Evaluación de la infección por VIH en Chile: pronunciamiento del Comité VIH de la Academia Chilena de Medicina
Date
2020
Type:
Article
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Abstract
The Chilean Academy of Medicine convened a commission to evaluate the
status of HIV epidemic and the national response to it, regarding its achievements,
gaps and challenges, aiming to recommend actions to optimize assessment quality
and national response. This publication summarizes the agreed upon opinion of
its members. The epidemic is overwhelmingly sexually transmitted, predominant
in homo/bisexual men. Vertical transmission is very low. An increasing number
of new diagnoses is occurring, with relative over representation of foreign people
lately. There is a legal guarantee of confidentiality, nondiscrimination and treatment for those affected, both in the private and public sector. All public health
services have active HIV care units. Modern antiviral drugs and monitoring tests
are also available. Despite these clear achievements, insufficient, occasionally
inadequate public policies and certain rigid regulations thwart optimal effectivity and efficiency of the programs, contributing to the slow and incomplete
compliance with international commitments. Shortcomings worth highlighting
are: suboptimal educational and preventive programs directed to youngsters,
vulnerable and general population; persistent underdiagnosis of infected population; cumbersome requirements to request and inform diagnostic tests,
thus discouraging testing; excessive centralization and long latency of diagnosis
confirmation and monitoring tests; incomplete epidemiologic analysis and public
reporting of findings; non flexibility and slow updating of therapeutic guidelines;
insufficient adaptation of care and drug delivery modalities to patients’ needs;
excessive administrative requirements at care centers and restrictive legislation
for outcome and interventional clinical research. Recommendations to deal with
these issues were proposed.
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Citation
Wolff R., Marcelo, Pinto C., María Eugenia, Santolaya D., María Elena, Aguilera S., Ximena, & Child G., Raquel. (2020). Evaluation of HIV epidemic in Chile. A statement of the Chilean Academy of Medicine. Revista médica de Chile, 148(6), 818-821. https://dx.doi.org/10.4067/S0034-98872020000600818
Keywords
Chile, Epidemics, HIV Infections