Monthly Archives: November 2016

Ask questions to the CEO’s of Leicester NHS & Hospitals

any-questions

Healthwatch Leicestershire is the county’s patient and public champion for health and social care services.  They exist to help the residents of Leicester and Leicestershire get the best service from health and social care providers.

They do this by listening to local people about their views and experiences of using health and social care services, such as:

  • GPs and practices
  • Mental health services
  • Hospitals
  • Social care
  • Community health services
  • Carers services
  • Children and young people services

They use what people tell them to challenge and influence those who plan, run and regulate services so improvements are made for local people.

Healthwatch Leicestershire is giving you the opportunity to submit a question to be answered by health Chief Executives of Leicestershire Partnership NHS Trust and University Hospitals of Leicester.  This is an opportunity for you to get a response from the people who make decisions about local health services.

You can submit questions about:

  • Leicester Royal Infirmary services
  • Glenfield Hospital services
  • Leicester General Hospital services
  • Adult Mental Health and Learning Disabilities such as; Adult Community Mental Health teams, Day Care Services, Homeless Service and Cognitive Behavioural Therapy Services.
  • Community Health Services such as; Community Physiotherapy and Occupational Therapy Teams, Falls Team, Night Nursing Service, Mental Health Services for Older People and Community healthcare non-inpatient services.
  • Families, Young People and Children Services such as; Children’s Occupational Therapy, Community Wellness Service, School Nursing, Stop Smoking Service and Tobacco Control, Adult Eating Disorders Therapy Service and Paediatric Psychology.

They will confirm receipt of your question and may need to come back to you to ask for more detail. If your question is not within the remit of the providers they will inform you of this and agree what happens next.

You may need to wait around 21 working days for a response, sometimes a little longer depending on the question and schedules of health care staff.

Once they have received the response it will be sent to you, providing they have your contact details. All responses will be posted on their website.  (They will not publish any personal identifiable information given by you.)

Send your questions to info@healthwatchleics.co.uk

If you require any further information, call them on 0116 257 4999.

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World Health Organisation Advocates for HIV Self-Testing

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The first legally approved HIV self testing kits only became available in the UK last year.

Forty percent of the people with HIV globally are unaware they are infected, the World Health Organisation (WHO) said in a statement yesterday (Tues 29th Nov) , two days ahead of World AIDS Day.

The WHO is advocating for broader access to self-testing kits to make it easier for those at risk to determine whether they are infected.

“HIV self-testing should open the door for many more people to know their HIV status and find out how to get treatment and access prevention services,” said WHO Director-General Dr. Margaret Chan.

The report cited studies which found that providing self-testing kits nearly doubles the chances of men who have sex with men getting tested.

Late Diagnosis in Leicester

Late HIV diagnosis in Leicester is 13.8% higher than the average for England.  HIV testing is a scary prospect to some and no one takes that for granted, but by taking the chance to be tested, you could be buying yourself years of life.

Do you know your HIV status? – The only way to know if you have HIV or not is to get a HIV test.  You can do this for free at your doctor, free at an NHS clinic, free with charities like LASS and now you can even do a HIV test at home, at your convenience.

For more information on HIV Testing, please visit our website where you can find information about testing with us or other places in Leicester/shire and around the UK.

You can also apply for a FREE home sampling HIV kit or you can purchase your own self test kit.  An explanation on the differences between testing methods is available in our HIV Testing Pages.

Self-testing would be particularly beneficial to populations that face a wide variety of barriers to testing centers; however, many of the financial constraints which prevent access to testing and treatment may similarly impede access to self-testing kits.

Still, the WHO noted significant improvements in HIV awareness and treatment in the past decade. In 2005, just 12 percent of those infected with HIV knew they had the AIDS virus. Last year, the number climbed to 60 percent. Additionally, 80 percent of those who know they are HIV-positive are currently receiving antiretroviral therapy (ART).

Wide-scale implementation of self-testing remains limited, but 23 countries currently have policies in place supporting it, and many other nations are developing similar policies.

You can read the full statement by the World Health Organisation here: http://www.who.int/mediacentre/news/releases/2016/world-aids-day/en/

Want to know how a HIV test works? – See this video featuring Dr Christian on loose women .

