World AIDS Day 2023: HIV Testing, Awareness, and Prevention in France and Saint-Martin

2023-11-30 19:35:41

This Friday, December 1, 2023, will take place World AIDS Day, established by the World Health Organization (WHO) since 1988. This commemorative day is also an opportunity to inform and raise awareness among the general public. concerning the progress made in the fight against the immunodeficiency virus (HIV)/AIDS epidemic, which for the moment remains a major public health problem in most regions and countries of the world.

Since January 2022, HIV testing in a medical biology laboratory, without a prescription, without an appointment and without an advance payment (HIV Test) concerns all socially insured people and their dependents, including beneficiaries of social security assistance. State. In 2022, nationally, 250,948 tests were reimbursed under this system, according to the national health data system (national health insurance fund extraction from November 2022. An equivalent share of men and women of women benefited from these tests. Nearly half (44%) benefited people aged 20 to 29 and a little more than a third (36%) benefited people aged 40 to 59.

3,280 HIV tests in March 2022 “without a medical prescription” have been carried out since this system was deployed in all laboratories in Guadeloupe, Saint-Martin and Saint-Barthélemy. The use of this system has increased significantly since January 2023, especially among the Saint-Martin population (739 tests/2,257 carried out), during the first half of 2023, i.e. a third of the tests. It is more often women who have used it (60%) and in terms of age mainly people aged 30 to 60 (< 25 years: 13%).

The share of serologies carried out within the framework of the HIV-test system remains very low compared to that of serologies carried out on medical prescription. Overall, the screening rate for HIV infections in Guadeloupe, Saint-Martin and Saint-Barthélemy is increasing in 2022, exceeding the values ​​recorded since 2014 (162.4/1000 inhabitants) and is almost three times higher than that recorded in Mainland France, excluding Île-de-France (59.7/1000 inhabitants).

This screening rate is higher in the 25 to 49 age group for both men and women, according to the national health data system. The positivity rate of HIV serologies is decreasing in 2022 (2.6 positive serologies per 1000 serologies) but remains high compared to national data, excluding Île-de-France (1.1 positive serologies per 1000 serologies), after data from the HIV Lab.

The HIV testing strategy in France recommends HIV testing at least once in your life. This should be revisited regularly (every 2 to 3 years, or even 2 to 3 times/year) depending on risk-taking and for the most exposed people (multi-partner MSM, injecting drug users, healthcare workers). gender, multi-partner people from sub-Saharan Africa and the Caribbean).

To carry out a test, you can ask your general practitioner or specialist to prescribe it for you; go to a medical analysis laboratory (no need for a medical prescription – PEC at 100%); buy a self-test in a pharmacy (average price between €15 and €25); go to a free HIV information, screening and diagnosis center (CEGIDD); viral hepatitis and sexually transmitted infections (CEGIDD), or go to a structure carrying out rapid diagnostic tests (TROD) HIV (associations, family planning, etc.). Link to find contact details of screening locations.

As part of the campaign to combat AIDS, several actions are carried out in Saint-Martin by the CEGIDD, youth health space, the Red Cross and the Aides association.

Programme :
School interventions by the CEGIDD and youth health space:
Thursday, November 30 – with first grade classes at Daniella Jeffry high school.
Monday 4 and Wednesday 6 December – third grade classes at Mont des Accords college
Tuesday December 5 and Thursday December 7 – second year classes at Robert Weinum high school.
Health bus outings in collaboration with CEGIDD
Wednesday December 6 from 9 a.m. to 12 p.m. – information and prevention stand, HIV testing at Sandy Ground.
Events:
Friday, December 1 from 2 p.m. to 6 p.m. – HIV prevention and testing stand at the Red Cross House.
Friday, December 1 from 10 a.m. to 4 p.m. – open day information, awareness, prevention action with screening offer at the Aides à Concordia association premises and in the evening from 7 p.m. to 9 p.m. PREP permanence (HIV prevention strategy) in partnership with the Safe association.
Saturday December 2 from 10 a.m. to 3 p.m. – participation in the HIV-FEST forum in Galisbay.

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