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Valerie Delpech , Zheng Yin, Meaghan Kall & Alison Brown July 2012

The United Kingdom provides excellent access and quality of HIV care: Results from a national cohort. Valerie Delpech , Zheng Yin, Meaghan Kall & Alison Brown July 2012. The HIV epidemic in the UK. Estimated number of people living with HIV, UK (MPES).

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Valerie Delpech , Zheng Yin, Meaghan Kall & Alison Brown July 2012

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  1. The United Kingdom provides excellent access and quality of HIV care: Results from a national cohort Valerie Delpech, Zheng Yin, Meaghan Kall& Alison Brown July 2012

  2. The HIV epidemic in the UK Estimated number of people living with HIV, UK (MPES) • NHS provides free and open access care to HIV and STI patients • 100,000 living with HIV in 2012 (0.15%) • Epidemic concentrated in MSM, Africans communities & persons who inject drugs • 6,500 new diagnoses annually

  3. HIV Quality of care indicators • Late HIV diagnosis • Prompt integration into care • Achieving viral load suppression • Successful care • Survival Data sources: 1. New HIV diagnoses 2. Annual surveys of all HIV patients accessing care 3. Longitudinal CD4 counts from laboratory reports.

  4. Conclusions • The UK healthcare services provide excellent access and quality of HIV care, regardless of patient demographical characteristics. • Expanding testing to reduce late diagnosis remains the most important challenge • data on clinical outcomes should form part of routine surveillance

  5. Late diagnosis at diagnosis: UK, 2010

  6. Integration into HIV careFirst CD4 count after HIV diagnosis by ethnic group: UK, 2010

  7. Undetectable viral load within one year of ART by exposure group: UK, 2010

  8. Successful care: CD4 count of adults after 1+ years in HIV care by exposure group: UK, 2010

  9. Prompt and late HIV diagnosis in MSM with associated short-term mortality: UK, 2001- 2010

  10. The treatment cascade among HIV positive people in the UK:2010 * Numbers were adjusted by missing information and rounded to the nearest 100. § Viral load <50 copies/ml after HIV treatment initiation in the year of initiation.

  11. Acknowledgements • HIV & GUM physicians and all those who contribute to HIV & STI surveillance • Colleagues at the HIV &STI Department, HPA

  12. Acknowledgements The continuing collaboration of clinicians, microbiologists, immunologists, public health practitioners, occupational health doctors and nurses and other colleagues who contribute to the surveillance of HIV and STIs in the UK

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