HIV: Acute Infection

By Atiya Jones

Your body aches, you have a fever, and your throat is sore. You think it’s the flu and so does your doctor. It doesn’t cross your mind that it might be HIV especially since you only have one partner. The symptoms go away but HIV is rapidly increasing in your body. This is what is known as the acute stage of HIV infection.  Almost half of individuals newly infected during what is known as seroconversion have acute symptoms.  Serocoversion is when the body develops antibodies to HIV going from negative to positive.  It may take weeks to a few months after being infected for these antibodies to show on a test, so a person may test negative even though they are positive.

In addition to the symptoms mentioned earlier an infected person may also experience loss of appetite, fatigue, headache, unexplainable rash, diarrhea, malaise, swollen lymph glands, and ulcer in the mouth and throat.  Being that HIV is replicating so fast during  the acute stage that is usually when it is spread the most. Most people are infected by someone who is newly infected.

Being that the symptoms of acute HIV infection are so similar to the flu it’s important to be honesty with yourself and your medical professional. If you know for example you are having unprotected sex with just one or multiple partners or you’re sharing needles or your partner uses drugs involving a needle tell your doctor. Early detection will help to slow down the virus, protect your immune system, and stop the spread of HIV.

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Just a Minute of Your Time: Rapid HIV Testing

By Atiya Jones

Getting an HIV test can be one of the most stressful tests you will ever take. In the past getting the result took days, weeks, and even months. What most people don’t know is now you can have peace of mind in 20 minutes and in some cases as little as 5 minutes with a rapid HIV test.

According to the Center for Disease Control (CDC) 30 % of people who tested positive and 39 % of people who tested negative using conventional testing in 2000 did not return for their results. With rapid testing almost everyone tested received their results. There are currently four rapid test approved by the Food and Drug Administration (FDA) for use: OraQuick, Reveal, Uni-Gold, and Mulispot.

Rapid HIV test results are anywhere between 99-100 % accurate. A negative result doesn’t require confirmatory testing. Through counseling and risk assessment the counselor will be able to tell the individual getting tested if they need future testing due to an acute infection, meaning the body has not yet developed HIV antibodies. If the patient is still in this window period they will need to be tested again in three months.

If a patient received a positive (reactive) result from a rapid test it is said to be preliminary positive. This kind of result needs to be followed up by a western blot and/or standard EISA test which is known as confirmatory testing. Once results are in from the western blot a positive result confirms HIV infection and a negative result says that the patient is free of infection or may need to re-test due to the window period.

Rapid testing increases the amount of people who know their status and get help for HIV infection if needed. It also decreases the spread of the virus, because people are more likely to protect themselves and others if they know they’re HIV positive. Rapid testing is accurate, convenience, easy, and available everywhere for free. Get tested!

Know Your Status.. Visit one of these Clinics to Find Out!

  GMHC
119 West 24 Street
New York, NY 10011
(212) 367-1000

Callen-Lorde
356 W 18th Street
New York, NY 10011
(212) 271-7200

Brooklyn AIDS Task Force (BATF)
502 Bergen Street
Brooklyn, NY 11217
(718) 622-2965

Bronx AIDS Service (BAS)
953 Southern Blvd
Bronx, NY 10459

The Health Department Free and Confidential STD Clinics
Call 311

PEP Rally

By Atiya Jones

The condom just broke and your partner turns over and says to you I’m HIV positive. What’s your next move? Do you:  A) begin to freak out.  B) Go to the kitchen and get a knife to cut your partner or C) Do you get yourself together and head to your local emergency room for something called PEP. Those of you opting for the steak knife may want to reconsider. The correct answer is B) get yourself together and head to your local emergency room for PEP.

PEP or post-exposure prophylaxis is short term HIV antiretroviral medication. Intended to be taken within 72 hours of exposure PEP has a better chance of working the sooner you take it. Made up of about four pills PEP ought to be taken for 28 days. Its purpose is to give the immune system an opportunity to provide protection against HIV and prevent it from developing in the body.

PEP is made up of the same medication given to HIV positive individuals so there are some side effect such as diarhea, headaches, nausea, vomiting and fatigue. According to Avert.org, “Some of these side effects can be quite severe and it is estimated that 1 in 5 people give up the treatment before completion.”

A study performed among healthcare workers shows that PEP is 80 % effective. Due to the seriousness and side effects PEP shouldn’t be used as the HIV morning after pill.  Some of the cases PEP should be taken is if you’re rape or sexually assualted, you have unprotected with someone who is HIV positive, the condom brokes or comes out during intercourse,  or you share neddles with someone who’s HIV status is unknown. When in doubt go to the emergency room as soon as possible.

 Know Your Status.. Visit one of these Clinics to Find Out!

  GMHC
119 West 24 Street
New York, NY 10011
(212) 367-1000

Callen-Lorde
356 W 18th Street
New York, NY 10011
(212) 271-7200

Brooklyn AIDS Task Force (BATF)
502 Bergen Street
Brooklyn, NY 11217
(718) 622-2965

Bronx AIDS Service (BAS)
953 Southern Blvd
Bronx, NY 10459

The Health Department Free and Confidential STD Clinics
Call 311