Health
HIV rates dropping for U.K. gay men
New numbers from Public Health England out this week
LONDON ā While several recent reports have shown that new HIV diagnoses have been falling in U.K. gay men, what really matters is the actual number of new HIV infections, regardless of whether people are diagnosed or not, AIDSmap reports.
This is HIV incidence and Public Health England (PHE) said this week that, according to their current estimates, incidence among gay and bisexual men in England has been falling since 2012. In previous years, PHE has always believed that incidence was stable.
As HIV incidence includes new infections that have not yet been diagnosed, it is inherently difficult to estimate. The method PHE uses is based on the CD4 counts of men diagnosed with HIV ā for example, a man diagnosed with HIV at a CD4 count of 400 is likely to have acquired HIV about four years ago. So new diagnosis data collected this year helps refine the estimates of incidence in previous years, AIDSmap reports.
According to the new estimates, infections in gay and bisexual men have been steadily falling for five years: 2,800 infections in 2012, 2100 infections in 2014 and 1,700 infections in 2016, AIDSmap reports.
The figures appear in PHEās annual surveillance report, issued this week. While most of the key findings have already been reported by AIDSmap in the last few months, some interesting extra details are provided. And there is a great deal of new data on HIV testing, covered in another article.
The estimated figures for people with undiagnosed HIV have been falling, bringing England close to meeting the United Nations 90-90-90 targets. It is estimated that 88 percent of people living with HIV have been diagnosed, 96 percent of those diagnosed are taking treatment and 97 percent of those treated have an undetectable viral load.
An estimated 10,400 people living with HIV have not been diagnosed, AIDSmap reports. The full report is available online.
Health
MISTR announces itās now prescribing DoxyPE
MISTR, the telemedicine provider that offers free online PrEP and long-term HIV care in all 50 states, D.C., and Puerto Rico, announced it is now prescribing Doxycycline Post-Exposure Prophylaxis (DoxyPEP), an antibiotic that reduces bacterial STIs, including gonorrhea, chlamydia, and syphilis. Patients can now use MISTRās telehealth platform to receive DoxyPEP online for free, according to a release from the company.
With this launch, MISTR plans to offer patients access to post-exposure care, in addition to its existing preventive and long-term HIV treatment options, which include PrEP and antiretroviral therapy (ART). This comes at a time when the rate of STIs continue to rise. In 2022, more than 2.5 million cases of syphilis, gonorrhea, and chlamydia were reported in the U.S; of that population, gay and bisexual men are disproportionately affected, the company reported.
āDespite an ongoing STI epidemic affecting the LGBTQ+ community, there are few resources available for this underserved, vulnerable community to get the preventative medication they need,ā said Tristan Schukraft, CEO and founder of MISTR. āIām proud that MISTR is democratizing access to PrEP, HIV care, and now DoxyPEP.ā
An NIH-funded study published by the New England Journal of Medicine in April 2023 found that doxycycline as post-exposure prophylaxis, now known as DoxyPEP, reduced syphilis by 87%, chlamydia by 88%, and gonorrhea by 55% in individuals taking HIV PrEP, and reduced syphilis by 77%, chlamydia by 74% and gonorrhea by 57% in people living with HIV.
MISTR is a telemedicine platform offering free online access to pre-exposure prophylaxis (PrEP) and long-term HIV care Visit mistr.com for more information.
Health
UNAIDS to commemorate Zero Discrimination Dayās 10th anniversary
UN agency urges global action to protect human rights
As the world marks the 10th anniversary of Zero Discrimination Day; UNAIDS is sounding the alarm on the increasing threats to human rights, calling for renewed efforts to protect the rights of all individuals as a fundamental step towards ensuring health for everyone.
Established by UNAIDS a decade ago, Zero Discrimination Day aims to promote equality and fairness regardless of gender, age, sexuality, ethnicity or HIV status. The progress achieved over the past years is now in jeopardy, however, due to rising attacks on the rights of women, LGBTQ people and other marginalized communities.
UNAIDS Executive Director Winnie Byanyima emphasized the critical link between protecting human rights and safeguarding public health.
“The attacks on rights are a threat to freedom and democracy and are harmful to health,ā she said in a press release. āStigma and discrimination obstruct HIV prevention, testing, treatment and care and hold back progress towards ending AIDS by 2030. It is only by protecting everyoneās rights that we can protect everyoneās health.”
Despite challenges, there has been notable progress.
At the onset of the AIDS pandemic more than 40 years ago, two-thirds of countries criminalized consensual same-sex sexual relations. They are now decriminalized in two-thirds of countries. An additional 38 countries around the world have pledged to end HIV-related stigma and discrimination, contributing to positive changes that include 50 million more girls attending school compared to 2015.
To sustain and enhance these advancements; UNAIDS urges global support for womenās rights movements, LGBTQ rights, racial justice, economic justice, climate justice and peace initiatives. By standing with communities advocating for their rights, the U.N. aims to reinforce the collective effort towards a more inclusive and equitable world.
Zero Discrimination Day is observed on March 1.
Events and activities that will take place around the world throughout the month will serve as reminders of the essential lesson and call to action: Protecting everyoneās health is synonymous with protecting everyoneās rights.
“Through upholding rights for all, we will be able to achieve the Sustainable Development Goals and secure a safer, fairer, kinder and happier world ā for everyone,” said Byanyima.
Health
New CDC report finds transgender women at higher risk for HIV
More than 1,600 people in seven cities surveyed
The Centers for Disease Control and Prevention issued a new study report this week that revealed that restricted by employment and housing discrimination and lack of access to needed gender-affirming healthcare for transgender women increasing the risk of contracting HIV.
Researchers reviewed data from a 2019-2020 survey, theĀ National HIV Behavioral Surveillance Among Transgender Women, which found that the demographics of HIV/AIDS have been disproportionally high, especially among Black and Latina trans women, who had experienced employment and housing discrimination coupled with lack of access to gender-affirming healthcare.
The Jan. 25Ā Morbidity and Mortality Weekly Report was based on data studies of more than 1,600 trans women in seven major urban locales. Participants from Atlanta, Los Angeles, New Orleans, New York, Philadelphia, San Francisco and Seattle were chosen by referrals from people and community-based organizations who knew or were part of the local population of trans women.
The studyās researchers noted: āEmployment discrimination occurs at the overlapping nexus of poverty, homelessness, incarceration, health insurance, disability, food insecurity and survival sex work. These issues are interconnected.ā
The study stated that trans womenās inability to access quality healthcare, including gender-affirming treatment or access to PrEP, and can expose them to potential incarceration as many turn to āsurvival sex workā and violence, which increases the risk of contracting HIV.
The studyās authorās pointed out: āWhen economically marginalized transgender women are refused employment, this refusal cyclically contributes to economic hardships. This analysis ā¦demonstrates the importance of transgender women working and living with dignity and without fear of unfair treatment.ā
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