Syphilis on the rise among gay, bisexual men: CDC

From HealthDay.com
By Steven Reinberg

The number of cases of syphilis in the United States jumped 10 percent from 2012 to 2013, with gay and bisexual men accounting for 75 percent of the increase, U.S health officials reported Tuesday.

Rates of another sexually transmitted disease — chlamydia — fell for the first time in 30 years, with more than 1.4 million reported cases in 2013. This represented a 1.5 percent decrease from 2012, according to the U.S. Centers for Disease Control and Prevention.

“There are over 20 million cases of sexually transmitted diseases [STDs] every year in the United States, and they continue to pose a risk of lifelong complications for millions of Americans,” said Dr. Jonathan Mermin, director of CDC’s National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention.

According to the report, 17,357 cases of syphilis were reported in 2013 — a rate of 5.5 per 100,000 people.

There are a variety of reasons that put gay and bisexual men at high risk for syphilis, said Mermin.

“Some are the high number of sexual partners and sexual networks that create a vicious cycle where the prevalence of syphilis is higher. And that leads to higher incidence, which leads to higher prevalence, and that cycle can increase the frequency of infection,” he said.

Continue reading on HealthDay.

Smoking doubles risk of death for patients taking HIV therapy

From aidsmap.com

Smoking doubles the mortality risk for people with HIV taking antiretroviral therapy, a study published in AIDS shows. Smokers had an increased risk of death from cardiovascular disease (CVD) and non-AIDS-related cancers, and the life expectancy of a 35-year-old man with HIV was reduced by almost eight years due to smoking. “Smoking was associated with a two-fold increase in mortality,” comment the authors. “More than a third of all non-AIDS related malignant deaths were from lung cancer and all deaths from lung cancer were in smokers.”

The benefits of not smoking were clear. HIV-positive non-smokers who were doing well on antiretroviral therapy had a similar life expectancy to non-smokers in the general population.

With the right treatment and care, people living with HIV can have a normal life expectancy. However, mortality rates remain higher among people with HIV compared to the background population. The reasons for this are unclear, but important causes of death among people with HIV now include smoking-related diseases such as heart and lung complaints and non-AIDS-related malignancies.

Investigators therefore wanted to determine the association between smoking and mortality risk among people taking HIV therapy.

Continue reading on aidsmap.com.

Young gay men describe trust as an HIV prevention strategy

What constitutes safer sex? Sex with a condom? Sex with PrEP (pre-exposure prophylaxis)? Oral sex? At GAYCON 2014, an annual conference on gay and bisexual men’s health in Scotland, researcher Nicola Boydell presented the results of a study that sought to discern young gay men’s attitudes toward safer sex, Aidsmap reports.

The good news: Young gay men see safer sex as more than just condom use. The bad news? Many consider condomless sex within the context of a relationship as being relatively safe, even when they knew nothing about their partner’s HIV testing history.

Yet, the majority of HIV transmissions among gay men happen within the context of a relationship, according to data from a 2009 U.S. study. When speaking of these relationships, men cite trust as the number one reason to take off the condom.

Continue reading on The Body.

 

26th World AIDS Day: Get in there, do something, change things

From Huffington Post…
by

red ribbonPre-exposure prophylaxis (PrEP) and treatment as prevention (TasP) have successfully returned sexual health to the national and international headlines. Not since the early years of the HIV epidemic has there been so much constructive dialogue, progress, and involvement by the public.

Long-term survivors, HIV organizations, scientists, public-health experts, and the generation that never knew a world without HIV joined hands on the 26th World AIDS Day in an effort to educate and advocate in commemoration of those we have lost to HIV and the people living with the infection today.

While a few still wage a lonely and wasteful fight against science and progress itself, it is time to acknowledge that we finally have the opportunity to move on from a monotonous, one-way conversation and use these new tools as catalysts for serious and much-needed change.

Of course, it doesn’t help when one of our favorite Star Trek actors throws all logic overboard and simply dismisses today’s generation as lazy, complacent and irresponsible, but it certainly shows that we haven’t progressed much since President Reagan’s infamous call to abstinence 27 years ago.

Six of the estimated 39 million people we lost worldwide to HIV were my friends and mentors. All six would have agreed with Meryl Streep’s Margaret Thatcher when she says in The Iron Lady, [I]f something’s wrong, they shouldn’t just whine about it. They should get in there and do something about it. Change things.”

Keep reading on Huffington Post.

