Civil Hospital of Guadalajara: A Reference in HIV Care and Prevention

The Civil Hospital of Guadalajara Fray Antonio Alcalde has positioned itself as a benchmark in the care of patients with HIV, providing services to more than 4,000 individuals. This figure reflects not only the magnitude of the problem but also the commitment of the healthcare system in the fight against this disease, which, despite advances, continues to pose a challenge in terms of public health and stigmatization. The Human Immunodeficiency Virus (HIV) is a pathogenic agent that directly attacks the cells of the immune system, leaving infected individuals vulnerable to various infections and diseases. In more advanced stages, the infection can progress to Acquired Immunodeficiency Syndrome (AIDS), a condition that, if not properly treated, can shorten patients' life expectancy. Dr. Luz Alicia González Hernández, head of the hospital's HIV Unit, has highlighted the importance of demystifying misconceptions about HIV. Many still believe that the virus can be transmitted through everyday interactions, but the reality is that it is primarily transmitted through the exchange of bodily fluids. This lack of information has contributed to the stigmatization of those living with the virus, which can lead to discrimination and delays in seeking medical care. At the Civil Hospital, the approach to treatment is comprehensive and personalized. Patients diagnosed with HIV receive antiretroviral treatment that allows them to lead healthier and more active lives. This regimen includes a daily pill that has proven effective in improving patients' quality of life by reducing viral load to undetectable levels. Additionally, the hospital offers Pre-Exposure Prophylaxis (PrEP), a strategy that has gained traction in HIV prevention. This option is available for free and is especially recommended for at-risk individuals, such as those who have had unprotected sex. PrEP consists of the daily intake of a medication that significantly reduces the chances of acquiring the virus. The importance of HIV testing is another aspect emphasized by Dr. González. She advises individuals who have been exposed to risk factors to get tested, as well as all pregnant women, since early detection is crucial to prevent vertical transmission of the virus to the fetus. In Mexico, the statistics are alarming, with one person diagnosed every 30 minutes, underscoring the urgency of raising awareness and taking action. Care at the Civil Hospital extends to vulnerable populations, including pregnant women and transgender individuals. According to researcher Carlo Valentino García y Nuño, there is a significant number of young people under 24 who also receive care, indicating that education and prevention should focus on this demographic group. Awareness about HIV is essential to prevent new generations from becoming part of the statistics. Advances in medicine have allowed people diagnosed with HIV to live long and healthy lives. It is estimated that those who receive timely care can achieve a life expectancy close to 76 years. This is a significant advancement, but it also highlights the need to continue working on prevention, education, and comprehensive care. HIV transmission can occur at different stages of pregnancy, and early detection is key to mitigating these risks. Dr. González explains that transmission can occur during pregnancy, childbirth, or breastfeeding, emphasizing the importance of women getting tested and following appropriate treatments if diagnosed positive. In conclusion, the Civil Hospital of Guadalajara exemplifies a model of care that not only focuses on treatment but also on prevention and support for vulnerable populations. As we advance in knowledge and management of HIV, it is essential for society as a whole to collaborate to eliminate stigma and improve the quality of life for those living with this virus. Education, early detection, and access to treatments are crucial steps in the fight against HIV and AIDS, and each of us plays an important role in this collective effort.