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How A Red Ribbon Conquered The World

Thirty years after the HIV virus was first documented, the red ribbon is the ubiquitous symbol of support for those living with the illness. Who thought of it and how did it get so big?

In the sparse surroundings of a former classroom on a spring day in 1991 – a decade after the rise of AIDS – a group of 12 artists gathered to discuss a new project.

They were photographers, painters, film makers and costume designers, and they sat around in the shared gallery space known as PS122 in New York’s East Village.

Within an hour or so of brainstorming, they had come up with a simple idea that later became one of the most recognised symbols of the decade – the red ribbon, worn to signify support for people with HIV/Aids.

“We wanted to make something that was self-replicating,” says Patrick O’Connell, who chaired the meeting. “It’s extremely simple, like Bauhaus but half a century later. You cut the ribbon 6-7 inches, loop it around your finger and pin it on. You can do it yourself.”

The ribbon was the latest project by Visual Aids, a New York arts organisation that raises awareness of HIV/Aids.

When they sat down in the shared gallery space of PS122 in May 1991, they wanted to get people talking about the illness that was decimating their professional and social network, in the face of public indifference and private shame.

People were dying without even telling their friends why they were sick, and the artists wanted a visual expression of compassion for people living with Aids and their carers.

“Even in New York, we were very aware of how many people couldn’t talk about it, or were oblivious, or were going through it themselves but ashamed to talk about it,” says photographer Allen Frame, who was also one of the 12. “We wanted to make people feeling isolated more supported and understood.”

Their inspiration came from the yellow ribbons tied on trees to denote support for the US military fighting in the Gulf War, he says. Pink and the rainbow colours were rejected because they were too closely associated with the gay community, and this was an illness that went well beyond.

“Red was something bold and visible. It symbolised passion, a heart and love.”

The shape had no significance but was easy to make.

It took two more meetings to refine the design and then they set to work on making the ribbons themselves, distributing them around the New York art scene and dropping them off at theatres.

Initially there was a text that went with it, to explain why they were being worn, although this was later dropped because it became superfluous.

A few weeks after that first meeting, the group sent a box of 3,000 ribbons to the Minskoff Theatre on Broadway, ahead of the Tony Awards for the theatre industry. Some of them were making ribbons and watching the televised event as actor Jeremy Irons, one of the presenters, came on to the stage wearing one.

“Within three days, the media finally figured it out and it snowballed. I started being contacted by people in Hollywood,” says O’Connell.

Demand increased to such a degree that supply needed to be outsourced, and Visual Aids used a charity working with homeless women to make the ribbons. They sent out 10,000 ribbons for one Oscars ceremony, and over the coming years they made about 1.5m.

Stars like Bette Midler and Richard Gere were not only wearing them, but openly discussing why it was important. A ribbon-sporting culture developed within the acting profession.

“It became trendy and sometimes I think celebrities felt blackmailed and thought they had to show up wearing a ribbon, which wasn’t the case,” says O’Connell. “We weren’t keeping count that way.”

The ribbons first crossed the Atlantic in large numbers on Easter Monday in 1992, when more than 100,000 ribbons were distributed at an Aids benefit concert in London’s Wembley Stadium for Freddie Mercury.

They also began to proliferate in mainstream American life. Schools and churches across the US touched by the illness started to contact Visual Aids for advice on how they could explain it to children and parishioners – the answer was to hold a ribbon-making event.

“This was a way to educate people in a non-combative way,” says O’Connell, who has a ribbon on every item of clothing. Direct action was still important, he says – campaigners occupied the Stock Exchange and tried to re-enact a funeral on the White House lawn – but the ribbon was a way to broaden the conversation.

One unforeseen consequence has been the number of awareness ribbons that have been adopted since – pink for breast cancer being the most well known.

The artists purposefully never trademarked it – the point of the project was to invite more people in, says O’Connell – which meant it could appear anywhere without Visual Aids’ permission or any payments. It even turned up on a US Post Office stamp.

But he and some of the other artists behind the concept believe the proliferation and merchandising of the ribbon – ornamental ribbons selling for $19.95 in department stores and red ribbon mugs – has commercialised and trivialised their idea.

In a spirit more in tune with the one envisaged by Visual Aids, the ribbon is replicated in many different forms for memorials on World Aids Day, and its symbolism no longer needs any explanation.

