News

    New Guidelines Would Help Ensure HIV Treatment

    International Association of Physicians in AIDS Care
    International Association of Physicians in AIDS Care
    Joe DeCapua

    New guidelines have been released to help HIV infected people get on treatment and stay on it. The recommendations appear in the Annals of Internal Medicine. The 37 guidelines were developed by a panel of experts at the International Association of Physicians in AIDS Care or IAPAC.

    “These guidelines have been somewhat long overdue. We realized that after 30 years of HIV/AIDS we still have patients with the problem of taking their tablets at a prescribed schedule, which obviously tends to make them sick, get hospitalized and die,” said Co-chair Dr. Jean Nachega, a scientist at the Johns Hopkins Bloomberg School of Public Health and a professor of medicine at South Africa’s Stellenbosch University.

    Avoiding resistance

    The guidelines are designed to help both the patient and the health care provider. Not taking antiretroviral drugs as prescribed can allow HIV to come back even stronger.

    “The consequences are the virus keeps multiplying and the multiplication leads to drug resistance. You end up having a drug which no longer works. You need to rely on even more complex and costly drugs, which in some region of the world are not available. So it’s really problematic,” he said.

    Newer antiretrovirals have made HIV/AIDS more of a chronic disease in many developed countries. Nevertheless, the Centers for Disease Control says even in the United States many people fail to take advantage of treatment. It says only 69 percent of HIV positive persons enter care and only 59 percent remain in care. What’s more, only 28 percent of Americans living with HIV have received enough treatment to have undetectable viral loads in their blood.

    Recent studies have shown that treatment is also prevention.

    “Someone who takes his tablets correctly is less likely to transmit the virus to his partner,” said Nachega.

    Reaching out

    The recommendations include intensive outreach programs to help ensure those diagnosed with HIV get into treatment programs. There would also be systematic monitoring of patients on whether they’re adhering to their treatment. Education and counseling programs are recommended so patients understand the importance of regularly scheduled doses.

    The guidelines also call for screening, managing and treatment of depression and other mental illnesses, as well as pediatric and adolescent-focused therapeutic support.

    "We hope to update these recommendations every two or three years obviously because as more data are found we can update our recommendations,” he said.

    The International Association of Physicians in AIDS Care and the U.S. National Institutes of Health jointly sponsored the recommendations.

    This forum has been closed.
    Comments
         
    There are no comments in this forum. Be first and add one

    Featured Videos

    Your JavaScript is turned off or you have an old version of Adobe's Flash Player. Get the latest Flash player.
    Uganda Unveils its First Solar-powered Busi
    X
    July 28, 2016 4:16 AM
    A solar-powered bus described by its Ugandan makers as the first in Africa has made its public debut. Kiira Motors' electric bus, Kayoola, displayed recently at a stadium in Uganda's capital. From Kampala, Maurice Magorane filed this report narrated by Salem Solomon.
    Video

    Video Uganda Unveils its First Solar-powered Bus

    A solar-powered bus described by its Ugandan makers as the first in Africa has made its public debut. Kiira Motors' electric bus, Kayoola, displayed recently at a stadium in Uganda's capital. From Kampala, Maurice Magorane filed this report narrated by Salem Solomon.
    Video

    Video Silicon Valley: More Than A Place, It's a Culture

    Silicon Valley is a technology powerhouse and a place that companies such as Google, Facebook and Apple call home. It is a region in northern California that stretches from San Francisco to San Jose. But, more than that, it's known for its startup culture. VOA's Elizabeth Lee went inside one company to find out what it's like to work in a startup.
    Video

    Video Immigrant Delegate Marvels at Democratic Process

    It’s been a bitter and divisive election season – but first time Indian-American delegate Dr. Shashi Gupta headed to the Democratic National Convention with a sense of hope. VOA’s Katherine Gypson followed this immigrant with the love of U.S. politics all the way to Philadelphia.
    Video

    Video Philadelphia Uses DNC Spotlight to Profile Historic Role in Founding of United States

    The slogan of the Democratic National Convention now underway in Philadelphia is “Let’s Make History Again” which recognizes the role the city played in the foundation of the United States in the 18th century. As VOA’s Kane Farabaugh reports, local institutions are opening their doors in an effort to capitalize on the convention spotlight to draw visitors, and to offer more than just a history lesson.
    Video

    Video A Life of Fighting Back: Hillary Clinton Shatters Glass Ceiling

    Hillary Clinton made history Thursday, overcoming personal and political setbacks to become the first woman to win the presidential nomination of a major U.S. political party. If she wins in November, she will go from “first lady” to U.S. Senator from New York, to Secretary of State, to “Madam President.” Polls show Clinton is both beloved and despised. White House Correspondent Cindy Saine takes a look at the life of the woman both supporters and detractors agree is a fighter for the ages.
    Video

    Video Dutch Entrepreneurs Turn Rainwater Into Beer

    June has been recorded as one of the wettest months in more than a century in many parts of Europe. To a group of entrepreneurs in Amsterdam the rain came as a blessing, as they used the extra water to brew beer. Serginho Roosblad has more to the story.
    Video

    Video First Time Delegate’s First Day Frustrations

    With thousands of people filling the streets of Philadelphia, Pennsylvania for the 2016 Democratic National Convention, VOA’s Kane Farabaugh narrowed in on one delegate as she made her first trip to a national party convention. It was a day that was anything but routine for this United States military veteran.
    Video

    Video Commerce Thrives on US-Mexico Border

    At the Democratic Convention in Philadelphia this week, the party’s presumptive presidential nominee, Hillary Clinton, is expected to attack proposals made by her opponent, Republican presidential nominee Donald Trump, to build a wall along the U.S.-Mexico border. Last Friday, President Barack Obama hosted his Mexican counterpart, President Enrique Peña Nieto, to underscore the good relations between the two countries. VOA’s Greg Flakus reports from Tucson.
    Video

    Video Film Helps Save Ethiopian Children Thought to be Cursed

    'Omo Child' looks at effort of African man to stop killings of ‘mingi’ children
    Video

    Video London’s Financial Crown at Risk as Rivals Eye Brexit Opportunities

    By most measures, London rivals New York as the only true global financial center. But Britain’s vote to leave the European Union – so-called ‘Brexit’ – means the city could lose its right to sell services tariff-free across the bloc, risking its position as Europe’s financial headquarters. Already some banks have said they may shift operations to the mainland. Henry Ridgwell reports from London.
    Video

    Video Recycling Lifeline for Lebanon’s Last Glassblowers

    In a small Lebanese coastal town, one family is preserving a craft that stretches back millennia. The art of glass blowing was developed by Phoenicians in the region, and the Khalifehs say they are the only ones keeping the skill alive in Lebanon. But despite teaming up with an eco-entrepreneur and receiving an unexpected boost from the country’s recent trash crisis the future remains uncertain. John Owens reports from Sarafand.
    Video

    Video Migrants Continue to Risk Lives Crossing US Border from Mexico

    In his speech Thursday before the Republican National Convention, the party’s presidential candidate, Donald Trump, reiterated his proposal to build a wall along the U.S.-Mexico border if elected. Polls show a large percentage of Americans support better control of the nation's southwestern border, but as VOA’s Greg Flakus reports from the border town of Nogales in the Mexican state of Sonora, the situation faced by people trying to cross the border is already daunting.

    Special Report

    Adrift The Invisible African Diaspora