Pharmacists need to remain vigilant about HIV with testing, prevention, treatment, and education of HIV.
While new data from the CDC recommends screening for people between the ages of 13 and 64 years of age, only 40% have ever been tested, according to data in the Morbidity and Mortality Weekly Report (MMWR).
“The new data, released on National HIV Testing Day, underscore the urgent need to scale up HIV testing to end America’s HIV epidemic,” the CDC states. “The analysis of 2016-2017 data from a national population-based survey suggest most people are not getting the recommended screening, even in areas with a high burden of HIV.”
The study’s release follows an initiative spearheaded by the Trump Administration calling for a 75% reduction in new HIV cases over the next five years and a 90% reduction in a decade. The Health and Human Services (HHS) initiative “Ending the HIV Epidemic: A Plan for America” is asking for $291 million in FY2020 to begin a three-phased approach that includes:
The initiative will target geographic areas with the highest number of new HIV cases including the 50 local jurisdictions and seven states with a high proportion of new HIV cases in rural areas, specifically: Alabama, Arkansas, Kentucky, Mississippi, Missouri, Oklahoma, and South Carolina.
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If funded, the HHS-led initiative is calling on CDC to take an active role with the Health Resources and Services Administration, Indian Health Service, NIH, Office of the HHS Assistant Secretary for Health, and the Substance Abuse and Mental Health Services Administration.
The most recent CDC findings on HIV include:
CDC recommends people with specific risk factors be screened at least once a year. That includes:
“A negative HIV test result can lead to prevention options like PrEP, a medication to prevent HIV acquisition,” CDC says. “A positive result should lead that person to care and treatment, ideally on the day the diagnosis is made.
“HIV treatment reduces the amount of HIV in a person to a very low level-known as viral suppression or having an undetectable viral load. People who reach and maintain viral suppression have effectively no risk of transmitting HIV to others through sex,” CDC states.
The new study mentions promising novel approaches to increase access to HIV testing. These approaches included integrated and routinized HIV screening in a variety of healthcare settings, as well as scaling up partner notification and social/sexual network screening strategies, and mass distribution of HIV self-tests.
According to the ASHP, pharmacists play a key role in helping to prevent and manage HIV, including: