Science:艾滋病在中国学生群体中飙升,感染人数每年增长超30%

2020-12-01 网络 网络

1981年6月5日,美国疾病预防控制中心第一次报道艾滋病,目前全世界已有3800万人感染艾滋病,死亡人数达到1200万,据世界卫生组织WHO估计,中国有超过125万艾滋病患者,艾滋病危害极大,死亡率极

梅斯医学小编:这是2019年发表的一篇评论,今天是国际艾滋病日,这篇文章仍然有必要再回顾与警示一次!艾滋病目前已成为国内死亡排名第一的传染病。艾滋病病毒(HIV)是一种高智商病毒,它比新冠病毒聪明很多!

北京协和医院感染内科主任李太生说,如果人一旦感染艾滋病病毒,平均每天体内会产生十亿个拷贝的病毒颗粒!它们再传承下一代,只需要2.6天,繁殖能力非常强,而免疫细胞产生速度远不及艾滋病病毒的繁殖速度。另外,艾滋病病毒狡猾多变,可以变异。

复旦大学附属华山医院感染科主任张文宏在央视节目里介绍,“艾滋病病毒会直接钻到我们的免疫细胞里,不仅如此,艾滋病病毒还能把自己的模板,整合到T细胞的基因里。当免疫细胞低到一定程度后,所有的艾滋病症状就会出来,比如生肿瘤、生感染等。所以到目前为止,我认为最狡猾的病毒应该是艾滋病病毒。”

来自官方的数据显示,截至2019年10月底,全国报告存活艾滋病感染者95.8万。国家卫健委今年4月发布的《2019年全国法定传染病疫情概况》显示,2019年全国因艾滋病死亡的人数近2.1万人,占甲乙丙类传染病死亡总数的83%,是报告死亡数居第一位的病种。

1981年6月5日,美国疾病预防控制中心第一次报道艾滋病,目前全世界已有3800万人感染艾滋病,死亡人数达到1200万,据世界卫生组织WHO估计,中国有超过125万艾滋病患者,艾滋病危害极大,死亡率极高,对全人类的健康产生了极大的威胁,虽然“鸡尾酒疗法”能够有效控制艾滋病进展,但至今仍未研制出根治艾滋病的特效药物,也还没有可用于预防的有效疫苗。

2019年5月,国际顶级学术期刊 Science 杂志发表了一篇来自中国疾控中心和清华大学医学院的文章:HIV upsurge in China's students(HIV在中国学生群体中飙升)。作者为李冠乔(清华大学医学院艾滋病综合研究中心博士后)、蒋岩(中国疾控中心艾防中心参比实验室主任)、张林琦(清华大学医学院艾滋病综合研究中心主任)

三十年前,中国发现了第一个本土HIV/艾滋病病例。从那时起,HIV病毒已经从吸毒者和输血接受者传播到一般城市人口,主要是通过性途径。

根据中国疾病预防控制中心(CDC)的数据,特别令人担忧的是近期大学生群体中感染了HIV病毒数量增加。在过去几年中,新诊断的感染HIV的大学生人数年增长率从30%-50%不等。需要采取积极主动的做法,以提高公众对这一趋势的认识,并促进积极的预防和治疗措施。

影响这种日益严重的流行病的一个因素可能是有限的大学前性教育,因为在中国,只有成绩排名前三分之一青少年能上大学,所以大学前教育的重点是学习成绩。

最近的调查显示,只有一半的大学生接受了性教育,但这些性教育内容通常很少,不包括艾滋病和性传播疾病(STD)的预防措施;内容偏保守;而且这些性教育内容都是异性恋的,这也使得同性恋的艾滋病病毒感染相关的耻辱感持续存在。

在中国,对待随意性行为的态度也更加开放了,大约60%-80%的大学生接受婚前性行为并且有多个性伴侣。再加上缺乏性教育,艾滋病和其他性传播疾病的传播的风险随之增加。

中国社会传统的文化耻辱使得HIV病毒阳性和性病阳性的个人隐瞒其身份,在人群中成为隐形疾病传播者。

另一个因素是社交媒体,近年来,各种社交媒体的兴起,增加了对性内容的接触,并促进对各种潜在性伴侣的便捷联系。除了常用的社交软件以外,还有一些同性恋交友软件,例如我国最大的最大的同性社交软件 Blued,拥有5000万用户,其中约有50%的中国用户是年龄在18至25岁之间的年轻人。

虽然我国政府宣布了2015年增加大学艾滋病医疗保健服务的政策,但目前的实施效果不佳。其障碍包括教育部门没有给予足够的重视,未能实施医疗预算,缺乏宣传艾滋病毒,以及学生缺乏预防和治疗的自我激励。

那么前进的方向是什么呢?

