September 2013 : Found: Those Lost to Follow-up - by Benjamin Ryan

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Older and Wiser

Mandating Mail-Order Pharmacies

From the Editor

Touch of Gray


Letters-September 2013


Committed to the Fight

POZ Planet

Lost Worlds

We the LGBTHIV...

Testing the Limits

Say What-Dan Savage

Check Them Out

Try the Power of Bareback and Body

Burden of Proof

Citizen Scientists


Light and Darkness

Care and Treatment

GMHC Treatment Issues September 2013

Caring Docs Retain Patients

Breaking the Blood-Brain Barrier

HIV Capsid Structure Defined

Found: Those Lost to Follow-up

Combo of Two HIV Drugs Can Control Hep B

Research Notes

Prevention: Repurposing Vaginal Gel for Rectal Use

Treatment: Pot--the Next HIV Drug?

Cure: Misleading Reports Say Cure Is Near

Concerns: Another Vaccine Trial Shuts Down

POZ Survey Says

Ourselves, Growing Older

POZ Heroes

Musical Missionary

Most Popular Lessons

The HIV Life Cycle


Herpes Simplex Virus

Syphilis & Neurosyphilis

Treatments for Opportunistic Infections (OIs)

What is AIDS & HIV?

Hepatitis & HIV

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September 2013

Found: Those Lost to Follow-up

by Benjamin Ryan

In an effort to chip away at the high proportion of people diagnosed with HIV who are not engaged in regular care, New York City caseworkers successfully linked half of those who had been categorized as “lost to follow-up” between 2008 and 2010. Using data from mandatory names-based reporting of HIV test results, caseworkers from the city’s health department were able to identify 409 people lost to follow-up and bring 57 percent of them into care. After a year, 48 percent of the total had made two or more doctor’s visits and had received CD4 or viral load screens each time.

The caseworkers discovered that the most common reason for not engaging in HIV care, at 41 percent, was that people “felt well.”

“We believe it is a very worthwhile effort that has improved the lives of hundreds of residents in New York City,” says the study’s lead author, Chi-Chi N. Udeagu, MPH, who heads up the linkage to care program. “We have come across many clients who did not have the latest information on HIV treatment or who, feeling overwhelmed with their life circumstances, stopped prioritizing seeing their provider for HIV care. These clients have been grateful for all the encouragement and support they received from the health department staff.”

Search: names-based reporting, retention in care, New York City

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