Some healthcare providers still deny treatment to HIV+ patients

From Thinkprogress.com:

Medical progress now ensures that HIV/AIDS is no longer a death sentence, but only for those who can access good medical care. The Centers for Disease Control and Prevention reports that almost three out of four Americans with HIV are not receiving enough medicine or regular health care “to stay healthy or prevent themselves from transmitting the virus to others.” Out of the 1.2 million people in the U.S. have HIV, 850,000 aren’t receiving regular treatment to keep the virus at a low enough level to prevent transmission or hurt their own health and 240,000 Americansdon’t even know they’re infected with HIV.

For some, medical treatment is  hard to come by. A Williams Institute study found that 5 percent of dentists in Los Angeles refused services to those with HIV/AIDs, a rate that is “lower than that of other health care providers. Over the past decade, “55% of obstetricians, 46% of skilled nursing facilities, and 25% of plastic surgeons” in L.A. “had policies that specifically discriminated against people living with HIV or AIDS.” Successful treatment rates “were lowest in blacks and women,” according to CDC director Dr. Thomas Frieden.

Read the full article on Thinkprogress.com.

Hep C deaths now surpass AIDS

From POZ.com

Chronic hepatitis C virus (HCV) infection is associated with more deaths than HIV infection, according to sobering new data presented by the U.S. Centers for Disease Control and Prevention (CDC) on Tuesday, November 8, at the 62nd annual meeting of the American Association for the Studies of Liver Diseases (AASLD) in San Francisco.

The discouraging findings, presented by Scott Holmberg, MD, MPH, chief of the CDC’s Division of Viral Hepatitis Epidemiology and Surveillance Branch, come from data involving 21.8 million deaths reported to the National Center for Health Statistics
between 1999 and 2007. The only cases included in the analysis involved reports that specified HIV, AIDS, HCV or hepatitis B virus (HBV) infection as possible contributors to the deaths.

Most viral hepatitis deaths occurred in people in the prime of their lives. About 59 percent of people who died of complications related to hepatitis B were between the ages of 45 and 64. The impact of chronic hepatitis C was even more substantial—roughly 73 percent of the deaths related to HCV were in baby boomers.

Not surprisingly, death rates were highest among certain populations. For example, people coinfected with both HBV and HCV faced a 30-fold increase in the risk of death from liver disease or related complications. Alcohol abuse was associated with a four-fold increase in the risk of death. Coinfection with HIV nearly doubled the risk of death from HBV-related complications and quadrupled the risk of death from HCV-associated liver disease.

To read the full article, go to POZ.com.

Joint Commission releases LGBT field guide

A new field guide from the Joint Commission urges US hospitals to create a more welcoming, safe, and inclusive environment that contributes to improved health care quality for lesbian, gay, bisexual, and transgender (LGBT) patients and their families.

The field guide features a compilation of strategies, practice examples, resources, and testimonials designed to help hospitals in their efforts to improve communication and provide more patient-centered care to their LGBT patients.  The guide, Advancing Effective Communication, Cultural Competence, and Patient- and Family Centered Care for the Lesbian, Gay, Bisexual, and Transgender (LGBT) Community, was developed with support from the California Endowment and is available for free download below.

An independent, not-for-profit organization, The Joint Commission accredits and certifies more than 19,000 health care organizations and programs in the United States. Joint Commission accreditation and certification is recognized nationwide as a symbol of quality that reflects an organization’s commitment to meeting certain performance standards.

You can get the Field Guide on the Joint Commission website.

Panel says boys should also get HPV vaccine

From the San Francisco Chronicle:

SAN FRANCISCO — A federal panel on Tuesday recommended that  all preteen children – not just girls – get a vaccine that prevents a common  sexually transmitted disease, in a move that public health experts hope will  lead to widespread immunity to the virus and, eventually, cut rates of certain  types of cancer.

The controversial vaccine against the human papilloma virus, or HPV, has been  recommended for 11- and 12-year-old girls since 2006, when studies showed that  girls and young women who were immunized had lower rates of cervical cancer.  Several types of HPV can cause cancers in the cervix, anus, head and neck.

But similar guidelines for boys lagged until recent studies showed that the  vaccine prevents genital warts in boys and young men and reduces rates of anal  cancer, especially in men who have sex with men.

The new recommendations, which will likely be formalized by the Centers for  Disease Control and Prevention by early next year, were based in large part on  that data. But a critical reason for including boys in the recommendations is to  protect girls from becoming infected with HPV, doctors and public health  officials said.

Read the full article at SFgate.com .