广东艾滋病疫情保持低流行

Core Viewpoint - The overall HIV/AIDS epidemic in Guangdong is at a low prevalence level, but there is an uneven regional distribution, with sexual transmission being the primary mode of transmission and an increasing proportion of cases in older age groups [1][2]. Group 1: Current Situation and Statistics - As of October 2023, the province has established a tripartite linkage among first diagnosis institutions, disease control institutions, and designated hospitals for antiviral treatment, optimizing processes for screening, diagnosis, follow-up treatment assessment, and antiviral therapy [2]. - The treatment coverage rate for antiviral therapy in Guangdong has reached 95.4%, with 85.1% of newly reported cases receiving treatment within 30 days [2]. - Guangdong has built 3,013 HIV testing laboratories, a 26.6% increase since 2020, and established 114 active monitoring points covering seven high-risk groups [2]. Group 2: Service Accessibility and Innovations - Guangzhou has developed a "15-minute testing circle" with 411 screening laboratories and testing points, enhancing service accessibility [3]. - The city has launched a WeChat mini-program called "Cha Bei" to integrate HIV consultation, testing, education, and prevention services, covering 239 service points and serving 582,000 individuals [3]. - A community HIV post-exposure prophylaxis clinic has been established in Baiyun District, creating a closed-loop management system for prevention and treatment [3][4]. Group 3: Targeted Interventions and Demographics - There is a rising trend of new HIV infections among both youth and older populations, with older individuals primarily affected by heterosexual transmission and younger individuals by male-to-male sexual behavior [4]. - Awareness and information access regarding HIV prevention among older adults are low, necessitating targeted outreach and intervention efforts [4]. - Guangzhou has developed a risk assessment tool for older adults, which will be promoted nationally to improve screening and risk management efficiency [4].