informe final consulta vih

8/19/2019 Informe Final Consulta VIH

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1

IFE DE A EI

C A C

IH

I IH I

Ca Paa, Paa, 79 2012


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2

I ...................................................................................................................................... 3

C .................................................................................................................................................... 5

O a a ............................................................................................................................ 6

P a ............................................................................................................................. 6

S Vaa a VIH a a a a ............................................... 7

Ia aa a a aa a aa ............................................... 7

Vaa a aa VIH ............................................................................................. 7

Ma a ITS ....................................................................................................................... 8

V a a ............................................................................................. 8

Vaa a a .................................................. 9

Ia aa aa a a a . ............................................................... 9

Ra a a a ................................................................... 10

Aa .................................................................................................................................................... 15

Ra G aa............................................................................................................ 20

A 1. G aa aa a VIH ............................................................... 20

A 2. G aa aa a a VIH

a .............................................................................................................................................. 25

A 3. G aa aa a a ............................ 32

A 4. G aa aa a a ..................................................... 34

La aa .............................................................................................................................. 37


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3

Da 3 a Aa Laa Ca Ea U Caa aa

aaa aa a a aa aa a

VIH. E a a a a a a a a VIH.

Paa 27 a a R a a aa a a. E aa a Ca Ra aa Aa Laa Ca

a a a a a aa a VIH a a a OPS,

a a a a aa Na Ua aa a a a

VIH/a (OPS/OMS, ONUSIDA, UNICEF, UNFPA), C aa C a P

Ea` Ea U (CDC), FGIZ Sa, a Oaa Ea Ca

Oa (OECO), COMISCA, ORAS aa aa.

Da , aa a a aa a

a VIH a a a (ITS), a a a

aa aa a a a a a a. E a a:

La aa VIH a aaa a VIH ( a a

a) a aa a a ( a).

La a a " a VIH

a aa a a ".

L a a a aa aa a a

a a a ( a, aa, aaa,

aa a).

• D a a a aa a aa a a

a a a a aa .

L a a aa aa aaaa,

a a ( a a, a

a a a) a aa a aa ( aa a,

a CD4 a aa aa).

La aa a aa a a


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4

a aa a, aa a a a, aa aa a a a aa, a a a VIH.

La aa a aa a a aa a a a a

a a, a a aa a aa a a

aa, a a aa, aa a.

S a a a a a a a

, a a a.

La aa a a a

aa a a aa.

L aa a aa a a aaa aaa a a a

a a a a a a a a aa

a aaa a, a a a

aa a VIH, .


5/38

5

La Aa Laa Ca (ALC) a a a , a a , a a a a a VIH aaaa a a a a VIH.1 D aa, a a a a a a a

a a a aaa aa a a a VIH.Ta, aa ALC a aa aa 2 a a a a a a a VIH.24

Ta aa a, a a aa aa, aa a aaa aa, a aa aa a VIH.58 E aa a a a a a a a a a a a a aa a aa aaa aa a a a a.2023

E 2003, a Haaa, Ca, a a a a aa a VIH, aaa aa 2 a a a

a a R, a a a a a a a. Ea a R Ja 2005, aa a a a a a a VIH a a,a aa aa aa a ALC.

Aa a a a a a a aa a aa a a, a a a VIH aa a, a a a a aa a a VIH. La OMS a aa a a aa a aa a a aa a a aa, a aa a HIV, aaa aa a aa a a a, a a aa a

a a a VIH a aa, a aa a a a VIH2432. Ta a aa aa aa aa (aa, a a a a, aa a a a VIH) a a aa aa aa a a a a aa.

C a a a a aa a a a a aa a aa a aa ALC, aa a a a a a, aa a aa. P , aa a a.

E a , a aa a a (ITS) aa aa (a a aa a aa a aa a aa a ITS a (.. a), aa a a aa aa a a ITS. S a, a aa a a a aa ITS, a a a a aa aa aa a aaa a a ITS a .


