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  • Co-creating a Mpox Elimination Campaign in the WHO European Region: The Central Role of Affected Communities
    Publication . Palumbo, Leonardo; Picchio, Camila A; Barbier, Franck; Calderon-Cifuentes, Amanita; James, Jules; Lunchenkov, Nikolay; Nutland, Will; Owen, Greg; Orkin, Chloe; Rocha, Miguel; Shanley, Adam; Stevenson, Luca; Vinti, Pietro; Salvi, Cristiana
  • Viral genetics and transmission dynamics in the second wave of mpox outbreak in Portugal and forecasting public health scenarios
    Publication . Cordeiro, Rita; Caetano, Constantino P.; Sobral, Daniel; Ferreira, Rita; Coelho, Luís; Pelerito, Ana; de Carvalho, Isabel Lopes; Namorado, Sónia; Loyens, Dinis B.; Mexia, Ricardo; Fernandes, Cândida; Neves, José Miguel; João, Ana Luísa; Rocha, Miguel; Duque, Luís Miguel; Correia, Inês; Baptista, Teresa; Brazão, Cláudia; Sousa, Diogo; Filipe, Paulo; Alpalhão, Miguel; Maltez, Fernando; Póvoas, Diana; Pinto, Raquel; Caria, João; Patrocínio de Jesus, Rita; Pacheco, Patrícia; Peruzzu, Francesca; Méndez, Josefina; Ferreira, Luís; Mansinho, Kamal; Alves, João Vaz; Vasconcelos, Joana; Domingos, João; Casanova, Sara; Duarte, Frederico; Gonçalves, Maria João; Salvador, Mafalda Brito; Guimarães, Mafalda Andresen; Martins, Sueila; Oliveira, Marvin Silva; Santos, Daniela; Vieira, Luís; Núncio, Maria Sofia; Borges, Vítor; Gomes, João Paulo
  • Lessons learned from the first European project on the integration of infectious diseases in testing services, data collection and country responses
    Publication . Raben, Dorthe; Casabona, Jordi; Cosmaro, Lella; Gasbarrini, Nadia; Lambert, John S.; Glapsy, Shannon; Kakalou, Christine; Maffeo, Manuel; Mommi, Michele; Corradini, Gianmarco; Klavs, Irena; Kurbatova, Aljona; Wawer, Iwona; Wysocki, Piotr; Raahauge, Anne; Jakobsen, Stine Finne; Lazarus, Jeffrey V.; Sullivan, Ann; Kall, Meaghan; Hedrich, Dagmar; Johnson, Cheryl Case; Seguy, Nicole Simone; Simões, Daniel; Delpech, Valerie
  • HIV seroprevalence in five key populations in Europe: a systematic literature review, 2009 to 2019
    Publication . Stengaard, Annemarie Rinder; Combs, Lauren; Supervie, Virginie; Croxford, Sara; Desai, Sarika; Sullivan, Ann K; Jakobsen, Stine Finne; Santos, Quenia; Simões, Daniel; Casabona, Jordi; Lazarus, Jeffrey V; de Wit, John B F; Amort, Frank M; Pharris, Anastasia; Nerlander, Lina; Raben, Dorthe
  • The HepHIV 2023 Madrid conference: A call to action for political leadership in reaching the sustainable development goals on earlier testing and linkage to care for HIV, viral hepatitis, and sexually transmitted infections
    Publication . Simões, Daniel; Raben, Dorthe; Moran, Alejandro Bertó; Imaz, Arkaitz; Stengaard, Annemarie Rinder; Raahauge, Anne; Sullivan, Ann K.; Vaughan, Elena; Brännström, Johanna; De Baetselier, Irith; Platteau, Tom; Casabona, Jordi; Del Amo, Julia
  • European AIDS Clinical Society Standard of Care meeting on HIV and related coinfections: The Rome Statements
    Publication . Mussini, C; Antinori, A; Bhagani, S; Branco, T; Brostrom, M; Dedes, N; Bereczky, T; Girardi, E; Gökengin, D; Horban, A; Lacombe, K; Lundgren, JD; Mendão, Luís; Mocroft, A; Oprea, C; Porter, K; Podlekareva, D; Battegay, M; d'Arminio Monforte, A
    Objectives: The objective of the 1st European AIDS Clinical Society meeting on Standard of Care in Europe was to raise awareness of the European scenario and come to an agreement on actions that could be taken in the future. Methods: Data-driven presentations were given on specific topics followed by interactive panel discussions. Results: In Eastern European countries, the epidemic is largely driven by injecting drug use, in contrast with Western Europe where the infection mainly occurs through heterosexual contact. A high proportion of people living with HIV remain unaware of their infection. Substantial differences exist in Eastern Europe and Central Asia with respect to treatment coverage, regimen availability and continuity of drug supply. In 2012, tuberculosis case notification rates were 5-10 times higher in Eastern Europe compared with Western Europe, with an alarming proportion of newly diagnosed multi-drug-resistant cases. Hepatitis C is widespread in selected geographical areas and risk groups. Conclusions: The key conclusion from the meeting was that a high-priority group of actions could be identified, including: increasing HIV awareness and testing, improving training for health care providers, ensuring equitable patient access to treatments and diagnostics for HIV and comorbidities, and implementing best practices in infection control and treatment of HIV-infected patients coinfected with tuberculosis and hepatitis C virus, for whom direct acting antiviral treatment. should be considered.
