Category Archives: HIV/AIDS

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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Women’s health – Week 45: Sexually transmitted infections

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tacuin womenFrom the Office of Research on Women’s HealthSexually

Sexually transmitted infections (STIs): also commonly called sexually transmitted diseases (STDs), are infections you can get by having sex with someone who has an infection. Continue reading

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Some plans skew drug benefits to drive away patients, advocates warn

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The insurers say they’re in compliance with the law.

Four Florida insurers allegedly discriminate against people with HIV/AIDS by structuring their prescription drug benefits so that patients are discouraged from enrolling, according to a recent complaint filed with federal officials. Continue reading

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Women’s health — Week 27: HIV/AIDS

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tacuin womenFrom the Office of Research on Women’s Health

The human immunodeficiency virus (HIV) is the virus that causes AIDS.

HIV attacks the immune system by destroying CD4 positive (CD4+) T cells, a type of white blood cell that helps fight infections.

If you are HIV infected, you are at risk for infections and other conditions because the HIV virus destroys your T cells.  Continue reading

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Snohomish to mark World AIDS Day with events, memorial walk, screenings

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From the Snohomish Health District

 

Shared responsibilities: Celebrate World AIDS Day in Everett, Dec. 1

Events in Everett Sunday afternoon; free HIV tests by appointment for at-risk people Dec.2, 4, & 6

The public is welcome to free events in downtown Everett to commemorate World AIDS Day 2013 on Sunday, Dec. 1.

Three community partners will sponsor a memorial walk and program that afternoon to build awareness of the impact HIV/AIDS has on our community.

All activities take place at the Snohomish Health District, 3020 Rucker Ave., Everett, Wash. Testing opportunities are available at the Health District Dec. 2-6.

Sunday, Dec. 1

1 p.m. Remembrance walk leaves the Snohomish Health District, 3020 Rucker Ave., goes to AIDS Memorial of Snohomish County at 3021 Wetmore Ave., Everett

2 p.m. Return to the Health District for a program, music, and light refreshments

The afternoon program includes remarks by Rev. Julie Montague from Everett Unity Church, and comments from Snohomish County residents living with HIV/AIDS. The program also features music by local musicians Terri Anson and Savannah Woods. The program is free and open to the public.

Local sponsors include Snohomish Health District, Snohomish County Gay Men’s Task Force, and AIDS Project Snohomish County. For information about AIDS Project Snohomish County, please contact Jeannine Fosca at 425.923.7656 or Dancing_lively@yahoo.com.

World AIDS Day events remember those lost to AIDS, support those living with the disease, reinforce the need to combat stigma, discrimination and intolerance, and underscore the need for routine HIV screening.

“The medical community has made great advances in treating HIV/AIDS in recent years,” said Dr. Gary Goldbaum, Health Officer and Director of the Snohomish Health District. “However, there still is no cure. Early treatment is critical to both help those who are infected and to prevent spread to others. Screening is key”

An estimated one in five Americans infected with HIV is unaware of itAccording to the Washington State Department of Health, 1,130 people in Snohomish County have been diagnosed with HIV since 1982. Screening for tuberculosis is also recommended for HIV-positive people.

Monday, Dec. 2

9 a.m.-noon, 1-5 p.m. — Free rapid-tests for HIV offered to anyone at risk of the disease, the Health District, 3020 Rucker Ave., Suite 108.Call for appointment: 425.339.5298.

Tuesday, Dec. 3

3-6 p.m., special health event for gay and bisexual men – tests available for HIV, Hepatitis C, and syphilis; also vaccinations for Hepatitis A and B. Come to the Health District, 3020 Rucker Ave., Suite 106, Everett. No appointment needed.

Wednesday, Dec, 4

9 a.m.-noon, 1-5 p.m. — Free rapid-tests for HIV offered to anyone at risk of the disease, the Health District, 3020 Rucker Ave., Suite 108.Call for appointment: 425.339.5298.

Friday, Dec. 6

9 a.m.-noon, 1-5 p.m. — Free rapid-tests for HIV offered to anyone at risk of the disease, the Health District, 3020 Rucker Ave., Suite 108.Call for appointment: 425.339.5298.

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Women’s Health — Week 12: Contraception

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From the Office of Research on Women’s Health

Contraception, also known as birth control, is used to prevent pregnancy. A woman should talk to her health care provider about her choice of birth control method. Her choice to use birth control and her choice of method depends on factors such as her general health, age, frequency of sexual activity, number of sexual partners, desire to have children in the future, and family history of certain diseases.

