WEST BENGAL STATE AIDS PREVENTION AND CONTROL SOCIETY ...

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WEST BENGAL STATE AIDS PREVENTION AND CONTROL SOCIETY Presented by: Dr. N Deb, Dy. Executive Surveillance SENTINEL SURVEILLANCE IN WEST BENGAL 2005

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Definition HIV reconnaissance can be characterized as " An accumulation of epidemiological data of adequate exactness and fulfillment in regards to the dispersion and spread of HIV contamination to be important to the arranging and usage of HIV/AIDS counteractive action and control program exercises " .

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Objectives Determine the topographical spread of HIV contamination Monitor the patterns of HIV pandemic Know the predominance of the disease in high hazard aggregate like Sexually transmitted malady (STD) center participants Measure the pervasiveness of the HIV contamination in the overall public through testing the antenatal facility participants. Measure the pervasiveness of the contamination in the focused on intercession gatherings of Female Sex Workers (FSW), Men Having Sex with Men (MSM) & Injecting Drug Users (IDU) Provide data for evaluations and future projections of HIV/AIDS in the nation; Use such information to activate the national political and social pioneers and additionally to produce outside support for the program; Provide valuable information for proper arranging of wellbeing and medicinal care administrations

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Site Selection & Sample Size: ANC, STD, FSW, IDU & MSM Sites were chosen considering the distinctive topographical areas, high hazard populaces & okay populaces 400 examples gathered from each ANC sentinel site in a time of 3 month-Sentinel gathering is the ANC participants/pregnant ladies going to the facility surprisingly amid this period. On account of STD center the specimen size is 250 of them 150 from STD facility & 100 from Gyno center of same foundation. 250 specimens gathered from distinguished TI center for FSW, IDU, MSM in a time of 3 months-sentinel gatherings are FSW, IDU, MSM. Tests were gathered (a) Maintaining succession, (b) Following consideration criteria. Testing done at (a) Pre-assigned testing focuses at Microbiology/Virology units of showing foundations in an unlinked mysterious way .

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Sentinel Sites 1998 (R-1): 6 Sites (3ANC+3STD) 1998 (R-2): 8 Sites (4ANC+4STD) 1999 (R-3): 8 Sites (4ANC+4STD) 2000 (R-4): 9 Sites (4ANC+5STD) 2001 (R-5): 14 Sites (8ANC+6STD) 2002 (R-6): 19Sites(9ANC+9STD+1IDU) 2003 (R-7): 27 Sites(9ANC+10STD+1IDU+7FSW) 2004 (R-8): 28 Sites (9ANC+10STD+1IDU+7FSW+1MSM) 2005 (R-9): 33 Sites (9ANC+12STD+4IDU+7FSW+1MSM)

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New STD & IDU Sites-2005 STD Sites: Hoogly DH Medinipur Medical College & Hospital IDU Sites: SCIR-Siliguri SCIR-Lalgola Kripa Foundation-Darjeeling

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ANC STD FSW IDU MSM Sentinel Surveillance Sites:2005

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Analytical Approach: A Few Illustrative Examples

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HIV Sentinel Surveillance Report, West Bengal :1998-2005

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HIV Sentinel Surveillance Report, West Bengal :1998-2005

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HIV Infection Trend-1998-2005

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% Prevalence 2003 … ..2005

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% Prevalence District shrewd in West Bengal-2004-2005 ANC STD

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% Prevalence District insightful in West Bengal-2004-2005 FSW

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ANC Sites - 2005

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STD Sites-2005

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FSW Sites-2005

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IDU & MSM Sites-2005 IDU MSM

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ANC Sites-2005 No. of Sites-9 Sample Tested-3238 Found Positive - 29 Percentage Prevalence-0.90%

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Age, Locale, Migration & Literacy Distribution-ANC Sites

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Occupation of Spouse - ANC

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STD Sites-2005 No. of Sites-12 Sample Tested-2511 Found Positive - 62 Percentage Prevalence-2.47%

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Sex Distribution-STD Sites

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Age Distribution-STD Sites

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Locale Distribution-STD Sites

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Status of Migration-STD Sites

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Literacy Status-STD Sites

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Self Occupation –STD Sites

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Clinical Diagnosis-STD Sites

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FSW Sites-2005 No. of Sites-7 Sample Tested-1383 Found Positive - 94 Percentage Prevalence-6.80%

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Age, Locale, Migration & Literacy Distribution-FSW Sites

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Clinical Diagnosis-FSW Sites

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IDU Sites-2005 No. of Sites-4 Sample Tested-998 Found Positive - 74 Percentage Prevalence-7.41%

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Age, Locale, Migration & Literacy Distribution-IDU Sites

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Self Occupation - IDU

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MSM Sites No. of Sites-1 Sample Tested-186 Found Positive - 1 Percentage Prevalence-0.54

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Age,Locale,Migration & Literacy Distribution-MSM Sites

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Occupation & Clinical Diagnosis-MSM Sites

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