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6

L a :

a) Ra a a aa a a a a VIH ITS

) Ia a aa aa ALC a a a aa

a a a VIH a ITS.) La a a a aa a a a aa aa.

S aa a a a aa a a, aa, a a a.

Daa a aa aa aa a a aa a

a aa a a a a a a VIH/ITS I aa a a aa

a a a aa a VIH a aa a a

aa. C aa aa aa a aa

a a .


7/38

D

7

S a a aa VIH aaa a a a. Sa a a aa a a aa a a a aa a a a aa aa a VIH. E a a a a a a

aa a aa a a a VIH a a a a U Caa aa a aa a VIH a aa. Da a a a aa a aa a a a a a VIH.

E D. Ma G a a OPS a aa Taa2.0. E a a a aa a aaa aa aaa a aaa a a a VIH. La a VIH a a aa aa (TAR) aa, a a a a VIH a aa aa a a aa. E aa aa a a a aa a a a

aa a a. La a a a a a aaaa a , aa a a, a a VIH aa a ARN VIH aa. S a, a a a a a a VIH, a aa a a a a, a a a a aaaa a aa a a a aaa aa a a , a a a aa a a a VIH. E a a, a aa aa a aa a a VIH, a a a a a, aa, a aa a a aa a a

a aa. D a aa a a aa. La aa a aa aa a. E a a aa a aa aa a a a a aaa a.

IH

E 2012, a Oaa Ma a Sa a a a aa VIH a aa a a, aa a a a a aa a a a aa aa VIH.1

E a aaa a a a a a OMS aa a aa

a FRVIH a a aa a a aa.S a a a a a 4 aa: aa a aa a ; aa aa a a a a aaaa; aa aa a a aa a

E a a OMS a a:://..///a/2012//.


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D

8

aa aa; a a aa 18 a.2

A a a Ia Aa Taa (IAT)3 a a OMS aa a a FRVIH. L IAT 2012 aa a a aa, aa aa, a aa aa, a aa a, aa a a aa a. S a aaa a aa aa a a a aa a a a a a a a aa aa.

E D. Ra S a a a a aa a ITS La Aa Ca a a a a OMS aa a ITS. Ea a a aaa a a a aa ITS a OMS4. E a a aa a ITS : a a (/ ), aa a aa ITS aaaa a a.

L aa aa a a aa a. Ia a a a aa aa ITS a. L aa a a aaa aa a ITS OMS, aa aa.

S a a aa a a a ITS, a a aaa aa a, a aaa. L a aa a a a aa aaa,a a a aaa.

T a a a a a, a ( a ITS) aa a a a aa( ) a. L aa a aa a aaa aaaa a. A, a aa aa aaaa/ a a a ,a a aa a aa aa a a, aa a aa. S a a aa, a a a. L a a a a OPS aaa a a aaa a aa a ITS.

La Da. Pa I, U, a aa a aa a Iaa Ea a a a a VIH a a a a a

M a a aa aa a FRVIH : ://..///a///. 3 La a a a a a IAT a a aa OMS:

://..////__//. 4 D :

://../a/a//9789241504478//.


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D

9

a a a a a VIH a Ba a aa a a a aa, a D. G Fa.

C a a a aa a a VIH TB D. L Oa a a aa a aa aa a TBVIH. C a aa D. S a a E Saa a a a a aaaaa TB/VIH.

L a a a aa VIH aa a a a a . D aa aa aa a a a a a, a a , a a a a. E a a a a a a HSH. Ta aa a a a a a aa a. S a a aa a, a a aa a

a aa a aa VIH a a.

