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bringing the total of people needing anti-retroviral treatment (ARV) in our region (up to Vredendal) to 2000.
Aim
"The aim will be to put 500 (10% of people needing treatment) patients on ARV treatment in the first year and screening about 2500 patients for treatment.
"That means that we need to start ten new patients every week on treatment and screen about 50 patients per week."
At the moment the clinic in Paarl is already booked up to April and all the clinics in the region have lists of patients waiting for screening and treatment, if needed.
"Getting the patients won't be the problem, handling them effectively is the challenge," said Dr Grobbelaar.
Treatment protocols for adults and children have been established. Drug procurement systems are also in place and training programmes implemented.
Dr Grobbelaar says patients that qualify for ARV are screened very carefully.
"We must first determine if the patient is fully aware of all the facts surrounding the illness, understand the consequences of ARV and has a functional support system."
The Provincial Administration of the Western Cape has committed itself to this comprehensive HIV/Aids programme to address all aspects of the pandemic, via the relevant departments.
The broad goals of the provincial programme are to prevent the further spread of the disease, to ensure care and support for those individuals infected with HIV and to ensure care and support for those individuals, families and communities whose own support systems have been affected by Aids.
Dr Grobbelaar says the goal is to establish a functioning anti-retroviral clinic that provides effective care and appropriate treatment to as many as possible patients.
This programme is part of the holistic care of people at all stages of HIV infection and can only succeed if all the strategies of the comprehensive plan are implemented in the region.
Infection
The West Coast/Winelands region includes Drakenstein, Berg River, Swartland, Cedarberg, Matzikama and Saldanha Bay.
The population for the region is 500 000 and the antenatal prevalence of HIV infection ranges from 6,7% to 11,4%.
There was an increase in HIV in all these sub-districts, with Paarl going from 4,5% in 2000 to 11,4% in 2002.
Most South African data on HIV/Aids prevalence is based on the national anonymous surveys of women attending public antenatal clinics. Nationally, the prevalence is estimated at 26,5%.
Although the Western Cape has the lowest incidence of HIV, there has been a substantial increase amongst antenatal clinic attendees over the past five years, from 5,2% in 1998 to 12,4% in 2002.
The marked increase in HIV and a significant increase in new infections in the age group 15 to 19 years suggest that the epidemic has not yet established in the Western Cape.
What to do
Dr Grobbelaar urged people that don't know their HIV status to visit their nearest clinic for testing and counselling. |