In the poorest parts of the world, ribbon production has been central to efforts to raise funds and change attitudes, says Sir Nick Partridge, chief executive of the Terrence Higgins Trust in the UK.

Women’s collectives make ribbons and adorn them before selling them in their community.

“A number of people living with HIV really appreciate seeing other people wearing the red ribbon. They realise they’re not alone and recognise that the majority of people wearing them probably don’t have HIV themselves, and that sense of support and solidarity is very, very important.

“There has been some criticism, that it is only a symbol. But symbols are important, and the way in which the red ribbon was embraced by community activists, doctors and researchers is a unifying emblem in what is a very disparate epidemic.

“The brilliance of the artists was not copyrighting it. Making it freely available was a gift to the Aids community worldwide.”

Those 12 artists never worked together again as a group, but with the battle against the illness ongoing, their activism continues.

 

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Testing begins on new vaccine that could be ‘final nail in the coffin’ for HIV

Researchers hope to prove the drug can be at least 50 per cent effective Getty

Researchers hope to prove the drug can be at least 50 per cent effective Getty

The biggest ever trial of a new vaccine hailed as a potential “final nail in the coffin” of HIV has begun in South Africa.

Story via Telegraph

Researchers hope the vaccine, currently named HVTN 702, could finally lead to a cure for HIV, which directly affects 37 million worldwide and kills over 1 million each year.

In what is only the seventh full-scale human trial of an HIV vaccine, 5,400 sexually active South African men and women aged between 18 and 35 will take part in a test of the drug, which was developed by pharmaceutical companies Sanofi Pasteur and GSK.

The trial is being jointly funded by the US government’s National Institute of Allergy and Infectious Diseases (NIAID), the US military, the South African Medical Research Council, and the Bill & Melinda Gates Foundation.

Anthony S Fauci, the director of NIAID, said: “If deployed alongside our current armoury of proven HIV prevention tools, a safe and effective vaccine could be the final nail in the coffin for HIV.

“Even a moderately effective vaccine would significantly decrease the burden of HIV disease over time in countries and populations with high rates of HIV infection, such as South Africa.”

The trial will test the efficacy and possible side effects of the vaccine, which is a modified version of a previous vaccine known as RV144. This was tested in 2009 in a trial of 16,400 people in Thailand and shown to be effective in 31 per cent of people.

This success, although limited, gave scientists hope they were close to finding a clinical way of preventing HIV, which can currently be treated through a lifelong drug programme but not easily prevented.

The new vaccine includes a number of modifications to the one used in the Thailand trial and has been tailored to target a strain of HIV that is common in southern Africa.

Researchers hope to prove it is at least 50 per cent effective – a significant increase on the Thai trial and, crucially, the threshold that is likely to secure a license to manufacture the drug commercially.

Dr Glenda Gray, president of the South African Medical Research Council, said: “The people of South Africa are making history by conducting and participating in the first HIV vaccine efficacy study to build on the results of the Thai trial.

“HIV has taken a devastating toll in South Africa, but now we begin a scientific exploration that could hold great promise for our country. If an HIV vaccine were found to work in South Africa, it could dramatically alter the course of the pandemic.”

More than 1,000 people in South Africa currently become infected with HIV every day.

Half of the participants in the study will be given the new vaccine while the other half are given a placebo. All recipients will receive five injections over the course of a year, along with a drug to boost the immune system’s response to the vaccine.

Researchers will closely monitor them for any side affects or signs the vaccine has not prevented them contracting HIV in the community. Anyone taking part who does become infected will be offered medical treatment and information on how to reduce the risk of them transmitting the virus.

Results of the study are expected in late 2020

READ MORE

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Forget everything you think you know about people living with HIV.

Becky Mitchell, who contracted HIV in her 40s, talks about being HIV Positive

Becky Mitchell, who contracted HIV in her 40s, talks about being HIV Positive

Becky Mitchell is a picture of health – she teaches gym classes four times a week, always eats her five fruit and veg a day, and loves to cycle.

In the summer of 2012, Becky had found a new lease of life after splitting with her husband.  She eventually met someone new and, after a few months together, they started having unprotected sex.

But not long afterwards she received an email from her partner’s ex-girlfriend that changed her life forever.

