Category Archives: HIV/AIDS

Vaginal ring provides partial protection from HIV in large multinational trial

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From the National Institutes of Health

NIH-funded study finds protective effect strongest in women over age 25.

Woman holding the dapivirine vaginal ring tested in the NIH-funded ASPIRE study. International Partnership for Microbicides

Woman holding the dapivirine vaginal ring tested in the NIH-funded ASPIRE study. International Partnership for Microbicides

A ring that continuously releases an experimental antiretroviral drug in the vagina safely provided a modest level of protection against HIV infection in women, a large clinical trial in four sub-Saharan African countries has found.

The ring reduced the risk of HIV infection by 27 percent in the study population overall and by 61 percent among women ages 25 years and older, who used the ring most consistently.

These results were announced today at the Conference on Retroviruses and Opportunistic Infections (CROI) in Boston and simultaneously published online in the New England Journal of Medicine.

“Women need a discreet, long-acting form of HIV prevention that they control and want to use,” said Anthony S. Fauci, M.D., director of the National Institute of Allergy and Infectious Diseases (NIAID), part of the National Institutes of Health (NIH) and the primary funder of the trial. “This study found that a vaginal ring containing a sustained-release antiretroviral drug confers partial protection against HIV among women in sub-Saharan Africa. Further research is needed to understand the age-related disparities in the observed level of protection.”

Women accounted for more than half of the 25.8 million people living with HIV in sub-Saharan Africa in 2014. Finding effective HIV prevention tools for adolescent girls and young women in particular is critical, as one in four new HIV infections in sub-Saharan Africa occur in this group. Continue reading

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Worlds Apart: Vast disparities in treatment separate Americans with HIV

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Loren Jones, 63, lives in a government-subsidized studio apartment in downtown Berkeley. (Heidi de Marco/KHN)

Loren Jones, 63, lives in a government-subsidized studio apartment in downtown Berkeley. (Heidi de Marco/KHN)

By Barbara Feder Ostrov

A major insurer said recently it would offer life insurance to HIV-positive people because of their rising life expectancies, prompting cheers from AIDS activists.

But on the very same day,  the nation’s top disease control official described an America falling far short in its fight against AIDS.

Compared to white men, African American men were more than seven times and Latino men were almost twice as likely to die from HIV-related complications.

It might seem a jarring disconnect — but it reflects very different realities dividing the estimated 1.2 million Americans living with the human immunodeficiency virus that causes AIDS.

While life expectancies are approaching the national norm among white, affluent gay men, about 66 percent of the 1.2 million people living with HIV/AIDS in the United States are not in treatment, imperiling their health and putting them at risk for infecting others.

African-Americans, mostly gay or bisexual men, account for nearly half of the approximately 45,000 Americans infected with HIV each year.

Both African-Americans and Latinos are less likely to remain in treatment than whites.

Compared to white men, African American men were more than seven times and Latino men were almost twice as likely to die from HIV-related complications.

HIV/AIDS activists and physicians say that despite the significant medical advances in treating the disease, many patients are being left behind because of their life circumstances.

Groups that once held angry demonstrations against government agencies and pharmaceutical companies to speed access to affordable, life-saving HIV medications now emphasize the socioeconomic barriers that keep some people living with HIV from consistently obtaining and using those drugs to remain healthy.

“There is an extreme disparity when it comes to treating HIV and AIDS,” said Anthony Hayes, managing director of public affairs and policy for GMHC, formerly Gay Men’s Health Crisis. Continue reading

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State’s disease outbreak preparedness falls short — report

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Washington Scored Five Out of 10 on Key Indicators Related to Preventing, Detecting, Diagnosing and Responding to Infectious Disease Outbreaks

MERS virus

A new report finds Washington state scored only 5 out of 10 on key indicators related to preventing, detecting, diagnosing and responding to outbreaks.

The state-by-state analysis was prepared by Trust for America’s Health (TFAH) and the Robert Wood Johnson Foundation (RWJF)

Twenty-eight states and Washington, D.C. scored 5 or lower out of 10 key indicators.

Five states—Delaware, Kentucky, Maine, New York and Virginia—tied for the top score, achieving eight out of 10 indicators. Seven states — Idaho, Kansas, Michigan, Ohio, Oklahoma, Oregon and Utah — tied for the lowest score at three out of 10.

The report, Outbreaks: Protecting Americans from Infectious Diseases, concluded that the United States must redouble efforts to better protect Americans from new infectious disease threats such as MERS-CoV and antibiotic-resistant Superbugs and resurging illnesses like whooping cough, tuberculosis and gonorrhea. Continue reading

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STD researchers turn to Google

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Screen Shot 2015-12-11 at 8.59.33 AM

Where Are STDs Rampant? Google Wants To Help Researchers Find Out

By Mary Chris Jaklevic
KHN

With sexually transmitted diseases on the rise, researchers at the University of Illinois at Chicago think they might have a powerful new weapon to fight their spread: Google searches.

