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Vision — National HIV/AIDS Strategy

Vision — National HIV/AIDS Strategy.

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Vision — National HIV/AIDS Strategy

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  1. Vision— National HIV/AIDS Strategy “The United States will become a place where new HIV infections are rare and when they do occur, every person, regardless of age, gender, race/ethnicity, sexual orientation, gender identity or socio-economic circumstance, will have unfettered access to high quality, life-extending care, free from stigma and discrimination”

  2. Reducing New HIV infections Goals – By 2015: • Lower the annual number of new infections by 25%. • Reduce the HIV transmission rate by 30%. • 90% of the people living with HIV know their serostatus. Action Steps • Intensify HIV prevention efforts in the communities where HIV is most heavily concentrated. • Educate all Americans about the threat of HIV and how to prevent it.

  3. Increasing Access to Care and Improving Health Outcomes for People Living with HIV Goals – By 2015: • Increase the proportion of newly diagnosed patients linked to clinical care within three months of their HIV diagnosis from 65% to 85%. Action Steps • Establish a seamless system to immediately link people to continuous and coordinated quality care when they learn they are infected with HIV.

  4. Reducing HIV-Related Health Disparities Goals Improve access to prevention and care services for all Americans. Action Steps • Reduce HIV-related mortality in communities at high risk for HIV infection • Adopt community-level approaches to reduce HIV infection in high-risk communities • Reduce stigma and discrimination against people living with HIV

  5. But how? Identify the best mix of interventions and strategies to: Address gaps in current HIV prevention efforts Improve coordination in your community of HIV prevention, treatment and care services

  6. DSHS Expanded Testing Strategy • Support routine HIV testing in medical settings in areas of the state with the highest prevalence. • Support projects in counties with highest rate* and/or number of cases. • Jefferson County – 2009 TX HIV Surveillance Report: • No. 4 in Texas 328.2 cases /100,000 population • No. 9 in Texas 799 PLWH

  7. Routine Testing June 2008 – April 2011

  8. Vision to Eliminate AIDSEarly detection means a better prognosis “It’s critical to understand that routine screening could potentially eliminate AIDS diagnoses. People in care should never have an AIDS diagnosis. It is within our power to eliminate AIDS among people who are in care, any care. How’s that for a vision?” Lisa Fitzpatrick, MD, MPH Ref:Routine HIV Testing in the ED: The Experience in the Nation’s Capitol. Annals of Emergency Medicine, Vol. 57, NO. 4: April 2011.

  9. The AMA ETHICS POLICY A physician’s duty to promote patient welfare and to improve the public’s health are fostered by routinely testing their adult patients for HIV. www.ama-assn.org/go/cdjareports

  10. Resources Test Texas HIV Coalition http://testtexashiv.org/ • Community of peers sharing routine HIV implementation experiences, including a group site for discussion • Meetings and networking opportunities to support champions, address stigma and AIDS exceptionalism, ethics and 3rd party reimbursement • Access to technical and training resources, continuing education credits

  11. Resources • DSHS HIV STD/Unit: www.dshs.state.tx.us/hivstd • Centers for Disease Control & Prevention www.cdc.gov/hiv/ • Texas/Oklahoma AIDS Education Training Center (AETC) www.aidseducation.org • Medscape – free continuing education • SGIM (Society of General Internal Medicine) www.sgim.org/go/hiv

  12. Routine HIV Testing Team • Jenny McFarlane, BA, Routine Testing Coordinator; (512) 533-3094: jenny.mcfarlane@dshs.state.tx.us • Isabel Clark, MA, RD, Routine Testing Consultant; (512) 533-3060: isabel.clark@dshs.state.tx.us • Brian Rosemond, BBA, BSN, RN, Routine Testing Consultant; (512) 533-3071: brian.rosemond@dshs.state.tx.us • Mary McIntosh, MEd. Test Texas Coordinator; (512) 533-3017: mary.mcintosh@dshs.state.tx.us • Karalee Poschman, MPH, Data Coordinator; (512) 533- 3107: karalee.poschman@dshs.state.tx.us

  13. Test Texas HIV Coalition http://testtexashiv.org/ Please join us in our efforts to eliminate HIV/AIDS

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