HIV/ Aids symposium: Epidemiology and Confidentiality

Question 1

How many people live with HIV globally

Answer 1

36.9 million

Question 2

What is the UNAIDS 90/90/90 goal

Answer 2

1. 90% of people living with HIV being diagnosed
2. 90% diagnosed on antiretroviral therapy
3. 90% viral suppression for those on antiretroviral therapy by 2020

Question 3

How many people in the UK have HIV

Answer 3

90,000

Question 4

How many of the 90,000 HIVers in the UK were unaware of their infection

Answer 4

13%

Question 5

What is responsible for the decline in HIV incidence

Answer 5

1. Awareness
2. Increased testing specificity
3. ART

Question 6

What’s the target diagnosis for HIV in 2020

Answer 6

Less than 500,000

Question 7

What’s the target diagnosis for 2030

Answer 7

Less than 200,000

Question 8

Target for the number of people receiving ART treatment

Answer 8

33 million

Question 9

What group of people are mainly effected by HIv in the uk

Answer 9

GAY AND BISEXUAL MEN

Question 10

Three ways HIV is transmitted

Answer 10

Blood
STD
Vertical (mother to child)

Question 11

How can HIV be prevented

Answer 11

1. Vaccines
2. STI control
3. Circumcision
4. HIV diagnosis
5. Behavioural
6. Needle exchange

Question 12

What is PEP

Answer 12

Post-exposure prophylaxis

Preventative medical treatment started after exposure to a pathogen to prevent infection from re-occuring

Question 13

What type of sex is the most common form of HIV transmission

Answer 13

Receptive anal infection

Question 14

What is behavioural response to HIV by the population

Answer 14

1. Appropriate sex education
2. Reduce frequency of partner change
3. Avoid concomitant sexual partners
4. Universal testing (not just gays or blacks)
5. Partner notification

Question 15

What is the most cost-effective way to prevent HIV

Answer 15

Early diagnosis

HIV status being made - reduces mother to child and access to appropriate treatment and care

Question 16

Is pre-test HIV consoling a legal requirement

Answer 16

No

Question 17

Does a negative HIv test have to be disclosed on applications for insurance

Answer 17

No

Question 18

What do Life insurance people need to comply with

Answer 18

1 . Ignore single episodes or multiple episodes of non–serious STIs

2. Ignore if the applicant has had a test
3. Only know if the applicant is positive

Question 19

Why do doctors not test for HIV

Answer 19

1. Underestimate risk
2. Fail to recognise clinical features
3. Misconception that detailed pre-test counselling
4. Anxieties about false postives

Question 20

Significance of an undetectable HAART score

Answer 20

Untransmittable

Question 21

Recognised risk factors for HIV

Answer 21

1. Multiple sex partners
2. High prevalence rape in areas
3. Sexual contact in groups with high prevalence

Question 22

When is PEP given

Answer 22

within 72 hours exposure to HIV

Question 23

How long is PEP given for

Answer 23

1 month

Question 24

What is the HIV screening test

Answer 24

1. Venous blood sample
2. p24 antigen detection at 4 weeks
3. Salivary antibody screening

Question 25

What is the HIV POCT test

Answer 25

1. Finger prick blood
2. Low sensitivity and specificity
3. Chance of false positives

Question 26

Advantages of Point of Care testing

Answer 26

1. Increased patient choice
2. Reduce transmission
3. Easy access
4. Early diagnosis
5. Out-reach in community settings

Question 27

Disadvantages of self-tests like POCT

Answer 27

1. Incubation period undetected
2. Misdiagnosed
3. Inadequate partner notification

Question 28

What do we do if we have a negative test in POCT

Answer 28

Repeat in window period

Question 29

What does an individual do with a positive POCT result

Answer 29

1. Phone GUM for advice and appointment within 48 hours

2. Explain the test