001-HIV AIDS 2015

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    HIV/AIDS AND THEWORKPLACE

    RICARDO T. BALAGOT, MD, FPCOM

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    HIV AND AIDS

    SESSION OBJECTIVES:

    • General:  To generate awareness andappreciation of the problem of IV!"I#S and itsimpact on the wor$place%

    • Spe!": 

    & describe and e'plain IV!"I#S as an illness(

    its nat)re* detection* and pre+ention(& recogni,e IV!"I#S as a wor$place iss)e(

    & form)late re-entr. plans on wor$place policiesand programs on IV and "I#S%

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    CO#RSE O#TLINE:

    I% Sit)ationer

    II% Basic Information on IV and "I#S

    III% /ep)blic "ct 0123 and the National4or$place 5olic.

    IV% Inter+entions and /esponse

    HIV AND AIDS

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    HIV & AIDS:The Global Pandemic

    Over 15,000 men, women, and childrenare infected with HIV each day (or oneperson per second).

    Half of all people who acqire HIV !ecomeinfected !efore the a"e of #5, and most die!efore the a"e of $5.

    In #00%, an estimated 11.% million yon"people a"ed 15' live with HIV and I*worldwide.

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    +5 of people with HIV and I* live in thedevelopin" contries, sally from the poor,ethnic minority "rops, or poplations thatare socially mar"inali-ed.

    orldwide, women accont for 50 ofadlts livin" with HIV.

    /ore than half of those newly infected withHIV are !etween the a"es of 15 and #'years old.

    HIV & AIDS:The Global Pandemic

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    /ore than #5 million people have died of

     I* since 1+%1.

    In developin" and transitional contries, +.5million are in immediate need of life savin"

     I* medicines, only ' million ('#) are

    receivin" the dr"s.

    HIV & AIDS:The Global Pandemic

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    HIV & AIDS:Global Estimates, 200'

     

    Estimate

     

    Rane

    $oth Ameica ()* million ()2 + 2)0 million

    esten and -ental E!o.e 820,000 /20,000 '20 ,000

    Easten E!o.e cental Asia ()1 million () + ()* million

    East Asia //0,000 *30,000 ()0 million4iddle East and $oth A5ica 130,000 100,000 *0,000

    -aibbean 210,000 220,000 2/0,000

    So!th and So!th East Asia 1)( million )/ + 1)3 million

    S!bSahaan A5ica

    -ental and So!th A5ica6ceania

    T6TA7

    Deaths d!e to Aids

    22)* million()1 million*/,000

    ) million()8 million

    20)' + 21)2 million()2 + ()3 million*0,000 + 31,000

    ()1 + *) million

    ()3 + 2)( million

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       N  $  %   &  e  r  '   (   C  a  )

      e  )

    *orce hilippine HIV 6 I* 7e"istry

     2 "eas

    (0 "eas

    3

    "eas1"eas

    ( "ea 

    HIV & AIDS:The Phili..ine Scenaio

    #o)bling Time of IV and "I#S cases

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    Demoa.hic Data Dec 200' an + Dec 200' -!m!lati%e Data('81 + 200'

    8otal 7eported 3ases 1#4 %$5 ','#'

     symptomatic 3ases 1#$ %04 $,5+#

     I* 3ases $ #+ %$#/ales 1#1 2$# $,#$#9

    :emales 5 10$ 1,1%19

    ;oth 15' yo $% #1% 2#'

    3hildren

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    Demoa.hic Data Dec 200' an 20(0 -!m!lati%e Data('81 + 200'

    8otal 7eported 3ases 1#4 1'$ ',542

     symptomatic 3ases 1#$ 1'1 $,2$$

     I* 3ases $ # %$'/ales 1#1 1#5 $,$529

    :emales 5 1% 1,1++9

    ;oth 15' yo $% '2 221

    3hildren

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    HIV & AIDS

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    Demoa.hic Data A!) 20(( an + A!) 20(( -!m!lati%e Data('81 + 20((

    8otal 7eported 3ases 1+4 1,'14 2,'1$

     symptomatic 3ases 1%+ 1,$50 4,501

     I* 3ases 2 44 +$0/ales 1%# 1,$0+ 4,004

    :emales 1' 102 1,'1'

    ;oth 15' yo 54 '1$ 1,4#2

    3hildren

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    HIV & AIDS:The Phili..ine Scenaio

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    A Ac;!ied

    I Imm!ne

    D De5icienc"

    S S"ndome

    C serios and sally fatal conditionin which the !odyDs immne

    system is severely weaBened and

    cannot fi"ht off infection.

