HIV Tests at Casualty
posted: 27/07/2010
Every person who goes to London A&E departments could soon be tested for HIV under plans being considered by NHS London. In the first move of its kind, the HIV checks could become routine at emergency units and will be offered to any adult attending casualty. The move is being rolled out at Chelsea & Westminster NHS foundation trust following a hugely successful Department of Health funded study at the south-west London hospital.
2 people diagnosed every month at one A&E
It comes because of the numbers of people with HIV and the rise in HIV across London. The pilot HIV testing at Chelsea and Westminster’s A&E department found nearly half a dozen new people with HIV in only three months.
The Health Protection Agency recently recommended that the NHS should as a matter of routine do a HIV healthcare check everyone when they go to an A&E department in any areas with higher rates of HIV. Now a number of other health trusts are already seriously considering this.
North West Too?
In NW England, Manchester, Salford and Blackpool have rates of HIV high enough to justify routine HIV screening in A&E.
Better Health and prevention
HIV testing at A&E is one way to improve the health of people with undiagnosed HIV. New figures show that at least one in every four people with HIV do not know they have HIV. Late diagnosis worsens people’s health and shortens people’s lives. Undiagnosed HIV means people don't get the treatment they need for good health and people may be passing on HIV unwittingly to their sexual partners.
Under 18s
Dr Rachael Jones, from Chelsea and Westminster hospital, said she has treated nearly a dozen patients under 18 in the last three years in West London but this was just “the tip of the iceberg”.
The consultant blamed ministers for focusing on underage pregnancy instead of on safer sex and said HIV tests should be routine for everyone, regardless of their sexual orientation. She said: “For a long time it was men having sex with men presenting with the virus. Now we're seeing teenagers coming through for the first time with HIV. It only takes one episode of unprotected sex for them to become infected.”
Dr Jones said that the “Don't die of ignorance” shock campaign of the Eighties failed to have a lasting impact and that many teenagers do not even know what HIV is.
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