 2017 was 31.2 cases per 100,000 inhabitants. Among the macro-health sector in the state, there were greater increases in detection rates in the Metropolitan Region, with 42.2 new cases per 100 thousand inhabitants (a total of 942 new cases in 2017), and the north, with 21.9 new for each 100 thousand inhabitants (in total 95 new cases in 2017). In the central region, the detection rate in 2017 was 14.4 and in the south it increased significantly to 17.8 people with HIV / AIDS per 100,000 inhabitants.
The number of users of antiretroviral therapy in Espírito Santo has tripled in the last five years. The state currently employs 10,890 people who are receiving antiretroviral treatment, accompanied by Specialized Care Services (SAEs). In fact, the number of SAE & # 39; s available for the seropositive population grew by 41% in six years. In 2012 there were 18 units in the state, and by 2017 there were already 26, including state, federal, philanthropic and municipal services. The service network also has 44 Municipal Testing and Counseling Centers (CTAs).
In 2017, a total of 268,870 HIV rapid tests were distributed by the State Department of Health among the 78 municipalities of the state of Espírito Santo, a measure that should broaden the testing of the population, making it possible to identify new cases early in order to starting treatment. The State Department of Health also buys medium and expensive medicines with its own funds for the treatment of sexually transmitted diseases and opportunistic HIV infections.