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HIV: From Prevention to Care and Treatment

HIV: From Prevention to Care and Treatment

The incidence of HIV in the United States has remained stable over the last 15 years, while the number of people living with the disease has increased by about 60%. “As more people are living with HIV, it’s important to analyze and assess our efforts to identify people with the infection and ensure that they remain on treatment,” says Stacy M. Cohen, MPH. “With effective care and treatment, individuals with HIV can live long, healthy lives.” Intriguing New Findings on HIV Diagnoses Cohen and colleagues had a study published in the December 2011 issue of Morbidity and Mortality Weekly Report that highlights the importance of identifying persons with HIV and making sure they remain in medical care and receive treatment. The investigation estimated the overall proportion of persons with HIV in the U.S. who have achieved viral suppression (see also, The Role of Demographics in HIV Clinical Outcomes). To accomplish this, the research team looked at the estimated numbers of American adults living with and diagnosed with HIV, and evaluated the percentages of those diagnosed with the infection who: Are receiving HIV care. Have been prescribed antiretroviral therapy (ART). Achieved viral suppression. Received prevention counseling from healthcare providers. Approximately 77% of people diagnosed with HIV were linked to care within 3 to 4 months of diagnosis, but only 51% were retained in ongoing care. About 89% of adults with HIV who were in care had been prescribed ART. Of these, 77% had a suppressed viral load at their most recent test (Table). Despite effective tools for HIV treatment, only 28% of all HIV-infected people had a suppressed viral load...
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