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aa. S a a a: Q aaa a aa aa a ? C a aa a aa aa a a aa? La a Aa Laa Ca aa a a aa , P I B, a aa aa a a, a a a a a VIH a a a aa a a aa. E a Jaaa, a M Ga SIDA (MEGAS), M Ta (MT), E Sa aa a a Pa EaNaa, aa a a, a. C aa aaa a aa aa a a aa , a aa aa, aa a a

a. E Ma Ca Ra C Aa, B RaDaa a aa a aa a aa a aaa aa a a a ( aa a a ARV, a, , a aa aa a ) a a aaa a aa aa aa.


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C

10

IH

a. L a aa aa a aa aa a a aa a VIH a a, a

a a VIH aa a aaa a a aa aa a VIH. La aa a VIH a aa aaa . Paa a a, a a aa aa a a a a.Ma a a aa a a a a a a a (aa, aa, aaa, aa a) a a VIH. E a a a a aa aa a a a a a aaa a.

. Aa, a a a a a VIH: . Ea VIH a a a a aa a.

. S a a a aa aa a CD4 a a aa a VIH.

. L a aa a a aaa a aaa a a. Da aa a a aa 1.


11/38

C

11

1.

C (, a, ..)*Fa aS La a Fa aUa aFa a **, a a aa ( a a), a a, a a, aaa. Ia ( aaa). EA a aa a aa a a a aaaa a aa a a.

** CD4Caa aFa ARV

** Fa * L a a a aaa a aa.**La a aa aa a a a a VIH.

. S a a a aa a a (a, ,a) ; ; a aa aaa ,

aaa, a a, a a, TB aa.

. La aa a a a a aaa a VIH. E aa a a a aa .

Paa aaa a aa aa a aa a VIH aa aa a a a aa, a a, aaa, aa, aa a (aa). L aa a a aa a , a a a a aaaa a a a a a aaa aa

a.

. E a aaa a a aa a a aa aa aaa a. P , a aa a aaa a a a a a a aaa aaa a.


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C

12

. L aa a a a a a aa aaa a a. Ia, aaa a aaa a a a aa a a VIH (a a) a, aaaa a a a a a, aa a a aaa, a a aa aa.

. S a a a a aaa a.

. T a a a VIH , a a aa . P , a a a a a a aa aaa, a a a a VIH.

. S a a a a, a aa aa aaa a a (a a) aa a .Ma a a a , a aa aa.

I

E a a a a aa Paa VIH aa a a aa a aaa a a a,a a a a, aa, aa a aa, aaa a. E a a a a a a a a Iaa Taa 2.0 a Aa Laa Ca. Ea a a a aa aa a aa a aa a a . E

a a aaa a aaa a a a a a a a a aa ( aa a a ).

a. L aa a aa a a a aa a a a a a aa a aaa a a a,a, aa aa . A a a a aa a aaa a a aa aaaa a a aa aa.

. L aa a aa a a a a

aaa a a, aa a a aa a a a.

. A a a a a a aaa a a a a.

. Fa a a a aa a a aaa(a, a aa a) aa a a, HSH, TS, UDI.


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C

13

. L aa aa a a aa aa a a aa a a a a AU, GARP, a aa, IAT, VIHTB,Iaa Ea.

I A a aa a a a ITS, a a aaa aa a, a aaa. S a, a aa a a a aa aaa,a a a aaa.

L aa a a aa a aa a ITS OMS, aa aa.

a. T a a a a a, a ( a ITS) aa a a aaa ( ) a. L aa a aa a a aa aaaa a. A, a aa

a a aaaa/ a aa , a a aa a aa aa aa, a a a aa.

. S a a aa, a a a. L a a a a OPS aaa a a aa a a aa a ITS.

I BIH La a aa a a a a aa a a aa VIH a T VIH.

a. S a a a a a, a a a aa a aa, a VIH a TB VIH. Aa aa a a a aa aa TBVIH.

L a a a aa a a aa a aaa, a a a aa, a a aa .

L a a a VIH a, a a, aaa a a a a

a (HSH, TS, UDI, .) a a aa a aa a.

a. La aa a a aa, aaaa aaa, aaaa a a a aaa .C a, a a a a a.


