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目的掌握HIV流行特征及流行趋势,明确防治工作重点,寻找有效控制措施。方法收集整理大理市1990-2005年艾滋病常规监测、哨点监测、VCT(艾滋病自愿咨询检测)咨询、专题调查、个案随访,进行统计分析。结果大理市自1990年首次发现HIV感染者,至2005年已累计发现1392例HIV感染者。传播途径以静脉吸毒为主,占总数的62.21%,但性传播途径所占的比例逐年上升。结论大理市HIV/AIDS已属高度流行区,目前艾滋病流行形势仍然严峻,应及时采取有效的防控措施,加强宣传教育,减少社会歧视,推广美沙酮和针具交换,加强对HIV感染者的管理。
Objective To grasp the epidemiological features and trends of HIV, clarify the key points of prevention and treatment and find effective control measures. Methods The routine HIV / AIDS surveillance, sentinel surveillance, VCT (AIDS voluntary counseling and testing) consultation, special investigation and case follow-up were collected from 1990 to 2005 in Dali City for statistical analysis. Results In 1990, Dali City first discovered HIV infected persons. By 2005, a total of 1,392 HIV-infected people were found. The main route of transmission is intravenous drug abuse, accounting for 62.21% of the total, but the proportion of the sexually transmitted route is increasing year by year. Conclusion HIV / AIDS is a highly endemic area in Dali City. At present, the AIDS epidemic situation is still grim. Effective prevention and control measures should be taken in time to step up publicity and education, reduce social discrimination, promote the exchange of methadone and needles, and strengthen the management of HIV-infected people .