Story via Metro

Diagnosis

We got together and were really careful to start with. After a few months, he said he didn’t have anything, and I figured, we’re in our 40s – who lies about these things? So, as the relationship got more serious, we stopped using condoms.

A few weeks later, I’d been feeling ill for a couple of weeks, and had noticed a rash on my chest, but didn’t think anything of it. Then I got an email from his ex-girlfriend, telling me he had HIV and doesn’t take his medicine properly.

I thought, oh my god, I’ve got to go and get tested. The doctor suggested I wait a month so I went back in on a Monday to get the test. On the Friday after work, I was back in the doctor’s about a completely different thing, when my doctor got a phone call while I was in the room. It was my results.

The doctor told me there and then that I had HIV. My first response was, I haven’t got time to be ill! I knew I couldn’t let this stop me running or cycling. I asked the doctor if I’d still be able to do all of that – he assured me I would, and he phoned after the weekend to check I was alright. As it sunk in I felt shocked and upset – I knew there was no cure.

But my passion for fitness helped me come to terms with my diagnosis – I carried on teaching spinning, kettlebells and leading running groups. I knew I wanted to get on with my life as normal.

Telling friends and family

I told a couple of friends straight away and left it a little while longer to tell my mum and brother.

It was particularly hard for my mum. What can your mum really say? She had a typical mother’s reaction – she just felt powerless, saying, ‘I can’t take this away from you, there’s nothing I could do to make it better.’

Friends would say to me, ‘How on earth could you have HIV? You’re so fit and sensible.’ But that’s the thing – it can happen to anyone. HIV doesn’t discriminate, it could happen in your first sexual relationship or in older age.

My friends understood that being HIV positive is not the same as ‘AIDS’; that I was not going to die. But they did have questions – they’d always say ‘sorry if that sounds stupid’, but I’d never blame them for not knowing the ins and outs of HIV. I wouldn’t have known myself if it hadn’t happened to me. I knew it came from a point of them wanting to be better informed and wanting to know I’m alright.

Treatment

I’ve never felt like an ill person or a victim. Within two weeks of starting my treatment, it had suppressed the amount of HIV in my blood to ‘undetectable’ levels. And I’ve stayed undetectable ever since. I feel superhuman!

It definitely helps that I was diagnosed early and that I’m fit and healthy. Who knows what is further ahead as I grow older with HIV, but I’ve really not had any issues or side effects.

Support

I knew I couldn’t deal with this on my own, I needed to speak to people living with HIV. I joined the Terrence Higgins Trust forum that evening and got a lot of my questions answered by people who really understood.

I’ve also had lots of support from Terrence Higgins Trust’s Bristol office who have been fantastic. You shouldn’t feel alone – there is community out there, ready to support you if or when you need it.

Dating and relationships

After my diagnosis, I was traumatised by my experience and glad to be on my own – I have always been comfortable by myself.

Every now and again something comes along and I’ve dated people, usually meeting them through friends. I’ve never had any negative feedback from dates about my HIV status, probably because most people already know about it as I’ve put it out there in the media. I find once it’s out there and I’m open about it, it doesn’t cause an issue. It’s the fear, silence and taboo around HIV that fuels stigma.

I decided to be really open about my HIV status as the more it’s out there, the more we can normalise it and improve public awareness.

I want people to know that HIV doesn’t define me as a person; I’m the same woman, just stronger and wiser.

Have you ever been tested?

Some people think taking a HIV test is scary, but honestly it shouldn’t be. The condition is entirely manageable.  If you test positive, early detection, monitoring and effective treatment means that your life can largely carry on as before.

Incredible medical progress has been made in the last 20 years and HIV treatment is now very effective. If you are diagnosed with HIV before it has damaged your body and you are put on effective treatment, you can expect to live as long as anyone else.

HIV is no longer the death sentence it used to be and people are able to live, healthy and happy lives like they did before. However, this is thanks to the amazing progress we have made in treating the condition and we can only begin to do that when we make the decision to get tested and keep on top of our health.

Late HIV diagnosis in Leicester is 13.8% higher than the average for England.  It’s a scary prospect to some and no one takes that for granted, but by taking the chance to be tested, you could be buying yourself years of life.

