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Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsFederal panel says everyone 15 to 65 should have HIV test
Citing recent evidence that HIV infections are best managed when treated early, an influential panel of medical experts has finalized its recommendation that all people ages 15 to 65 be screened for the virus that causes AIDS.
The recommendation from the U.S. Preventive Services Task Force seeks to address one of the key challenges in the fight against HIV/AIDS: The window during which patients respond best to treatment is also the time when symptoms of the disease are least noticeable.
"HIV is a critical public health problem, and there are still 50,000 new infections per year," said Dr. Doug Owens, a task force member and professor of medicine at Stanford University. "There's very good evidence that treatment is effective when given earlier, at a time when people are often asymptomatic. So the only way they would know that they had HIV, or that they needed treatment, is to be screened."
The guideline is being released after a number of well-publicized cases in which early treatment with a combination of powerful antiretroviral drugs has greatly improved patient survival rates. In one of those instances, doctors reported in March that an infant in Mississippi who began aggressive drug treatment immediately after birth had been "functionally cured" of HIV.
http://www.orlandosentinel.com/health/la-sci-hiv-screening-20130430,0,4784087.story
snooper2
(30,151 posts)any time they take blood screen it-
mandatory
Occulus
(20,599 posts)Absolutely NOT!!
snooper2
(30,151 posts)What's the downfall of everyone getting tested?
Everyone gets treated maybe? (Treatment should cover everyone regardless of insurance or economic status)
Occulus
(20,599 posts)There are still people out there who think you can get it via skin contact and I won't even go into how many people still get fired for having it. Then there's what a diagnosis reveals about one's sexual habits and orientation which, while not necessarily joined at the hip, do provide bigots everywhere with a convenient excuse.
I don't even want to think about how many teens might be handed a serious heaping plate of shit for a future should they test positive and their parents are hyperchristians with a punishist streak.
No. Absolutely NOT mandatory. Mandatory HIV testing for the purposes of punishing those with HIV has been a longtime goal of homophobes- pretty much since it was possible to test for it.
No. I would not ever comply with such a thing. My memory is too good.
snooper2
(30,151 posts)Isn't that what HIPPA is for?
Occulus
(20,599 posts)but there are plenty of areas I refuse to even drive through just because of my own sexual orientation, due to the way the exact same set of people feel about that. Those people do not give a good goddamn about HIPAA. Their victims usually aren't in a position to bankrupt them for their transgression.
People who aren't homophobic, religion-fueled bigots are indeed much much further along. The core problem is that that's not by any means a universal attitude, and any mandatory testing for HIV would absolutely be used by them as a weapon to punish. Count on it.
Bluenorthwest
(45,319 posts)People in such States, most of the nation, have NO protections at all from the homophobia and ignorance of others. Very bad idea indeed.
In the 80's, some people wanted camps for HIV patients. Some straight people that is.
WinkyDink
(51,311 posts)snooper2
(30,151 posts)luckily all the doctor has me taking right now is D3 and fish oil
Fumesucker
(45,851 posts)magical thyme
(14,881 posts)Seriously, though, somebody who has been celibate for a couple decades and doesn't do IV anything and has never been transfused should be tested? Why? There is zero chance for many people to have been exposed. What a total waste of money and time.
And then a week after somebody is tested, they get exposed and it isn't found. So do they mean annual testing? Bi-annual? Seriously?
Maybe everybody should have mandatory quarterly CA125 screening too, because cancer responds better if caught early.
galileoreloaded
(2,571 posts)and it isnt all about you, its about us, all of us.
magical thyme
(14,881 posts)I leave others alone and I want to be left alone. And that is all about you. (Not you personally, but you in the general sense. Actually, yes, you personally too.)
I am not banned from donating blood to the ARC based on my lifestyle. I don't have tattoos or piercings, am celibate, don't do any drugs beyond aspirin and allergy meds, have never been transfused, and haven't exchanged body fluids for literally decades.
In other words, I have not been even potentially exposed to HIV (or also potentially deadly HCV or HBV) for decades. I am not a risk for spreading HIV to unsuspecting sex partners.
