Lisboa without Aids
Responses to HIV are key to making Lisbon a more fair and resilient city.
Today, despite the widespread effectiveness of treatment, a political response that removes barriers, eliminates stigma and discrimination is needed. The Municipality of Lisbon assumes the political leadership of this response, from a local perspective, with the collaboration of government entities, associations, academia, and people living with HIV and affected by the infection. Our commitment: working to improve the diagnosis of HIV infection; improving access to treatment and promoting its efficiency.
Screening for HIV infection is done through a blood test.
It is important for people to get tested if they have unprotected sex or share needles, syringes or other injection equipment to inject drugs.
It is possible to do a quick test (with a drop of blood obtained through a painless prick on the fingertip), in one of the several screening centres throughout the city of Lisbon. In these places, the test is anonymous, confidential and free of charge.
The test can also be prescribed by the Family Physician or by any other doctor and be done in a laboratory following blood collection or purchased at a pharmacy and done at home (self-test).
Places in Lisbon where you can get tested for HIV (anonymously, confidentially and free of charge):
Ares do Pinhal - Unidades Móveis de Lisboa
Paragens: Avenida de Ceuta 8:30-10:00 e 15:30-17:00 | Bela Vista 10:30-12:30 e 16:30-17:30 | Lumiar 10:30-11:30 e 14:30 – 16:00 | Praça de Espanha 12:00-13:30 e 17:30-19:30 | Santa Apolónia 8:30- 10:00 e 18:00-19:00
+351 218 470 218 / +351 919 559 503
Centro de Aconselhamento e Detecção Precoce do VIH - Lapa
Centro de Saúde da Lapa
Rua de São Ciro, 36, 1200-831 Lisboa
+351 21 393 01 51/2
Fundação Portuguesa A Comunidade Contra a SIDA
Edifício Central da Graça, Praça António Sardinha, 9 - 1.º, 1170-028 Lisboa
+351 213 540 000 / +351 800 213 140
Médicos do Mundo - Equipa Técnica de Rua
Segunda-feira: Praça da Figueira 20:00-21:30
Quarta-feira: Jardim Constantino 19:00-20:15 | Largo de Sta Bárbara 20:30-22:00
Quinta-feira: Gare do Oriente 10:30-11:30 | Bairro da Cruz Vermelha 15:00-16:00
+351 964 444 261 / +351 213 619 520
What is it?
Pre-exposure prophylaxis is an effective way to prevent HIV infection by taking a medicine.
Indicated for people at increased risk of HIV infection, especially in the following situations: sex without a condom in the last 6 months with people of unknown HIV status, or diagnosed with a sexually transmitted infection; use of pre-exposure prophylaxis in the last 6 months; sex under the influence of excessive alcohol, or drugs; sex without a condom for the purpose of obtaining money, goods or drugs; use of injected drugs with sharing of needles or syringes.
What should I do?
Before starting treatment it is necessary to ensure that there is no HIV infection and it is recommended to have other sexually transmitted infections tested and to test the functioning of the kidneys. In Portugal, it is necessary to refer to a hospital visit, which can be requested at a screening session or at a medical appointment.
- The condom protects against HIV infection and other sexually transmitted infections, such as Hepatitis B, Chlamydia and Gonorrhoea. It can also be used to prevent unwanted pregnancies.
- There are two types of condoms: external (commonly known as male, is placed, for example, on the penis or sex toys) and internal (commonly known as female, is placed, for example, in the vagina or in the anal canal). Condoms are available in various materials, models and sizes.
- Water-based lubricants (with or without flavours and/or aromas) can be used with any type of condom. Its use is particularly recommended in anal sex, to reduce the likelihood of the condom being torn.
Health centres, Youth Care Centres and community-based organisations tackling HIV make condoms available free of charge.
Condoms can also be purchased at pharmacies, supermarkets, service stations, vending machines, among other locations.
What is it?
Post-exposure prophylaxis is a treatment to prevent infection after exposure to HIV.
For people who have had unprotected sex, or when there has been a condom break in the last 72 hours.
What should I do?
Move to hospital urgency as soon as possible: no later than 72 hours after unprotected intercourse or after condom breakage. The treatment can only be prescribed in the hospital emergency.
When a person living with HIV is being treated and has an undetectable viral load, HIV is not transmitted during sexual intercourse.
Viral load is the amount of HIV in a person's blood.
When a person living with HIV is being treated effectively, the amount of HIV is significantly reduced to the point that it is not detected in a blood test. This is called an undetectable viral load.
When the viral load is undetectable, HIV is no longer transmitted during sexual intercourse, even when a condom is not used.
