2013 HIV AIDS 관리지침 ??-HIV... · 2017-04-25 · i. hiv/aids 관리 기본방침3 Ⅰ hiv/aids…

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  • 2013

    6-GL2013008

    11-1352159-000104-10 ISBN : 978-89-6838-019-8

  • I. HIV/AIDS 101. 301. 301. 2013 5

    . HIV/AIDS 7

    . HIV/AIDS 1101. HIV/AIDS 1302. HIV/AIDS 16

    . HIV/AIDS 1901. 2102. 2303. 2504. HIV/AIDS 29

    . 3301. 3502. 3503. 3604. 3705. 4106. 4207. 43

    . 4501. 4702. 4803. HIV 48

  • 04. 5405. 5606. 5807. 5808. 59

    . 6901. 7102. 7103. 7204. 7205. 7206. 7307. 7308. 73

    . HASNet 7501. 7702. 7803. 78

    . HIV 8101. HIV 8302. HIV 8403. HIV 8504. HIV 8505. 8506. 8607. 8608. (HIV ) 87

  • . HIV-1 RNA 10101. 10302. HIV-1 RNA 107

    . 11701. HIV 11902. 12003. HIV HIV 121

    . 12501. HIV/AIDS 12702. HIV/AIDS 12903. HIV/AIDS 14104. HIV 14805. 15206. 183

    HIV (2011) 17 HIV (2011) 18 HIV (1985~2011) 18 HIV (1985~2011) 19 HIV (1985~2011) 19 HIV (1985~2011) 19 1993 CDC HIV 103 HIV ! 135 HIV 139 145 HIV / 145 HIV 146 HIV 147

  • HIV/AIDS 9 HIV (1990 2011) 13

    HIV (1990 2011) 14

    HIV AIDS (1990 2011) 14 HIV (2005 2011) 15 22 HIV 38 43 47 106 HIV 131 HIV 132

    [1] / ()

    171[ 12]

    173[ 2] 175[ 3] 176[ 4] () 177[ 5] () 178[52] /

    179[6] 181[ 7] 182

    39 40 42

  • HIV/AIDS 60 HIV/AIDS (15 ) 62 64 66 HIV (HIV ) 67 68 HIV 88 89 HIV 90 HIV 91 HIV () 92 94 95 HIV 96 97 HIV / 99 HIV 110 111 113 114 HIV-1 RNA 115 116 HIV PEP 123

  • IIIIIIIIIIIIIIIIIIIIHIV/AIDS

    1 2 3 2013

  • I. HIV/AIDS 3

    HIV/AIDS

    01

    , ,

    02 . HIV

    . (, , , )

    ( ,

  • 4 Korea Centers for Disease Control & Prevention

    ) , , , ,

    . ,

    . (, ) , ,

    .

    . HIV()

  • I. HIV/AIDS 5

    .

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    03 2013 . HIV

    ()

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    (12 16 13 18) HIV (12 72)

    ,

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  • 6 Korea Centers for Disease Control & Prevention

    . HIV/AIDS HIV/AIDS

    HIV/AIDS

  • HIV/AIDS

  • . HIV/AIDS 9

    HIV/AIDS

    /() HASNet

    ( )

    ()

    /() 1, 5-2 HIV/AIDS

    1. HIV HIV/AIDS ( )2. HIV 3. 4. ()

    * (VCT) .

  • HIV/AIDS

    1 HIV/AIDS 2 HIV/AIDS

  • . HIV/AIDS 13

    HIV/AIDS

    01 HIV/AIDS : UNAIDS Report on the Global AIDS Epidemic 2012(UNAIDS)

    World AIDS Day Report 2012(UNAIDS)

    Global Tuberculosis Report 2012(WHO)

    . 2011 HIV

    3,400(3,140 ~ 3,590)

    - 69% , 20

    1 HIV

    2 . HIV (1990 2011)

    83(59 ~ 120)

    - 2001 39(28 ~ 53)

  • 14 Korea Centers for Disease Control & Prevention

    . 2011 HIV

    250(220 ~ 280)

    - 2001 20% , 50% 25

    - 2011 (42%),

    (25%)

    3 . HIV (1990 2011)

    8.9(4.4 ~ 17)

    - 2001 7.5(5.5 ~ 10)

    . 2011 AIDS

    170(150 ~ 190)

    - 2005 24%

    4 . HIV AIDS (1990 2011)

  • . HIV/AIDS 15

    5.9(4.1 ~ 8.2)

    - 2005 3.9(2.7 ~ 5.6)

    - 2011 HIV 2004 25%

    , 2009 13%

    HIV

    5 . HIV (2005 2011)

  • 16 Korea Centers for Disease Control & Prevention

    02 HIV/AIDS . 2011 HIV

    2011 HIV 959, 888

    (92.6%), 71(7.4%)

    - 877(91.4%), 82(8.6%)

    - 40 237(24.7%) , 20 230(24.0%),

    30 221(23.0%)

    [ 1] HIV (2011)

    ()(%)

    ()

    959

    (100.0)877

    (100.0)82

    (100.0)888

    (100.0)827

    (100.0)61

    (100.0)71

    (100.0)50

    (100.0)21

    (100.0)

    00-090

    (0.0)0

    (0.0)0

    (0.0)0

    (0.0)0

    (0.0)0

    (0.0)0

    (0.0)0

    (0.0)0

    (0.0)

    10-1940

    (4.2)38

    (4.3)2

    (2.4)40

    (4.5)38

    (4.6)2

    (3.3)0

    (0.0)0

    (0.0)0

    (0.0)