For more information on HIV Testing, please visit our website where you can find information about testing with us or other places in Leicester/shire and around the UK.  We also have information about testing for HIV at home.

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One Woman’s Triumph Over HIV In Ghana (360 Video)

Meet Doris, a HIV positive patient in Ghana, whose quality of life dramatically turned around thanks to the Global Fund and Korle Bu Teaching Hospital in Accra. Through her story, discover why HIV disproportionately affects women in Sub-Saharan Africa.

This is a 360 degree video. If you have cardboard or a VR headset you can immerse yourself in this short documentary.

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HIV testing in the workplace

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We are delighted to be able to share the early key findings from our innovative regional project that delivered HIV testing in workplaces.  Not only do our findings demonstrate how acceptable providing an HIV test is in a workplace, we also discovered that 95% of participants who received the follow up text messaging service were inspired to make a positive change to their own lives to better protect their own health.

As we approach National HIV testing week (19-26 November) and World AIDS day on 1st Dec we invite you to use this information to encourage readers to find out their own HIV status and challenge the stigma and discrimination that still surrounds people living with HIV.  An overwhelming majority of attendees at the healthy hub events considered the HIV test to be an acceptable element of workplace health checks and over 99% of participants found our information informative and easy to understand.

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The project was funded by Public Health England as one of the  HIV innovation awards and delivered by a partnership of local HIV awareness voluntary organisations. The evaluation is being completed by Nottingham University.

HIV organisations across the county are opening extra days or evenings to encourage uptake of HIV Testing.  Locally, LASS are open over the next two Saturdays (19th & 26th November) and on Tuesday evening (22nd November) for people who may not be able to access our normal opening times during the day.  More information on our additional opening times are available on our Events Page.

Please contact us if you would like more information.

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Prince Harry continues HIV activism with our friends at NAZ

His brief was to help break down the stigma around HIV, and Prince Harry proved that he has inherited his mother’s remarkable powers of persuasion yesterday when he met a group of people living with HIV.

Before the Prince arrived at the event in London for NAZ, only five HIV positive members of the charity’s Joyful Noise Choir had agreed to be photographed with him. But after a rallying call from the Prince about the need to go public, all but a handful of the 25-strong group were happily posing for pictures with him.

It evoked memories of Diana, Princess of Wales educating the world about HIV 25 years ago when she made a point of shaking hands with patients to show there was nothing “dangerous” about it.

The Prince dances his way into a choir rehearsal CREDIT: PETER NICHOLLS/REUTERS

The Prince dances his way into a choir rehearsal CREDIT: PETER NICHOLLS/REUTERS

The Prince, 32, arrived for the event at the Hurlingham Club in west London casually dressed in a blue checked shirt and wearing the much talked about beaded bracelet that is the near twin of one worn by his girlfriend Meghan Markle.

As he listened to the choir rehearsing a medley of Reggae hits, including songs by one of his favourite singers, Bob Marley, the Prince sang along, danced in his seat and grinned with delight.

He went on stage afterwards to chat to the singers and the media were briefed that only five choir members had agreed to be photographed. Others were still too fearful of the stigma around their diagnosis, or had not yet told all those close to them about having HIV.

The Prince, speaking off the cuff, told them: “I don’t want to be here in 10 years talking to you guys and saying we’re making a difference. There’s no reason why we can’t turn this around in two or three years.

“Not talking about something can actually kill you. People are happy to talk about their youngest child having cancer, that might even kill them, but the other child who has HIV, they don’t talk about that.

“Thirty years ago it was pretty much a death sentence but so many people have put blood, sweat and tears into essentially fixing the problem. For some reason though there is a large group of people who don’t know that things have come so far.

Prince Harry poses with staff and donors of Naz CREDIT: PETER NICHOLLS/REUTERS

Prince Harry poses with staff and donors of Naz CREDIT: PETER NICHOLLS/REUTERS

“We have got to do this and people have got to hear it from you, they don’t want to hear it from me.”

Within a matter of minutes the Prince’s words had clearly given more than a dozen choir members the extra courage they needed to stop hiding their diagnosis.

As he posed for a photograph with members of the choir, all but a few happily joined in, knowing the pictures were going to be released for publication.

