Breaking News
October 21, 2018 - Report reveals growing impact of cannabis on young people
October 21, 2018 - NSF awards $5 million grant to help scientists magnify societal impact of research
October 21, 2018 - Fertility Rates Down for Each Urbanization Level 2007 to 2017
October 21, 2018 - Genetically engineered 3-D human muscle transplant in a murine model
October 21, 2018 - Moms’ tight work schedules may affect their children’s sleep
October 21, 2018 - AHA: No Direct Link Between Preeclampsia and Cognitive Impairment, Study Finds
October 21, 2018 - Weight loss success linked with active self-control regions of the brain
October 21, 2018 - Scripps researchers successfully test potential new smoking-cessation treatment in rodents
October 21, 2018 - More accurate and less stressful way to measure a baby’s heartbeat
October 21, 2018 - Researchers show better cardiorespiratory fitness leads to longer life
October 21, 2018 - Healthy candies for diabetic patients
October 21, 2018 - Environment impact of microplastics remains unclear
October 21, 2018 - Antibiotics for appendicitis? Surgery often not needed
October 21, 2018 - AHA and AMA recognize more than 800 medical practices, health systems for blood pressure control
October 21, 2018 - Scientists obtain clearest ever image of Ebola virus protein
October 21, 2018 - Study reveals connection between two proteins known to be hyperactive in cancer
October 21, 2018 - Gabapentin Beats Pregabalin for Chronic Sciatica
October 21, 2018 - Cosmetic surgeons offering incomplete information for breast augmentation customers
October 21, 2018 - Chronic sleep disruption in early adult life accelerates AD-related tau pathology
October 21, 2018 - Take 10 for Mindfulness – Drugs.com MedNews
October 21, 2018 - Length of breathing disruption in OSA may be better predictor of mortality risk
October 21, 2018 - ApoE4 gene linked with chronic inflammation increases risk for Alzheimer’s disease
October 21, 2018 - Mother-daughter conflict associated with suicide risk in abused adolescent girls
October 21, 2018 - Scientists molding bacteria into unnatural shapes
October 21, 2018 - High diet quality associated with lower risk of death in colorectal cancer patients
October 21, 2018 - Discharged mental health patients ‘at greater risk of dying’
October 21, 2018 - Research provides insight into neurobiology of aggression and bullying
October 21, 2018 - As billions in tax dollars flow to private Medicaid plans, Who’s minding the store?
October 21, 2018 - Neuroscientists identify brain region that appears to be related to food preference decisions
October 21, 2018 - Deaths related to air pollution in the U.S. decreased by 47% between 1990 and 2010
October 21, 2018 - Study shows correlation between spatial memory and the sense of smell
October 21, 2018 - Increased cardiorespiratory fitness associated with reduced long-term mortality
October 21, 2018 - IU researchers receive $1.55 million from NIH to improve chronic-disease management
October 21, 2018 - Income and wealth affect the mental health of Australians, study shows
October 21, 2018 - Patients with hypertension and psoriasis more often require cardiovascular interventions
October 20, 2018 - Leading hip-hop videos depict use of tobacco and marijuana products, study finds
October 20, 2018 - Dose Range of IV Ketamine for Adjunct Tx of Depression Tested
October 20, 2018 - Infants can distinguish between leaders and bullies, study finds
October 20, 2018 - Mad Cow disease found on Aberdeenshire farm
October 20, 2018 - Study identifies factors associated with prescription opioid misuse among students
October 20, 2018 - Scientists uncover key regulator of mTORC1 in cancer growth
October 20, 2018 - Pounds Regained After Weight-Loss Op Can Tell Your Doc a Lot
