Recent HIV infections- GMHS 2012

Transcription

1 Recent HIV infections- GMHS new diagnoses of HIV at Gay Men s Health in (37%) were infected within 12 months prior to diagnosis Median age 32 years (range years) Country of birth 11 born in Ireland, 7 born abroad 63% of recent infections were asymptomatic Importance of HIV testing when high risk event has occurred. 16% were symptomatic 68% had recent unprotected anal intercourse 47% had an STI co-infection at time of HIV diagnosis Chlamydia, Gonorrohoea, non specific urethritis and syphilis Dr Joanne Moran HPSC NVRL HIV p24 positive cases - GMHS % (n=6) of new diagnoses at GMHS in 2012 tested positive for HIV p24 antigen Indicative of very early sero-conversion (between 10 and 14 days prior to positive test). Median age: 30 years (age range years) Country of birth: 2 born in Ireland, 4 born abroad 50% of p24 positive cases also had an STI at the time of HIV diagnosis All reported recent sexual activity Four reported unprotected anal intercourse Dr Joanne Moran HPSC NVRL

2 GMHS 2012 and Prevalence of GC, CT and Syphilis 2896 HIV Tests with 59 Positive Note: 7 discounted as tested previously elsewhere or in previous years. 52 MSM Positive (2% of all HIV Tests at GMHS & 31% of HPSC n=166) Mick Quinlan Manager, Dr Susan Clarke (Consultant), Dr Shay Keating With Thanks to Dr Derval Igoe (HPSC), Dr Joanne Moran (NVRL & HPSC, Kate O Donnell (HPSC) HIV Positives Data GMHS n=52 29 (56%) Return Patients 23 (44%) New Patients (First Time to GMHS) 25 (48%) Born Republic Of Ireland (RoI) 27 (52%) Born Elsewhere 47 (87%) Reside Dublin City (91% of New) 7 (13%) Reside Dublin County and Rest Ireland

3 Reason for Testing by % Testing History N=52 67% routine testing: 10% STI symptoms 6% Rash 4% Contacts (HIV and Syphilis), 2% condom accident) 2% tired etc, 2% review syphilis. 7 (13%) had never tested for HIV previously all were new at GMHS. 30% of first time attendees, never tested for HIV and covered all age ranges with one each, while 2 were in their 40s 42% of 52 had co infection (such as N=5 Syphilis, 7 GC, 5CT) 38% of 52 had, had a previous STI Year of Previous Test for HIV n=45 24 Men (Over 50%) had tested since Jan1st =13% 2011=40% 2010=18% 2009=9% 2008=9% back to 2002 =11%

4 HIV and Age Range GMHS (and HPSC Figures) < > All n=52 17%* 29% 35% 15% 4% New GMHS 26% 35% 22% 13% 4% n=23 HPSC n=166 13% 23% 34% 20% 10% *Shaded Area Higher Rate Than HPSC Prevalence by Number of HIV Tests at GMHS All HIV Tests n=2,896 at 52 Pos =1.8% New Patients and HIV Tests n=825 at 23 Pos=2.8% Return Patients HIV tests N=2,071 at 29 Pos=1.4% New Patients Double the Prevalence Rate of Returns.

5 National MSM Figures V GMHS Where Born GMHS n=52 HPSC n=148* Ireland 48% 63% Europe 21% 11% Central & Eastern Europe 6% 6% Latin America 21% 14% Other 4% 5% Excludes 18 unknown where born GMHS and HPSC and Where Born and Residing GMHS Diagnosed % of HPSC Total 65% of the European Men, 52% of the Latin Men, 33% of Central & Eastern European Men, 27% of Irish Men and 24% of other Countries/Unknown. 100% of GMHS (n=52) resided in the HSE East compared to 77% of HPSC (n=166) GMHS diagnosed 41% of the 127 MSM(HPSC) Residing in the East

6 GMHS and HPSC Age Range By % <24 17%GMHS 13%HPSC <29 46%GMHS 36%HPSC GMHS saw 40% of those aged 29 and under Or 25% (aged <19), 44% (20 24), 39% (25 29) 32% (30 39), 24% (40 49), 12%(50>) Prevalence by All and New Detail All attendees tested New Attendees and % and % positive rate positive rate Gonorrhoea 7% 17% Chlamydia 4% 7% Syphilis 2% 2% HIV 2% 3% The percentage rate of positive diagnoses shows a significant difference between all and new attendees

7 Prevalence by age for New Attendees Age Range N=825 < > n=318 n=215 n=186 n=76 n=30 Gonorrhoea n=115(14%) 53(17%)* 35(16%) 14(8%) 10(13%) 3(10%) Chlamydia N=55(7%) 14(4%) 20(9%) 11(6%) 9(12%) 1(3%) Syphilis n=18(2%) 3(1%) 6(3%) 3(2%) 4(5%) 2(7%) HIV n=23(3%) 6(2%) 8(4%) 5(3%) 3(4%) 1(3%) The prevalence rate within each age group compared to the overall rate (left column) provides a clearer indication. i.e. of those aged 24 and younger 17% received a gonorrhoea diagnosis compared to the median rate of 14%.