Impact of covid-19 on people living with HIV-1: care and prevention indicators at a local and nationwide level, Santo André, Brazil

Elaine Monteiro Matsuda; Isabela Penteriche de  Oliveira; Laura Ballesteros Bao; Fernanda Matsuda Manzoni; Norberto Camilo Campos; Beatriz Brajal  Varejão; Maristelly Pereira  Leal; Vania Barbosa Nascimento; Luís Fernando de Macedo Brígido

doi:10.11606/s1518-8787.2022056004314

Autores

Elaine Monteiro Matsuda Secretaria da Saúde de Santo André. Centro Médico de Especialidades – Infectologia. Santo André, São Paulo, Brasil https://orcid.org/0000-0002-0254-4154
Isabela Penteriche de Oliveira Secretaria da Saúde de Santo André. Centro Médico de Especialidades – Infectologia. Santo André, São Paulo, Brasil https://orcid.org/0000-0003-2202-0443
Laura Ballesteros Bao Secretaria da Saúde de Santo André. Centro Médico de Especialidades – Infectologia. Santo André, São Paulo, Brasil https://orcid.org/0000-0001-5814-6262
Fernanda Matsuda Manzoni Secretaria da Saúde de Santo André. Centro Médico de Especialidades – Infectologia. Santo André, São Paulo, Brasil https://orcid.org/0000-0001-6665-0987
Norberto Camilo Campos Instituto Adolfo Lutz. Centro de Virologia. São Paulo, São Paulo, Brasil https://orcid.org/0000-0003-1425-9825
Beatriz Brajal Varejão Secretaria da Saúde de Santo André. Centro Médico de Especialidades – Infectologia. Santo André, São Paulo, Brasi https://orcid.org/0000-0003-2467-0677
Maristelly Pereira Leal Instituto Adolfo Lutz. Centro de Virologia. São Paulo, São Paulo, Brasil https://orcid.org/0000-0001-6749-2300
Vania Barbosa Nascimento Faculdade de Medicina do ABC. Pós-Graduação em Saúde Coletiva. Santo André, São Paulo, Brasil https://orcid.org/0000-0002-4534-024X
Luís Fernando de Macedo Brígido Instituto Adolfo Lutz. Centro de Virologia. São Paulo, São Paulo, Brasil https://orcid.org/0000-0002-1022-7837

DOI:

https://doi.org/10.11606/s1518-8787.2022056004314

Palavras-chave:

HIV Infection, prevention & control, PrEP, Acquired Immunodeficiency Syndrome Virus, COVID-19, Brazil

Resumo

The world has been dealing with Aids for forty years, covid-19 accentuated societal inequalities and promoted a rupture in care and prevention, including for people living with HIV. We compiled official HIV indicators, analyzed the impact of covid-19 in Brazil, at São Paulo State (SP), and compared it to the municipality of Santo André (in the state of São Paulo), which adopted linkage/retention strategies to mitigate the impact of covid-19. From 2019 to 2020, suppression/adhesion rates remained stable. The number of new treatments decreased both in Brazil (-19.75%) and São Paulo (-16.44%), but not in Santo André, where 80% of new patients started treatment within 30 days from their first TCD4 test (70% in São Paulo and 64% in Brazil). However, PrEP dispensing increased during this period. The distribution of 2,820 HIV self-tests in Santo André lead to only one documented new HIV diagnosis linked to care. Synergistic strategies to swiftly diagnose and connect new cases, ensuring retention as well as rescuing missing patients deserve priority in the fight against HIV, especially in times of covid-19.

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Impact of covid-19 on people living with HIV-1: care and prevention indicators at a local and nationwide level, Santo André, Brazil

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