Many U.S. AIDS Patients Still Die When 'Opportunistic' Infections Strike

  • metta

    Posts: 39166

    Jul 09, 2015 7:08 AM GMT
    Many U.S. AIDS Patients Still Die When 'Opportunistic' Infections Strike


    "Even after the advent of powerful medications for suppressing HIV, a new study finds that more than one-third of people in San Francisco who were diagnosed with an AIDS-related infection died within five years.

    "The main cause of mortality arises from people stopping treatment entirely," said Dr. Robert Grant, a professor at the University of California, San Francisco, who reviewed the findings but was not involved in the research.

    When HIV treatment lapses, so-called "opportunistic" infections and illnesses can arise, posing a real threat to patients' health, he explained.

    The bottom line, according to Grant, is that there is still "a long way to go" in prolonging the lives of Americans with HIV/AIDS."

    ...


    "Medications to fight HIV evolved significantly through each of those eras and continues to become more effective. In the early era -- before the advent of HIV-suppressing drugs -- only 7 percent of people with AIDS-related opportunistic infections lived five years or more, the study found. But in the most recent era, 65 percent lived five years or longer, the research showed."

    Improving the numbers:

    "Number one, get diagnosed early,"

    "doctors also need to discuss medication side effects -- a prime reason for treatment lapses"

    "Other issues in a patient's life, such as whether they have stable housing or a drug and/or alcohol problem, also need to be monitored to ensure adherence"

    "a population of aging, HIV-positive patients is increasingly encountering diseases that can affect everyone."

    "The causes of mortality in HIV-positive persons has changed," Grant said. "While opportunistic infections and lymphomas were the main causes of mortality in the past, mortality is now often due to lung cancer, heart disease, suicide and overdose."

    http://health.usnews.com/health-news/articles/2015/07/01/many-us-aids-patients-still-die-when-opportunistic-infections-strike
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    Jul 15, 2015 3:52 PM GMT
    So why are these geniuses "stopping treatment entirely"? I think most people could assume this without a study. lol
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    Jul 15, 2015 7:12 PM GMT
    CODY4U saidSo why are these geniuses "stopping treatment entirely"? I think most people could assume this without a study. lol


    It's right there! ""doctors also need to discuss medication side effects -- a prime reason for treatment lapses"

    "Other issues in a patient's life, such as whether they have stable housing or a drug and/or alcohol problem, also need to be monitored to ensure adherence""


    Side effects usually go away. Some people will need to take different medications due to interactions.

    Being homeless, even without a drug problem, can make scheduling anything difficult.

    Stigma is a huge problem. Even if you had gotten tested, and given the right meds....family can be a problem for someone who isn't out. Imagine your father finding the drugs. Denial is strong defense mechanism, but HIV won't go away on its own.
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    Jul 16, 2015 12:27 AM GMT
    Being inconvenienced by pesky side effects doesn't explain why one would think they'd fare better without any medication at all.

    "Imagine your father finding the drugs."

    Daddy finds your meds...orrrrr drop fucking dead, and most likely in a really gross and undignified way. Tough one!
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    Jul 16, 2015 10:39 PM GMT
    CODY4U saidBeing inconvenienced by pesky side effects doesn't explain why one would think they'd fare better without any medication at all.



    As recently as a month ago someone (a Lesbian who had contacts with DAP, Desert AIDS Project) said to me that it was good to take a drug "Holiday".

    I was stunned! It's like calling death a holiday. It sounds so refreshing. I told her it is NEVER good to stop taking meds. If they aren't working...they are failing, or if you have side effects, get on a different regimen.

    For some it is psychological. Like the person who is on psychotropics and decides they feel sooo well.... they go off them. Or they are just tired of taking them, it's reminder they are POZ.
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    Jul 16, 2015 11:28 PM GMT
    This report seems to assume these patients are CHOOSING not to continue their HIV treatment. What if they can't afford it? Or If it takes dangerously long for health care assistance for which they may be eligible to be approved?
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    Jul 30, 2015 12:54 AM GMT
    Art_Deco saidThis report seems to assume these patients are CHOOSING not to continue their HIV treatment. What if they can't afford it? Or If it takes dangerously long for health care assistance for which they may be eligible to be approved?


    Neither are serious issues in San Francisco. First they "Fast Track" new HIV infections to care within 24 hours. Secondly they also assist in financial programs.....some at no expense.

    As zealous as SF is in their ZERO 2020 plan, there will always be some who simply can't stay on their meds mainly due to homelessness and drugs. SF is down to 302 new HIV transmissions last year.
    "There were 302 new HIV diagnoses last year, and 177 deaths of HIV-infected people, according to the department. That’s down from 371 and 209, respectively, the year before."

    http://www.sfexaminer.com/sf-records-all-time-low-in-hiv-infections-deaths/

    Miami (your area) is behind the times:
    The jump in HIV cases tracks with the figures pulled out of the county with the highest levels of AIDS and HIV, Miami-Dade. According to the same number sets, that county tallied 537 new HIV cases in the first four months of 2015, a 24 percent increase over the number marked in the same period last year, 434. And, like Broward, Miami-Dade has seen a slight drop in AIDS cases.

    http://www.browardpalmbeach.com/news/broward-county-has-the-second-highest-aids-rate-in-florida-7089859

    If getting a few to stay on meds in SF and prevents AIDS is problem, it's an absolute disaster in Florida.
    SF has over twice the population of Miami, 837K vs 417K.

    Since you say your HIV prevention methods and advice is from your doctor, and considering the rates above, I have to assume the whole of Florida is fucked up! (It isn't totally, I have a friend from Ft L who is up to date)

    Art Deco:
    "You are a fucking nut case. I think you need to just give it up, along with your campaign for negative men to have bareback sex, and go away. Any seconds to that?"

    "....his twisted imagination, because we won't endorse his sick campaign for bareback sex with poz guys."

    "I think there's an old adage that too much information can be a dangerous thing. Especially in the hands of those who aren't smart enough to understand it. I think we've witnessed a classic example of it right here in this thread, and in a few others on this topic. "

    "... if I knew about a man like that I would report him to the health authorities. That would be saving other lives. Hate to sound so Right Wing and Conservative (me of all people) but there's a greater good involved here. Your friend, as you describe him, is a health menace. He should be stopped."

    (Below, This may be the GOLD standard of ignorance!)

    "So all this BS about sex being safe with an undetectable poz guy is just medical talk dealing with controlled conditions. That has no application, bearing or relevance to the real world situations in which you & I actually operate. And such basic medical research shouldn't be misinterpreted to be providing guidance as to how gay men should behave sexually with each other."

    If that's the current barometer of TasP and PrEP education in Miami......God forgive you for the hate you spread.

    "Experts agree that the decline in new infections is due to a combination of factors including widespread testing, early antiretroviral therapy (ART), and possibly pre-exposure prophylaxis -- although PrEP is probably too recent to have had a substantial effect yet.

    The Getting to Zero Consortium aims to eliminate new HIV infections, HIV-related deaths, and HIV stigma and discrimination using a 3-prong strategy of expanded access to PrEP, rapid access to ART, and retention of HIV-positive people in care."

    http://www.hivandhepatitis.com/hiv-aids/hiv-aids-topics/hiv-treatment/5283-san-francisco-sees-declines-in-new-hiv-infections-and-deaths-of-people-with-hiv-2