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HIV/AIDS Epidemiology & Mortality

Model Suggests There Are Fewer People with HIV in U.S. and More on Treatment

A study comparing recorded diagnoses of HIV with subsequent records of viral load and CD4 T-cell tests suggests that the number of people living with HIV in the U.S. could have been overestimated by as much as 45% -- and the proportion who are on antiretroviral therapy (ART) with undetectable viral loads could have been underestimated by as much as 50%. There could be as few as 820,000 people with HIV in the U.S. compared with the normally accepted figure of 1.2 million -- and up to 55% of those could be on ART and virally suppressed, compared with the most commonly quoted figure of 30%.

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CROI 2016: Life Expectancy of HIV-Positive People in U.S. Still Lags 13 Years Behind HIV-Negatives

A study presented at the Conference on Retroviruses and Opportunistic Infections (CROI 2016) comparing life expectancies of HIV-positive and HIV-negative people within the Kaiser Permanente health system has found that although life expectancy among HIV-positive people has improved, expected life at age 20 remains 13 years behind that of matched HIV-negative people. This 13-year gap did not improve between 2008 and 2011, the last year of follow-up in this cohort study.

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New HIV Diagnoses Stable In Western Europe, Rising in Central and Eastern Europe

The annual surveillance report recently released by the European Centre for Disease Prevention and Control (ECDC) shows that the number and rate of new diagnoses of HIV is continuing to rise in Eastern Europe, and is also rising sharply, though from a much lower base, in Central Europe. Meanwhile, the annual number of new diagnoses is stable in Western Europe, but continues to increase among gay men and other men who have sex with men (MSM) in most Central European and Western European countries.

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CROI 2016: Major Disparities Persist in Lifetime Risk of HIV Diagnosis in the U.S.

The lifetime risk of being diagnosed with HIV infection in the U.S. has decreased overall during the past decade, falling to 1 in 99, according to a study from the Centers for Disease Control and Prevention (CDC) presented at the Conference on Retroviruses and Opportunistic Infections (CROI 2016)this week in Boston. The risk varies widely among population subgroups, however, and half of black gay and bisexual men are likely to become infected if current trends persist.

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EACS 2015: Majority of Migrants with HIV in Europe May Have Acquired Virus in New Country

A study presented at the 15th European AIDS Conference last month in Barcelona found evidence that the majority of migrants living with HIV in Europe, and who were diagnosed less than 5 years ago, probably acquired the virus in their host country rather than the one in which they were born. The aMASE (Advancing Migrant Access to Health Services in Europe) study found that the proportion of people with a documented or probable date of HIV infection later than their move to, or within, Europe was higher than those with a documented or probable pre-migration infection date, and that this applied to all risk groups, all areas of origin, and both sexes.

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