October 20, 2018 - Sending parents letters to fight childhood obesity doesn’t work
October 20, 2018 - Supervised aerobic exercise can support major depression treatment
October 20, 2018 - Mindfulness-based program effective for reducing stress in infertile women
October 20, 2018 - Molecule capable of halting and reverting neurodegeneration caused by Parkinson’s disease identified
October 20, 2018 - Midazolam-mediated alterations of PER2 expression may have functional consequences during myocardial ischemia
October 20, 2018 - Sweat bees are ideal for studying the genes underlying social behavior
October 20, 2018 - Weight loss success associated with brain areas involved in self-control
October 20, 2018 - KHN’s ‘What the Health?’ Republicans’ preexisting political problem
October 20, 2018 - Research provides a more complete picture of suffering caused by terrorist attacks
October 20, 2018 - Eradicating Helicobacter pylori infections may be a key treatment for Parkinson’s disease
October 20, 2018 - Breast Cancer as a Dynamic Disease
October 20, 2018 - University of Pittsburgh wins NSF grant for big data research to prevent complications from anesthesia
October 20, 2018 - Skin-to-skin contact may promote attachment between parents and preterm infants
October 20, 2018 - Recommendations Developed to Verify NGT Placement in Children
October 20, 2018 - Weight loss can be boosted fivefold thanks to novel mental imagery technique
October 20, 2018 - Children with autism are more likely to be overweight, obese
October 20, 2018 - Nurses making conscientious objections to ethically-relevant policies lack support
October 20, 2018 - Prion strain diversity may be greater than previously thought
October 20, 2018 - Antidepressant treatment may lead to improvements in sleep quality of patients with depression
October 20, 2018 - Study reports increased risk of death in children with inflammatory bowel disease
October 20, 2018 - Number of Autism Genes Now Tops 100
October 20, 2018 - Total diet replacement programmes are effective for treating obesity
October 20, 2018 - CLARIOstar used for fluorescence measurements on CSIRO’s purpose-built research vessel
October 20, 2018 - People with more copies of AMY1 gene digest starchy carbohydrates faster
October 20, 2018 - Case Comprehensive Cancer Center wins NIH grant to study health disparities
October 20, 2018 - Newly discovered compound shows potential for treating Parkinson’s disease
October 20, 2018 - High rate of non-adherence to hormonal therapy found among premenopausal early breast cancer patients
October 20, 2018 - Immunotherapy medicine found to be effective in treating uveitis
October 20, 2018 - The Pistoia Alliance Calls for Greater Collaboration to Realise Benefits of Innovation and Announces Winners of the 2018 President’s Startup Challenge
October 20, 2018 - Female internists consistently earn less than men
October 20, 2018 - Stanford team looks at dangers of teens’ vaping habits
October 20, 2018 - New approach to understanding cancers will accelerate development of better treatments
October 20, 2018 - LJI and UC San Diego awarded $ 4.5 million as part of NCI’s Cancer Moonshot initiative
October 20, 2018 - School-based HPV vaccination did not increase risky sexual behaviors among adolescent girls
October 20, 2018 - Eye discovery to pave way for more successful corneal transplants
October 20, 2018 - New analysis examines the importance of location in the opioid crisis
October 20, 2018 - Green filters increase reading speed for children with dyslexia
October 19, 2018 - Bariatric Sx Cuts Macrovascular Complications in Obesity, T2DM
Over half of reported HIV diagnoses in Europe happen in late stage of infection