Marion Wadibia, the charity’s chief executive, said: “The weight of his presence really resonated and if he can move that many people in four minutes we can really make a difference in the next two or three years.

The Prince was given a brooch made of glass beads to represent the red ribbon worn to show support for those with HIV CREDIT: PETER NICHOLLS/REUTERS

The Prince was given a brooch made of glass beads to represent the red ribbon worn to show support for those with HIV CREDIT: PETER NICHOLLS/REUTERS

“This is one of the few conditions that has gone from a terminal illness to a chronic illness in the last 30 years, but the stigma hasn’t really moved.

“People were telling the Prince that they couldn’t really disclose to their own families because their families have set ideas about HIV.”

Members of the choir told Prince Harry that the HIV test he took earlier this year was “one of the greatest things you ever did”. He replied: “It was one of the easiest things I ever did.”

The Prince was meeting members of the choir a few hours before the charity’s annual awards evening, where the choir was to be the star turn.

Naz, which was founded in 1991, concentrates on providing sexual health services to black, Asian and minority ethnic communities, where views about HIV are sometimes entrenched and which make up a disproportionately high percentage of the 103,000 people living with HIV in the UK.

It is named after a Pakistani Muslim man called Nazir who was secretly gay and was shunned by his mosque and his community when they discovered he had Aids. The gay rights activist Shivananda Khan established the charity in his memory following his death.

Sarah Bisholo, 58, one of the choir members who spoke to Prince Harry, said: “HIV is not dangerous. What kills you is isolation and self-stigmatisation.

“When I was diagnosed in 2001 I wanted to die. I was envious of people who died on 9/11, the day after my diagnosis. Naz is the reason I’m standing here.

“They took me from planning to kill myself to giving me therapy and telling me I could do it, that thousands of people had come before me and I was not the first.”

The VIP guests at the event also included Princess Tessy of Luxembourg, UNAIDS global advocate for young women, and her husband Prince Louis.

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Call to fund #PrEP on NHS

prepworks

Calls are being made to get a drug that prevents HIV infection in people at high risk of the virus available on the NHS in Scotland.  It follows legal battles in England over whether the NHS or local authorities should pay for it.

Story via BBC Scotland

The drug, described as a “game-changer” by experts, is used for a process known as pre-exposure prophylaxis, or Prep.  The Scottish government wants its makers to apply for it to be assessed for use in Scotland.

In England, the NHS had previously said that local authorities should provide Prep because they are responsible for preventative health but the Court of Appeal insisted this fell within the remit of the NHS.

An estimated 14,000 people would be eligible for the drug – which is called Truvada.

Unlike in England, the Scottish Medicines Consortium assesses all drugs used in the NHS in Scotland so campaigners hope its transition for use in Scotland will be smoother.

BBC Radio Scotland’s Good Morning Scotland programme has learned that the Scottish government has written to Gilead, the manufacturers of the drug, to urge them to make an application.

The SMC said it was anticipating a submission from Gilead so it could make a formal judgement on whether to approve its usage.  The SMC will also make a decision on the cost-effectiveness of the drug, which costs about £450 a month to buy privately.

What does Prep do?

Pre-exposure prophylaxis (or Prep for short) is a small, blue pill.

The pill works by protecting cells in the body and disabling the virus to stop it multiplying – should it enter the body.

Taking it once a day has been shown to reduce the risk of HIV infection by 86%.

It is currently used in the US, Canada, Australia and France to help protect gay men at the highest risk of contracting HIV.

George Valiotis, the chief executive of the charity HIV Scotland, said: “People who take Prep – they don’t get HIV.”

HIV diagnoses in Scotland have continued at an average rate of 359 per year for the past five years, according to Health Protection Scotland.

Across the UK as a whole 100,000 people are believed to be living with virus.

“We have seen no change in our HIV transmission rates over the last 10 years. They haven’t really gone down at all,” he said.

“It’s been an average in Scotland of one person a day for the last 10 years, so we know we need to do something else, and Prep is that something else.”

A spokesman for Gilead said it had been in discussions with the Scottish Medicines Consortium.

He said: “We will make our submission in the coming weeks, in accordance with the required SMC timelines and expect the review to follow normal timelines as well.”

A spokesman for the SMC said it was aware of a report which has been compiled by the charity HIV Scotland, which sought to highlight the benefits of the drug and had support from health professionals.

