“四免一关怀”政策实施10年中国艾滋病防治主要进展Progress in HIV/AIDS prevention and treatment since implementing the“Four Frees and One Care”AIDS policy in China
郝阳;孙新华;夏刚;焦雅辉;宋莉;沈洁;毛宇嵘;张福杰;蒋岩;柔克明;王维真;赵燕;焦振泉;刘清;易乐来;时颖;王爱玲;吕繁;王璐;刘玉芬;王晓春;崔岩;晋灿瑞;吴迪;胡虹;陈清峰;张霞;汪宁;刘中夫;孙江平;刘康迈;韩孟杰;吴尊友;
摘要(Abstract):
目的分析"四免一关怀"政策实施以来,中国艾滋病防治在检测、抗病毒治疗、预防母婴传播以及高危人群预防干预等方面重点工作的主要进展。方法利用国家艾滋病综合防治信息系统收集的信息进行分析,展示2004-2013年开展艾滋病检测的机构数、检测人次数及发现的感染者人数、抗病毒治疗人数及机构数,孕产妇检测人数及阳性孕产妇抗病毒治疗药物应用率,美沙酮治疗人数及机构数等主要防治工作指标的进展。结果 2004-2013年间,具备艾滋病病毒(HIV)初筛和确认检测能力的实验室分别增加6.1和7.9倍,年检测人数增加近5倍,2013年达1.11亿人次,当年新确诊病例90 119人。抗病毒治疗当年新增治疗人数增加7.4倍,截止2013年底,全国累计治疗282 529人,在治227 489人。目前使用8种抗病毒治疗药品,5个品种为国内仿制。累计为5000万名孕产妇提供了HIV抗体检测,2013年阳性孕产妇抗病毒药物应用率达到80.9%。美沙酮维持治疗门诊数从8个扩大到763个,至2013年底累计治疗41.27万人,在治20.17万人。10年间,中央财政艾滋病防治专项经费增加3.8倍。结论落实"四免一关怀"政策的10年里,中国艾滋病防治工作在检测发现感染者、抗病毒治疗、预防母婴传播,以及高危人群干预等方面的工作取得了显著进展。
关键词(KeyWords): 艾滋病;“四免一关怀”政策;检测;抗病毒治疗;预防母婴传播;美沙酮维持治疗
基金项目(Foundation):
作者(Authors): 郝阳;孙新华;夏刚;焦雅辉;宋莉;沈洁;毛宇嵘;张福杰;蒋岩;柔克明;王维真;赵燕;焦振泉;刘清;易乐来;时颖;王爱玲;吕繁;王璐;刘玉芬;王晓春;崔岩;晋灿瑞;吴迪;胡虹;陈清峰;张霞;汪宁;刘中夫;孙江平;刘康迈;韩孟杰;吴尊友;
DOI: 10.13419/j.cnki.aids.2014.04.008
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