People who are living with HIV and are undetectable can live their sexuality without fear.
It is important to know this information to reduce the stigma and discrimination associated with HIV infection.
With the subscription of the Paris Declaration, in May 2017, Lisbon made a commitment to support and accelerate local responses concerning HIV, aimed at eliminating the HIV and AIDS epidemic as a public health problem in Lisbon by 2030, achieving the goal of zero discrimination and the 95-95-95 targets, meaning that:
- 95% of people living with HIV are aware of their infection;
- 95% of people who know they have HIV are receiving antiretroviral treatment;
- 95% of people undergoing treatment have an undetectable viral load.
In order to achieve these targets, it is necessary to ensure that everyone has access to prevention, screening, treatment and all other healthcare, in a comprehensive approach to HIV infection that also includes tuberculosis, viral hepatitis and other infections, as well as strategies to reduce risk and mitigate damage associated to the use of drugs, promote mental health and the management of comorbidities associated to aging with HIV.
To this end, on May 17th 2018, the Municipality of Lisbon signed a collaboration protocol with key partners to implement the strategy of the "Lisbon, city without AIDS" initiative.
- Formulate strategies to address the preventive needs on sexual transmission and on sharing of drug use material;
- Distribute HIV prevention materials in accessible locations, in appropriate quantities, and associated with the initiative's graphic identity;
- Provide safe material for drug consumption and naloxone use in the community;
- Collaborate in the introduction of pre-exposure prophylaxis (PrEP) in the community;
- Improve the conditions of access to post-exposure prophylaxis;
- Ensure access to sexual health consultations in key populations;
- Develop a comprehensive plan of action to increase early diagnosis;
- Establish a network of partners and tracing partnerships;
- Collaborate in the implementation of the Test and Treat strategy;
- Remove barriers to diagnosis and treatment;
- Implement continuous monitoring of initiatives under this project.
- Establishment of a local network of partners with experience in the area of HIV and other sexually transmitted infections;
- Creation of operating structures that are facilitating engines of communication / information and allow the streamlining of procedures;
- Establishment of working groups that focus on specific themes according to the objectives to be achieved;
- Creation of a monitoring system to monitor the progress of the initiative in partnership with IAPAC and UNAIDS.
The ambitious goal of this protocol of collaboration between partners in various areas is to make Lisbon a City Without AIDS by 2030.
Of all the commitments made by the City of Lisbon by signing the Paris Declaration on 29 May 2017, it seems to me particularly important that responses to HIV / AIDS contribute to a positive social transformation, in order to promote a welcoming and inclusive society.
It is essential to respond to the needs of the most vulnerable to the epidemic, who are also the most affected and often the most discriminated against: men who have sex with men, migrants, drug users and sex workers. Only then our common goal can be achieved.
Teresa Pizarro Beleza, Professor at the Faculty of Law of the Universidade Nova de Lisboa.
An infection which is exclusively human, such as HIV infection, deserves a clear control and, ultimately, eradication strategy. There's nothing overly ambitious about it! On the contrary, this has to be the commitment to health as a human right.
Ending the AIDS epidemic is an achievable goal, but in order to be truly effective we need that 90% of people living with HIV know about their status, 90% of those are in treatment and 90% of those achieve viral suppression. We should recognize its syndemic nature, monitor the dynamics of the epidemic, act where the risk is more important, ensure continued pathways in health care and sustainable access, and make the best treatments affordable
In Portugal, it is in large urban centers that infection has a more evident expression: therefore, attentive and caring cities can accelerate this process and lead the end of the epidemic.
Henrique Barros, president of the Institute of Public Health at the University of Porto.
Lisbon City Council - Manuel Grilo, councilor
State Secretary for Health
Portuguese Group of Activists in Treatments - Luís Mendão
Faculty of Law of the Universidade Nova de Lisboa - Teresa Pizarro Beleza, professor
Institute of Public Health of the University of Porto - Henrique de Barros, president
Activist - Paolo Gorgoni
It is made up of representatives of the following entities:
Lisbon City Council (presidency)
Santa Casa de Misericórdia of Lisbon
Regional Health Administration of Lisbon and Tagus Valley
Directorate General for Health - National Program for HIV and AIDS
Primary Healthcare Clusters of Lisbon North, Central Lisbon and Western Lisbon and Oeiras
Hospital Centers of Lisbon North, Central Lisbon and Western Lisbon and Oeiras
Portuguese Group of Activists in Treatments
Expert in the area of HIV - National Institute of Health Doctor Ricardo Jorge