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A prevenção tem que ser combinada | Gabriel Estrela | TEDxBrasilia


[Music]
the world is spinning faster and faster
We wait for the world to wait
of us a little more patience
I have a touch ready for you and
I felt a lot of need to make a
I was small at the beginning and I was being
very difficult for me to organize what
I ‘m thinking so I brought these
verses that you may have already heard
from minnie
I came to talk about what we expect.
I came to talk about technology in the world.
technology in health technology and
and a few minutes ago I
I had a meeting with the worse than a
people waiting day I missed the second
block of lectures because I entered the
my car and run out to visit
a friend of mine who was in the hospital
I even apologize to the speakers
She lives with HIV and today she tried
suicide
and I already thought it was hypocritical
very big on my part because one
Spoiler for you, I finished mine.
Tell me this is how we’re going
end the AIDS epidemic and this
It’s not true, I need to correct myself.
before you start why talk about
technology will not be enough
We’re done here, I’m going to take a deep breath.
I promise I’ll tell you guys with
very enthusiastic and I’ll try to make some
jokes are a bit this climate will get you
passing and the people but I wanted
you had in mind that I am
exception, this enthusiastic person
person who speaks about the HIV openly
person who can make a career from
serology is an exception.
there are another 800,000 in the world and
technology will not be enough
We can start
[Applause]
[Applause]
Come on, people were going to start making a
I agree with you, but I’ll order 2
The first is that you do not make me
cry again the second is that I go
try to stay until the last minute of this
not to mention a condom is a
Very cool challenge because I came to speak
on HIV prevention
and then the head goes straight into the condom
It’s what we know, right?
but I promise you that I can
stay ten minutes here talking about
prevention without talking about condoms
I brought up the watch for us.
to keep up with my commitment is so
seriously that every time I spoke
condom
I ask you to interrupt my
lecture with a rock palm
Ok we can test the condom is
only people are not clock time
potato condom condom condom
wonderful that is carnival has everything to
see even with the theme
so come on, I’ll bring it to
you a concept that prevention
combined
When we talk about prevention
combined this term brings us two
understandings
the first is that prevention has
to be on time only combined first
prevention factor that I want
presenting to you may seem
very obvious but is very forgetful is the
dialogue is to talk right
not enough to use or not to use
condom we have to talk about
so we have to know what are the
risks that we assume when we take
another decision the second
understanding is that it will be
combination of combining several
factors
I brought a lot for you and look.
which are not all right but we have
to combine relationship in relation to
because the relationship I’m going to have to
person is not the same relationship as
I have with the person be for more than
They look like is not the same relationship
that x and y people noticed let’s
Let’s start with one of the
my favorites are the tap triton rs
prevention in Portuguese treatment as
prevention
this strategy consists of both
to ensure antiretroviral treatment
for everyone living with HIV
you speak epa guys are already
living with HIV and it has to do with
prevention because it had a
recent hptn 052 his name has arrived
to the conclusion that the persons
live with hiv
then with the viral load that the
amount of virus in our blood
undetectable or is so low that the
can not detect them
are transmitting HIV and this is very
cool because it starts to undo
that idea of ​​having sex with someone
who lives with hiv is dangerous you go
Talk to me and everything else so do not
need more of the condom is not because
We have to remember that there are
several other dsts, and some of them
even increases the risk of you
against hiv is the case of syphilis hpv
for example, do not
but on the other hand this strategy brings
the tranquility of which the said house whose
clothes we do not have to be afraid if
our positive partner is
undetectable
It’s but if you do not know serology.
partner has another strategy
also based on medicines that
post-exposure prophylaxis
is a 28-day treatment with medicine
to ensure that if there has been a
exposure does not occur Infection Now
who knew this mass
I needed to have a lot more people.
knowing why we only have 72
hours to seek this prophylaxis and she
not only works in case of an accident
with condom sex that broke today
You did not even use it, but you did too.
accidents at work in the event of
health professionals or
also a case of rape
besides these we have several
prophylaxis that occur before
exposure is the case, for
prophylaxis that we do with the
pregnant women living with HIV
the treatment of it serves as a
prophylaxis for the baby to be born
a virus and we also have the
prophylactic pre-exposure to prep is a
continuous use medication that will
ensure that it does not occur
hiv is very important to us
understand this because you remember when I
I said that the relationships are not the same
we can not have a
public policy focused on a
I just do not need to say the name
you already know what you want right because it
It will not work for everyone and there
prep for example is a great resource
for who chooses to have sex like that
or also for professionals of the
that by the nature of the activity
are very subject to violence to
serodifiable couples when one lives with
the virus and others do not and they want
divide prevention we have more
an asset and is reaching a
before you take a few hours
protected rather than taking
every day and a pinch of pine
babies can take and could breastfeed
their mothers in what today is still not
possible only that they realize that all
these strategies depend on a factor
we can only choose between these
different strategies if we know the
serology then the test it
is also a factor of prevention and
This is very important because people
there must be testing as the end of
road
I tested negative, I never ask for it again.
