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MSF warns that the result in the annual number of words related to AIDS has been rented since 2014


Médecins Sans Frontières (MSF) has warned on the afternoon that MSF has handled the deduction in the annual number of AIDS deaths since 2014, although there are two million people receiving antiretroviral treatment, it warns much continues to connect lethal infections related to HIV / AIDS, such as tuberculosis.

Last year, 770,000 species of HIV / AIDS-related species worldwide died, according to the report & # 39; Global update on AIDS 2019 & # 39; that UNAIDS presents in Eshowe, South Africa.

MSF believes that the timely use of diagnostic tools and effective drugs for HIV / AIDS can be prevented most days of death, but the reduction of the annual number of AIDS injuries is five years.

In 2016, the Member States have the goal of & # 39; A AIDS incidence was killed by 50% by 2020. This is less than 500,000 in a year. "We reach this goal six months after this term – warns MSF – who killed this & # 39; because of this disease were only reduced by 30,000 in 2018," 770,000 died, compared to 800,000 in 2017 and 840,000 in 2016. "

Although there are two million people who are receiving antiretroviral treatment today, much remains to be done for deadly HIV / AIDS intermittent infections such as tuberculosis and cryptococcal meningitis. "In hospitals supported by MSF in the Democratic Republic of Congo, Guinea, Malawi and other places, many die within 48 hours after access opportunities," explains Gilles Van Cutsem, HIV / AIDS Working Group Coordinator. MSF.

According to reports, palpitations often come with "serious opportunistic infections such as tuberculosis, cryptococcal meningitis or Kaposi sarcoma". When they arrive, it's sometimes too late to save them. These may not be diagnosed francs or they may not have been diagnosed. He could access a treatment that he deserves his life, "Van Cutsem adds.

The deaths are mainly due to a delay in diagnosis, interruption of treatment and virologic and immunological failure among people who have previously treated for HIV, MSF says.

The World Health Organization (WHO) acknowledges that over 30% of people starting HIV treatment worldwide, the disease on a further stage of intense immunodeficiency, puts them at high risk of opportunistic infections and death. One in three deaths that are related to AIDS in one world by tuberculosis, while cryptococcal meningitis invests one hundred thousands of people with HIV each year and accounts for 15 to 20% of all deaths related are about AIDS. AIDS.

Other serious opportunistic infections contribute to AIDS-like mortality, although they can be treated, such as pneumo-pneumonia, bactaric pneumonia, sepsis, and so on. MSF, however, thanked for the fact that much attention was paid to the recovery and treatment of people with HIV and access to diagnoses. "The tests and treatment for many opportunistic infections are very limited," they complain.

In countries where MSF operates, diagnostic tools, such as the CD4 lymph nodes, are not needed to diagnose lost HIV disease, often missing out. The tests of TB Lam and CrAg LFA, which provide a quick diagnosis of tuberculosis and cryptococcal meningitis, are also not available, especially in primary care centers, where most people receive medical attention. "Many patients then go first as primary care centers if they are ill." If these clients are not organized and trained to realize HIV, then patients at risk are not found or treated, they lose their condition until they have a search term. There are some seen in hospitals that do not often have a basic form to limit these cases, "explains Gilles Van Cutsem.

The UN member states have agreed to UNAIDS targets 90-90-90, which set the goal that 90% of people with HIV with HIV know their status, 90% of those who are HIV positive have been treated with antiretrovirals and 90% of people have had a disorderly reading.

Earlier this year, MSF and the South African Department of Social demonstrated that it is possible to reach the goal 90-90-90 and a possible reduction in attacks in Eshowe, Kwazulu Natal province, South Africa, with intensive community services linked to primary care and supported by training, mentoring and monitoring.

Although they do stimulate it, MSF warns that Eshowe will remain an exception and a few districts, provinces or countries will reach the 90-90-90 targets by 2020. Many countries, antiretroviral treatment is still too low to have an effect on mortality and morbidity In particular, countries in the West and Central Afghanistan region need to save and increase their rates of distribution, but look at international deficits financing, including the increase of antiretroviral treatment. that these countries and municipalities receive the necessary resources and support to oblige lessons such as Eshow's in terms of a common approach to HIV testing and treatment. "

Médecins Sans Frontières demands that governments, health ministries, international organizations, donors and partner organizations should earn their efforts and focus on reducing the mortality of people living with vision, with more specific prevention, discovery and discovery efforts. and treat for HIV and AIDS.

"We cannot go on and say about success, while hundreds of thousands of people die each year from AIDS-based causes they have no access to basic HIV care, other than living in abandoned countries, for & # 39; t they are part of astonishing populations or policies that prevent them from occurring Preventing, detecting and treating advanced HIV and AIDS requires more attention and funding, especially in low coverage environments such as West and Central Africa and in underserved populations, "concludes Gilles Van Cutsem.

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