There are several general methods of birth control, including:

  • Barrier methods used to prevent sperm from entering the uterus. Condoms, the diaphragm, and the cervical cap are all barrier methods.
  • The intrauterine device, or IUD, is a small device that a health care provider inserts into a woman’s uterus. An IUD can stay in the uterus for up to 10 years until it is removed by a health care provider.
  • Hormonal birth control releases hormones into a woman’s body to prevent ovulation. The birth control pill, injections, skin patches, and vaginal rings are all hormonal forms of birth control.
  • Sterilization is a method that permanently prevents a woman from getting pregnant or a man from being able to get a woman pregnant. A health care provider performs a surgical procedure to sterilize a woman or man. Sterilization usually cannot be reversed.

It is important to remember – even though all these methods can prevent pregnancy – condoms are the only method that can protect against sexually transmitted infections or HIV.

For more information on sexually transmitted infections, see Week 45. For more information on HIV, see Week 27.

For more information: www.nichd.nih.gov

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How healthcare reform will affect people with HIV and AIDS

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ACA health reform logoBy Christine Vestal
Stateline Staff Writer

The Affordable Care Act will broaden health care coverage for many of the 1.1 million Americans infected with HIV, especially those who live in the 25 states and the District of Columbia that have opted to expand Medicaid.

In those states, the larger Medicaid programs will cover about 60 percent of the mostly uninsured patients currently receiving help from federal-state HIV programs.

Medicaid will cover all of their health needs, not just their AIDS/HIV treatments.

Nationwide, another 30 percent of the people receiving HIV services now will qualify for tax subsidies to help them purchase insurance on exchanges, according to data from the National Alliance of State & Territorial AIDS Directors.

As a result, state officials who run so-called Ryan White programs that provide health care and other services for HIV-infected residents are preparing for a major shift in the type of benefits they offer and possibly the level of future investment.

What are the biggest ACA benefits for people with HIV?

In addition to expanding Medicaid, the ACA prevents insurance companies — whether they are on the exchanges or not — from dropping or denying coverage or charging higher rates for people with pre-existing conditions such as HIV/AIDS.

Currently, at least 30 percent of HIV infected people are uninsured. That compares to 15 percent in the general population, according to a study from the Kaiser Family Foundation. Until the ACA was enacted, private insurers often dropped people diagnosed with HIV, and it was difficult for people with the virus to purchase health insurance at an affordable price.

When the federal health law was signed in 2010, high-risk insurance backed by states and the federal government became available for people with pre-existing conditions, including HIV. Starting Jan. 1, 2014, all insurance carriers will be required to offer coverage to people with conditions such as HIV/AIDS, making high-risk insurance no longer necessary.

Top 10 States and Territories by Concentration of HIV Diagnoses
Diagnoses Per 100,000 People

  1. D.C. — 178
  2. Virgin Islands — 40
  3. Louisiana — 37
  4. Maryland — 36
  5. Florida — 33
  6. Georgia — 31
  7. New York — 30
  8. Puerto Rico — 29
  9. Mississippi — 25
  10. Texas — 25

Source: U.S. Centers for Disease Control and Prevention

How do HIV/AIDS programs work now?

Under a 1990 law named after Ryan White, a California teenager who died of AIDS, the federal government gives block grants to states to provide a variety of services for people with HIV/AIDS. In 2012, federal funding totaled $900 million. States are not required to contribute, but many do. Total state funding in 2012 was $275 million.

The bulk of the money has traditionally gone to a program called the AIDS Drug Assistance Program, under which states purchase antiretroviral drugs for people with HIV who can’t afford them.

Over the last decade, however, states have used more of the money to purchase health coverage for uninsured HIV clients, instead of directly purchasing drugs.

This practice has saved money and resulted in better health outcomes, including fewer hospitalizations and longer lives.

The AIDS Drug Assistance Program is not intended to provide comprehensive health care in the way Medicaid or private insurance do.

Will the ACA cause major changes to HIV/AIDS programs?

The answer is not yet known. In calculating the budget implications of expanding Medicaid, many states assumed a reduction in state funding for a variety of adult health care programs, including Ryan White. Some even questioned whether the program would be necessary after 2014.

