Vision — National HIV/AIDS Strategy
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Transcript of Vision — National HIV/AIDS Strategy
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“The United States will become a place where new HIV infections are rare and when they do occur, every person, regardless of age, gender, race/ethnicity, sexual orientation, gender identity or socio-economic circumstance, will have unfettered access to high quality, life-extending care, free from stigma and discrimination”
Vision — National HIV/AIDS Strategy
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Reducing New HIV infections
Goals – By 2015:• Lower the annual number of new
infections by 25%. • Reduce the HIV transmission rate by 30%. • 90% of the people living with HIV know
their serostatus.
Action Steps • Intensify HIV prevention efforts in the
communities where HIV is most heavily concentrated.
• Educate all Americans about the threat of HIV and how to prevent it.
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Increasing Access to Care and Improving Health Outcomes for
People Living with HIVGoals – By 2015:• Increase the proportion of newly
diagnosed patients linked to clinical care within three months of their HIV diagnosis from 65% to 85%.
Action Steps• Establish a seamless system to
immediately link people to continuous and coordinated quality care when they learn they are infected with HIV.
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Reducing HIV-Related Health Disparities
GoalsImprove access to prevention and care services for all Americans.
Action Steps • Reduce HIV-related mortality in
communities at high risk for HIV infection
• Adopt community-level approaches to reduce HIV infection in high-risk communities
• Reduce stigma and discrimination against people living with HIV
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But how?
• Identify the best mix of interventions and strategies to:– Address gaps in current HIV prevention
efforts – Improve coordination in your
community of HIV prevention, treatment and care services
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DSHS Expanded Testing Strategy
• Support routine HIV testing in medical settings in areas of the state with the highest prevalence.
• Support projects in counties with highest rate* and/or number of cases.
• Jefferson County – 2009 TX HIV Surveillance Report:
• No. 4 in Texas 328.2 cases /100,000 population
• No. 9 in Texas 799 PLWH
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Routine Testing June 2008 – April 2011
Type of Testing Site Tests Positives Positivity rate
Community Health Centers 22,349 337 1.5%
Correctional Health Facilities 81,446 539 0.7%
Emergency Departments 283,056 4,438 1.6%
Family Planning Clinics 7,618 20 0.3%
STD Clinics 54,140 745 1.4%
Total 448,609 6,079 1.4%
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Vision to Eliminate AIDSEarly detection means a better prognosis
“It’s critical to understand that routine screening could potentially eliminate AIDS diagnoses. People in care should never have an AIDS diagnosis. It is within our power to eliminate AIDS among people who are in care, any care. How’s that for a vision?” Lisa Fitzpatrick, MD, MPH
Ref: Routine HIV Testing in the ED: The Experience in the Nation’s Capitol. Annals of Emergency Medicine, Vol. 57, NO. 4: April 2011.
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A physician’s duty to promote patient welfare and to improve the public’s health are fostered by routinely testing their adult patients for HIV.
www.ama-assn.org/go/cdjareports
The AMA ETHICS POLICY
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Resources
Test Texas HIV Coalition
http://testtexashiv.org/
Community of peers sharing routine HIV implementation experiences, including a group site for discussion
Meetings and networking opportunities to support champions, address stigma and AIDS exceptionalism, ethics and 3rd party reimbursement
Access to technical and training resources, continuing education credits
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Resources• DSHS HIV STD/Unit: www.dshs.state.tx.us/hivstd • Centers for Disease Control & Prevention
www.cdc.gov/hiv/• Texas/Oklahoma AIDS Education
Training Center (AETC) www.aidseducation.org
• Medscape – free continuing education • SGIM (Society of General Internal Medicine)
www.sgim.org/go/hiv
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Routine HIV Testing Team• Jenny McFarlane, BA, Routine Testing Coordinator;
(512) 533-3094: [email protected]
• Isabel Clark, MA, RD, Routine Testing Consultant; (512) 533-3060: [email protected]
• Brian Rosemond, BBA, BSN, RN, Routine Testing Consultant; (512) 533-3071: [email protected]
• Mary McIntosh, MEd. Test Texas Coordinator; (512) 533-3017: [email protected]
• Karalee Poschman, MPH, Data Coordinator; (512) 533- 3107: [email protected]
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Test Texas HIV Coalition
http://testtexashiv.org/
Please join us in our efforts to eliminate HIV/AIDS