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NJHIV

NJHIV. Capacity Building Workshop for Division of Addiction Services Treatment Centers December 8, 2009. New Jersey and AIDS. New Jersey is a high prevalence state 5 th in the US in cumulative reported AIDS cases 3 in cumulative reported pediatric AIDS cases

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NJHIV

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  1. NJHIV Capacity Building Workshop for Division of Addiction Services Treatment Centers December 8, 2009

  2. New Jersey and AIDS • New Jersey is a high prevalence state • 5th in the US in cumulative reported AIDS cases • 3 in cumulative reported pediatric AIDS cases • 1st in proportion of women with AIDS among cumulative reported AIDS cases

  3. Why test? • People who know they are infected with HIV are more likely to practice risk-reduction. • More people learn their HIV status, and can be referred for treatment, prevention programs, and social services.

  4. HIV cases among IVDU • Historically, 41% of HIV cases in New Jersey are among IVDU

  5. Counseling sites started in mid-1980s Testing added in late 1980s Rapid testing added in 2003 70 laboratory licenses Health Departments, STD clinics, CBOs, Faith-based initiatives, Hospitals, Mobile vans, Field counselors 23 Emergency Departments 2006 ASTHO Vision Award New Jersey Rapid HIV Testing

  6. Inventory control & /validation Training Ongoing QA Temperature monitoring QC quality control Proficiency Testing Regular monitoring Review of logs Site visits “Report card” 2 MD, 1 PhD, 1 manager, 6 techs New Jersey Rapid HIV Testing

  7. HIV Serotypes HIV detection

  8. Symptoms Antibody by 1st gen EIA Antibody by Western Blot Antibody by 3rd gen EIA Antigen RNA / NAAT Acute Infection Silent Infection AIDS Weeks after infection 5-10 years 1-3 years HIV Infection

  9. HIV “Window” • Early in infection, antibody test will be negative. • Repeat testing is necessary • RNA testing may shorten this window period

  10. A August 4: HIV Ab Negative B September 10: not tested C September 30: not tested D October 31: HIV EIA Positive; Western Blot indeterminate

  11. Symptoms Antibody by 1st gen EIA Antibody by Western Blot Antibody by 3rd gen EIA Antigen RNA / NAAT Acute Infection Silent Infection AIDS Weeks after infection 5-10 years 1-3 years HIV Infection

  12. HIV Detection • Currently test for antibody production • Confirmatory test in state laboratory • RNA testing in pilot programs

  13. NJ HIV testing • 68,000 tests 3 years ago • Over 90,000 tests this year

  14. HIV cases among IVDU • Historically, 38% of new HIV cases were among IVDU • In the last year, only 8% of reported HIV cases were from IVDU

  15. New York City IVDU: • 1990s >30% seropositivity • 2000s 5-6% seropositivity • Most cases are old • New cases < 1% per year

  16. New York City IVDU: • HIV incidence parallels Herpes Simplex Virus infection • HIV incidence does NOT parallel Hepatiti C Virus infection • IVDU population engages in high-risk sexual activity

  17. Goal is for twice a year HIV testing in drug abuse population

  18. Goal is for twice a year HIV testing in drug abuse population • SAMHSA initiatives in place to promote HIV prevention activities • Award of ~$250,000 in New Jersey from SAMHSA

  19. Today’s Focus • Help DAS programs catch up to DHAS programs in HIV testing and prevention efforts • Help DAS programs to be in a position to apply for supplemental SAMHSA funding • Work together to increase HIV testing

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