Having HIV/AIDS: Fighting stigma

From the Windy City Media Group
by Lawrence Ferber

Hearing the words “I’m HIV-positive” made Bryan* ( names and some details have been changed ) freeze. A 23-year-old graphic designer, Bryan had met a guy at a Boystown gay club, a svelte 25-year-old tourist, Zach, with whom he danced, drank and laughed. Around 1 a.m., just before heading to Zach’s hotel for more private activities together, Zach disclosed his positive HIV status. His viral load was undetectable—successfully suppressed with a drug regimen to the point it was low to no risk for transmission; also, he was clear of other STDs and he packed an ample supply of condoms.

Bryan declined to go back with him, though, offering a politely worded excuse rather than saying what he really thought: “I don’t sleep with HIV-positive guys.” Zach, however, had heard those words, or variations of the same, more than a few times since his diagnosis a couple of years ago, and he could see them clearly in Bryan’s green eyes. He felt like shit—judged and tainted—and while Zach wouldn’t lie and tell someone he was negative, he understood why so many others in his shoes have and do. Bryan ended up getting lucky a couple of hours later at another bar with Alex, an architect-in-training who said he was negative.

There’s a twist: Bryan, in fact, was positive, although he wouldn’t find out that until six months later, when he got tested for the first time in almost three years—something he put off because, in the back of his mind, he was concerned about a bareback encounter with someone he met on Grindr who, the next day, deleted his profile and disappeared, as if in a magic poof of smoke.

“Stigma is really damaging on both ends,” said Matthew Rodriguez of the comprehensive HIV/AIDS resource site The Body. “For negative people, stigma can sometimes stop them from getting tested. If they feel they did anything that put them at risk, they may not want to get tested because the result may be devastating. I think it also stops people from interacting with those living with HIV as full people. People just look at you as a status, as a virus.”

Continue reading on Windy City Media Group.

 

Can Selfies in the Shower Fight HIV Stigma?

If you’re looking for HIV’s answer to the ALS Ice Bucket Challenge, which raised over US$100 million for the ALS Association, Jack Mackenroth just may have it: the HIV Shower Selfie Challenge. Mackenroth, a famous HIV-positive activist and prior contestant on Project Runway, has partnered with Moovz, a global gay social networking app, to launch the project. Playing to a culture that loves a good selfie, Mackenroth is urging everyone to fight HIV stigma by simply taking a special kind of selfie.

Jack Mackenroth

“I was inspired by the use of the word ‘clean,’ especially common in gay culture, to describe oneself as STI/STD free. Indirectly this implies that HIV-positive people are somehow ‘dirty,'” says Mackenroth. “I thought a PG or PG-13 shower selfie or Vine video would be a fun way that everyone could easily show their support for finding a cure on social media by using the hashtag #weareALLclean when they post their photo with the link. They then nominate 3 other people to participate and hopefully donate to the project as well.”

Continue reading and find instruction on how to participate at TheBody.com.

U.S. HIV ‘Treatment Cascade’ stats dismal among western nations

From AIDSmeds.com

Compared with other high-income Western nations, the United States fares remarkably poorly in getting people with HIV diagnosed, into stable care, on treatment and to an undetectable viral load, aidsmap reports. Researchers conducted an analysis of the “treatment cascade” figures for Australia, British Columbia (statistics for all of Canada were not available), Denmark, France, the Netherlands, the United Kingdom and the United States. Results were presented at the HIV Drug Therapy Glasgow conference in Scotland.

The estimated rates of HIV diagnosis among the countries ranged from a low of 71 percent in British Columbia to a high of 86 percent in Australia, with the United States at 82 percent. The United States had the lowest rate of linkage to care, at 66 percent, and Denmark had the highest at 81 percent. The United States had by far the lowest rate of HIV-positive people retained in care at 37 percent, with British Columbia the next lowest at 57 percent. Australia’s 76 percent care-retention rate was the highest. 

Because of the United States’ low retention figures, the remainder of the nation’s figures were also markedly lower than the other countries’. The U.S. rate of people with HIV taking antiretrovirals was 33 percent. The high for that figure was the United Kingdom’s 67 percent. The rates of viral suppression were as follows: the United States, 25 percent; British Columbia, 35 percent; France, 52 percent, the Netherlands, 53 percent, the United Kingdom, 58 percent; Denmark, 59 percent; and Australia, 62 percent.

To read the aidsmap story, click here.

To read the conference abstract, click here.