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HIV in the United Kingdom of Great Britain & Northern
IrelandAn iconic tour
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Where are we?
Northern Ireland
Scotland
Wales
England
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How many people live with HIV?NORTH
Old TraffordSOUTH
Wembleyversus
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Where do they live?
The UK national guidelines for testing advocate the offer and recommendation to accept an HIV test to all adults registering in general practice and general medical admissions patients in areas where diagnosed HIV prevalence is greater than 2 per 1,000 population.
Prevalence of diagnosed HIV infection, UK: 2009
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Who are they?
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Where are they diagnosed?
Health Care Setting %
Sexual health clinic 53.8
General practice 10.4
Acute secondary care 15.2
Outpatient care 6.6
Antenatal 4.6
Drug services 0.5
Termination of pregnancy 0.2British HIV Association National Audit 2010/11
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When are they diagnosed?
CD4 count (cells/microlitre)
%
<200 29.9
<350 52.2British HIV Association National Audit 2010/11
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Are they on treatment?
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Are they ageing gracefully?
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What’s the financial implication?
London (2009/10)– 43% of HIV patients– £237,435,000
National– Extrapolation– £370 million
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What are the challenges?
Diagnosing the undiagnosed– 26% remain undiagnosed
Cuts in healthcare budgets– Reduced individualisation of ARV
regimens
Preventing HIV transmission
– High incidence among MSM
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Thank you. Any questions?