Key Points

HIV Infections and AIDS

• HIV Surveillance:

  • Participation in LaboVIH: comprehensive Since 2020, laboratory participation in the LaboVIH survey has remained comprehensive.

  • Mandatory reporting (MR): declining The completeness of reporting by laboratory technicians has declined compared to 2022, with an overall rate of 69%, which is relatively similar to what is observed in mainland France.

• HIV screening: on the rise

The rate of HIV serology tests performed per 1,000 inhabitants in Martinique is increasing in 2023 (205 per 1,000 inhabitants), close to the rate observed in Guadeloupe. However, since 2020, the proportion of late and advanced-stage screenings remains significant.

• HIV diagnosis (DO): stable

The number of new HIV diagnoses, adjusted for underreporting, missing data, and reporting delays in Martinique, was 81 in 2023. Over the past 10 years, the number of new diagnoses has remained stable.

• AIDS diagnosis (DO): stability

In Martinique, the number of AIDS diagnoses remained stable over the 2014–2023 period.

Chlamydia trachomatis (Ct) infection

• In Martinique, the Ct infection screening rate is 91.9 per 1,000 inhabitants, higher than the rate in mainland France excluding the Île-de-France region (39.8 per 1,000 inhabitants). The rate of Ct infection diagnoses is 115.7 per 100,000 inhabitants, higher than the rate in mainland France excluding the Île-de-France (IdF) region (70.9 per 100,000 inhabitants).

Gonococcal infection

• In Martinique, the screening rate for gonococcal infection is 89.6 per 1,000 inhabitants, higher than the rate in mainland France excluding the Île-de-France region (44.7 per 1,000 inhabitants). The diagnosis rate for gonococcal infection is 60.3 per 100,000 inhabitants, higher than the rate in mainland France excluding the Île-de-France region (24.3 per 100,000 inhabitants).

Syphilis

• In Martinique, the syphilis screening rate is 123.5 per 1,000 inhabitants, higher than the rate in mainland France excluding the Île-de-France region (43.1 per 1,000 inhabitants). The syphilis diagnosis rate is 6.1 per 100,000 inhabitants, similar to the rate in mainland France excluding the Île-de-France region (6.0 per 100,000 inhabitants).

Prevention

• “Mon test IST” has supplemented and replaced “VIHTest” since September 2024. In fact, in addition to HIV, the screening includes the following infections: Chlamydia trachomatis, gonorrhea, syphilis, and hepatitis B (depending on vaccination status). These screenings are performed at no cost regardless of age for HIV and subject to being 26 years of age or older for other STIs.

• More information at ameli.fr