COVID-19 and HIV: What you need to know

Dating can be tricky for anyone, but if you are living with HIV, there are some extra things to think about. Two important things to consider are:. If you are looking for a positive partner, consider going to places online and in person where you will meet other people living with HIV. These include HIV-focused support groups, conferences, or dating websites such as www. For many women living with HIV, the big issue is disclosure. How and when do you tell? There is no one easy or perfect way to tell someone you are living with HIV. Often, it is not how or when you tell, but whom you tell. Similarly, if a person is going to accept you and your diagnosis, timing of disclosure may not matter as long as you tell before having sex. You may wish to wait to disclose your status until after a sexual encounter for fear of rejection or embarrassment.

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Starting antiretroviral treatment on the day of diagnosis in a community setting and picking up medication from a mobile van resulted in superior rates of viral suppression, especially in men in South Africa, the randomised DO ART trial has found. The findings were presented at the Conference on Retroviruses and Opportunistic Infections , which is taking place online this year in response to the risk of coronavirus transmission.

Men living with HIV in sub-Saharan Africa are less likely to be diagnosed, less likely to be in care and in some settings, less likely to be on antiretroviral treatment. Halting of the function or replication of a virus. When viral load is detectable, this indicates that HIV is replicating in the body.

South Africa has had remarkable successes in the management of HIV and tuberculosis in the past 10 years, community-based, differentiated HIV and drug-resistant tuberculosis service delivery in This situation presents an opportunity for positive, long-term, systematic Date accessed: July 29,

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The numbers are daunting. Adult HIV prevalence is 1. Five million adults and children became newly infected with HIV in , 3.

As is typical for a rural South African setting, there are several date between the latest HIV-negative and earliest HIV-positive dates On the Fast-Track to end AIDS: UNAIDS Strategy.

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HIV and TB increase death risk from COVID-19, study finds—but not by much

To receive it, register here. For our coronavirus tracker and more coverage, see our hub. Thabo Mbeki, the president from to , swallowed a crank theory he found online that the human immunodeficiency virus HIV does not cause AIDS , which it does. He delayed life-saving treatment, cutting short hundreds of thousands of lives. The pandemic struck down adults in their productive prime, leaving grandmothers to raise orphans.

Yet that pandemic has given South Africa vast knowledge of how—and how not— to tackle infectious diseases.

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Recently, the importance of targeting key populations and marginalized groups, including men who have sex with men MSM and transgender people, has been added to the national agenda. This mini-review explores the current state of empirical research on HIV risk and MSM, women who have sex with women WSW , lesbian, gay, bisexual and transgender LGBT populations in South Africa in order to assess the current state of research and identify gaps in the literature.

Since the s, the HIV epidemic in South Africa has been understood as characterized mainly by heterosexual transmission [ 1 , 2 ]. Research and HIV prevention has therefore been focused primarily on HIV surveillance and intervention programs for the prevention of heterosexual transmission and prevention of mother-to-child transmission PMTCT [ 3 ]. Recently, key populations such as men who have sex with men MSM , transgender people, sex workers, and injecting drug users IDUs have received greater attention in the context of a generalized HIV epidemic.

The NSP recognizes the importance of targeting key populations and marginalized groups, explicitly identifying MSM and transgender people as key populations [ 4 ]. In South Africa, Section 9 of the Constitution prohibits discrimination on the grounds of gender, sex, and sexual orientation [ 5 ]. Furthermore, South Africa was the fifth country in the world and the first in Africa to legalize same sex marriage [ 6 ].

Under this legislative framework, lesbian, gay, bisexual, and transgender LGBT people have a certain degree of visibility and protection in South Africa compared to many other countries around the world [ 7 – 9 ]. However, reports of hate crimes, violence and discrimination towards LGBT people remain persistent [ 10 ], suggesting a disjuncture between legislation declaring the right to equality and the realities of everyday life.

Although often misperceived as isolated, there is evidence of overlap between the homosexual and heterosexual populations with reports of bisexual activity among men [ 30 , 31 ]. Such misconceptions are held not only by the general public but even by healthcare providers and WSW themselves [ 40 – 43 ]. This myth is reinforced by policy and programs that continue to exclude WSW.

Due to misconceptions that WSW are not at risk of HIV or other STIs, many may not practice safer sex strategies [ 2 , 44 , 45 ] or have knowledge about barrier methods [ 46 ].

Looking to the future: South African men and women negotiating HIV risk and relationship intimacy

October For more information click here. The combined database includes individual-level data on more than , adults and children on ART in 16 large collaborating cohorts in Malawi, Zambia, South Africa, Mozambique, Lesotho and Zimbabwe. CROI — presentations now available.

To gauge their impact on COVID, scientists in South Africa’s Western Cape province analyzed outcomes for 12, patients with the disease.

Coronaviruses are a large family of viruses which may cause illness in animals or humans. This new virus and disease were unknown before the outbreak began in Wuhan, China, in December However, people living with HIV who are not on treatment or who are not virally suppressed may have a compromised immune system measured by a low CD4 count that makes them vulnerable to opportunistic infections and more severe illnesses. People living with HIV are advised to take the same precautions as the general population and adhere to their specific government recommendations.

People living with HIV who know their status and are not yet on antiretroviral treatment should start treatment without delay. If you need to access health services, it is recommended to follow national guidance and where possible, call your healthcare provider before arriving at a health facility. In addition, measures should be taken to ensure appropriate infection control and follow guidance on physical distancing.

Access more information on strategies for extending the duration of ART refills and reducing contact with health facilities. People living with HIV should stay socially connected with networks and communities using technology where possible and address any stress or anxiety with friends and your healthcare provider. Current clinical data suggest that older people and people with other comorbidities, including cardiovascular disease, diabetes, chronic respiratory disease and hypertension, appear to develop serious COVID illness compared with others.

People living with HIV and TB co-infection or are pulmonary TB survivors who are likely to have damaged lungs should pay particular attention to guidance on infection control practices, such as physical distancing.

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And it has banned gatherings of more than people—including its upcoming Human Rights Day celebrations and mass gatherings planned for Easter pilgrimages. So far, the country has reported confirmed cases but no deaths of coronavirus, which has killed more than 7, people globally. Among African countries, South Africa has taken some of the most radical steps so far. While one of the most developed countries in sub-Saharan Africa, South Africa has the highest number of HIV infections in the world, with about 7.

Scientists do not know how Covid will affect people with HIV and TB, although they worry that they will be at heightened risk. While people of all ages can contract Covid, those most at risk of severe complications are older people and those with underlying medical conditions such as lung disease, according to the World Health Organization WHO.

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