教育和医疗保健部门需要共同努力,为校园内的学生制定艾滋病预防和护理政策。学院管理者必须营造一个开放的艾滋病毒/艾滋病教育和意识环境,并在保护学生隐私的同时提供咨询和测试。学生组织可以与公共卫生专业人员合作,以更具吸引力的方式传播有关艾滋病毒/艾滋病的基本信息。

例如,清华大学红十字会设计了一款创新且受欢迎的游戏,让学生在了解疾病的同时解决与艾滋病相关的谜题。教育活动应利用学生经常访问的互联网,移动电话和社交媒体。

大学也可以提供一种易于获取的HIV感染检测方法。2018年,中国疾病预防控制中心通过40多所大学的自动售货机提供匿名的艾滋病毒尿检测服务。这不仅可以提供HIV病毒/艾滋病检测,还可以提高认识并提高学生艾滋病毒保护的动力。这种试点方法当然可以扩大到国家层面。

中国大学里提供HIV检测试剂盒的自动售货机

中国的政策制定者也应该考虑学习其他地方取得成功的案例。例如,在美国,性传播疾病诊所有一些计划,通过这些计划为感染风险较高的人或要求进行HIV检测的人提供暴露前预防。

用于预防艾滋病毒的抗逆转录病毒药物Truvada,已经上市,这是目前唯一经美国FDA批准用于艾滋病暴露前预防的药物,防治成功率高达90%。大学生应该获得这些药物,用于预防HIV病毒感染。更安全、快捷、低价的创新性男性包皮环切手术也应该提供给更多的大学生。

中国可以采取许多行动来解决大学生感染HIV病毒/艾滋病的上升问题。这这一问题上,中国面临的挑战是表现出更强大,更快速的行动意愿。

艾滋病小常识:

1、艾滋病的3种主要传播方式:血液传播、母婴传播、性传播。现在传播最多的是男男传播。

2、艾滋病的常见症状有哪些?如果 HIV 感染者没有接受治疗,一般会经历以下 3 个阶段:急性期、无症状期、艾滋病期,也可无明显急性期症状而直接进入无症状期。

急性期:多在感染后2~4周内出现低热、乏力、腹泻、皮疹等,症状多不典型,约持续1个月左右可自行消退。

无症状期:此期没有任何症状,可长达数年至十余年。

艾滋病(终末)期:由于免疫系统崩溃,机体可发生各种机会性感染,如细菌、病毒、真菌、原虫等等,且感染不易控制,还可发生各种肿瘤。

患者表现为持续性发热、虚弱、盗汗,持续广泛性的全身淋巴结肿大,特别是颈部、腋窝和腹股沟淋巴结肿大比较明显;咳嗽、咳痰、呼吸困难、恶心、呕吐、腹痛、腹泻、斑丘疹、疱疹,以及头痛、头晕、反应迟钝、记忆力下降等各种症状。

另外,体重下降,在3个月之内可下降达人体的10%以上,最多可以降低到40%以上,病人消瘦特别明显。

3、如何检测自己是否感染了艾滋病病毒?要检测自己是否感染了艾滋病病毒,就需要做HIV抗体的检测,各地疾控中心的自愿咨询检测门诊为有需要的个人提供免费和保护隐私的艾滋病检测和咨询服务。包括抗体筛查试验和补充试验。

4、暴露艾滋病毒后能自救的“黄金72小时”了解一下。其实,在艾滋病的最早期,现代医学技术给我们留了最后一个机会,你抓住了,病毒可能会被拒之门外。

黄金72小时:从理论上说,HIV阻断药在感染的72小时内服用都是有效的,因此,建议在暴露艾滋病毒后72小时内服用阻断药物,且连续不间断地服用28天。因此我们也称之为“黄金72小时”。

但是,越早服用阻断药,成功率越高,最佳时间是2小时内,成功率接近100%;时间越长,阻断效果越差。如果超过72小时,就没有服用阻断药的意义了。

原始出处:

HIV upsurge in China's students. Science 24 May 2019: Vol. 364, Issue 6442, pp. 711 DOI: 10.1126/science.aay0799

 