He said: “The SMC is awaiting a submission from the company for Truvada for use as Pre-Exposure Prophylaxis (PreP) in HIV infection.

“We are aware of the report by the HIV PreP Short Life Working Group. While this report itself does not form part of the submission and therefore cannot be considered by the committee, we expect and encourage patient groups to submit evidence as part of the review for this medicine.

“This will be considered by our committee alongside the information submitted by the company.”

A spokesman for the Scottish government said: “The Scottish government has written to its manufacturer of Truvada to request they make a submission to the Scottish Medicines Consortium, at a fair price, so its routine use in Scotland can be considered as quickly as possible.

“Prevention of HIV infection remains a priority for the Scottish government and there is absolutely no room for complacency on such communicable diseases.”

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HIV Testing on a USB Stick!

This USB stick can measure how much HIV is in the bloodstream.

This USB stick can measure how much HIV is in the bloodstream.

Scientists have developed a type of HIV test on a USB stick.

The device, created by scientists at Imperial College London and DNA Electronics, uses a drop of blood to detect HIV, and then creates an electrical signal that can be read by a computer, laptop or handheld device.  The disposable test could be used for HIV patients to monitor their own treatment.

Story via Imperial College London

Furthermore, the technology could enable patients with HIV to be managed more effectively in remote locations.

New research, published in the journal Scientific Reports, shows the device is not only very accurate, but can produce a result in under 30 minutes.

The new technology monitors the amount of virus in the bloodstream. This is crucial to monitoring a patient’s treatment.

The current treatment for HIV, called anti-retroviral treatment, reduces virus levels to near zero.

However, in some cases the medication may stop working – perhaps because the HIV virus has developed resistance to the drugs. The first indication of this would be a rise in virus levels in the bloodstream.

Furthermore, regularly monitoring of viral levels enables healthcare teams to check a patient is taking their medication. Stopping medication fuels HIV drug-resistance, which is an emerging global problem.

Viral levels cannot be detected by routine HIV tests which use antibodies, as these can only tell whether a person has been infected.

MONITORING VIRAL LOAD IS CRUCIAL

Dr Graham Cooke, senior author of the research from the Department of Medicine at Imperial explained: “HIV treatment has dramatically improved over the last 20 years – to the point that many diagnosed with the infection now have a normal life expectancy.

“However, monitoring viral load is crucial to the success of HIV treatment. At the moment, testing often requires costly and complex equipment that can take a couple of days to produce a result. We have taken the job done by this equipment, which is the size of a large photocopier, and shrunk it down to a USB chip.”

Dr Cooke added that this technology, although in the early stages, could allow patients to regularly monitor their virus levels in much the same way that people with diabetes check their blood sugar levels.

The technology could be particularly powerful in remote regions in sub-Saharan Africa, which may not have easy access to testing facilities. Finding out quickly if a patient, particularly a baby, is infected with the virus is crucial to their long term health and survival.

hivusb2

The device, which uses a mobile phone chip, just needs small sample of blood. This is placed onto a spot on the USB stick. If any HIV virus is present in the sample, this triggers a change in acidity which the chip transforms into an electrical signal. This is sent to the USB stick, which produces the result in a programme on a computer or electronic device.

In the latest research, the technology tested 991 blood samples with 95 per cent accuracy. The average time to produce a result was 20.8 minutes.

The team are also investigating whether the device can be used to test for other viruses such as hepatitis. The technology was developed in conjunction with the Imperial spinout company DNA Electronics which is using the same technology to develop a device for detecting bacterial and fungal sepsis and antibiotic resistance.

Professor Chris Toumazou, DNAe’s Founder, Executive Chairman and Regius Professor at the Department of Electrical and Electronic Engineering at Imperial added: “This is a great example of how this new analysis technology has the potential to transform how patients with HIV are treated by providing a fast, accurate and portable solution. At DNAe we are already applying this highly adaptable technology to address significant global threats to health, where treatment is time-critical and needs to be right first time.”

The research was funded by the National Institute for Health Research Imperial Biomedical Research Centre

“Novel pH sensing semiconductor for point-of-care detection of HIV-1 viremia” by R. Gurrala et al is published in Scientific Reports

See the press release of this article

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