    H H!man

    I Imm!node5icienc"

    V Vi!s virs which cases I*

    HIV AND AIDS

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    CPeople with HIV DO NOT meanthey have AIDS. 

    C HIV remains dormant in the !ody

    for several years !efore some

    nBnown factors tri""er the

    infections associated with I*

    C/edian inc!ation period for adlt

    can !e as lon" as 10 years.

    Crin" this period, the people with

    HIV may looB healthy and !ein"

    naware of their infection stats.

    HIV AND AIDS

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    hat is HIV in5ection<

     A li5etime in5ection

     $o %accine to .e%ent it

     $o c!e $o sins and s"m.toms

     Desto"s the imm!ne s"stem

    -an be detected =ith HIVantibod" test

    Vi!s does not li%e lon o!tside the bod"

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    hat is AIDS<

     A condition =hee sins and s"m.tomsa..ea as a es!lt o5 %aio!s

    o..ot!nistic in5ections7i5e theatenin

    HIV ca!ses AIDS

    H d ith

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    Ho= does a .eson =ithHIV loo> li>e<

    ??? @o! cant tell i5 a.eson has HIV b"meel" loo>in at

    himBhe)

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    3' cell helps s to fi"ht a"ainst varios infections

    Ho= HIV in5ects <

    3'

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    HIV attacBs 3' cell, mltiply inside and "radally Bills them.

    Once 3' are destroyed or !odyDs resistance to fi"ht infections

    "oes down and person sffers from lots of infections

    HIVIDs

    Ho= HIV in5ects

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    HIV is $6T tansmitted

    C thro"h casal contact in any settin"E schools, worBplace,or social settin"s.

    C thro"h shaBin" hands, h""in", or a casal Biss.

    C thro"h insect, food, water, clothes, toilets, swimmin"

    pools, and drinBin" and eatin" tensils.

    D t ti 5 HIV

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    Detection o5 HIVAntibod"

    C 8he HIV anti!ody test

     E etects HIV anti!odies in the !lood, not HIV

     E nti!odies develop $&1# weeBs to 4 months

    after infection

     E FI=O G7IO E anti!odies cannot !e

    detected in !lood, !t patient infective drin"this period

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    HIV antibod" Test Res!lts

     

    POSITIVE HIV-antibody 

    C etection of anti!odies in the !lood indicates that infection

    has occrred

    C 8he person can infect others

    C   positive HIV&anti!ody test reslt does not mean that aperson has I*

      NEGATIVE HIV-antibody

    C HIV anti!odies were not detected in the personDs !loodC /ay indicate that the person is not infected O7

    C 8he person may !e infected !t has not prodced detecta!le

    qantities of HIV anti!odies

    Pe%ention o5 HIV

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    Pe%ention o5 HIVIn5ection

    RE4E4CER AC-DE?

    A!stinence

    Ce :aithfl-orrect andconsistent condomse

    Do not se r"sEdcation

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    4edical Teatment

    C 8oday there are medical treatments that

    can slow down the rate at which HIV

    weaBens the immne system.C 8here are other treatments that can

    prevent or cre some of the illnesses

    associated with I*.

    Na*!'nal

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    G'al) '( DOLE Na*!'nal W'r+plaeG'al) '( DOLE Na*!'nal W'r+plae

    P'l!P'l!

    Pre-en*!'n an 'n*r'l '(

    HIV/AIDS

    Pr'*e*!'n '( 'r+er)0 r!12*) 3

    !1n!*

    Re'1n!*!'n '( !n!-!$al

    re)p'n)!&!l!*

    Pr'-!)!'n '( &ene"*) !n 2!124r!)+

    )e**!n1)

    E)*a&l!)2%en* '( Sere*ar!a*

    O&5e*!-e) '( *2e ILO C'e

    Pre-en* )prea '( HIV

    C'%&a* )*!1%a 3

    !)r!%!na*!'n M!*!1a*e *2e !%pa* '(HIV/AIDS

    Pr'-!e are 3 )$pp'r*

    Ra*!'nale '( RA 6789

    Pre-en*!'n an 'n*r'l '( HIV/AIDS Pr'*e*!'n '( r!12*) an !1n!* '( PLWHA

    Re'1n!*!'n '( r'le '( PLWHA !n pre-en*!'n an'n*r'l

    Pr'-!)!'n '( 'n*r'l %ea)$re) !n 2!124r!)+)e**!n1)