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C

14

. Paa a a a a aa a aa VIH, a , , a aa, a a a, a a a. E a aa a a a a a a a a a a aa a a a a a a aa. L a a a ( 500,000 aa) a a a a a a a a aa a VIH.

L a a a a a aaaa a a a a, a aa, a a aa, aa aa aa aa a a. A aa aaa a aa a a a a a, aa a aaa aa aa a a a a a a aa, a a aa, aa a a a .

. S a a a a a, a a aa aa aa a a a , a aa a aa aa, a a a aa a aa a.A aa a aa a aa a aaa, aa, aa.

. S aa a a a a a aa a aa a aa , a a a a a aa.

. S a a aa a a aa a aa a

aa ONG a aa a aa a a a aa aa a a aa a a a a a .


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1er Día .1er Día .1er Día .1er Día . Miércoles 7 de noviembre, 2012Miércoles 7 de noviembre, 2012Miércoles 7 de noviembre, 2012Miércoles 7 de noviembre, 2012Relator:Relator:Relator:Relator: Marcelo Vila, Nasim Farach, Clarisa BrezzoMarcelo Vila, Nasim Farach, Clarisa BrezzoMarcelo Vila, Nasim Farach, Clarisa BrezzoMarcelo Vila, Nasim Farach, Clarisa BrezzoFacilitadores: Eliseo Orellana (mañana) Claudia Vázquez (tarde)Facilitadores: Eliseo Orellana (mañana) Claudia Vázquez (tarde)Facilitadores: Eliseo Orellana (mañana) Claudia Vázquez (tarde)Facilitadores: Eliseo Orellana (mañana) Claudia Vázquez (tarde)

H F/D

7:308:00 I/Ra a

8:008:45 I, a

O

M Sa,PWRM. G

8:459:15 R aa aa aaa 2 a a a a a a

a a aa. 20

Pa/R a aa aa a a

aa a a a.R a a aa.

Ta Gaa Caa.OMS

9:1510:15 Ra aa aVaa a VIH(VCVIH)R .Q a a

aa a aa a?

I a :a) Vaa a

VIH a aa aIaa Ea aaa.

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aa.

Raaa 20

E: a Ha 15

E a

a aa aa a(aa CD4, CV):a Ba 15

Pa a10

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M a Ha

M Sa Ba

10:1510:30 Oaa aa: aa

G aa.D aa ( ) aa. Paa 2aa aaa.

FaaEa aa 10


16/38


17/38

A

17

a OMS aa FRVIH(aa, TAR,aa a) aa a R.Pa 10

9:3012:30 Pa:Q a/a a aaaa aa TAR aa a R.

G.

.

Faa

12:3013:30 Ca13:3014:30 Ia a a

aa.D

Pa aa: 10

Faa

14:3015:00 Ma aITS: Q a a aa a aa a?

Eaa Ga a ITS Ra aOMS aa aa aITS. 20Pa .

Ra S (C ITS, OMS)

15:0016:00 Pa ITSa. Ia a aa a aa a

a aa a.

Fa

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Faa

16:1517:15 I a a aa a

10 aa Faa

17:1518:15 E a a.

L a a : C a aa Pa a (PEMAR)

a a.1 a .Eaa a.

Faa


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18

3er Día.3er Día.3er Día.3er Día. Viernes 9 de noviembre, 2012Viernes 9 de noviembre, 2012Viernes 9 de noviembre, 2012Viernes 9 de noviembre, 2012Relator (solo de mañana): Giovanni Ravasi, Karen Hymbaugh, Marjolein JacobsRelator (solo de mañana): Giovanni Ravasi, Karen Hymbaugh, Marjolein JacobsRelator (solo de mañana): Giovanni Ravasi, Karen Hymbaugh, Marjolein JacobsRelator (solo de mañana): Giovanni Ravasi, Karen Hymbaugh, Marjolein JacobsFacilitadores: Marc Connolly (mañana) Mónica AlonsoFacilitadores: Marc Connolly (mañana) Mónica AlonsoFacilitadores: Marc Connolly (mañana) Mónica AlonsoFacilitadores: Marc Connolly (mañana) Mónica Alonso González (tarde)González (tarde)González (tarde)González (tarde)

H F/D

8:15 Ba a 3. Pa 1

a aaa

Faa

8:3010:00 V a a:

• E a a a:Ta Ma aH.

