{"id":7512,"date":"2015-07-01T06:43:07","date_gmt":"2015-07-01T10:43:07","guid":{"rendered":"http:\/\/blogs.nejm.org\/hiv-id-observations\/?p=7512"},"modified":"2015-07-02T15:05:52","modified_gmt":"2015-07-02T19:05:52","slug":"undiagnosed-or-not-in-care-for-hiv-which-is-the-bigger-problem","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/undiagnosed-or-not-in-care-for-hiv-which-is-the-bigger-problem\/2015\/07\/01\/","title":{"rendered":"Undiagnosed or Not in Care? For HIV, Which Is the Bigger Problem?"},"content":{"rendered":"


\n<\/a> \"taking<\/a>These days,\u00a0it’s hard to have a “closed book” examination.<\/p>\n

The information is everywhere — on your computer, your phone, your tablet — whatever screen happens to be glowing in front of you.<\/p>\n

“In the age of the internet, why be wrong?” is something my son used to say as we sat at the dinner table, grappling to remember\u00a0who was the mother of Perseus<\/a>, the flight time between\u00a0Boston and\u00a0Ft. Lauderdale<\/a>, or the new name for Haemophilus aphrophilus.<\/em><\/a><\/p>\n

(Still can’t get over that one. And yes, ID doctors have fascinating dinner table conversations.)<\/p>\n

So it’s tough to ask you to try and take this quiz without heading over to the CDC and finding the answer. But give it a go because 1) I have a theory, triggered by a patient with advanced HIV disease I just saw in the hospital — which somehow always feels like a failure of our healthcare system — and 2) if you get it wrong, who cares? Nobody will know.<\/p>\n

The question is about how we can possibly still have untreated people with HIV in this country, even though the medications are widely available, highly safe and effective, and simple to take. Plus, there are numerous programs in place to ensure that pretty much everyone who needs it can get coverage for treatment.<\/p>\n

Is it that they are undiagnosed and hence don’t know that they should be on treatment? Or do they know that they have HIV, but for some reason aren’t engaged in regular care?<\/p>\n

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Who should get post-exposure rabies prophylaxis and vaccines?<\/strong><\/p>