    Na*!'nalRe)p'n)e

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    The Phili..ine HIV

    and AIDS Pe%entionand -ontol Act o5

    (''8

    REP#C7I- A-T 8*01

    /" 0123 enacted on 6ebr)ar.78* 7990I// was prom)lgated on "pril

    78* 7999

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    roml"ates policies and prescri!es measres

    Instittes a nationwide HIV and I* information

    and edcation pro"ram Gsta!lishes a comprehensive HIV and I*

    monitorin" system

    *tren"thens the hilippine =ational I*

    3oncil

    REP#C7I- A-T 8*01

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    Pr'-!)!'n) Rele-an* *' *2eW'r+plae

    Ar*!le I : E$a*!'n an In('r%a*!'n

    "rticle II : Safe 5ractices and 5roced)res

    Ar*!le III : Te)*!n1, Sreen!n1 3

    C'$n)el!n1

    "rticle IV : ealth and S)pport Ser+ices

    "rticle V : onitoringAr*!le VI : C'n"en*!al!*

    Ar*!le VII : D!)r!%!na*'r A*) an

    p'l!!e)

    "rticle VIII : The 5hilippine National "I#S

    REP#C7I- A-T 8*01

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    (Section 6. HIV/AIDS In('r%a*!'n !n *2e W'r+plae Ar*!le I. ED#CATION 3Ar*!le I. ED#CATION 3INFORMATIONINFORMATION

     All 1'-ern%en* an pr!-a*e e%pl'ee) )2all &epr'-!e !*2 )*anar!;e &a)! !n('r%a*!'n an!n)*r$*!'n 'n HIV/AIDS<  S2all &e !n*e1ra*e !n*' 'r!en*a*!'n, *ra!n!n1,'n*!n$!n1 e$a*!'n, HR e-0* pr'1ra%), e*.

     Ea2 e%pl'er )2all e-el'p, !%ple%en*, e-al$a*e an($n a 'r+plae HIV/AIDS e$a*!'n an !n('r%a*!'npr'1ra%.

    In 'lla&'ra*!'n !*2 *2e DOH, DOLE )2all '-er)ee *2e

    an*!4HIV/AIDS a%pa!1n !n all pr!-a*e '%pan!e)<

    REP#C7I- A-T 8*01

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    All 2eal*2 pr'(e))!'nal), %e!al!n)*r$*'r), 'r+er), e%pl'er),rer$!*%en* a1en!e), !n)$rane '%pan!e),a*a en'er), an '*2er $)*'!an) '( an

    %e!al re'r) / *e)* re)$l*) *' '&)er-e)*r!* 'n"en*!al!* par*!$larl *2e!en*!* an )*a*$) '( per)'n) !*2 HIV.

    Ar*!le VI:CONFIDENTIALIT= Section 0) 4edical -on5identialit"Section 0) 4edical -on5identialit"

    REP#C7I- A-T 8*01

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    D!)r!%!na*!'n !n an ('r% (r'% pre4*' p')*4e%pl'%en*, !nl$!n1 2!r!n1,pr'%'*!'n 'r a))!1n%en*, &a)e 'n *2ea*$al, pere!-e 'r)$)pe*e HIV )*a*$) '( an !n!-!$al !)

    pr'2!&!*e.

    Ter%!na*!'n (r'% 'r+ 'n *2e )'le&a)!) '( a*$al, pere!-e 'r )$)pe*eHIV )*a*$) !) ee%e $nla($l%

    Ar*!le VII. DISCRIMINATION ACTS 3POLICIESSection *) Discimination in the o>.laceSection *) Discimination in the o>.lace

    REP#C7I- A-T 8*01

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    HIVBAIDS and the

    o>.lace

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    h" C!siness Sho!ld -ae

    It is mandated !y law

    It will contri!te to the attainment of the /

    It is "ood for the contry

    It impacts !siness

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    C *ti"ma and iscriminationC 8ension amon" worBers

    C ender ineqalities

    C ressre on health 6 social secrity systems

    C 8hreatened occpational safety and health!enefits of worBers

    Im.act in the o>.lace

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    ReducedProductivity 

    (assume 50%)/yr

    Care &

    Maintenance/yr

    Exit Costs (OneTime)

    Medical

    Redundancy

    or

    Death

    +

    Lost Training

    +

    Recruitment

    TOTAL

    Sr. Leadersi!

