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The case for HIV testing

The case for HIV testing. A presentation for the clinical team in your practice. Annual new HIV and AIDS diagnoses and deaths: UK, 1981-2010. Annual new HIV and AIDS diagnoses and deaths: UK, 1981-2010. Prevalence of HIV in the United Kingdom, 2011.

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The case for HIV testing

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  1. The case for HIV testing A presentation for the clinical team in your practice

  2. Annual new HIV and AIDS diagnoses and deaths: UK, 1981-2010

  3. Annual new HIV and AIDS diagnoses and deaths: UK, 1981-2010

  4. Prevalence of HIV in the United Kingdom, 2011 An estimated 96,000 people were living with HIV. • The overall prevalence is 1.5 per 1,000 population 24% were unaware of their infection. Prevalence much higher in some communities • 47 per 1,000 among men who have sex with men (MSM) • 37 per 1,000 among black Africans HIV prevalence continues to be significantly higher in London than elsewhere in the UK. • The most deprived areas have the highest prevalence, especially in London.

  5. New HIV diagnoses by exposure group: United Kingdom, 2002 – 20111

  6. People living with HIV infection in 2011, UK

  7. What is late diagnosis?

  8. Association between virological, immunological, & clinical events and time course of untreated HIV

  9. Late diagnoses of HIV by exposure group: United Kingdom, 2011

  10. Late diagnosis • Defined by who should have started treatment already. • ie when CD4 count below 350cells/mm3 • In 2011, 47 % of adults diagnosed in the UK were diagnosed late • They were ten times more likely to die within a year of diagnosis • Also • Higher risk of permanent disability • Acute serious illnesses • Slower response to treatment • Onward transmission of infection

  11. Trends in late diagnosis (CD4<350) by exposure group: United Kingdom, 2002-2011

  12. Use HIV testing You might save a life!

  13. Further references HIV/STI Department and contributors of HIV data http://www.hpa.org.uk/Publications/InfectiousDiseases/HIVAndSTIs/1211HIVintheUK2012/ http://www.hpa.org.uk/expandedhivtesting2012

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