Over half of reported HIV diagnoses in Europe happen in late stage of infection

image_pdfDownload PDFimage_print

The WHO European Region is the only Region worldwide where the number of new HIV infections is rising. With more than 160 000 people newly diagnosed with HIV across the Region, including more than 29 000 new cases from the European Union and European Economic Area (EU/EEA), this trend continued in 2016. One reason for this worrying trend: over half (51%) of the reported HIV diagnoses happen in a late stage of infection.

Asked about EU action to address early testing, European Health Commissioner, Vytenis Andriukaitis, said “To meet our goal of ending HIV, we need to ensure early diagnosis for everybody, reaching out to risk groups and to the most vulnerable. To succeed, we must work together across borders, across silos, across organisations to promote easy access to diagnosis and to fight barriers such as stigma and discrimination. European Union initiatives such as the Joint Action on HIV are vital in addressing gaps in the prevention of HIV and co-infections tuberculosis and viral hepatitis among hard-to-reach groups. Next year I intend to present an overview of policies and best practices in fighting HIV – including prevention and early testing – and encourage all Member States and stakeholders to put them in practice.”

ECDC Director Dr Andrea Ammon highlights: “Our data show that Europe needs to do more in its HIV response, with more than 29 000 newly reported HIV infections in the EU/EEA each year. On average, it takes a person about three years from the time of infection until they are diagnosed – which is far too long. This results in poorer long term health outcomes for the many people that are diagnosed late and also increases the risk for onward HIV transmission. Two-thirds, that’s 68%, of the new AIDS diagnoses in the EU/EEA happened only within three months after the HIV diagnosis, which indicates that these people have had the infection for many years previously.”

“The HIV epidemic continues to rise at an alarming pace in the European Region, mostly in its eastern part, which is home to almost 80% of the 160 000 new HIV diagnoses. This is the highest number of new cases ever recorded in one year. If this trend persists, we will not be able to achieve the Sustainable Development Goal target of ending the HIV epidemic by 2030,” warns Dr Zsuzsanna Jakab, WHO Regional Director for Europe. “Testing people late, particularly those at higher risk of infection, results in late treatment and further contributes to the ongoing spread of HIV. The later people are diagnosed, the more likely they are to develop AIDS, thus leading to more suffering and death. On World AIDS Day, I urge all countries to take action now to reverse the HIV epidemic in Europe.”

People over 50: two thirds diagnosed late

The HIV/AIDS surveillance data for 2016, published today by ECDC and the WHO Regional Office for Europe, show that the proportion of those who are diagnosed late is increasing with age. Across the whole Region, 65% (EU/EEA: 63%) of people aged 50 and older were diagnosed late in the course of their HIV infection.

Especially in this older age group, healthcare services in the community play a vital role in providing opportunities for earlier HIV diagnosis. HIV testing based on specific health conditions, such as other sexually transmitted infections, viral hepatitis, tuberculosis or certain cancers, could also lead to improved diagnosis.

Early diagnosis: higher life expectancy and less transmission

The WHO Regional Office and ECDC directors stress that to reduce the number of future HIV infections, Europe needs to focus on three main areas:

  1. prioritizing effective and comprehensive prevention measures such as awareness-raising; promotion of safe sex, condoms and substitution therapy, provision of needle exchange programs and pre-exposure prophylaxis for HIV;
  2. providing efficient HIV counseling and testing services, including rapid diagnostic services, community-based HIV testing and HIV self-testing; and
  3. ensuring rapid access to quality treatment and care for those diagnosed.

Early diagnosis is important because it allows people to start HIV treatment sooner, which in turn increases their chances of living a long and healthy life.

In addition, it reduces the risk of:

  • transmitting HIV further, as effective treatment results in an undetectable viral load, i.e. the virus can no longer be transmitted to others;
  • developing AIDS, as considering AIDS cases having nearly doubled in the eastern part of the Region during the last decade; and
  • contracting or developing tuberculosis, the most common AIDS-defining illness in the Region, particularly in its eastern part.

Guidance to improve testing in Europe

The WHO consolidated guidelines on HIV testing services are aimed at HIV programme managers, health workers and other stakeholders to support them to increase access to HIV counseling and testing. In particular, they advocate for the introduction of self-testing and/or for the offer of counseling and testing by trained community care providers to increase uptake. Supplemented by guidance on HIV self-testing and partner notification, these guidelines support countries progressing towards the global, regional and national target that 90% of people with HIV are diagnosed by 2020.

Source:

https://ecdc.europa.eu/en/news-events/1-2-people-living-hiv-europe-diagnosed-late-ecdc-and-who-urge-improvement-testing

Tagged with:

About author

Related Articles