• E a

a a:.

Ma VaaGa aa a Iaa Ea. UNICEF

Da VIH a a. Ba

TBVIH:Ma a (OPS)Ea E

Saa.

P: Pa I(UNICEF)Ma VaaGa aa a Iaa Ea VIH(Pa I, UNICEF)15

G Fa (MSPBa) 15

Raa L Oa (OPS)6D. Saa S (ESaa) 15

D aa a a 10

10:0010:15

10:1511:15 Ia aaaa a a a .

V a a Ra a aa a ( aMEGAS, ITV RNM) 15.E aa ALC.15D 20

ONUSIDA RSTLA

ONUSIDA RSTCa

11:1513:45 Vaa a aPa a :Q a

a a a?C aa a a?C a aa

Sa a aaaa aa. 15

Ma G aa a.

Ta Gaa Caa(OMS)

Faa

D aa


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A

19

aa a?C aaa aa aa a a ?

13:4514:45 Ca

14:4516:30 Ra a a a .Pa a.

Paa aa.P a a aaa.

Faa

16:3017:00 C


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A

20

La Ca a aa aa . La aa aa aa aa a aa a :

G 1: Gaaa, Ba, Ca Ra, Aa, Ea, OPS, USAID, ONUSIDA.G 2: Ca, Ua, P, Paa, Ca, M, OPS, CDC, UNFPA. G 3: Ha, E Saa, Ra Daa, Va, Paaa, Ba, CDC, COMISCA,ONUSIDA, Ha F, OPS, Oa A SaG 4: Ha, Ta & Ta, Jaaa, Baaa, Sa, Da, Gaa, B, CDC, PHa A Caaa.

:

G 1

T a a VIH. Ca VIH a a VIH a a aa a. D a a a, a aa. S a a a a aa aa.La Vaa aa a :N a ILa a: S aa a aS GLa aEa

Fa NaFa aVa : a a, a a , a a , aa TRANS, a aa a a, a aa a aaN aOaEa ( a ?)CD4Ea Ea C (a)

G 2

S a a a a a VIH aa a a a.La aa a a a VIH :Ia ,N,Fa a,S,Ea,Laa, M, a, a,Eaa,Ua a a,


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A

21

Ma a(Sa: a,a, a;

Paa Sa: UDI,aa, aa),

E aaaa,

Fa a,Fa a aa.Ea a.

G 3

T aa a a a a a aa VIH. Laa aa a a VIH a a aa a.Vaa a:D: a, , aa, a a, / a, a(a a), a a, a a, a.C : a, , UDI, a a, aa.I : a, a, HSH.: CD4 Caa Va.F A.

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• AIDS/AIDS a a a a a

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A

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a a a DOB.Sa a a a HIV SaBaa: I a VCT . O a a a ( a aa) aa a .Jaaa a a aa aa VCT .Ta: Daa a a a a HIV a . R a

CAREC a .

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G 1

E a a a, a a aa a VIH, aa a a aa a .Da a a a aa a a aa a a. S aa . Da a a a a aa a.

G 2

Ia a a aa, a a aa.Ia a.F a a.Caaa a.

G 3

Vaa a a a aa aa a a VIH.Fa a a aa aC a aa a.Fa a aa a a a aa.Ea aa a aa aa a a a VIH.Caaa a a aa a a a VIH.

G 4

• Ia a a /

• I a a aa aa: NGO aa aa a aa a

• M a a a CBS

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• Aaa aa a MOH B

• UI a a

• I Ha a a a

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S a a a a a , a a a APS, aa, a , a a a a.