    20-29230

    (24.0)210

    (23.9)20

    (24.4)208

    (23.4)198

    (23.9)10

    (16.4)22

    (31.0)12

    (24.0)10

    (47.6)

    30-39221

    (23.0)203

    (23.1)18

    (22.0)198

    (22.3)186

    (22.5)12

    (19.7)23

    (32.4)17

    (34.0)6

    (28.6)

    40-49237

    (24.7)227

    (25.9)10

    (12.2)220

    (24.8)212

    (25.6)8

    (13.1)17

    (23.9)15

    (30.0)2

    (9.5)

    50-59150

    (15.6)126

    (14.4)24

    (29.3)143

    (16.1)122

    (14.8)21

    (34.4)7

    (9.9)4

    (8.0)3

    (14.3)

    6081

    (8.4)73

    (8.3)8

    (9.8)79

    (8.9)71

    (8.6)8

    (13.1)2

    (2.8)2

    (4.0)0

    (0.0)

    ()

  • . HIV/AIDS 17

    ()(%)

    ()

    9,500

    (100.0)8,539

    (100.0)961

    (100.0)8,542

    (100.0)7,860

    (100.0)682

    (100.0)958

    (100.0)679

    (100.0)279

    (100.0)

    00-0915

    (0.2)11

    (0.1)4

    (0.4)14

    (0.2)11

    (0.1)3

    (0.4)1

    (0.1)0

    (0.0)1

    (0.4)

    10-19224(2.4)

    198(2.3)

    26(2.7)

    214(2.5)

    196(2.5)

    18(2.6)

    10(1.0)

    2(0.3)

    8(2.9)

    20-292,228(23.5)

    1,947(22.8)

    281(29.2)

    1,915(22.4)

    1,758(22.4)

    157(23.0)

    313(32.7)

    189(27.8)

    124(44.4)

    30-392,976(31.3)

    2,701(31.6)

    275(28.6)

    2,570(30.1)

    2,393(30.4)

    177(26.0)

    406(42.4)

    308(45.4)

    98(35.1)

    40-492,184(23.0)

    2,030(23.8)

    154(16.0)

    2,028(23.7)

    1,904(24.2)

    124(18.2)

    156(16.3)

    126(18.6)

    30(10.8)

    50-591,226(12.9)

    1,080(12.6)

    146(15.2)

    1,186(13.9)

    1,050(13.4)

    136(19.9)

    40(4.2)

    30(4.4)

    10(3.6)

    60631(6.6)

    559(6.5)

    72(7.5)

    615(7.2)

    548(7.0)

    67(9.8)

    16(1.7)

    11(1.6)

    5(1.8)

    16

    (0.2)13

    (0.2)3

    (0.3)- - -

    16(1.7)

    13(1.9)

    3(1.1)

    ()

    [ 2] HIV (2011)

    () (%) () (%) () (%)

    522 100.0 481 100.0 41 100.0

    304 58.2 263 54.7 41 100.0 218 41.8 218 45.3 0 0.0

    (/ )

    . 1985~2011 HIV

    1985 2011 HIV 9,500,

    8,542(89.9%), 958(10.1%)

    - 8,539(89.9%), 961(10.1%)

    - 30 2,976(31.3%) , 20 2,228

    (23.5%), 40 2,184(23.0%)

    [ 3] HIV (1985~2011)

  • 85-95

    96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11

    9,500 574 112 144 137 199 244 384 457 593 763 734 796 828 900 839 837 959

    8,539 503 101 126 118 171 211 336 402 543 672 673 717 758 812 757 762 877

    961 71 11 18 19 28 33 48 55 50 91 61 79 70 88 82 75 82

    8,542 517 104 125 129 186 219 327 397 533 610 680 749 740 797 768 773 888

    7,860 453 93 107 111 160 194 292 363 502 557 640 687 698 743 710 723 827 682 64 11 18 18 26 25 35 34 31 53 40 62 42 54 58 50 61

    958 57 8 19 8 13 25 57 60 60 153 54 47 88 103 71 64 71

    679 50 8 19 7 11 17 44 39 41 115 33 30 60 69 47 39 50

    279 7 0 0 1 2 8 13 21 19 38 21 17 28 34 24 25 21

    . 2003.92003.11 4 18 ,

    2004 HIV

    87-95 96 97 98 99 `00 `01 `02 `03 04 05 06 07 08 09 10 11

    1,512 76 33 36 46 43 52 58 76 96 114 91 109 149 104 132 149 148 .

    [ 4] HIV (1985~2011)

    () (%) () (%) () (%) 6,962 100.0 6,393 100.0 569 100.0

    4,173 59.9 3,614 56.5 559 98.2 2,732 39.2 2,732 42.7 0 0.0

    / 46 0.7 40 0.6 6 1.1() (17) (0.2) (17) (0.3) (0) (0.0)

    () (16) (0.2) (11) (0.2) (5) (0.9)() (13) (0.2) (12) (0.2) (1) (0.2)

    7 0.1 3 0.0 4 0.7

    4 0.1 4 0.1 0 0.0 (/ )

    . HIV (1985~2011)

    5 900 HIV ,

    800 , 60~100

    [ 5] HIV (1985~2011)( : )

    [ 6] HIV (1985~2011)( : )

  • HIV/AIDS

    1 2 3 4 HIV/AIDS

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  • 22 Korea Centers for Disease Control & Prevention

    HIV AIDS HIV HIV/AIDS , HIV/AIDS

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  • 24 Korea Centers for Disease Control & Prevention

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  • 26 Korea Centers for Disease Control & Prevention

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