April 23, 2012 Handout 2 of 2 Spectrum of HIV Disease. ACUTE STAGE Flu like symptoms – 1 to 2 weeks ASYMPTOMATIC PERIOD No physical symptoms – 8 to 11 years HIV ILLNESS Night sweats, fatigue, diarrhea, fever, yeast infections, swollen lymph nodes AIDS
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Flu like symptoms – 1 to 2 weeks
No physical symptoms – 8 to 11 years
Night sweats, fatigue, diarrhea, fever, yeast infections, swollen lymph nodes
Opportunistic Infections, CD4<200
HIV Antibody test
Looks for antibodies
Accuracy of the test
Types of tests
Standard test – results will be known in 1 week
Rapid test – results will be known in 20 minutes
EIA (or ELISA)
OraQuick Advance *
Clearview Stat Pak & Stat Pak Complete *
* These tests are “waived” under CLIA
p24 antigen test
Viral load tests
12 yrs of age or older
Benefits of Testing……..
Where to test?
Private medical doctor
Willfully exposing another to HIV through unprotected sex
To be prosecuted under the law, one would have to do ALL of the following:
Actual knowledge of HIV infection without more evidence of “specific intent” is insufficient for prosecution.
Rehabilitation Act of 1973 and American with Disabilities Act (ADA) 1990
Prohibits discrimination against a person with a disability, including HIV disease or AIDS. infection. infection.
This prohibits discrimination with regards to employment, public services, public accommodations, and medical care.
A doctor or dentist cannot refuse to treat an HIV+ person
California Anti-Discrimination Laws
Fair Employment and Housing Act (FEHA) and Unruh Civil Rights Act
“It is not who we are but what we do that puts us at risk for HIV infection”
Male Condom (Activity)
Not Sharing Needles
Cleaning Needles (3x3x3 Method)
“Infection control measures that reduce the risk of transmission of blood-born germs from patients to health care workers”
POST–EXPOSURE PROPHYLAXIS (PEP)
Exposure to HIV within the prior 72 hours
Approve for 13 yrs of age or older
For more information call 213-351-7699
PRE-EXPOSURE PROPHYLAXIS (PREP)
It refers to anti-HIV medication used daily or before
Start prior to potential exposure
Prep should never be seen as the first line of defense against HIV
It is recommended that HIV+ women do not breastfeed
Goals of HIV/AIDS treatment;
Drugs that interrupt HIV replication & preserve immune system.
diagnosis of AIDS with a CD4 count of < 350 cells/mm3
052 study of 1,700 sero-discordant couples reported that ARVs reduced the risk of heterosexual transmission by 96%.