Needle And Syringe Programs
Needle and syringe programs provide clean needles or syringes to people who inject drugs, reducing the risk of the transmission of HIV and other blood-borne diseases such as hepatitis B and hepatitis C. This is sometimes referred to as needle exchange.
The types of NSP outlet vary, from participating pharmacies to vending machines. Find an NSP in your state or territory:
You can also find a local needle and syringe program using the healthdirect Service Finder. Select By name and type needle into the search bar.
How To Delay The Progression Of Hiv To Aids
How does HIV turn into AIDS? Is it possible to delay the process? Yes. There is currently no cure for AIDS, but the condition can be delayed to give the person a longer period of good health. Each class of the medications works differently to control the virus. It is advisable to use a combination of three drugs from two classes.
- Non-nucleoside reverse transcriptase inhibitors . This class includes drugs like efavirenz, etravirine and nevirapine. These drugs work by disabling a protein required by the HIV virus to reproduce.
- Nucleoside or nucleotide reverse transcriptase inhibitors . This class of drugs includes abacavir. The drugs work by producing faulty protein that resemble those used by the HIV virus to reproduce.
- Protease inhibitors . This class includes atazanavir, darunavir, fosamprenavir and indinavir. These drugs inhibit protease, a protein required by the HIV virus to reproduce.
- Entry or fusion inhibitors. Entry inhibitors include enfuvirtide and maraviroc. These drugs delay the development of AIDS by inhibiting the entry of the HIV virus into the CD4 cells.
- Integrase inhibitors. Integrase inhibitors include raltegravir, elvitegravir and dolutegravir. Integrase is a protein used by the HIV virus to insert its DNA into the CD4 cells. These drugs function by inhibiting it.
When to Start Drugs
All people with HIV should be on antiretroviral drugs. However, drugs are particularly necessary in these situations:
Possible Side Effects
How Does Being Durably Undetectable Affect My Risk Of Transmitting Hiv To A Sexual Partner
People living with HIV who take antiretroviral medications daily as prescribed and who achieve and then maintain an undetectable viral load have effectively no risk of sexually transmitting the virus to an HIV-negative partner.
Three large multinational research studies involving couples in which one partner was living with HIV and the other was notHPTN 052, PARTNER and Opposites Attractobserved no HIV transmission to the HIV-negative partner while the partner with HIV had a durably undetectable viral load. These studies followed approximately 3,000 male-female and male-male couples over many years while they did not use condoms. Over the course of the PARTNER and Opposites Attract studies, couples reported engaging in more than 74,000 condomless episodes of vaginal or anal intercourse.
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Genital Herpes And Hiv Treatment Issues
It’s more difficult to treat genital herpes if you also have HIV. Higher doses of antiviral drugs are often needed to treat herpes in people with HIV. Also, many people with HIV have strains of the herpes virus that are resistant to treatment with the standard antiviral drugs.
If you take antiviral drugs for genital herpes and the treatment isn’t working, your doctor can test the virus you have for resistance. If the virus is resistant, there are other possible treatment alternatives, including the drugs Foscarnet and cidofovir.
If you have HIV, ask your doctor if you should be tested for genital herpes. If you already know that you have herpes and HIV, discuss treatment options with your doctor.
How Does Hiv Spread
HIV spreads when infected blood, semen or vaginal fluids enter the body. Because symptoms can be mild at first, people with HIV might not know they’re infected. They can spread HIV to others without knowing it.
HIV can spread:
- during sex
- through sharing needles for injecting drugs or tattooing
HIV also can pass from mother to child during pregnancy, childbirth, or breastfeeding.
HIV does not spread through:
- pee, poop, spit, throw-up, or sweat
- coughing or sneezing
- sharing eating utensils or drinking glasses
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Hiv And Aids Diagnosis
HIV tests check your blood or fluid from your mouth for antibodies that your body makes in response to the virus. You can take them at a doctorâs office, a community health center, a hospital, or at home.
When you have HIV, your doctor will keep an eye on how much of the virus is in your system. You might hear them call it your âviral load.â Two things will tell them if your infection has become AIDS:
- Your CD4 count. A person with a healthy immune system has 500 to 1,600 CD4 cells in a cubic millimeter of their blood. A person with AIDS has fewer than 200. This number is called your âCD4 count.â
- AIDS-defining infections. These are also called opportunistic infections. These generally happen in people who have a CD4 count below 200. Viruses, bacteria, or fungi that donât usually make healthy people sick can cause these infections in someone with HIV or AIDS.
How long it takes HIV to become AIDS is different for everyone. If you donât get treatment, it might take 10 to 15 years. With treatment, you may never have AIDS.
Homeless People And Intravenous Drug Users In New York
A volunteer social worker called Betty Williams, a Quaker who worked with the homeless in New York from the seventies and early eighties onwards, has talked about people at that time whose death would be labelled as “junkie flu” or “the dwindles”. In an interview for the Act Up Oral History Project in 2008, she said: “Of course, the horror stories came, mainly concerning women who were injection-drug users … who had PCP pneumonia , and were told that they just had bronchitis.” She continues: “I actually believe that AIDS kind of existed among this group of people first, because if you look back, there was something called junkie pneumonia, there was something called the dwindles that addicts got, and I think this was another early AIDS population way too helpless to ever do anything for themselves on their own behalf.”