The nation’s leading search engine has quietly begun giving researchers access to its data troves to develop analytical models for tracking infectious diseases in real time or close to it. UIC is one of at least four academic institutions that have received access so far, along with the U.S. Centers for Disease Control and Prevention.

Researchers can mine Google data to identify searched phrases that spiked during previous upticks in a particular disease. Then, they measure the frequency of those searches in real time to estimate the number of emerging cases. For instance, a jump in gonorrhea might coincide with more people searching “painful urination” or other symptoms.

“If this works, it could revolutionize STD surveillance,” said Supriya Mehta, an associate professor of epidemiology at the UIC School of Public Health. Continue reading

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Seattle Children’s discovers lapse in sterilization at Bellevue clinic | Patients may need to be tested for Hep. B, C, HIV – Bellevue Reporter

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Seattle Children's Whale LogoSeattle Children’s Hospital is working with the state health department and the Centers for Disease Control after it was revealed that the required procedures for cleaning and sterilizing surgical instruments at the hospital’s Bellevue Clinic and Surgery Center were not always followed.

“I understand that families will be concerned, and rightly so, but from a scientific perspective, the risk is low, which I hope that families find reassuring,’ Seattle and King County Public Health official Justin Duchin, M.D. said at a press conference on August 26.

As a result of the problems with sterilization, patients who had a surgical procedure at the Bellevue Clinic may need to be tested for hepatitis B and C, as well as HIV, the hospital said in a statement.

Source: Seattle Children’s discovers lapse in sterilization at Bellevue clinic | Patients may need to be tested for Hep. B, C, HIV – Bellevue Reporter

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One in 8 with HIV do not know they are infected

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hiv testing graphic

From the US Centers for Disease Control and Prevention

National HIV Testing Day is a reminder to get the facts, get tested, and get involved to take care of yourself and your partners.

An estimated 1.2 million people in the United States are living with HIV, and that number grows by almost 50,000 every year. One in eight people who have HIV don’t know it. That means they aren’t getting the medical care they need to stay healthy and avoid passing HIV to others.

CDC has found that more than 90 percent of new HIV infections in the United States could be prevented by testing and diagnosing people who have HIV and ensuring they receive prompt, ongoing care and treatment. Early linkage to and retention in HIV care is central to managing HIV and promoting health among all people living with HIV. HIV medicines can keep people with HIV healthy for many years, and greatly reduce the chance of transmitting HIV to their sex partners.

Get the Facts

Protecting yourself and others against HIV starts with knowledge. Knowing the facts about HIV will help you make informed decisions about sex, drug use, and other activities that may put you and your partners at risk for HIV.

  • Learn the basics about HIV, how to prevent HIV transmission, and the steps you can take to protect yourself and others.
  • Talk about what you learn with your friends and other people who are important to you.
  • Empower even more people via social media. Share your new knowledge with your friends online.
Find more information about HIV testing, and who should be tested, on CDC’s HIV Testing Basics web page.

Get Tested

The only way to know if you are infected with HIV is to get tested. Continue reading

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Inside Indiana’s HIV rural epidemic

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ProPublica Podcast

More than 150 people in southeast Indiana have been diagnosed with HIV, the largest outbreak in state history.

Even though the first reports trickled in to state health officials last December, they didn’t tell their local counterparts in Scott County for two months when it became a full-blown epidemic.

Investigative reporter Bob Segall has been looking into the outbreak for WTHR, NBC’s Indianapolis affiliate. He joins ProPublica senior health reporter Charles Ornstein on the podcast this week to discuss:


ProPublica on Facebook and Twitter, and get ProPublica headlines delivered by e-mail every day.

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Gonorrhea cases jump 40% in Washington state

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Gonorrhea bacteria - Photo CDC

Gonorrhea bacteria – Photo CDC

Cases of the sexually transmitted infection gonorrhea continued to climb in Washington state last year, rising to 6,136 cases in 2014, up from 4,395 cases in 2013 – a jump of almost 40 percent.

The latest increase follows a 33 percent increase from 2012 to 2013, Washington state health officials said Wednesday.

The latest increase follows a 33 percent increase from 2012 to 2013. Rates of infection in Washington have more than doubled since 2009 rising from 34 cases per 100,000 people to a rate of 88 cases per 100,000 people in 2014. State and local health officials have yet to learn why the number of infections keeps climbing.

“The continued increase in cases is concerning,” said Zandt Bryan, infectious disease coordinator for the department. “We’re working closely with local health partners to monitor the situation, and to share information about the importance of routine screening, getting exposed partners treated quickly, and the need to practice safe sex.”

