HIV in Lebanon: Reasons for Testing, Engagement in Care, and Outcomes in Patients with Newly Diagnosed HIV Infections
AbstractLittle is known about clinical presentation and cascade of care among patients living with HIV (PLWH) in Beirut, Lebanon. The study aims to examine the reasons for HIV testing and to evaluate the clinical characteristics of, predictors of advanced HIV stage at presentation in, and rates of ART initiation, retention in care, and viral load suppression among PLWH in Lebanon. We conducted a retrospective study of PLWH presenting to a tertiary-care centre-affiliated outpatient clinic from 2008 to 2016 with new HIV infection diagnoses. We identified a total of 423 patients: 89% were men, 55% were 30 –50 years old, and 58% self-identified as men who have sex with men. About 35% of the patients had concurrent sexually transmitted diseases at the time of HIV diagnosis. Thirty percent of infection cases were identified by provider-initiated HIV testing, 36% of cases were identified by patient-in itiated testing, and 34% of patients underwent testing for screening purposes. The proportion of individuals presenting with advanced HIV disease decreased from 40% in 2008–2009 to 24% in 2014–2015. Age older than 50 years and identification of HIV by a medical provider were independent predict ors of advanced HIV infection at presentation. Among patients having indications for treatment (n = 253), 239 (94%) were prescribed antiretroviral therapy, and 147 (58%) had evidence of viral suppression at 1 year. Furthermore, 266 patients (63%) we...
[This Day] Asaba -- Delta State Government has launched the HIV Self-Testing Programme with a vow to scale up all response measures for arresting the relatively high HIV prevalence rate in the state, which places Delta as being among the highest in the country.
[UNAIDS] Geneva -- Drawing on 40 years of experience from the AIDS response, UNAIDS is issuing new guidance on how to reduce stigma and discrimination in the context of COVID-19. The guidance is based on the latest evidence on what works to reduce HIV-related stigma and discrimination and applies it to COVID-19.
[UCT] South Africa has the world's largest cohort of young people with HIV. More than 300 000 adolescents aged between 10 and 19 are living with the virus. Part of the born-free generation, their health outcomes - and those of their families - reflect the triumphs, as well as the enduring challenges, of post-apartheid healthcare, said Dr Rebecca Hodes, the recipient of the University of Cape Town's (UCT) Social Responsiveness Award for 2019.
[New Era] Justice and equity fell into sharp focus on 1 October when the AIDS&Rights Alliance for Southern Africa (ARASA) launched a campaign to call for the realisation of the rights to bodily autonomy and integrity in Southern and East Africa.
[The Herald] In a shocking case of child abuse, a 23-year-old Harare woman is accused of deliberately infecting her friend's 10 month-old son with HIV after breastfeeding the baby in an effort to silence it after it started crying.
[SAnews.gov.za] Deputy President and South African National Aids Council (SANAC) chairperson, David Mabuza, has welcomed the appointment of Dr Thembisile Xulu as the SANAC Chief Executive Officer.
[Global Fund] Geneva -- The Global Fund and Chevron Corporation have celebrated a 12-year partnership that served as an example of the private sector's contribution to the fight against infectious diseases and to building resilient health systems.
CONCLUSIONS: Strategies mobilizing MSM for targeted AEHI testing resulted in substantially higher AEHI yields than universal AEHI testing. Targeted AEHI testing may be optimized using risk and/or symptom scores, especially if scores include symptoms. Studies assessing AEHI yield and validation of risk and/or symptom scores among MSM in SSA are urgently needed. PMID: 33000916 [PubMed - in process]
Authors: Kayode BO, Mitchell A, Ndembi N, Kokogho A, Ramadhani HO, Adebajo S, Robb ML, Baral SD, Ake JA, Charurat ME, Crowell TA, Nowak RG, TRUST/RV368 Study Group Abstract INTRODUCTION: Men who have sex with men (MSM), and transgender women (TGW), face specific obstacles to retention in care, particularly in settings with stigmatization such as sub-Saharan Africa. We evaluated the impacts of HIV status and other factors on loss-to-follow-up (LTFU) and visit adherence among MSM and TGW in Abuja and Lagos, Nigeria. METHODS: TRUST/RV368 is an open cohort that provides comprehensive and integrated prevention and t...
This study aimed to characterize HIV prevalence and care cascade among MSM and TGW in Kigali. METHODS: MSM and TGW ≥ 18 years were recruited using respondent-driven sampling (RDS) from March-August 2018 in Kigali. Participants underwent a structured interview including measures of individual, network and structural determinants. HIV and sexually transmitted infections (STI) including syphilis, Neisseria gonorrhoea (NG) and Chlamydia trachomatis (CT) were tested. Viral load was measured for MSM living with HIV. Robust Poisson regression was used to characterize the determinants of HIV infection and eng...