HIV in the United Kingdom of Great Britain & Northern Ireland An iconic tour

HIV in the United Kingdom of Great Britain & Northern

IrelandAn iconic tour

Where are we?

Northern Ireland

Scotland

Wales

England

How many people live with HIV?NORTH

Old TraffordSOUTH

Wembleyversus

Where do they live?

The UK national guidelines for testing advocate the offer and recommendation to accept an HIV test to all adults registering in general practice and general medical admissions patients in areas where diagnosed HIV prevalence is greater than 2 per 1,000 population.

Prevalence of diagnosed HIV infection, UK: 2009

Who are they?

Where are they diagnosed?

Health Care Setting %

Sexual health clinic 53.8

General practice 10.4

Acute secondary care 15.2

Outpatient care 6.6

Antenatal 4.6

Drug services 0.5

Termination of pregnancy 0.2British HIV Association National Audit 2010/11

When are they diagnosed?

CD4 count (cells/microlitre)

%

<200 29.9

<350 52.2British HIV Association National Audit 2010/11

Are they on treatment?

Are they ageing gracefully?

What’s the financial implication?

London (2009/10)– 43% of HIV patients– £237,435,000

National– Extrapolation– £370 million

What are the challenges?

Diagnosing the undiagnosed– 26% remain undiagnosed

Cuts in healthcare budgets– Reduced individualisation of ARV

regimens

Preventing HIV transmission

– High incidence among MSM

Thank you. Any questions?