    Mana"eria#

    &Su!ervisory

    $ 4!000

    $ "0!000

    #40!000

    50!000

    0!000

    "0!000

    $ %'*'+'''

    Su!!ort Sta,,

    $ "!000

    $ "0!000

    5!000

    5"!000

    !000

    4!000

    $ -+'''

    $ &!000

    $ "0!000

    "4!000

    #!000

    #!000

    "!000

    $ 00+'''

    R!nnin -osto5 Poamme:

    *0 Bem.lo"eeB" 

    Vs)

    The Business Case for

    an HIV and AIDS in the

    Workplace Program

    (ased on the

    Shell e!perience"

    Im.act in the o>.lace

    4hat can be done in the

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    4hat can be done in thewor$places;

     The wor$place can help

    limit the spreadand alle+iate the

    impact of IV and "I#S%

    Enterprises can respond to the

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    7% Thro)gh polic. de+elopment g)ided b.e'isting labor laws and standards

    /" 0123 and the National4or$place 5olic.

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    hat com.anies need to do

    C   3reate company policy on HIV and

     I* prevention

    C   olicy to !e disseminated to all

    worBers

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    C rovide information and edcation, trainin" if

    needed

     E what is HIV and I* E what are the effects of HIV and I* to the person

    as a worBer, to the company, to the commnity

     E how it can !e prevented

     E what are the availa!le services&within

    and otside of the company

    hat com.anies need to do

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    ?I8* & OJG

    C -om.anies =ith HIV and AIDSPolic" and Poams

    3,38

    B)rea) of >abor Statistics & Integrated S)r+e.Non "gric)lt)ral Establishments Emplo.ing

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    1 1W'r+plae In*er-en*!'n) 'n

    HIV an AIDS Pre-en*!'n

    • W2a* '%pan!e) are '!n1& information and ed)cation

    ?participants became IV and "I#Sed)cators@

    & Nondiscriminator. polic. statements

    & Integration of IV polic. in their OS polic.and program

    & Corporate social responsibilit. acti+ities

    D'$%en*!n1 Pr'1ra%):

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    C'%pan!e) rep'r*e *2e ('ll'!n1pr'&le%) !n *2e!r p'l! an pr'1ra%

    !%ple%en*a*!'n:

    • >ac$ of management and wor$er s)pport

    • >ac$ of technical capabilit. to implementtheir policies and programs

    • 6ocal persons ha+e other f)nctions• STI* IV and "I#S disc)ssions not well

    accepted b. both management and wor$ers

    1 1W'r+plae In*er-en*!'n) 'n

    HIV an AIDS Pre-en*!'n

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    P'l! S*a*e%en*

    Re)pe* *2e !n!-!$al r!12*) an!1n!* '( pe'ple !*2 HIV an AIDS

    Pr'%'*e n'n4!)r!%!na*'re%pl'%en* re1arle)) '( HIV )*a*$),

    1ener, )e@$al 'r!en*a*!'n En'$ra1e %a@!%$% par*!!pa*!'n '(

    !*) e%pl'ee) !n HIV an AIDSe$a*!'n pr'1ra%

    Sa%ple W'r+plae P'l! '( a P2!l!pp!ne C'%pan

    Sa%ple W'r+plae P'l! '( a P2!l!pp!ne C'%pan

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    P'l! )*a*e%en* 'n 'n*!n$e e%pl'%en*

    “In order to manage employees’ HIV status moreeffectively, the company aims to assist employeeswho are HIV positive to remain well for as long as

    possile. !mployees, however, need to ma"e a choiceas to whether they wish to carry on in the sameposition or accept a position which is less stressful.#his would e dependent on availaility of alternativepositions$.

    “%hen an employees’ performance decreases, they wille treated e&uitaly and in a non'discriminatorymanner, resolving issues of sic" leave, pensionenefits and medical aid as for other employees witha life threatening disease$.

    Sa%ple W'r+plae P'l! '( a P2!l!pp!ne C'%pan

    THE WA=

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    THE WA=FORWARD

    C /=G/G=8 and O7KG7* shall @ointlydevelop HIV and I* policies to !e translatedinto pro"rams made Bnown to all worBers.

    C  ctions shold focs on how to stren"thenpreventive measres despite e>istin" limitations.

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    THA$J @6#)