Treatment improvements, ongoing transmission and a steady increase in new diagnoses have contributed to an increase in the number of people living with diagnosed HIV.
According to a new report from Public Health England, there were 85,489 people being seen for HV care across the UK in 2014. “The age of people accessing care for HIV continues to increase, with almost one in six now aged over 55,” it adds. “The aging cohort of people living with HIV emphasises the importance of integrated care pathways to manage co-morbidities and other complications.”
Other data in the report includes:
- There were 6,151 new diagnoses in 2014, a slight increase from 2013
- The number of men who have sex with men (MSM) newly diagnosed with HIV is increasing, from 2,860 men in 2010 to 3,360 men diagnosed HIV-positive in 2014
- New diagnoses acquired through heterosexual sex has declined (from 3,440 in 2010 to 2,490 in 2014), largely due to a reduction in diagnoses among black African men and women (1,801 in 2010 to 1,044 in 2014)
- Of all people attending for care in 2014, 91% were on antiretrovial therapy (ART), “of whom 95% were virally suppressed and unlikely to be infectious to others
- 41% of those accessing HIV care are in London.
“A major challenge for the UK remains the timely diagnosis of HIV infection in order to start lifesaving ART and prevent onwards transmission of infection. Two out of five people newly diagnosed with HIV in 2014 had ‘late stage’ HIV, evidenced by a CD4 count below 350, and this remains stubbornly and unacceptably high (56% in 2005),” says the report.
A fifth (21%) of English local authorities had a diagnosed HIV prevalence above 2 per 1,000 in 2014, the threshold for expanded testing into general practice new registrants and hospital admissions. “This included all but one London borough. There is an urgent need to increase HIV testing opportunities and uptake for people living in these areas, in line with national HIV testing guidelines.”
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