News from aidsmap

Pain and worry common problems for people with HIV receiving palliative care in Africa

People with HIV receiving palliative care have high levels of physical and psychological problems, according to the results of a study conducted in sub-Saharan Africa and published in Sexually Transmitted Infections. Several problems were worse for people who were receiving their care at home.

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From today, HIV treatment is free for all who need it in England

The removal of charges for undocumented migrants and non-UK citizens accessing HIV treatment and care in England comes into effect today. From now on, HIV treatment will be provided free of charge to all who need it, regardless of citizenship or immigration status.

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Large study suggests that more African people are acquiring HIV in the UK than previously thought

A new approach developed by scientists at the Health Protection Agency indicates that around 31% of African heterosexuals diagnosed with HIV in the UK may have acquired their infection in the UK, as opposed to the 10% indicated by current methods. Moreover, UK infections among African people appear to have been rising in recent years.

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Late start for ART in pregnancy increases HIV transmission risk during breastfeeding period

A high viral load at the time of starting treatment during pregnancy and a shorter time on antiretroviral therapy (ART) before delivery continued to place mothers at risk of passing on HIV during the breastfeeding period for at least seven months after giving birth, researchers report in a sub-study of the Kisumu Breastfeeding Study in Kenya, published in the advance online edition of the Journal of Acquired Immune Deficiency Syndromes.

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Consistent and correct condom use reduces risk of bacterial STIs by 60%

Consistent and correct condom use provides a high level of protection against bacterial sexually transmitted infections (STIs), US investigators report in Sexually Transmitted Infections. Individuals who always used condoms correctly were almost 60% less likely to be diagnosed with an infection. Consistent condom use on its own did not reduce the risk of bacterial STIs.

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Global evidence of lower adherence to ARVs after giving birth

Antiretroviral therapy (ART) adherence levels among pregnant women with HIV, in both high- and low-income countries, during pregnancy and especially after giving birth are significantly below what is recommended for viral suppression and prevention of drug resistance, according to a report published this month in the advance online edition of AIDS.

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Grindr smartphone app could be a good way to recruit gay men to HIV prevention studies

Gay men can be effectively and efficiently recruited to HIV prevention studies using the Grindr smartphone app, investigators from Los Angeles report in AIDS and Behavior.

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Regular HIV testing becoming the norm among gay men in Scotland

The number of gay men testing for HIV in Scotland increased significantly between 2000 and 2010, a study published in HIV Medicine shows.

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Primary HIV infection frequently missed by GUM and HIV clinics

Primary HIV infection had been missed frequently in people newly diagnosed with HIV at a sample of UK sexual health clinics, investigators from the UK report in the International Journal of STD & AIDS.

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Switching to tenofovir suppresses hepatitis B in HIV/HBV co-infected people

People with HIV and hepatitis B virus (HBV) co-infection, who substituted tenofovir (Viread) for zidovudine (Retrovir) or abacavir (Ziagen) in their antiretroviral regimen, saw a reduction in hepatitis B viral load despite HBV being resistant to lamivudine (Epivir), according to a poster presented at the 52nd Interscience Conference on Antimicrobial Agents and Chemotherapy (ICAAC) last week in San Francisco.

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False-negative confirmatory HIV tests in children are frequent after starting ART

False-negative rapid antibody tests, in the absence of virologic testing at the age of 18 months, in children receiving antiretroviral treatment can result in interruption of treatment, and false-negative results occur with high frequency, according to the results of a study carried out in Lesotho, published in the advance online edition of AIDS.

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ART for life cost effective for prevention of mother-to-child transmission in Uganda

Combination antiretroviral therapy (ART) provided to all pregnant women with HIV who have CD4 cell counts under 350 (World Health Organization Option B) in Uganda appears to be highly cost effective for the prevention of mother-to-child transmission, even if continued over the mother’s lifetime, when compared to single-dose nevirapine, two-drug therapy or no treatment, Andreas Kuznik and colleagues report in a mathematical modelling study published in the August edition of the Bulletin of the World Health Organization.

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HIV infection doesn't generally affect the response to syphilis treatment

Well-controlled HIV infection does not have a significant impact on the serological response to treatment for syphilis, Swiss investigators report in the online edition of Clinical Infectious Diseases. However, they found that syphilis stage was a significant factor in the response to treatment.

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Long-acting integrase inhibitor S/GSK1265744 active against multiple HIV subtypes

The integrase inhibitor S/GSK1265744 exhibited potent and prolonged activity against a broad range of HIV subtypes, was active against clones with resistance to raltegravir (Isentress) and elvitegravir, and appears to have a high barrier to resistance, according to a presentation at the 52nd Interscience Conference on Antimicrobial Agents and Chemotherapy (ICAAC) in San Francisco.

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Editors' picks from other sources

"Premature Aging" and HIV: Dispelling Myths and Calculating Risk

from The Body

Here's the bottom line on "accelerated aging" among people with HIV: it's probably not as bad as you think. While there is a trend for HIV-positive people to be a bit younger than other people when they develop certain health problems, they are not aging 20 years before their peers.

Amazon Warfare: How Anti-Circumcision Activists Try To Squelch HIV/AIDS Science

from Slate Magazine

Two diligent and dedicated authors spent years researching the origin, spread, and potential prevention of AIDS in Africa. Two minutes and a few clicks were all that was required for a passionate extremist group, opposed to circumcision, to obfuscate and delegitimize their findings in front of one of their most important and public audiences.

“Abstinence doesn’t work, so use condoms”: Critical responses to Christian youth sexualities and HIV prevention in Africa

from Somatosphere

For many Christian youth, pre-marital abstinence is not an action one performs or a “behavior”, but is an integral part of one’s identity as a Christian. A critical first step towards developing an appropriate HIV prevention response for sexually-abstinent youth therefore, is to take into account the fact that pre-marital sexual abstinence is, for some young people, deeply embedded into their sense of self.

US: How the Affordable Care Act Changes Pathways to Insurance Coverage for People with HIV

from Kaiser Family Foundation

Barack Obama's Affordable Care Act, passed in 2010, will expand insurance coverage, and therefore access to care, for millions of people in the US, including people with HIV. Access to care, particularly antiretroviral treatment (ART), is not only critical for the health of people with HIV, it also carries important public health benefits.

NYC Warns of Cluster of Life-Threatening Meningitis in HIV+ Gay Men

from AIDSMeds

The New York City Department of Health and Mental Hygiene is investigating a cluster of potentially lethal invasive meningococcal disease among HIV-positive gay men. This severe bacterial infection is rare, but people with HIV-weakened immune systems are more susceptible.

Public Health England national leadership and funding for drug and alcohol services

from Blenheim CDP

In England, removal of ‘ring-fencing’ from the drug budget, the shift of responsibilities from the National Treatment Agency to the new public health structures and a more localised approach to service provision is likely to result in the long-term disinvestment in drug and alcohol services.