Increases in gonorrhea diagnoses have been seen in men and women of various age groups, but young adults continue to be the most affected. Most counties around the state saw an increase in cases of the disease. However, some have seen bigger spikes. Clark, Kitsap, Snohomish, Yakima, Grant, and Spokane counties all experienced outbreaks during 2014.

  • Gonorrhea is the second most common sexually transmitted disease in the state after chlamydia.
  • The disease is spread through unprotected sex with an infected partner.
  • The infection often has no symptoms, particularly among women.If symptoms are present, they may include discharge or painful urination.
  • Serious long-term health issues can occur if the disease isn’t treated, including pelvic inflammatory disease, infertility, and increased chances of HIV transmission.
  • Drugs that are currently available are effective against the disease, but gonorrhea can become resistant to medications.

The Department of Health urges anyone who is experiencing symptoms, or has a partner that has been diagnosed, to be tested. Sexually active individuals with multiple partners are encouraged to have routine screenings. Prevention methods include consistent and correct use of condoms, prompt treatment of partners, mutual monogamy, and abstinence. Continue reading

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Washington scores four out of 10 on key indicators related to preventing and responding to infectious disease outbreaks

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From Trust for America’s Health and the Robert Wood Johnson Foundation 

Washington scored only four out of 10 on key indicators related to preventing, detecting, diagnosing and responding to outbreaks, like Ebola, Enterovirus and antibiotic-resistant Superbugs.

Some key Washington findings include:

No. Indicator Washington Number of States Receiving Points
A “Y” means the state received a point for that indicator
1 Public Health Funding: Increased or maintained level of funding for public health services from FY 2012-13 to FY 2013-14. N 28
2 Preparing for Emerging Threats: State scored equal to or higher than the national average on the Incident & Information Management domain of the National Health Security Preparedness Index. Y 27 + D.C.
3 Vaccinations: Met the Healthy People 2020 target of 90 percent of children ages 19-35 months receiving recommended ≥3 doses of HBV vaccine. N 35 + D.C.
4 Vaccinations: Vaccinated at least half of their population (ages 6 months and older) for the seasonal flu for fall 2013 to spring 2014. N 14
5 Climate Change: State currently has completed climate change adaption plans – including the impact on human health. Y 15
6 Healthcare-acquired Infections: State performed better than the national standardized infection ratio (SIR) for central line-associated bloodstream infections. N 16
7 Healthcare-acquired Infections: Between 2011 and 2012, state reduced the number of central line-associated blood stream infections. N 10
8 Preparing for Emerging Threats: From July 1, 2013 to June 30, 2014, public health lab reports conducting an exercise or utilizing a real event to evaluate the time for sentinel clinical laboratories to acknowledge receipt of an urgent message from laboratory. N 47 + D.C.
9 HIV/AIDS: State requires reporting of all CD4 and HIV viral load data to their state HIV surveillance program. Y 37 + D.C.
10 Food Safety: State met the national performance target of testing 90 percent of reported Escherichia coli (E. coli) O157 cases within four days. Y 38 + D.C.
Total  4

 Read the full report here.

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HIV clinic in Federal Way to increase treatment access for patients

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UW Federal WayFrom the Washington State Department of Health

The Department of Health is funding a new HIV satellite clinic in Federal Way.

It’s the fourth department-funded satellite clinic aimed at improving access to primary medical care for HIV-positive people in Puget Sound.

The satellite clinic operates through a partnership with Harborview Medical Center’s Madison Clinic.

A Harborview physician will be available every Thursday at the UW-Neighborhood Clinic in Federal Way to provide care to HIV patients living in Federal Way and nearby communities.

The department is giving Harborview $42,000 to cover the physician’s time and the costs of administering the services. The clinic opened Oct. 9, 2014.

Earlier satellite clinics opened in Everett, Bremerton and Olympia (in partnership with SeaMar Community Health Center).

The state health department estimates that there are as many as 2,365 people living with HIV in the southern King County and Pierce County areas. Continue reading

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Gay, bisexual men complacent about HIV testing, study finds – SFGate

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aids-ribbonFewer than 20 percent of gay and bisexual men have been tested for HIV in the previous six months — as recommended by national public health agencies — and almost a third have never been tested at all, according to a survey conducted in the summer by the Kaiser Family Foundation. The same survey found that gay and bisexual men were largely uninformed about drug therapies to prevent HIV and that most of them rarely, if ever, talk to their doctors about the virus.

via Gay, bisexual men complacent about HIV testing, study finds – SFGate.

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County health officials get court order to stop HIV-infected man | Local News | The Seattle Times

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Niaid-hiv-virion-mod_2To stop a man with HIV who has infected eight other people in the last four years, public health officials have sought court enforcement of its order requiring him to attend counseling and treatment sessions.

via County health officials get court order to stop HIV-infected man | Local News | The Seattle Times.

 

 

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