CARE Act: An Overview

NURS 330 - Schedule for 2/3/14HIV Lecture Disly JuarezReturn and Review QuizGroup ActivityDistribute Study Guide for 2/10/14 Mid-termIn-Class Assignment2County of Los Angeles Department of Public Health Division of HIV and STD Programs

Disly Juarez, MPHHealth Educatordjuarezmunoz@ph.lacounty.gov

The State of the HIV/AIDS Epidemic2

MYTHS AND FACTS ABOUT HIV/AIDS3Myth/Fact?HIV is the same as AIDS

MYTH4HIV AIDS5 Immune AcquiredDeficiencySyndrome AIDSHuman Immunodeficiency VirusHIV5Special Characteristics of HIVWeakens and compromises the immune system

HIV replicates in large quantities

Ability to mutate (change itself) very quickly

Progressively destroys bodys ability to fight infections and certain cancers

6HIV/AIDS DefinedCDC definition (AIDS):

HIV+ test, T-cell count of < 200 (healthy T-cell count ranges from 800-1200) - or

HIV+ test, and one or more opportunistic infections (OIs) or certain cancers*

AIDS applies to most advanced stage of HIV infection

*TB, Pneumocystis pneumonia, Candidiasis, Kaposis sarcoma, cervical cancer

7The CDC definition of AIDS was changed in 1993 to reflect the advances being made in diagnosing HIV disease and to include more of the opportunistic diseases that affected women in particular. HIV Progressively destroys bodys ability to fight infections and certain cancers. AIDS (Acquired Immune Deficiency Syndrome caused by HIV (Human Immunodeficiency Virus)

Myth/Fact?HIV only affects gay men and drug users

MYTH8Although the AIDS rate in Los Angeles County is lower than the rate in other areas of the US, in sheer number, Los Angeles County is second only to New York City in the cumulative number of reported AIDS cases among major metropolitan areas.

Only 4 states, including the rest of California, have reported more cases than LAC

LAC has reported 36% of all California AIDS cases.9Myth/Fact?Once a person is diagnosed with HIV/AIDS, they will die soon

MYTH

10 Manifestations of HIV Infection

No physical symptoms, and healthy results on tests of immune function.

No physical symptoms, but show some signs of immune system damage on medical tests of the immune system.

Mild or severe symptoms of HIV disease.11HIV Spectrum of DiseaseExposure

No infection

AsymptomaticInfection

Window period*

AsymptomaticInitial Symptoms

Lasts a few weeks

Mild flu-like symptoms: FeverMuscle achesSwollen glandsAsymptomatic Period

8 - 11 years

(Average progression, may vary depending on the person)HIV Illness

Symptoms include:Night sweatsFeversFatigueDiarrheaSwollen lymph nodesOral and vaginal candidiasisPIDPap Smear positive for HPVAIDS

T-Cells