But those calculations were only theoretical.

When Massachusetts expanded its Medicaid program in 2000 to include low-income HIV-infected adults, it maintained its investment in existing HIV treatment programs.

It did the same when it implemented its health care reforms in 2006, resulting in nearly universal health care coverage. Instead of cutting back, Massachusetts was able to offer assistance to more people, precipitously reducing the spread of AIDS.

However, in the 23 years since the Ryan White program began, states have adopted widely varying approaches to the structure and funding of HIV programs.  A similar patchwork is expected in the future.

Is the federal government expected to maintain AIDS funding?

Yes. In 2011, the results of a randomized clinical trial showed that treatment of HIV/AIDS with a cocktail of antiretroviral drugs reduced the risk of sexually transmitting HIV by 96 percent.

In response to this landmark study, state and federal officials decided to redouble their efforts with the goal of stamping out the deadly disease altogether.

Historically, federal funding has kept pace with inflation, but not with the spread of the disease, advocates say. Congress’ most recent authorization of the Ryan White law expired Sept. 30, although the law will stay in force indefinitely.

The Obama administration, advocates and state officials have agreed to wait to see how much the ACA benefits people with HIV before making any major changes to the federal Ryan White law.

In 2012, total federal funding to combat AIDS totaled $28 billion, including Medicaid, Medicare, Social Security income for the disabled, medical research and the Ryan White program.

What about Medicaid expansion under the ACA?

Medicaid expansion is the top priority for AIDS advocates, said Ronald Johnson, vice president of policy for advocates AIDS United.  If more states decided to expand Medicaid, it would have a major impact on the overall health of people with HIV.

About half of all Americans with HIV live in the South, where GOP governors and lawmakers have almost uniformly opposed the expansion. Louisiana, Florida, Georgia, Mississippi and Texas are among the top 10 states and territories with the highest concentration of HIV diagnoses.

None of those states has agreed to expand Medicaid as part of the ACA.

In states that are expanding Medicaid, Johnson said his organization and others are urging states to provide an adequate transition period for Ryan White clients who become newly eligible for Medicaid. Advocates also want states to more closely integrate new Medicaid benefits with Ryan White services than they have in the past.

When are states expected to recalibrate Ryan White programs?

It remains to be seen. A lot will depend on how many states ultimately decide to expand Medicaid and how many HIV infected people enroll in the program.

Similarly, shifts in the program will hinge on how many HIV-infected people ultimately sign up for private insurance on the exchanges and whether they will be able to pay the relatively high deductibles and co-payments the policies will require of all customers.

Another unknown is exactly how well public and private insurance will cover the complex health care needs of those with HIV. For example, many insurers currently do not provide adequate coverage of the transportation, case management and dentistry needs of HIV-infected people, said Amy Killelea of the National Alliance of State & Territorial AIDS Directors.

It is not clear whether coverage gaps will improve as states interpret the ACA’s essential benefits requirements, she said. “The case is being made that Ryan White and other AIDS programs cannot be offset,” Killelea said. For now, states are trying to figure out where exchange coverage and Medicaid stops and where Ryan White should start.
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Stateline is a nonpartisan, nonprofit news service of the Pew Center on the States that provides daily reporting and analysis on trends in state policy.

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State gonorrhea cases up 34 percent

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Gonorrhea bacteria - Photo CDC

Gonorrhea bacteria – Photo CDC

From the Washington State Department of Health

The number of gonorrhea cases in Washington is up substantially this year compared to 2012. There have been 3,137 cases through September 2013 compared to 2,350 during the same time in 2012. That’s a 34 percent increase.

Rates have been going up steadily since 2010. Department of Health experts haven’t been able to attribute a specific cause to the uptick. The jump has occurred among men and women in most age groups, but young adults remain the most affected.

Rural and urban counties across Eastern and Western Washington have reported a climb in cases. However, several counties have seen more dramatic upswings, including Spokane, Yakima, Thurston, Kitsap and Benton counties, which are at outbreak levels.

Gonorrhea is the second most common sexually transmitted disease in Washington after chlamydia. It’s 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 an increased likelihood of HIV transmission.

The department continues to monitor case reports. Local public health officials are actively working with health care providers to ensure that people with gonorrhea and those exposed get appropriate testing and treatment to stop ongoing spread of the disease.

