{"id":518,"date":"2011-12-01T08:18:55","date_gmt":"2011-12-01T08:18:55","guid":{"rendered":"https:\/\/blogs.bmj.com\/jfprhc\/?p=518"},"modified":"2011-12-01T08:47:57","modified_gmt":"2011-12-01T08:47:57","slug":"world-aids-day-2011","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmjsrh\/2011\/12\/01\/world-aids-day-2011\/","title":{"rendered":"World AIDS Day 2011"},"content":{"rendered":"

\"\"<\/a><\/p>\n

On the 23rd World AIDS Day<\/p>\n

\"\"<\/a>As part of a piece in the Chelsea & Westminster GP Newsletter<\/a>, Consultant Rachel Jones and Specialist Registrar Michael Rayment write of the situation in the UK:<\/p>\n

Treatment is freely available, but is limited to those who know their HIV sero-status.\u00a0 The HIV epidemic in the UK continues to grow, and the fraction of undiagnosed HIV remains frustratingly constant.\u00a0 The number of people living with HIV in the UK is estimated to be 91500 in 2010. There were an estimated 6660 new HIV diagnoses in the last year alone.\u00a0 In men who have sex with men, there were 3000 new diagnoses \u2013 the highest ever annual figure recorded in this risk group.\u00a0 An estimated one in four of all individuals with HIV infection remains unaware of their sero-status.\u00a0 Of those newly diagnosed, half were diagnosed with CD4 counts below 350 cells\/\u03bcl, the current threshold for the initiation of antiretroviral therapy. Of the 680 people with HIV who died in 2010, two thirds had been diagnosed late.<\/em><\/p><\/blockquote>\n

and they suggest that:<\/p>\n

The largest barrier rests with us, the healthcare providers: our own HIV testing prejudices need to be broken down.\u00a0 We need to engage commissioners to develop services and strategies to tackle HIV infection in our community.\u00a0 A key strength of the pilot studies to date has been the close cooperation between Sexual Health services and local primary and secondary care providers.\u00a0 We would urge you to work with your local Sexual Health colleagues.\u00a0 They will be keen to work with you to provide education, support, clinical expertise and guidance to keep this issue high on your local health agenda.\u00a0 Please engage with us, and <\/em>Getting to Zero may be a feasible and very real vision here on our own doorstep.<\/em><\/p><\/blockquote>\n

\"\"The Health Protection Agency (HPA) recommends ‘universal testing’ for HIV<\/a>, as they publish new data on 30 years of HIV in the UK.<\/p>\n

\"\"<\/a>The British HIV Association (BHIVA), Medical Foundation for AIDS and Sexual Health (MedFASH) and the British Psychological Society launch Standards<\/a> to ensure high quality support for people with HIV.<\/p>\n

\"\"<\/a>Half of the 14 million people living in poorer countries who need HIV drugs get them according to the UNAIDS World AIDS Day Report 2011 – “How to get to zero, Faster, Smarter, Better”<\/a><\/p>\n

This is the good news. The bad news is that at this crucial time, when the end may be in sight, we also hear that the one thing that will fuel the hoped for future is being cut off:<\/h3>\n

BMA News warns that Sexual Health is under threat<\/a> (again).
\nAs co<\/em>\"\"<\/a>uncils and private companies take control of NHS sexual health services, are they unnecessarily changing an open-access system that already works wonders?
\n<\/em>In the Report, sexual health organisations have expressed grave concerns and a number of clinicians give examples of difficulties already being experienced.<\/p>\n

\"\"<\/a>The Global fund to Fight AIDS, TB & Malaria has cut its latest round of funding. In its press release<\/a> yesterday it states:<\/p>\n

A sharply deteriorating economic situation, which is placing severe pressure on donor countries\u2019 budgets, has prompted the Global Fund to revise its forecasts of available resources over the next two years and to take this difficult decision.<\/p><\/blockquote>\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

On the 23rd World AIDS Day As part of a piece in the Chelsea & Westminster GP Newsletter, Consultant Rachel Jones and Specialist Registrar Michael Rayment write of the situation in the UK: Treatment is freely available, but is limited to those who know their HIV sero-status.\u00a0 The HIV epidemic in the UK continues to […]<\/p>\n

Read More…<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7420,1131,667,2583,2600,1141,304,599,2620,2602],"tags":[2486,2653,7422,308,7423,2584,7424],"class_list":["post-518","post","type-post","status-publish","format-standard","hentry","category-clinical-practice","category-guidelines","category-hiv","category-international","category-media-reports","category-news","category-public-health","category-screening","category-standardsclinical-governance","category-stis","tag-clinical-practice","tag-guidance","tag-hiv","tag-population","tag-screening","tag-sexual-heath","tag-stis"],"yoast_head":"\nWorld AIDS Day 2011 - BMJ Sexual & Reproductive Health blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmjsrh\/2011\/12\/01\/world-aids-day-2011\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"World AIDS Day 2011 - 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