It is up to the proposed sex partners to screen each other, not impose a mandatory test on innocent bystanders who don't even want to watch, let alone participate.
KT2000
(20,577 posts)dentist - just found out mine does not adhere to safety practices.
magical thyme
(14,881 posts)and while you're at it, you will want to get tested for HCV and HBV. And get a new dentist. But your dentist's failure to follow safety practices does not make me a risk to you or you a risk to me.
Odds are we have different dentists, because mine does follow normal safety protocol.
HiPointDem
(20,729 posts)JustAnotherGen
(31,818 posts)We shouldn't. It's akin to a background check . . . and until we have universal background checks on guns as a Federal Law - the fed can go f*ck themselves on this.
I'm 40 and married and not likely to get HIV any time soon. But I live half way between Camden and Newark - and more likely to get shot when I go to either one of those cities than I am to contract HIV or be HIV positive right now (I'm not).
galileoreloaded
(2,571 posts)JustAnotherGen
(31,818 posts)I know - as well as I don't have any host of genetic diseases. I know because I'm being run through the TTC 'route'. The one where ONE fallopian tube is bad - but I'm a black woman so expendable in my country - so they THINK they are going to try to take both.
When black folks and specifically black women are given a fair shake AND the medical system PROVES to us they can be trusted after jacking us over for eons - then they can have my shit.
Until then? I don't trust some rogue racist to not inject me with it and feed you some bullshit line that I'm a whore on welfare.
Selfish? Open your eyes.
America sucks for black women.
And I'll die on that hill.
magical thyme
(14,881 posts)by forcing mandatory, expensive and unnecessary tests on the general population.
If you live a high risk lifestyle -- and by high risk, I mean the risk factors that will get you banned from donating blood to the ARC -- then you are responsible for managing your own risks. That means screening partners *before* you have sex, using your own needles if you want to do drugs, being careful where you get tattooed or pierced, and getting screened periodically.
JustAnotherGen
(31,818 posts)Naive - to that poster.
I feel as a black American - and specifically a black female - very very suspicious and untrusting of the government when it comes to my reproductive health.
Too much history and all water is not under the bridge.
HappyMe
(20,277 posts)still_one
(92,187 posts)screening if you are in a certain age group, it was ordered for me without my knowledge.
1. I am not in the high risk category
2. It was negative, as expected
3. I had to pay for it
Since this test was forced on me, and I had to pay for it, I suspect those results are being relayed to some government database
Of course we can all trust our government, that this information would not be used against us?
I assume the same thing will apply to the HIV test they are proposing
Recursion
(56,582 posts)Think about it: if 1% of the population has HIV, and the test is 97% accurate (for type 1 errors), you will have three times as many false positives as real positives.
still_one
(92,187 posts)occur.
HappyMe
(20,277 posts)with any medical test.
magical thyme
(14,881 posts)and lab tests aren't intended to be used as a sole means of diagnosis, let alone a "just in case."
They are designed to help with diagnosis when somebody presents with certain signs and symptoms, in combination with medical history, lifestyle, etc.
HappyMe
(20,277 posts)their head should be tested for HIV. I had a couple of friends die from AIDS. I also have a friend in Chicago who was tested years ago. He is still alive today. You don't necessarily present symptoms with this for quite some time.
magical thyme
(14,881 posts)There are people who are celibate and have been for decades, have never been transfused, have never done IV drugs, have never been tattooed, etc.
Maybe I don't have a brain for believing that, in the absence of symptoms and possible exposure, a mandatory HIV screening test would be a waste on them. Same with an HBV test, and HCV test, a malaria test, or any other tests for potentially fatal, blood and fluid borne diseases.
Or maybe, as a med lab tech who runs those tests and others, I have a fully functioning brain.
There are certain lifestyle risk factors that may make it worthwhile to be periodically screened. In fact, those lifestyle risk factors will get you banned from donating blood, regardless of screening or any test results.
But if you don't live those lifestyles, haven't been exposed, and haven't got symptoms, the test is a waste. You are better off spending your money a CA125 to screen for cancer. Just my humble, brainless opinion, of course.
still_one
(92,187 posts)On them?