G 2

S a a a VIH .


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A

23

E aa aa PTMI.B:

Faa a a aa.Faa aaa aa a a a .D a VIH aa,Taa , a a aa.

Va a aa (a a)Pa a RNS RN aa a a a a.

G 3

E a a a a VIH .B:

Pa .S a a .:

Sa a a aa.Raa a a.Aa a a .

G 4

Y a

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4 ,

G 1

S a, a a a a a. E a, a a a a, a a a a a.Ha a a aa a aa CD4 CV.

G 2

E a a a CD4 CV; a a a a a a a a a a.

S a aa aa a a a a a.

G 3

D a a a a CD4 Caa a.Ba a a a a a a a.E a?


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A

24

S.D a aa a a aa a a a a.D a a a aa a aa a a.

G 4

Y.

• Ia a aa • H a

• I aI a?YA :

• A

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T, a a a• Ma

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:

G 1

E a aaaa VIH

G 2

S a a a aa SIDA.

T a a SIDA,P aa a a aa ARV, a a aa a aa SIDA.

G 3

G 4

AIDS a a HIV . T a AIDS A :

• E a a a a

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• G a a a a a/ aB

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AIDS a a a HIV a (Da a). T a a• N a a a


25/38

A

25

:

E a a a a aa a 1. Da 35 a a a 22 a aa a aa a aa a aa. La a aa a a ( a a a a aa aa ) aa aa a aa a aa.

G 1: S aa a a a. E a aa a aa a.La aa aa a a a a, a a a a aa a ( , aa, a, aa) a aa a a a. Paa aa a , aa:a. La a a aa aa;. Aa a a;. Iaa a a VIH, aaa;. Q a aa a a aa a aaa a (aa a)G 2: Ea a a a a aa a, a aa a a aa a a. E USA, a aa, aaaaaaa, a a a aa a aa a a aa a a aa aa a a aa a, aa a a aa a a. E a, aa a a a aa a a a aa a a a.G 3: D a a a a a. S a aa a aa a a a aaa. D aa a a a.

G 4: D a a a aaa a aa a a aaa VIH ( CV). VIH.Caaa a a a aa aa .Aa a a a .


26/38

A

1. IH

Na: C : V = aa a; aa = a a, = aa a, Ca aaa

a. E a aaa a a a aaa .


27/38

A

27

A

: IH ( : 1 2)

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) : HH, DI.

Ca

G 1

E a a, a a UDI aCaa a a a aa a aa.Pa a aa aa a a .

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G 2La aa a a S a, a a a V aa a a a, a a aa a a aa.

Aa

IH .

G 1 E a a a a. Aa

G 2 T a a. Aa IH

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G 1D a aa aaaa a aaaaaaa a a. (a aa a a a: aaa a a)

Aa

G 2D a a a a a a a a a aa aa.

Aa

B IH

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G 1 Aa

G 2D a aa TB aa a a a,

a a aa a.

Aa

D CD4 ( CD4): /%


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A

28

G 2N aa a a a a, aa a a a a a a a a.

Ia

HI .

G 1 S a aa Aa

G 2

La aa aa a a a a aa a a aa,

a a a, a a , aa aaa a aa. P a a aa aa. E a a a a aa a a. La aa aa a aa a aa.

Ia

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G 2 Na: a aaa CD4, a: a aaa a. C a a a a a.

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Ia

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B . G 1 Caa aa a TB a PVV. (Aa a a:

a a a a) Aa

G 2 Ia a a a, aa.

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G 1 Iaa a a aa a aa aa a

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G 2 Ya a aa Aa IH

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aa ( a a aa) a a a aa,Aa/I

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aa a ( a aa 3 ). O a aa aa a aaa a. E a, a a a a. T a aa a aa aa, a , a a a a.

: A (G : 3 4) :

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37/38

37

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