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Saturday, 04 July 2009
Short Notes

CD4 and starting ART: time to revise the guidelines?

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When should anti-retroviral treatment (ART) start? According to World Health Organisation guidelines for ‘resource-limited settings’, treatment should start before the CD4 count falls below 200 cells/mm3. ‘Consideration’ should be given to treating patients with a CD4 count below 350.  

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Food is medicine

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People with HIV need extra nutrition to improve their immunity and also to tolerate their medications.  So it's great to hear of any effort to increase people's access to food.

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Asian migrant women at risk

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Women from Asia migrating to the Arab states for work are particularly vulnerable to HIV infection. 

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HIV hidden in rural India

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The March 2009 issue of AIDS Care, carried details of a study titled ‘Profile of adults seeking voluntary HIV testing and counselling in rural central India: Results from a hospital-based study’ by Nikita Pant Pai and others. A significant finding of the study was the high risk factor for married women.

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Testing prisoners

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A survey in four central jails in Maharashtra ordered by the Bombay High Court found that HIV prevalence in prisons is higher than it is in the general population. 

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Second-line treatment hurdles

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Access to the government’s anti-retroviral therapy (ART) programme depends on where you live, and more so for second-line treatment. ART is the most effective medication for HIV discovered so far and is provided at two levels.

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Providing HIV care to children

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The January 2009 issue of the Indian Journal of Medical Research (IJMR) contains a study and a commentary on the challenges of providing HIV care to children in India where 3.8% (approximately 100,000) of an estimated 2.5 million persons living with HIV/AIDS (PLHA) are children. Of the 1.78 lakh people on anti-retroviral therapy (ART) in 2008, 12,000 are children.

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