the case for hiv testing a presentation for the clinical team in your practice
TRANSCRIPT
The case for HIV testing
A presentation for the clinical team
in your practice
Why test for HIV?
Work in pairs
Try to think of at least two reasons
why it is good practice to offer HIV tests
HIV and STI Department
Annual new HIV and AIDS diagnoses and deaths: UK, 1981-2012
Graph kindly provided by Public Health England
ART availableHIV test
developed
Prevalence of HIV in the UK2012An estimated 98,400 people were living with HIV.
• The overall prevalence is 1.5 per 1,000 population
22% 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.
HIV and STI Department
New HIV diagnoses by exposure group: United Kingdom, 2002 – 2012 * *Data have been adjusted for missing exposure information
What is late diagnosis?
Association between virological, immunological, & clinical events and time course of untreated HIV(Reproduced with permission from e-GP: e-Learning for General Practice, RCCP)
Defined by who should have started treatment already.ie when CD4 count below 350 cells/mm3
In 2012, 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
Late diagnosis
HIV and STI Department
HIV and STI Department
HIV and STI Department
Late diagnoses of HIV by exposure group: United Kingdom, 2011
HIV and STI Department
Late diagnoses of HIV by exposure group: United Kingdom, 2011
HIV and STI Department
Late diagnoses of HIV by exposure group:United Kingdom, 2011
HIV and STI Department
Trends in late diagnosis (CD4<350)by exposure group: UK, 2002-2011
Now add to your list
Can you think of any more reasons that it is good practice to test for HIV?
Add them to your list
Choose 3 to 6 key facts on HIV
What would you want a receptionist to know?
What would you want patients to know?
Make a list on the flip chart
Discuss and agree how you would like to circulate this-To your team?-To your patients?-Who is responsible? / completion date
Use HIV testing
You might save a life!