respect continues delaying way
It was there and then when fear hit the
door again I do the testing
or have you tested positive for my life?
ended
we need to dissipate this
understanding yesterday testing will never
being the end is always the resumption of a
cycle of prevention was negative
You need to remain attentive to
prevention continues to function and
positive is seeking treatment is
try to understand where it was that the
prevention was this failure occurred
that the diagnosis is only the
beginning is not the end and there are many
Do not you remember that I said that
other dsts and also need to be
treated right?
has a lot of testing that we can
do at home we could look for
these ten days at home
if we had a sex education
that instead of talking about
disease and of bacteria and glasses is
put the drawings of the genitals
cut
in the middle if he taught us to know the
own body
Do not teach people not to be ashamed.
of exploring whether to search for
know why there are many of these that
will cause changes in our
body that we perceive at home and
people run it, right, it’s not so crazy
so think about these changes
are not going there in the
education when we realize that
there are already several legislations
help fight HIV is the case for
example of the law that guarantees treatment
Antiretroviral through sus
This is the case, for example, of
which typifies the crime of discrimination
who lives with HIV because yes if I
I can live well integrated in society
in relationship with my family
With the dating, I do not know what’s going to be
much easier and
stigma that HIV and brings my initial
treatment
this is very important that both the
early diagnosis of the onset of
early treatment are very
relevant to us no longer has the
Aids AIDS is a very
advanced hiv infection when
is not controlled right?
if we can test and treat everything
world overcome these barriers around the
stigma
We walk a lot and then I go.
get close to the end long before
I had imagined I have time to
damn then maybe I screwed up with
something like commenting on
The time I have
so I start getting close to that
that should not be named but before I
I wanted to talk about a companion of her is the
lubricant and that we associate only with
with comfort but that actually has a
very important prevention role
The comfort of the lubricant has to do with
the friction reduction
It looks nice, it protects
barriers that we are using in the
sex both the condom to avoid it
break as well as own
mec skin barrier is already a defense
the body then lubricant is
much more important than just the
comfort and when it is water- based it
still dilutes our
secretions
then what you have there if you have to
infectious agent will stay in the
concentration and this will
make transmission difficult is very crazy
No one talks about this, it ‘s good to
damn it
I do not know how there are people who do
without me I do the personal service you spoke to
in use it’s easy, and you’re sitting there
[Applause]
[Music]
You’re going to cut it out that was not
in weight and then I get to talk about
condom but that does not count there because
I ‘m going to talk about the less known cousin.
that ‘s the feminine, I’ll just call there
woman needs to be chatting on the
my house
She is less well known but she has
its advantages are women who
like used on women who feel
discomfort but it’s worth all of you
experience right
it has a very nice advantage that the
it can be placed hours before the
sexual intercourse
Let’s talk putting on the makeup goes one
mascara goes a stick goes button goes to
condom and will lose it and then it stays
a coating of the vaginal canal is
and then I think it’s important to make a warning
for the boys because it has a side
that is exposed
and then I wanted girls to come out
hence very clearly understanding that
this external air that is exposed does not
It’s an invitation for you to withdraw the
prevention of women
okay the same way when you take out
the condom itself and continue
transiting either a woman or a man
You’re not just taking away.
the prevention of this relationship
you are exercising violence
Are you being aggressive?
I think it’s very important to talk about this with
the boys because on a daily basis when I
I do care what I hear most
I did not take it she did not complain
saying neither saw this is not sex no
sure this is violence and we can
be clear about this
so I’ll come in the final minute
account that was wrapped so
clock worked to talk about the
condom but it’s a final minute no
Need more clapping and you two
Can you understand that I said
tremendously right
in this story of talking about prevention
Not to mention a condom, not people now.
is already at the last minute in public
It’s been a challenge because we
time was the only method of
prevention condoms
then our our perception of
prevention goes there immediately is in
relation to her that we think
various other forms of prevention
only I wanted you to understand
is that when we talk about
prevention which is something
relatively new
When we tell those who already had
heard of here combined prevention
look at the people who follow the project quite
I like it when we talk about
combined prevention seems to be
is replacing the condom with something
new but not the shirt and enter the
watch also it is also part
we need to think about the
prevention as a box of
tools among the various
tools that we are going to talk about
and there are several others and we
is using and is combining how we
want
That’s not how we end up with
the AIDS epidemic
but this is a very important step
it’s agreed
[Applause]
[Music]
[Applause]
[Music]
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