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Medical Forum / Diseases and Disorders / AIDS / November 2005

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...many people who suspect that they have been infected do not feel comfortable walking into AIDS clinics - or even confiding in family doctors.

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Don Saklad - 20 Nov 2005 00:33 GMT
  New York Times
  Editorial

AIDS Testing at Home
http://www.nytimes.com/2005/11/19/opinion/19sat3.html

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  Published: Saturday, November 19, 2005

  Rapid AIDS tests that yield results in 20 minutes have
  revolutionized outreach counseling and greatly improved
  efforts aimed at slowing the spread of infection.

  With the older test, which required two weeks, about a third
  of the people tested at AIDS clinics never returned to pick up
  their results.

  Those who never learned that they had tested positive most
  likely went on to infect others through unprotected sex or by
  sharing needles during intravenous drug use.

  Despite widely available testing, about a quarter of the
  Americans who are infected with H.I.V. still don't know it.

  That will no doubt change when the
  Food and Drug Administration approves a
  quick over-the-counter AIDS test for home use.

  No company has yet filed for approval of such a test.

  But exploratory hearings conducted recently by the
  F.D.A. suggest that such a request may be filed soon.

  Some AIDS outreach workers are wary.

  They believe that people who test positive should hear the
  news from counselors, who can cushion the shock, direct them
  to medical care and explain the precautions that are needed to
  avoid infecting others.

  That would clearly be ideal.

  But it has long been clear that many people who suspect that
  they have been infected do not feel comfortable walking into
  AIDS clinics - or even confiding in family doctors.

  An over-the-counter AIDS test is the ideal tool for reaching
  them, as well as large numbers of others who don't know they
  are infected.

  The F.D.A. must naturally make sure that any proposed products
  are reliable and appropriate for use by untrained people.

  But once that's clear, the agency should swiftly
  certify a home-use test.

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  New York Times
  Editorial
http://www.nytimes.com/2005/11/19/opinion/19sat3.html
Bock - 20 Nov 2005 01:52 GMT
Don, it is nice to see you posting again.

>    Rapid AIDS tests that yield results in 20 minutes..

    have their place, I suppose, but I am not sure when
such a test is effective over other tests.


>    Those who never learned that they had tested positive most
>    likely went on to infect others.....

    who were too trusting and never bothered to use safe sex
    practices 100 percent of the time.  

>    ....through unprotected sex or by
>    sharing needles during intravenous drug use.

>    Despite widely available testing, about a quarter of the
>    Americans who are infected with H.I.V. still don't know it.

    And with good reason.  A football player in Canada is charged with    
    aggravated sexual assault because he did not disclose his HIV
status.
    While everyone should disclose their positive status, not knowing
    eliminates being criminally charged as was done in this case.  Why
would
    any one, in this case, a woman have unprotected sex with any man
whom
    she does not know?

>    That will no doubt change when the
>    Food and Drug Administration approves a
>    quick over-the-counter AIDS test for home use.
>
>    No company has yet filed for approval of such a test.

    I understand the test up to now deliver fairly unstable results.


>    But exploratory hearings conducted recently by the
>    F.D.A. suggest that such a request may be filed soon.
[quoted text clipped - 5 lines]
>    to medical care and explain the precautions that are needed to
>    avoid infecting others.

    In an ideal world that would be perfect.  But don't insurance
companies
    exclude hiv + or people infected with aids from coverage or
continued
    coverage?  So what medical care would be available to AIDS
patients?

>    But it has long been clear that many people who suspect that
>    they have been infected do not feel comfortable walking into
>    AIDS clinics - or even confiding in family doctors.

    Are AIDS clinics free and do they treat patients with unlimited
    free drugs and care or is their only purpose to test for disease
    and send you into the cruel world to get non-existent free
treatment
    and health care?  

>    An over-the-counter AIDS test is the ideal tool for reaching
>    them, as well as large numbers of others who don't know they
>    are infected.
>
>    The F.D.A. must naturally make sure that any proposed products
>    are reliable and appropriate for use by untrained people.

    Brilliant requirement.


>    But once that's clear, the agency should swiftly
>    certify a home-use test.

So what is tested?  Is it spit, blood, urine, sperm?  How does the woman
ask for
a sample 20 minutes before she kisses the guy and how does she feel safe
that the
test is correct else the false negative results could kill her
eventually through infection?

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