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HIV in the United Kingdom: The oldest swingers?

HIV in the United Kingdom: The oldest swingers?. Craig Tipple. Gary Whitlock, Collins Iwuji, Melissa Perry. Breaking News…. England, Wales, N. Ireland 50 yr age New cases: Tripled: 299 (2000)  710 (2007) Of these, 48% CD4<200 (30% in <50s) 50 yr HIV+ more likely than younger to be

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HIV in the United Kingdom: The oldest swingers?

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  1. HIV in the United Kingdom: The oldest swingers? Craig Tipple. Gary Whitlock, Collins Iwuji, Melissa Perry

  2. Breaking News… England, Wales, N. Ireland 50 yr age New cases: Tripled: 299 (2000)  710 (2007) Of these, 48% CD4<200 (30% in <50s) 50 yr HIV+ more likely than younger to be Men (with travel abroad) MSM White UK-acquired (if heterosexual) Increase in over-50s accessing care

  3. Brighton Cohort 1531 patients had documented CD4 count within 3 months of diagnosis from 1st Jan 2006 to 30th May 2010 151/1531 (9.9%) diagnosed after the age of 50; median 54.7 (IQR 51.9-60.6) 753/1531(49%) of cohort presented late with HIV with median CD4 211 cells/mm3 (IQR 83-289) 96/151(63.6%) aged over 50 presented late with median CD4 139.5 (IQR 83-289) Mortality is higher in those diagnosed over age 50 compared to those under 50- OR 2.62; 95% CI: 1.64-4.20)

  4. Case Summary: Mr F 70 year-old, MSM, White S. African Diagnoses: Acute Cerebellar Infarct New HIV positive (CD4 190) Old Anterior MI Late Latent Syphilis Abnormal Bone Marrow – myeloma.

  5. Those that survived… a personal story “I was in my thirties when I was diagnosed, back in 1990. Then there was no therapy, no effective treatment. I didn't know how long I had, but I knew it wouldn't be long. Friends were already dead.” “We are the generation which saw HIV transformed from a death sentence into a chronic condition. If we keep going, it's not clear what we face in older age. “ “As for the increase in the number of people my age being diagnosed for the first time with the disease, I do think it's time we got over our assumption that people that age don't have sex.”

  6. Summary Increase in new diagnoses in over-50s Late presentations higher in >50s with associated higher mortality People with HIV living longer Need for Health Promotion work targeted at >50s and services targeted at their needs

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