Julia Epstein writes in her book Altered Conditions: Disease, Medicine and Storytelling that: “As we uncover more of the early history of HIV infection, it becomes clear that by at least the 1970s the virus was already making major inroads into the immune systems of a number of diverse populations in the United States and had for some time been causing devastation in several countries in Africa.”
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How Long Does It Take For Hiv To Progress To Aids
How long does it take for HIV to progress to AIDS? In all but a few rare cases, if left untreated, HIV will progress to a stage of infection called AIDS. This is when the immune defenses have been compromised, and the body is less able to defend itself against potentially life-threatening infections.
Questions To Ask Your Doctor
- Is there any sure way to avoid acquiring HIV?
- What is the best treatment for me?
- How can I avoid getting any infections that will make me very sick?
- How can I find support groups in my community?
- What diagnostic tests will you run?
- How often will I need to see my doctor?
- Will there be any side effects to my treatment?
- How does this affect my plans for having a family?
- Is it safe for me to breastfeed my baby?
- Will using a condom keep my sex partners from acquiring HIV?
- Should I follow a special diet?
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How Can I Keep From Getting Hiv
The best way to protect yourself is to avoid activities that put you at risk. There’s no way to tell by looking at someone if he or she has HIV. Always protect yourself. Use latex condoms whenever you have any type of sex .
- Don’t use condoms made from animal products.
- Use water-based lubricants .
- Never share needles to take drugs.
- Avoid getting drunk or high. Intoxicated people might be less likely to protect themselves.
- Consider getting testedit is really important to be aware of your HIV status.
If you are a healthcare worker, you are at a slightly higher risk of getting HIV from a needle-stick injury, skin contact with contaminated fluid or from human bites. You should follow universal precautions:
- Always wear protective equipment when dealing with blood and body fluids.
- Follow careful hand-washing guidelines when dealing with such fluids.
- Follow safe handling guidelines for needles and sharp instruments.
- Be aware of post-exposure policies at your workplace.
If you are in a relationship with a partner who has HIV, or you are at high risk for any other reason, consider using pre-exposure prophylaxis, commonly called PrEP. This means taking one of two medicines every day, emtricitabine-tenofovir or emtricitabine-tenofovir alafen .
If you are a person with HIV who is in a relationship with a person who is HIV-negative, you should also be on a medication regimen.
Aids Is The Final Stage
Controlling HIV with medications is crucial to both maintaining quality of life and helping prevent progression of the disease. Stage 3 HIV, also known as AIDS, develops when HIV has significantly weakened the immune system.
According to the CDC National Prevention Information Network, CD4 levels give one indication that HIV has progressed to its final stage. CD4 levels decreasing below 200 cells per cubic millimeter of blood is considered a sign of AIDS. A normal range is considered 500 to 1,600 cells/mm3.
AIDS can be diagnosed with a blood test to measure CD4. Sometimes its also determined simply by a persons overall health. In particular, an infection thats rare in people who dont have HIV may indicate AIDS. Symptoms of AIDS include:
- persistent high fevers of over 100°F
AIDS is the final stage of HIV. According to AIDSinfo, it takes at least 10 years without treatment for most people with HIV to develop AIDS.
At that point, the body is susceptible to a wide range of infections and cant effectively fight them off. Medical intervention is necessary to treat AIDS-related illnesses or complications that can otherwise be fatal. Without treatments, the CDC estimates the average survival rate to be three years once AIDS is diagnosed. Depending on the severity of their condition, a persons outlook may be significantly shorter.
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Letting Partners Know You Have Hiv
If you have just been diagnosed with HIV, it will likely be a difficult time. You might still be struggling to come to terms with diagnosis.
During this time, it is important to let any sexual or injecting partners know they may have been exposed to HIV as soon as you can, so they can be tested and offered PEP if appropriate.
You do not have to do this alone. Your doctor or the Department of Health and Human Services Partner Notification Officers can help you through this process and ensure your identity is not revealed.. Both groups can provide information, support, and guidance for people living with HIV.
What Is The Outlook For Someone With Hiv Or Aids
It depends on if that person is on treatment and how the virus responds to early treatment. When treatment fails to decrease the replication of the virus, the effects can become life threatening, and the infection can progress to AIDS.
Even with treatment, some people seem to naturally experience a more rapid course towards AIDS. However, the majority of HIV patients who receive appropriate treatment do well and live healthy lives for years.
For more information, contact the CDC National AIDS Hotline: 1 CDC-INFO .
WebMD Medical Reference
Causes Of Hiv Infection
HIV is found in the body fluids of an infected person. This includes semen, vaginal and anal fluids, blood and breast milk.
It’s a fragile virus and does not survive outside the body for long.