“We’re working closely with local health agencies to actively monitor the rise in cases. We’re especially concerned because of gonorrhea’s resistance to antibiotics used to treat it,” said Mark Aubin, sexually transmitted disease controller for the Department of Health. “It’s important for us to assure every reported case is interviewed so the partners of infected people are identified and receive treatment.”

Despite the increase over the last couple years, Washington rates are still well below the national average.

Health officials urge anyone who is experiencing symptoms, or has a partner that has been diagnosed, to be tested. Routine screenings are recommended for sexually active people.

Prevention methods include consistent and correct use of condoms, partner treatment, mutual monogamy and abstinence.”

To learn more about gonorrhea and find out where you can get tested go to Public Health – Seattle & King County’s Sexually Transmitted Disease webpage.

 

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Prevención del VIH/SIDA en la comunidad Latina/Hispana

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Distrito de salud de Snohomish:

Durante el mes de octubre, Distrito de salud de Snohomish reconoce Nacional Latina sobre el SIDA, una campaña destinada a involucrar a la comunidad Hispana/Latina en promover la sensibilización sobre el VIH a través de pruebas, prevención y educación.

El tema de este ano es “Comprométete a Hablar.”

En el estado de Washington, el 12% de todas las personas que actualmente viven con el VIH/SIDA son latinos, pero los latinos sólo representa aproximadamente el 9,4 % del total de la población. Las tasas de nuevas infecciones entre hombres latinos fueron más del doble que el de los hombres blancos. La tasa de infección por el VIH entre las mujeres de origen Latino fue casi cuatro veces mayor que la de las mujeres blancas.

Para abordar esta disparidad y aumentar la conciencia, personal del distrito de salud de Snohomish estará ofreciendo pruebas gratis para los miembros de las comunidades latinas y generales que califican basan en sus factores de riesgo en lugares comunitarios:

  • Tuesday, Oct. 22, from 1 – 5 p.m. at Monroe Sea Mar Behavioral Clinic, 14090 Fryeland Blvd. SE, Ste. #347
  • Tuesday, Oct. 22, from 4 – 6 p.m. at Everett Sea Mar Behavioral Clinic, 5007 Claremont Way
  • Wednesday, Oct. 23, from 9 – 11 a.m. at Everett Sea Mar Behavioral Clinic, 5007 Claremont Way
  • Wednesday, Oct. 23, from 4 – 5 p.m. at Everett Sea Mar Behavioral Clinic, 5007 Claremont Way
  • Thursday, Oct. 24, from 4 – 8 p.m. at Everett Sea Mar Medical Clinic, 1920 100th Street SE, Bldng. B
  • Friday, Oct. 25, from 12 – 4 p.m. at Monroe Sea Mar Medical Clinic, 17707 West Main Street
  • Thursday, Oct. 31, from 1 – 4 p.m. at Marysville Sea Mar Medical Clinic, 9710 State Avenue

Los Centros para el Control de enfermedades y prevención dice que el impacto del VIH en los Hispanos/Latinos no está directamente relacionado a la raza o grupo étnico, sino a los retos que enfrentan por algunas comunidades, incluyendo menos conocimiento del estado serológico, la pobreza, acceso a la atención medica, estigma, aculturación de la migración (el proceso de adopción de los rasgos culturales o los patrones sociales de otro grupo) y la homofobia. Aprenda más sobre la campaña de sensibilización nacional del sitio web AIDSinfo, http://aidsinfo.nih.gov/education-materials/hiv-aids-awareness-days/169/national-latino- aids-awareness-day.

El distrito de salud ofrece gratis y confidencial del VIH pruebas y Consejería para individuos de alto riesgo durante todo el año, en nuestra clínica 3020 Rucker Avenue, con resultados en 30 minutos. Individuos con riesgo también pueden ser probados para la Hepatitis A, B, C y sífilis. Para una cita, llame al 425-339-5298.

Según la Washington State Department of Health, 730 personas en el Condado de Snohomish se supone que se viven con el VIH/SIDA.

Para obtener más información sobre la prevención del VIH/SIDA y las pruebas, llame al distrito de salud al 425-339-5298, o visite www.snohd.org.

Establecido en 1959, el Snohomish Distrito de Salud trabaja para un más seguro y más sano Condado Snohomish a través de la prevención de enfermedades, la promoción de la salud y la protección de las amenazas ambientales. Encontrar más información sobre el Distrito de Salud en http://www.snohd.org.

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