Treatment News : Slow Progress in Getting Africans on ARVs Early in HIV Disease

POZ - Health, Life and HIV
Subscribe to:
POZ magazine
E-newsletters
Join POZ: Facebook MySpace Twitter Pinterest
Tumblr Google+ Flickr MySpace
POZ Personals
Sign In / Join
Username:
Password:

Back to home » Treatment News » December 2013

Most Popular Links
Most Popular Lessons

The HIV Life Cycle

Shingles

Herpes Simplex Virus

Syphilis & Neurosyphilis

Treatments for Opportunistic Infections (OIs)

What is AIDS & HIV?

Hepatitis & HIV

15 Years Ago In POZ


More Treatment News

Click here for more news

Have news about HIV? Send press releases, news tips and other announcements to news@poz.com.


emailprint

December 31, 2013

Slow Progress in Getting Africans on ARVs Early in HIV Disease

The proportion of sub-Saharan Africans beginning antiretroviral (ARV) treatment with advanced HIV disease is falling, but their median CD4 count upon entry is increasing far too slowly, aidsmap reports. Advanced HIV disease is defined by a CD4 count below 100 or a diagnosis of conditions categorized by the World Health Organization as stage 4 HIV disease, including pneumocystis pneumonia (PCP), Kaposi’s sarcoma (KS) and cytomegalovirus (CMV), among many others.

Publishing their findings in Clinical Infectious Diseases, investigators analyzed data about 335,000 adults receiving HIV care in sub-Saharan Africa, including 149,000 who began HIV treatment between 2006 and 2011 at 132 health facilities in Kenya, Mozambique, Rwanda and Tanzania.

In 2006, the median CD4 count upon beginning ARVs was 125, a figure that crept up to 185 by 2011. This is progress the study authors described as “discouragingly slow,” noting that at this rate 15 years would have to pass before the CD4 count median hit a more immunologically stable 350.

During the same time period, the proportion of those starting HIV treatment with advanced HIV disease dropped from 42 percent to 29 percent. However, there were disparities: In 2011, men were 60 percent more likely than women to start ARVs with advanced HIV disease, and those with tuberculosis were 60 percent more likely to do so than those without. Those who hadn’t been in care for more than a year before starting treatment were twice as likely to have advanced HIV disease at the time than those who had been retained in pre-ARV care within a year.

The study’s authors urged greater efforts to identify people needing treatment earlier in the course of their HIV disease and to strive to better retain them in care.

To read the aidsmap story, click here.

To read the study abstract, click here.

Search: Early HIV disease, antiretrovirals, sub-Saharan Africans, advanced HIV disease, World Health Organization, Clinical Infectious Diseases.


Scroll down to comment on this story.



Name:

(will display; 2-50 characters)

Email:

(will NOT display)

City:

(will display; optional)

Comment (500 characters left):

(Note: The POZ team reviews all comments before they are posted. Please do not include either ":" or "@" in your comment. The opinions expressed by people providing comments are theirs alone. They do not necessarily reflect the opinions of Smart + Strong, which is not responsible for the accuracy of any of the information supplied by people providing comments.)

Comments require captcha.
Please enter this number for verification:

| Posting Rules



Show comments (0 total)

 
[Go to top]


Join POZ Facebook Twitter Google+ MySpace YouTube Tumblr Flickr
Quick Links
Current Issue

HIV Testing
Safer Sex
Find a Date
Newly Diagnosed
HIV 101
Disclosing Your Status
Starting Treatment
Help Paying for Meds
Search for the Cure
POZ Stories
POZ Opinion
POZ Exclusives
Read the Blogs
Visit the Forums
Job Listings
Events Calendar


    chipper52
    Palm Springs
    California


    usuallyhappy
    Palm Springs
    California


    OahuAJ
    Turlock
    California


    pozsmith1
    East Bay
    California
Click here to join POZ Personals!
Ask POZ Pharmacist

Talk to Us
Poll
Will decriminalizing injection drug use help end the global HIV epidemic?
Yes
No

Survey
PrEP Course

more surveys
Contact Us
We welcome your comments!
[ about Smart + Strong | about POZ | POZ advisory board | partner links | advertising policy | advertise/contact us | site map]
© 2014 Smart + Strong. All Rights Reserved. Terms of use and Your privacy.
Smart + Strong® is a registered trademark of CDM Publishing, LLC.