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HIV in the United Kingdom: The oldest swingers?. Craig Tipple. Gary Whitlock, Collins Iwuji, Melissa Perry. Breaking News…. England, Wales, N. Ireland 50 yr age New cases: Tripled: 299 (2000)  710 (2007) Of these, 48% CD4<200 (30% in <50s) 50 yr HIV+ more likely than younger to be

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HIV in the United Kingdom: The oldest swingers?

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Hiv in the united kingdom the oldest swingers l.jpg

HIV in the United Kingdom: The oldest swingers?

Craig Tipple. Gary Whitlock, Collins Iwuji, Melissa Perry


Breaking news l.jpg

Breaking News…

England, Wales, N. Ireland

50 yr age

New cases:

Tripled: 299 (2000)  710 (2007)

Of these, 48% CD4<200 (30% in <50s)

50 yr HIV+ more likely than younger to be

Men (with travel abroad)

MSM

White

UK-acquired (if heterosexual)

Increase in over-50s accessing care


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Brighton Cohort

1531 patients had documented CD4 count within 3 months of diagnosis from 1st Jan 2006 to 30th May 2010

151/1531 (9.9%) diagnosed after the age of 50; median 54.7 (IQR 51.9-60.6)

753/1531(49%) of cohort presented late with HIV with median CD4 211 cells/mm3 (IQR 83-289)

96/151(63.6%) aged over 50 presented late with median CD4 139.5 (IQR 83-289)

Mortality is higher in those diagnosed over age 50 compared to those under 50- OR 2.62; 95% CI: 1.64-4.20)


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Case Summary: Mr F

70 year-old, MSM, White S. African

Diagnoses:

Acute Cerebellar Infarct

New HIV positive (CD4 190)

Old Anterior MI

Late Latent Syphilis

Abnormal Bone Marrow – myeloma.


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Those that survived… a personal story

“I was in my thirties when I was diagnosed, back in 1990. Then there was no therapy, no effective treatment. I didn't know how long I had, but I knew it wouldn't be long. Friends were already dead.”

“We are the generation which saw HIV transformed from a death sentence into a chronic condition. If we keep going, it's not clear what we face in older age. “

“As for the increase in the number of people my age being diagnosed for the first time with the disease, I do think it's time we got over our assumption that people that age don't have sex.”


Summary l.jpg

Summary

Increase in new diagnoses in over-50s

Late presentations higher in >50s with associated higher mortality

People with HIV living longer

Need for Health Promotion work targeted at >50s and services targeted at their needs


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