HIV cannot be transmitted through sweat, urine or saliva.
The most common way of getting HIV in the UK is through having anal or vaginal sex without a condom.
Other ways of getting HIV include:
- sharing needles, syringes or other injecting equipment
- transmission from mother to baby during pregnancy, birth or breastfeeding
The chance of getting HIV through oral sex is very low and will be dependent on many things, such as whether you receive or give oral sex and the oral hygiene of the person giving the oral sex.
Hepatitis C Prevention For Men Who Have Sex With Men
In addition to the classic hepatitis C epidemic associated with sharing injecting equipment, a new epidemic in which the virus is transmitted during sex between men has emerged.25 Evidence from Western Europe, Australia and the USA suggest outbreaks are concentrated in urban areas among gay men and other men who have sex with men living with HIV, with serosorting and recreational drug use likely to be contributing to transmission.26
Prevalence of hepatitis C among men who have sex with men is higher than 8% in Germany and the Philippines, 18% in Uzbekistan, 36% in the Seychelles and 60% in Mauritius.27 However, the number of countries monitoring and reporting on this is extremely limited. Little progress has been made in the development of effective hepatitis C prevention approaches for men who have sex with men.28
A modelling study based on the situation in Victoria, Australia found that major reductions in hepatitis C prevalence can be achieved among HIV-positive men who have sex with men within two years through the implementation of routine hepatitis C monitoring and prompt treatment as a part of HIV care. It found that, if the average time from hepatitis C diagnosis to treatment was six months, an 80% reduction in hepatitis C prevalence could be achieved in 122 weeks. This was reduced to 77 weeks if the average time between hepatitis C diagnosis and starting treatment was decreased to 16 weeks.29
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How Does Hiv Turn Into Aids
HIV and AIDS are often used interchangeably. However, the two are very different. HIV is a virus. Without treatment, HIV can destroy the immune system and end with AIDS. AIDS is the last stage of the development of HIV. The three stages of HIV infection are acute HIV infection, clinical latency and AIDS. Though there is no cure for HIV, there are drugs available that can delay or even prevent the progression of HIV to AIDS.
Hiv Is Detected With A Blood Test
Blood tests are the most common and reliable tests for HIV. The virus is detected by taking a sample of your blood either with a conventional blood test or a rapid test .There is a short period of time between exposure to HIV and the ability for tests to detect HIV or its antibodies. This is often referred to as the ‘window period’ between 2 and 12 weeks.
Most tests used in Australia can detect HIV as early as 2 to 4 weeks after infection.
If your blood test shows that HIV or its antibodies are present, you are HIV-positive.
If you have no antibodies in your blood you are HIV-negative. Sometimes negative results might also mean you are in the window period, so you might need a follow-up blood test to make sure.
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The Epidemiology Of Hiv/hepatitis C Co
It is estimated that 6.2% of people living with HIV also show signs of past or present hepatitis C infection. This equates to 2.3 million people living with HIV, over half of whom are .7 Injection drug use accounts for 23% of new hepatitis C infections while 8% of people living with chronic hepatitis C currently inject drugs.8
Among people living with HIV, the prevalence of hepatitis C is highest in people who inject drugs , followed by and pregnant women .9 Studies also show very high rates among living with HIV, although less data has been collected.
As a result, developing models of care that meet the needs of people from these key populations is a vital first step to providing an effective co-infection treatment programme. However, the proportion of people living with HIV and hepatitis C co-infection varies considerably, according to risk group and world region.
In 2016, low- and middle-income countries accounted for about 75% of people living with hepatitis C. China has the largest hepatitis C epidemic , followed by Pakistan , India and Egypt . These four countries account for almost 40% of all people living with hepatitis C.10
Eastern Europe is home to the greatest number of people living with HIV-hepatitis C co-infection, estimated to be around 600,000 people.11 Around 400,000 people in sub-Saharan Africa are also living with HIV/hepatitis C co-infection.12
Why Does Having An Std Put Me More At Risk For Getting Hiv
If you get an STD, you are more likely to get HIV than someone who is STD-free. This is because the same behaviors and circumstances that may put you at risk for getting an STD also can put you at greater risk for getting HIV. In addition, having a sore or break in the skin from an STD may allow HIV to more easily enter your body. If you are sexually active, get tested for STDs and HIV regularly, even if you dont have symptoms.
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Latency Causes A Break In Symptoms
After initial exposure and possible primary infection, HIV may transition into a stage called clinically latent infection. Its also referred to as asymptomatic HIV infection due to a noticeable lack of symptoms. This lack of symptoms includes possible chronic symptoms.
According to HIV.gov, latency in HIV infection can last for 10 or 15 years. This doesnt mean that HIV is gone, nor does it mean that the virus cant be transmitted to others. Clinically latent infection may progress to the third and final stage of HIV, also referred to as AIDS.
The risk for progression is higher if a person with HIV isnt receiving treatment, such as antiretroviral therapy. Its important to take prescribed medications during all stages of HIV even if there arent any noticeable symptoms. There are several medications used for HIV treatment.