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Gaps that Limit Test and Treat for HIV Prevention in US

80%. 77%. 66%. 89%. 77%. Gaps that Limit Test and Treat for HIV Prevention in US. Of all with HIV infection, ~850,000 individuals do not have suppressed HIV RNA (72%). MMWR (60), 2011. Goal.

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Gaps that Limit Test and Treat for HIV Prevention in US

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  1. 80% 77% 66% 89% 77% Gaps that Limit Test and Treat for HIV Prevention in US Of all with HIV infection, ~850,000 individuals do not have suppressed HIV RNA (72%) MMWR (60), 2011.

  2. Goal To identify 95% of HIV+ Residents of the Second District Who are Not in Care

  3. Objectives 1. Determine Total HIV+ Population of Second District2. Determine Number Not Aware of Status A. How Do We Find Them? 1) Physicians testing their patients 2) Focused Intervention 3) Zip-Code Community Testing 4) Churches and other support B. Other3. HIV+ But not in Care A. InCentives B. Churches and other community support4. Improve Adherence A. MCC ( Medical Case Coordination) B. DOT ( Direct Observation of Therapy)

  4. Awareness of HIV Serostatus:Estimates of Transmission ~25% Unaware of Infection ~54% of New Infections Percent ~75% Aware of Infection ~46% of New Infections People Living With HIV (1,039,000-1,185,000) New Sexual infections/Year (~32,000) Marks G. AIDS. 2006;20:1447-1450.

  5. 10% of 5649 Young MSM Tested Were HIV Positive 77% Were Unaware They Were HIV Infected Unaware of HIV Infection Aware of HIV Infection 91% HIV Positive (%) 91% 64% 75% Young Men’s Survey (1994-2000):Perceived Risk and Unrecognized HIV Infection 56% 75% Hispanic Hispanic Black Black White White 15 to 22 Years of Age 23 to 29 Years of Age Conducted in Baltimore, Dallas, Los Angeles, Miami, New York, and Seattle. MacKellar DA, et al. JAIDS. 2005;38:603-614.

  6. Keeping the HIV Neg MSM HIV neg 1. OASIS Data : 46% of Adolescent Clients are infected after being “kicked out” of home…. Moms can’t handle their Sexuality

  7. Programs 1. Churches /Sororities 2. Local MSM Groups3. We Can’t forget the “Closeted Men”4. If Black Mothers can Love Their Sons who are imprisoned for Murdering someone….they Should Be encourgaged to Love Their Kids who Like Someone of The Same Sex

  8. Current Treatment Cascade

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