{"id":7524,"date":"2015-07-07T21:58:37","date_gmt":"2015-07-08T01:58:37","guid":{"rendered":"http:\/\/blogs.nejm.org\/hiv-id-observations\/?p=7524"},"modified":"2015-07-08T14:08:45","modified_gmt":"2015-07-08T18:08:45","slug":"for-hiv-in-the-usa-not-in-care-exceeds-the-undiagnosed-solutions-welcome","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/for-hiv-in-the-usa-not-in-care-exceeds-the-undiagnosed-solutions-welcome\/2015\/07\/07\/","title":{"rendered":"For HIV in the USA, Not in Care Exceeds the Undiagnosed — Solutions Welcome"},"content":{"rendered":"

In last week’s post,<\/a> I asked about two of the key components of the HIV care cascade — the “undiagnosed” vs the “diagnosed but not in care,” and which group was larger in the USA. Here are your answers as of now:<\/p>\n

\"Undiagnosed_or_Not_in_Care__For_HIV__Which_Is_the_Bigger_Problem__-_HIV_and_ID_Observations_HIV_and_ID_Observations\"<\/a><\/p>\n

The people who read this site\u00a0are a pretty knowledgeable group when it comes to issues related to HIV. This is not a blog about collecting beer steins<\/a>, philosophical ruminations over baseball cards,<\/a> or knitting<\/a>, to cite three mentioned to me by patients over the years.<\/p>\n

(That middle one is quite something. As is his book<\/a>, if you’re into that kind of thing. Which I am.)<\/p>\n

But\u00a0more than half<\/em>\u00a0(57%) of even this erudite readership\u00a0got the question wrong — because in the United States, those diagnosed but not in regular care greatly<\/em> exceed the undiagnosed. It’s by a factor of\u00a0more than\u00a0two-fold to one, at least if you believe the CDC data displayed in this nifty video.<\/a><\/p>\n

In the undiagnosed, there’s been progress: making\u00a0HIV testing easier has resulted in a great reduction in those who have\u00a0HIV but don’t know it. The latest data\u00a0from CDC have just been published<\/a>, and we’re down to just 14%. Yes, 14% is still too high — and it’s\u00a0up to 25%\u00a0undiagnosed in certain regions (we’re looking at you Louisiana) — but it’s a vast improvement over the 30-40% estimates we were seeing 10 years ago.<\/p>\n

And in many regions, it’s now < 10%. Meaning that more than 90% of those with HIV know that they have it, and can get on treatment, prolong their lives, and stop spreading the virus to others.<\/p>\n

Now, about that much bigger other group\u00a0— 30-40% or so of those with HIV in the USA — who know they have HIV and aren’t getting care and treatment.<\/p>\n

What’s up with that?<\/p>\n

Solutions to this problem eagerly awaited.<\/p>\n

[youtube http:\/\/www.youtube.com\/watch?v=CWf5LBfZVGQ&w=560&h=315]<\/p>\n","protected":false},"excerpt":{"rendered":"

In last week’s post, I asked about two of the key components of the HIV care cascade — the “undiagnosed” vs the “diagnosed but not in care,” and which group was larger in the USA. Here are your answers as of now: The people who read this site\u00a0are a pretty knowledgeable group when it comes […]<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3,4,5,8,9],"tags":[447],"class_list":["post-7524","post","type-post","status-publish","format-standard","hentry","category-health-care","category-hiv","category-infectious-diseases","category-patient-care","category-policy","tag-hiv-testing"],"post_mailing_queue_ids":[],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts\/7524","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/comments?post=7524"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts\/7524\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/media?parent=7524"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/categories?post=7524"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/tags?post=7524"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}