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.
 

Source 
 

Advice for Stranded Travellers

posted: 21/04/2010

Some people with HIV, stranded by the air travel chaos following the Icelandic volcano’s ash cloud, are running out of HIV medications. Here’s what to do.

It is very important to provide as much documentation as possible in order to limit the cost to you.

Stuck in the UK?
People with HIV stuck in the United Kingdom who are running out of HIV medication can approach HIV clinics in the UK for medication, but may be charged at the discretion of the clinic. Whether an individual is charged will depend on their country of residence.Find a clinic using NAM's database of services.

If you are from a country in the European Economic Area (European Union plus Liechtenstein, Switzerland, Norway and Iceland) you will not be charged, if you produce your European Health Insurance card. If you cannot produce your card, you will be charged and issued with a receipt, and you can claim the cost when you return home. If you do not have this card, you can obtain one from your country's embassy in the United Kingdom, usually within 24 hours.

If you are stuck in the UK but from a country outside the EEA that has a reciprocal health agreement with the United Kingdom, you will not be charged if you can show your passport. Countries with reciprocal agreements 

If your stuck in the UK and your country of residence does NOT have a reciprocal health agreement with the UK, you will be charged.

Examples of help and BHIVA's advice

In London a number of National Health Service HIV clinics are issuing medication. At the Chelsea and Westminster Hospital for example, individuals needing medication can obtain an appointment with an HIV doctor and will receive a prescription for two weeks’ worth of medication.

Policies may vary at other clinics, and British HIV Association chairman Dr Ian Williams is writing to all HIV doctors in the UK to ask them to be flexible if approached by patients who are not registered at their clinic.

In addition to the cost of drugs, some clinics may charge a fee for the consultation with a doctor.

Stuck outside the UK?
People with HIV from the UK who are stranded overseas can approach local HIV clinics or support organisations for help. You can search for organisations and clinics by country here.

What you pay will depend on the country where you are stuck. If you have the European Health Insurance card, you can use this throughout the European Economic Area to obtain whatever is freely available through the local health system. You will have to pay any local costs that would be normally met by local residents from their own pockets or health insurance, such as co-payments on medicines.

A similar situation applies for countries with reciprocal health agreements. You can check the list and find out what is freely available here  and find general advice for British citizens on health care abroad here.

Get an email/fax from your clinic

Your clinic in the UK should be able to provide a letter, by email or fax, to the foreign hospital detailing what treatment you are receiving and what drugs you need - in particular the correct dosages. Many HIV doctors may be away this week, attending the British HIV Association annual conference in Manchester. If you do not have contact details for other staff at your HIV clinic, you can find them here.

An NHS prescription is not valid overseas and you may need to obtain an appointment with a doctor in order to get a foreign prescription, but this will not be the case in all countries. In some countries it you can buy anti-retrovirals from a pharmacy without a prescription.

Source