It would be different if a person had a blood transfusion or some other activity which would make it more advisable to be tested, but I am not sure it should be forced
They do not force people to get a flu vaccine, and people should not engage in high risk behavior without adequate protection, or do anything without knowing their partner
Maybe they should require everyone get tested for every disease that is transferable.
The fact remains that HIV is transmitted in only certain finite ways, and to force everyone to be tested, included those that almost 0% of getting the antibodies, is not good policies.
magical thyme
(14,881 posts)to the more expensive tests.
I wonder how much stock those medical experts own in HIV screening test companies? Because I'm sure their recommendation has *nothing* to do with increasing revenues for somebody, somewhere...
redgreenandblue
(2,088 posts)Probably excessive given my amount of "action" but there it is
IDemo
(16,926 posts)nor do they have the legal authority to do so. Although it wouldn't surprise me if this were used by the medical community to include the HIV test under standard blood labs such as what I receive a couple of times yearly.
Javaman
(62,521 posts)and they test for everything.
It's just a matter of course to me.
Frankly, anyone with half a brain should be tested, but that's just me.
I grew up in NYC during the late '70's and early 80's when aids exploded on the scene and had a few friends when I worked in LA die of aids.
tammywammy
(26,582 posts)Might as well put all that blood to good use. Test it up!
Quantess
(27,630 posts)I think it's overkill.
still_one
(92,187 posts)SheilaT
(23,156 posts)Every single person between 15 and 65 is at risk. That's true only if you can get HIV from toilet seats or from being served by a gay waiter.
As has already been pointed out, a significant portion of us have never engaged in "risky" behavior, don't have tattoos, are celibate, and so on. And has already been asked, who is to pay for this test? What are the consequences of a large number of false positives? How about pre-screening people at their annual physical for risk, and then do the test.
Coyotl
(15,262 posts)Get tested!
magical thyme
(14,881 posts)b.s. The "medical experts" that recommended everybody between those ages get tested were referring specifically to ages they expect people to be sexually active. Nothing more; nothing less.
A single bad dentist who spread HCV does not equate with risk of HIV infection to all dental patients in the U.S.
Get a grip. For the vast majority of us, the risk of being killed by a car, struck by lightning or falling in the bathtub is many orders of magnitude higher.
still_one
(92,187 posts)Instruments, or following proper procedures?
SheilaT
(23,156 posts)And if dentists are themselves so likely to be spreading HIV, then maybe it's the dentists who should be carefully monitored.
Zoeisright
(8,339 posts)Autonomy, people. Autonomy.
Skip Intro
(19,768 posts)kestrel91316
(51,666 posts)HIV positive people. They'll find a way. They have armies of lawyers looking into how to twist the ACA to allow them to do so.
closeupready
(29,503 posts)Because all you are mandating is, for those who are positive but without health insurance, a death sentence.
Then there is the discrimination.
closeupready
(29,503 posts)THAT is likely why the government is throwing its weight behind this, in my personal opinion.
La Lioness Priyanka
(53,866 posts)then they urge frequent screenings
people should read before they get all outraged
This latest recommendation urges that everyone 15 to 65 undergo a one-time screening. Individuals in risk groups who are older or younger should undergo screening as well.
Also, women should be tested during each pregnancy, the task force says.
The task force recommended annual screenings at the very least for people in known risk groups.
former9thward
(31,997 posts)I get an HIV test every 2 months because I donate every two months. Wish more people would donate.
Baitball Blogger
(46,703 posts)grahamhgreen
(15,741 posts)GaYellowDawg
(4,446 posts)Given how long it's been for me, I know I don't have HIV from my last sexual encounter. So the hell with the test.
Ian David
(69,059 posts)Maybe I should get tested, after all.
HockeyMom
(14,337 posts)Um. my husband has a heart condition, so couldn't take Viagra even if he wanted to. He is more concerend about DYING than getting it up. I agree LIVING is far more of a human need. Me? Well, as any teenager knows, there are other ways that don't involve another person if a person has that need. You cannot catch HIV from YOURSELF.
What morons.