  • Implementation Process and Impacts of a Participatory HIV Research Project with Key Populations
    Publication . Dias, Sónia; Gama, Ana; Simões, Daniel; Mendão, Luís
    A participatory HIV research project was conducted with sex workers (SW) and men who have sex with men (MSM) to understand epidemiological HIV dynamics and associated sociobehavioural factors among these vulnerable groups. We examine the impact of this project, critically analysing the processes undertaken and focusing on the advantages and the challenges faced. A partnership was built through two Community Advisory Boards (CABs) and a Scientific Commission (SC). Regular meetings, workshops, and focus groups were conducted with CABs, SC, and partners to assess the processes and outcomes of the project implementation. This participatory research produced change processes with impacts at different levels: individuals, community organizations, health professionals, academics, and policy-makers. Advantages of the participatory process were encountered but also challenges, evidencing the dynamic and complex nature of each project's stage. This project showed that participatory research can work as an intervention. Indeed, it triggered a dynamic and interactive process of knowledge coproduction and translation into effective community-oriented health actions and policies. The participatory research reproduced an innovative alliance for HIV prevention and sexual health promotion responsive to local needs and priorities. Further efforts are needed to systematize and evaluate the processes and impacts of participatory health research.
  • HIV Infection, risk factors and health services use among male-to-female transgender sex workers: a cross-sectional study in Portugal
    Publication . Gama, Ana; Martins, Maria Rosário Oliveira; Mendão, Luís; Barros, Henrique; Dias, Sónia
    Male-to-female transgender sex workers (TSW) have been identified as a key population at risk for HIV. This study examined risk behaviors and HIV prevalence among TSW, and described health services use. A participatory cross-sectional survey was conducted with 125 TSW recruited in locations and networks where sex workers congregate. HIV-risk behaviors were common among participants. Inconsistent condom use with clients in the previous month was reported by 12.0% of participants and was associated with Portuguese nationality, inconsistent condom use with non-paying partners and not been reached by HIV prevention programs in the previous year. Ever use of psychoactive substances was reported by 61.6% of participants and was associated with being non-employed, doing full-time sex work, having higher number of non-paying partners and having never used health services. Also, ever use of psychoactive substances was negatively associated with older age and Portuguese nationality. About 34% of the participants reported having not been tested in the previous 12 months; 20.2% never used the health services. Overall, 14.9% (95%CI: 8.0-21.0%) reported being HIV-positive. Of those, 22.2% (95%CI: 1.0-43.5%) had unprotected sex with clients in the previous month, 26.7% (95%CI: 1.3-52.0%) had unprotected sex with non-paying partners in the previous year, 13.3% (95%CI: 0.0-33.0%) had ever injected drugs, 60.0% (95%CI: 23.0-97.0%) reported a past STI and 33.3% (95%CI: 2.0-64.6%) had currently HIV/STI co-infection. The socioeconomic, relational or partnering, and structural contexts conducive to increased risk are warranting further investigation. This knowledge would be valuable to inform prevention programs. HIV interventions, including secondary prevention, should address specific needs of TSW. Outreach initiatives aimed to reach TSW who are difficult to access can play a role in promoting access to health services and reducing HIV infection and transmission.