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attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f55d5440378, createdName=ms8000000493516655, createdTime=Tue Dec 01 19:37:26 CST 2020, time=2020-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=903937, encodeId=8ef690393e73, content=<a href='/topic/show?id=a48786e89c1' target=_blank style='color:#2F92EE;'>#艾滋病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=131, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=86789, encryptionId=a48786e89c1, topicName=艾滋病)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220519/c2ab253484ee4527a2d4e9589a4821ac/45de9bf494a54becb2ea4369c9d11e85.jpg, createdBy=7a3710, createdName=lovetcm, createdTime=Tue Dec 01 17:55:53 CST 2020, time=2020-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=903931, encodeId=21919039318d, content=好好学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200907/8844febe032740debda25b92a1fc2420/5d0a5400961e41fba1929dcbe92225a7.jpg, createdBy=45f55415677, createdName=舒同学, createdTime=Tue Dec 01 17:28:58 CST 2020, time=2020-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=903926, encodeId=ebe09039261e, content=今天是国际艾滋病日,艾滋病目前已成为国内死亡排名第一的传染病,应该引起重视,注重卫生健康,从小孩子抓起。, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201120/5008534db22c474a844fbd107ff83af2/d3e20fc133b542208ff15e7f2b575329.jpg, createdBy=c7015311102, createdName=Jessie Zhang, createdTime=Tue Dec 01 17:24:41 CST 2020, time=2020-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=903921, encodeId=779790392198, content=认真学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6EF3hKja8nER8RMzxQdria9eCYFhgLTLsDOeqnvIYdeLDz5eP6EnicLuE5gibiawgno4zUA0jAR7Nbtp2llQ9fs3Mk/0, createdBy=278f1986883, createdName=医鸣惊人, createdTime=Tue Dec 01 17:03:23 CST 2020, time=2020-12-01, status=1, ipAttribution=)]
    2020-12-03 爆笑小医
  3. 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    2020-12-01 ms8000000663123873

    预防的最佳方法就是:洁身自好!

    0

  4. 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content=认真学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6EF3hKja8nER8RMzxQdria9eCYFhgLTLsDOeqnvIYdeLDz5eP6EnicLuE5gibiawgno4zUA0jAR7Nbtp2llQ9fs3Mk/0, createdBy=278f1986883, createdName=医鸣惊人, createdTime=Tue Dec 01 17:03:23 CST 2020, time=2020-12-01, status=1, ipAttribution=)]
    2020-12-01 贼船丶

    好好学习!!!!!!

    0

  5. 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content=认真学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6EF3hKja8nER8RMzxQdria9eCYFhgLTLsDOeqnvIYdeLDz5eP6EnicLuE5gibiawgno4zUA0jAR7Nbtp2llQ9fs3Mk/0, createdBy=278f1986883, createdName=医鸣惊人, createdTime=Tue Dec 01 17:03:23 CST 2020, time=2020-12-01, status=1, ipAttribution=)]
    2020-12-01 Baodongxu

    过快的开放观念与过低的自我保护意识。

    0

  6. 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content=认真学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6EF3hKja8nER8RMzxQdria9eCYFhgLTLsDOeqnvIYdeLDz5eP6EnicLuE5gibiawgno4zUA0jAR7Nbtp2llQ9fs3Mk/0, createdBy=278f1986883, createdName=医鸣惊人, createdTime=Tue Dec 01 17:03:23 CST 2020, time=2020-12-01, status=1, ipAttribution=)]
    2020-12-01 ms8000000493516655

    保护好自己

    0

  7. 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  8. 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content=认真学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6EF3hKja8nER8RMzxQdria9eCYFhgLTLsDOeqnvIYdeLDz5eP6EnicLuE5gibiawgno4zUA0jAR7Nbtp2llQ9fs3Mk/0, createdBy=278f1986883, createdName=医鸣惊人, createdTime=Tue Dec 01 17:03:23 CST 2020, time=2020-12-01, status=1, ipAttribution=)]
    2020-12-01 舒同学

    好好学习

    0

  9. 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content=认真学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6EF3hKja8nER8RMzxQdria9eCYFhgLTLsDOeqnvIYdeLDz5eP6EnicLuE5gibiawgno4zUA0jAR7Nbtp2llQ9fs3Mk/0, createdBy=278f1986883, createdName=医鸣惊人, createdTime=Tue Dec 01 17:03:23 CST 2020, time=2020-12-01, status=1, ipAttribution=)]
    2020-12-01 Jessie Zhang

    今天是国际艾滋病日,艾滋病目前已成为国内死亡排名第一的传染病,应该引起重视,注重卫生健康,从小孩子抓起。

    0

  10. 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content=认真学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6EF3hKja8nER8RMzxQdria9eCYFhgLTLsDOeqnvIYdeLDz5eP6EnicLuE5gibiawgno4zUA0jAR7Nbtp2llQ9fs3Mk/0, createdBy=278f1986883, createdName=医鸣惊人, createdTime=Tue Dec 01 17:03:23 CST 2020, time=2020-12-01, status=1, ipAttribution=)]
    2020-12-01 医鸣惊人

    认真学习了

    0

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