广东省艾滋病流行现状及控制策略

目的 分析广东省艾滋病（AIDS）流行现状，为政府提出本省的控制策略，方法 分析全省的AIDS常规，哨点，行为监测资料。结果 截至2001年底，广东省累计共报告艾滋病病毒（HIV）感染2610例，AIDS病人110例，死亡42例，广东省自1986年首次发现HIV感染以来，其主要传播途径已发生了明显变化。2001年有94.7%的HIV感染由静脉吸毒引起，多性伴人群的HIV流行率在逐年增高，但HIV尚未在一般人群中立足稳定。结论 广东省HIV主要在吸毒人群中迅速传播，因此我们当前的工作重点是要抓住这个稍纵即逝的机会，采取切实可行的措施预防HIV从吸毒人群向暗娼以及一般人群传播，除加强宣传教育等综合措施外，应尽快开展以减少危害为主的干预措施。

HIV/AIDS Epidemic and Control Strategies in Guangdong Province

Objective To analyze the HIV/AIDS epidemic situation in Guangdong Province and to rec ommend control strategies of HTV/AIDS to the provincial government. Methods Surveillance data of routine, sentinel, and behavior were collected and evaluated.Results A total number of 2610 HTV cases and 110 AIDS cases (42 died) were found from 1986 to 2001. The major transmission route has changed since 1986 when the first HIV infected case was found. IDUs accounted for 94.7% of HIV cases in 2001. HIV has spread rapidly in IDUs and people with multi - sex partners, but so far not well - established in the general population. Conclusion HIV mainly spreads in IDUs of Guangdong Province. It is urgent to use this transient chance to interrupt the HIV spread from IDUs to sex workers and the general population in HIV/AIDS prevention. Effective harm reduction measures should be carried out as soon as possible, except for comprehensive interventions such as health educa tion.