- 詳細內容
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分類：愛滋病
Milestones of the Acquired Immunodeficiency Syndrome
Preventative Health Service at FEMH
1. The Far Eastern Memorial Hospital became one of the Department of Health of Taiwan＇s
specially designated medical centers entrusted with providing healthcare service for patients
with human immunodeficiency virus (HIV) infection or Acquired Immunodeficiency
Syndrome (AIDS) on 5th February 2009.
2. The Far Eastern Memorial Hospital provided pro bono HIV screening and consultation service
during the HIV Awareness Week as part of Taiwan’s Center for Disease Control’s (CDC)
Awareness Promotion program during 27th November 2009 to 4th December 2009.
3. Since 1st January 2010, we have actively joined the Center for Disease Control AIDS case
management plan by providing a specially trained case manager who is readily available for
health education and free consulting services. Through the program’s promotion of self-health
management, safe sex practice, and adherence with pharmacotherapy, the aim is to curb the
spread of HIV infection and disease.
4. Since January 2010, we are formally contracted by the Taipei Prison, to provide an in-house
comprehensive visiting service to their HIV-infected inmates on the 1st Thursday of each
month. The visiting team comprises an infectious diseases doctor and case manager, who offer
the same consultation, healthcare, education, blood testing services provided at the hospital.
5. From 2010, we have continually promoted awareness and education by giving targeted lectures
at meetings hosted by the New Taipei Medical Association, the Nursing Association, and the
AIDS Prevention School Campus Network.
6. Since January 2011, we are formally contracted by the Taipei Youth Detention Center, to
provide an in-house comprehensive visiting service as above on the 1st Friday of each month.
7. We have provided an anonymous sexually transmitted disease voluntary screening clinic as
part of the CDC＇s program since 2011.
8. From 2011, we have established a multidisciplinary support group for HIV infected patients
and their friends and families involving doctors, case managers, public health officers and
social care workers. The meetings tackle stigma, improve the patients＇self-image, spiritual
wellbeing and overall quality of life, as well as widen their supportive network so that their
good behavior and medication adherence is ensured.
9. In addition to providing regular healthcare and disease monitoring among those infected with
HIV to prevent disease, we also aim to prevent the acquisition of HIV infection. Since 1st
March 2011,we offerred a 24-hour, 7-days-a-week, 365-days-a-year self-imbursement access to
preventative anti-HIV drugs to prevent the establishment of infection in those with
non-occupational exposure (e.g. through unprotected sex or needle sharing) in corporation with
the New Taipei Health Bureau.
Guidelines for Post‐Exposure (Risky Behavior) Prevention of HIV
infection
Treatment must be started before infection becomes established, optimally within 48 hours and no
later than 72 hours after exposure.
1. Treatment comprises a 28 day medication course which must be completed to ensure
effectiveness.
2. Questions regarding risk and preventative medication can be addressed by visiting infectious disease clinic.
3. After taking preventative medication, you will need to have blood tests taken on the 6th week,
3rd and 6th month. Follow-up is critical.
4. The medication costs are entirely self-imbursed and not covered by the national health
insurance.
Medication to prevent HIV infection can significantly decrease the risk of becoming permanently
infected with HIV, but no drug therapy is 100%, hence the best prevention is through behavior, by
avoiding putting yourself and others at high risk of being infected. Preventing infected sexual
secretions or blood contaminating your own blood (e.g. through the use of condoms, not sharing
needles) is the most fool-proof way of preventing HIV infection.
Anonymous Screening Service For Sexually Transmitted Diseases
(STDs) Program
Aim: Prevent STDs, refuse recreational drug abuse, HIV prevention
Implementation: For screening for HIV and other sexually transmitted disease among high risk
uninfected or naïve infected individuals. The service provides pre-test counseling, post-test
counseling, test interpretation and referral advice. The service is telephone appointment based.
There is a preliminary screen for appropriateness and suitability for testing, for example, we would
suggest an interval of three months between testing and to avoid testing within the “window
period＂.
