Living with HIV:Best Practice from apatient s Point ofview
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1 Living with HIV:Best Practice from apatient s Point ofview Sexual health for non-sexual health professionals Thierry Franck, Sensoa, Belgium / Stephen Bitti, Nudge Associates, UK Thomas More University College Mechelen, Belgium Friday 9th May 2014 * Q1. What is the difference between HIV and AIDS? Choose one: RED: HIV is a virus and AIDS is a bacterial disease GREEN: There is no difference between HIV and AIDS BLUE: HIV is the virus that causes AIDS 1
2 Q1. What is the difference between HIV and AIDS? Answer: BLUE: HIV is the virus that causes AIDS. A person can live a relatively normal life for many years if they are diagnosed with HIV, but they are said to have AIDS when they develop an HIV related illness. * Q2. Is there a cure for AIDS? Choose one: RED: Yes GREEN: No BLUE: Only available on prescription 2
3 Q2. Is there a cure for AIDS? Answer: GREEN: There is no cure for AIDS. This means it is important to be aware of prevention methods such as safe sex to protect yourself. Q3. Approximately how many people are living with HIV worldwide? Choose one: RED: 35 Million GREEN: 23 Million BLUE: 13 Million 3
4 Q3. Approximately how many people are living with HIV worldwide? Answer: RED: 35 Million. 35 million people were living with HIV at the end of 2012, and the vast majority of these people were in sub-saharan Africa. Q4. Can you get AIDS from sharing the cup of someone with HIV? Choose one: RED: Yes GREEN: No BLUE: Only if you don t wash the cup 4
5 Q4. Can you get AIDS from sharing the cup of someone with HIV? Answer: GREEN: No. It is not possible to become infected with HIV from everyday casual contact such as sharing food, shaking hands or touching the same objects. You are only at risk from HIV if you are exposed to infected blood or bodily fluids. Q5. Can insects transmit HIV? Choose one: RED: Yes GREEN: No BLUE: Only mosquitoes 5
6 Q5. Can insects transmit HIV? Answer: GREEN: No. Insects cannot transmit HIV. When taking blood from someone mosquitoes do not inject blood from any previous person. The only thing that a mosquito injects is saliva, which acts as a lubricant and enables it to feed more efficiently. Q6. How does HIV make a person ill? Choose one: RED: It makes a person loose weight very suddenly GREEN: It reduces the body s core temperature BLUE: It attacks the body s immune system 6
7 Q6. How does HIV make a person ill? Answer: BLUE: It attacks the person s immune system HIV affects a person's immune system, which makes them more vulnerable to infections, and can make them very ill. Q7. Does HIV only affect gay people? Choose one: RED: Yes GREEN: No BLUE: Only lesbians 7
8 Q7. Does HIV only affect gay people? Answer: GREEN: No. HIV can affect anyone from any part of the world, no matter whether they are gay, straight, old or young. Q8. In what year was AIDS first reported in the United States of America? Choose one: RED: 1975 GREEN: 1981 BLUE:
9 Q8. In what year was AIDS first reported in the United States of America? Answer: GREEN: 1981 AIDS was first identified in the United States of America in 1981 after several gay males became ill with a rare form of cancer. The term "AIDS" was first used the following year. Q9.HIV is believed to have evolved from a similar virus found in which animal? Choose one: RED: Chimpanzee GREEN: Cat BLUE: Baboon 9
10 Q9.HIV is believed to have evolved from a similar virus found in which animal? Answer: RED: Chimpanzee The SIV virus found in chimpanzees is very close to HIV. It is believed that the virus crossed species to humans. Q10. After taking a rapid HIV antibody test, how long must the patient wait for a result? Choose one: RED: 24 hours GREEN: 30 minutes BLUE: 1 minute Results from rapid HIV tests are now available in 1 minute. 10
11 Q10. After taking a rapid HIV antibody test, how long must the patient wait for a result? Answer: BLUE: 1 minute Results from rapid HIV tests are now available in 1 minute. People Living with HIV in Belgium* plwh in Belgium ( ARC s) undiagnosed plwh: 1/6 MSM /? SAM HIV tests: (2011) In 2012, 1227 people were newly diagnosed 41% of adults newly diagnosed were diagnosed at a late stage of infection (2012): 30% MSM / 52% SAM 25% of those accessing care are over 50 years old 27 death due to AIDS (2012) * HIV-plan, Wetenschappelijk Instituut Volksgezondheid 11
12 People Living with HIV in the UK* 100,000 plwh in UK 25% undiagnosed 1,000,000 HIV tests in sexual health services In 2012, 6,360 people were newly diagnosed 47% of adults newly diagnosed were diagnosed at a late stage of HIV infection (2012) 25% of those accessing care are over 50 years old Less than 1% of people with HIV died (2012) * Public Health England A Patient Living with HIV: UK 12
13 A Patient Living with HIV: Belgium Minimum Standards of HIV Care* HIV testing and diagnosis Specialist HIV treatment and care (including coinfections, such as Hepatitis C and Tuberculosis) Outpatient HIV treatment and care Psychological care Sexual (and reproductive) health Self-management Participation of plwh in their care * Created from the British HIV Association, Standards of Care for People Living with HIV,
14 HIV testing and diagnosis HIV testing and diagnosis 14
15 Specialist HIV treatment and care Specialist HIV treatment and care 15
16 Outpatient HIV treatment and care Outpatient HIV treatment and care 16
17 Psychological care Psychological care 17
18 Sexual (and reproductive) health Sexual (and reproductive) health 18
19 Self-management Self-management 19
20 Participation of plwh in their care Participation of plwh in their care 20
21 Thank you. Any questions? Thierry Franck, SENSOA, Belgium Stephen Bitti, Nudge Associates, UK 21
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