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Medical Forum / Diseases and Disorders / AIDS / July 2007

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HIV testing in India

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Martin - 22 Jul 2007 23:35 GMT
<http://www.tribuneindia.com/2007/20070723/main7.htm>:

----- Being quote -----

A US-based Indian doctor, who visited various hospitals and diagnostic
laboratories in different parts of India as member of an investigating
team of the World Bank early this year, says that HIV blood-testing
kits used in the country are spurious and sub-standard.

In an interactive session with The Tribune over phone and online,
Ohio-based Kunal Saha, associate professor of virology and immunology,
who specialises in the study of HIV/AIDS, says that due to defective
and sub-standard blood-testing kits supplied by the country’s top
organisation National Aids Control Society of India (NACO), innocent
and unsuspecting people were getting deadly viruses of the HIV, HCV
and HBV.

"I wrote to the World Bank on June 11, 2007, to allow me to go public
with the information of bogus test kits in India for ethical reasons
as well as for the sake of public health. After several discussions
with the World Bank president Paul Wolfowitz, no objection has been
issued to me. This is why I want to share my findings with the people
of the country."

[...]

He says that on the one hand the World Bank says that its report is
not ready as yet, while on the other it maintains that there was “no
defect” in the kit being supplied by NACO.

----- End quote -----
Signature

<http://www.hiv-poz.co.uk/>
Moible: +447939991519

Death - 23 Jul 2007 11:44 GMT
"Martin" <martin@hiv-poz.co.uk> wrote in message

> In an interactive session with The Tribune over phone and online,
> Ohio-based Kunal Saha, associate professor of virology and immunology,
[quoted text clipped - 3 lines]
> and unsuspecting people were getting deadly viruses of the HIV, HCV
> and HBV.

Monday, 10 April 2006, 10:22 GMT 11:22 UK

HIV 'bug chasers': Fantasy or fact?
By Richard Pendry
Producer and Director, "I Love Being HIV+"

Gay men fantasising about passing on HIV may encourage some to set out to become infected with the
virus, a BBC programme has found.

Ricky Dyer goes undercover in the world of bug-chasers and givers

According to previous media reports, HIV positive men, or "gift-givers", who want to transmit the
virus to so-called "bug chasers" - HIV negative or untested men - do so in an apparently negotiated
exchange.

HIV positive man Ricky Dyer, who investigates the apparent bug chasing phenomenon for a BBC
programme, "I love being HIV+", says that an air of complacency about the realities of living with
the virus may be one reason why infection rates have been rising.

Dyer tries to find out the truth behind the reporting by going online on a gay dating website, saying
he is an HIV positive man who wants to talk to bug chasers.

"I'm not saying I am offering them sex...talk is all I want," he says in the programme.

 Meeting men online fantasising about unsafe sexual practices could also send the wrong message

Ricky Dyer

However, Dyer is appalled to find dozens of apparent bug chasers contact him within days saying that
they want to be "pozzed up" - infected with the virus.

Conversion parties

Several UK-based websites deal with the phenomenon, as do many more in the US, where the phenomenon
of bug chasing was originally reported.

Bug chasers supposedly look for "conversion parties" where HIV positive men have the opportunity to
pass on the virus to multiple partners.

Dyer finds that the overwhelming majority of the talk is pure fantasy.

 Most gay men with HIV do not want to pass HIV on, and most gay men who do not have HIV do not want
to get infected

Will Nutland

Men who say they are bug chasers and gift givers fail to stand by their claims on camera and one man
who gave an anonymous interview subsequently appeared to be lying to the production team about his
activities.

His findings are echoed by the HIV charities.

Will Nutland, head of health promotion at Terrence Higgins Trust, said: "The concepts of 'gift
giving' and 'bug chasers' are definitely based more in fantasy than reality.

"Most gay men with HIV do not want to pass HIV on, and most gay men who do not have HIV do not want
to get infected."

And Deborah Jack, chief executive of the National AIDS Trust said: "There is very little evidence of
people trying to get infected with HIV.

"The real issue is why risk-taking behaviour continues when HIV positive men have no wish to pass HIV
on HIV negative men wish to avoid infection."

However, the fantasy on the internet may give the wrong idea to young and ill-informed gay men coming
out on the gay scene, according to Dyer.

The Sexual Health Survey of Gay Men in London found that in recent years 50% of men who identify
themselves as gay had had unprotected anal sex at least once.

Diluted message

Charities trying to reach these men may have diluted the safe sex message, according to Dyer.

"Prevention campaigns which tell men who engage in unsafe sex that withdrawing before ejaculation may
lessen the risk may confuse a young guy coming out on the gay scene today," he says.

"Meeting men online fantasising about unsafe sexual practices could also send the wrong message."

Though much of the bug chasing talk on the net is just that - talk, which previous reports seem to
have taken at face value - in the programme, Dyer also interviews an ex-Jehovah's Witness named
Chris, who is HIV negative.

Chris says that he is engaging in a great deal of unprotected anal sex. He knows he will become
infected and has made a conscious decision to welcome it into his life.

HIV diagnosis

In the course of filming, Chris is diagnosed HIV positive and in an on-camera interview tells his
story.

Chris came out as gay to his parents 14 years ago and was told he would be dead in the eyes of God
and the Jehovah's Witness community if he embraced his homosexuality.

Chris chose to leave home and live as a gay man.

Though he engaged in a great deal of unprotected sex for years and welcomes the "inevitable" arrival
of the virus, he says he is not a bug chaser.

"I wasn't scared of the consequences of getting HIV," he says. "But by accepting it, I'm going to
take the sting out of its tail."

According to the Health Protection Agency there has been a steady increase in diagnosis rates in the
UK among men who have sex with men from 1500 in 1999 to over 2000 in 2004 - a 30% increase in five
years.

"I love being HIV+" is on BBC3 at 2100 BST on Monday, 10 April.
 
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