Thursday, September 25, 2014

Hiv-positive nær smittefrie – Aftenposten

Hiv-positive nær smittefrie – Aftenposten

Some small pills a day so they can live a normal life.

-Likevel there is an HIV epidemic Oslo unprecedented, said Dr. Bente Magny Bergersen at Oslo University.

Medical Use

The risk of HIV transmission from persons who are properly treated, is very low, regardless of gender and sexual practices. It states Bergersen as section leader in infectious medical outpatient clinic at Oslo University.

She explains that regular use of medication reduces the amount of HIV virus in the blood.

– Without treatment, it is common to have at least 50,000 virus particles per. milliliter of blood. After six years of regular tablet intake, most under 50 viral particles per. milliliter. Large studies have shown that people with so little HIV in the blood in practice does not infect others, says Bergersen.



Same time whole life

Most people who start HIV treatment today, taking 1-3 tablets daily. Combination tablets containing a mixture of three different active substances which attack different sites in viral production. It is important to take the tablets every day throughout their lives and about the same time each day, but today’s medications cause few symptoms and side effects.

Bente Magny Bergersen said medical progress has been fantastic.

– It is an example of how far one can reach when health officials, researchers, clinicians and pharmaceutical industry join forces.

20 HIV-positive mothers annually

According Bergersen they live people with HIV now live a normal everyday life with all its implications of joys and sorrows.

– Mortality among patients infeksjonspoliklinikkens is under 1 percent per. years, and there are about 20 HIV-positive women who have children at Oslo University every year without infecting either children or husband, says Bergersen.

– Is it necessary a condom when risk of infection is reduced?

– Yes. Condoms are very much important. 92 percent of the 1,640 HIV-positive people who fall under the outpatient clinic at Ullevaal, in treatment. In spite of that, we have an ongoing HIV epidemic among men who have sex with men that are unequaled in Oslo. This means that there are people out there who do not know their HIV status, and people who practice unsafe sex even though they know they have high viral load.

Public Health estimates that between 500 and 700 people are HIV -positive but not tested.

Testes too late

Bergersen is concerned that a number of patients who have not been tested in time and presenting with symptoms of AIDS. She says that in a contamination perspective, it is important to get started with effective therapy in all HIV-positive people who have an active sex life.

– And of course we hope that most HIV-positive have. I therefore believe that all who receive an HIV diagnosis should be offered treatment to reduce its infectivity. Ultimately it is the patient who decides whether to start treatment or not.

HIV medication costs between 100,000 and 150,000 per share. person per year.

– It is made of good cost evaluation of this treatment. No one is in any doubt that it makes financial sense, says Bergersen.



Liver usually with one pill a day

– I encourage everyone to take an HIV test. There are good treatment, and there is no reason not to, says Leif-Ole Hansen.

Leif-Ole Hansen was a nursing student and wrote the thesis just about HIV. Before he had a heavy flu and thought that was the reason he was not fully fit. Six months earlier it had been up with his girlfriend, and Leif-Ole Hansen had been in a vulnerable situation and knew he had exposed himself to infection. Nevertheless, he pushed away the idea that there was HIV in six months.

– But I knew I could be infected, and then I recognized some of the symptoms of what I read, I decided me to test me, he says.

He was 28 years old when he was diagnosed with HIV.

– There were many thoughts: What will this mean for the future? Is there much I did not get to experience? Will my life differently?

Now, Leif-Ole Hansen in the process of writing a thesis. He takes one tablet a day, and live as usual.

– Virus figure my undetectable. I’m not contagious.



Safe in work and in relationships

Hansen has worked as a nurse in the community even after he started treatment.

– I feel me safe when I work as a nurse that I can not transfer HIV to anyone. I feel too confident when I have sex, still protected, that I do not transmit HIV to others.

Although he did not think much about who infected him, he was even concerned about whether he had exposed others from infection.

– So far I have managed to trace back, I have not infected anyone, thankfully.

Not a death sentence

Leif-Ole Hansen heads the HIV Nordic and sits on the board of HivNorway.

– The biggest difference between when the HIV virus came to Norway in the 1980s and today is that the disease is no longer a death sentence. The medicines makes HIV-positive today can live a normal life in our part of the world.

Yet there are many who can not be tested.

– Gay men have often multiple sexual partners. If you go out to check men in the gay community, it is more likely to encounter someone who has HIV if comparing with the checking among heterosexuals, says Hansen. He encourages more people to get tested.

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Published: 25.sep. 2,014 10:24 p.m.

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