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Monitoring HIV Care in the United States


The number of people living with HIV/AIDS (PLWHA) in the United States is growing each year largely due both to advances in treatment that allow HIV-infected individuals to live longer and healthier lives and to a steady number of new HIV infections each year. The U.S. Centers for Dis- ease Control and Prevention (CDC) estimates that there were 1.2 million people living with HIV infection in the United States at the end of 2008, the most recent year for which national prevalence data are available. As a dis- ease that disproportionately affects populations who already have a range of care and supportive service needs, now more than ever HIV requires continuous and coordinated quality care. Furthermore, there continue to be challenges to curbing the toll of the epidemic. Each year, approximately 16,000 individuals die from AIDS despite overall improvements in survival, and 50,000 individuals become newly infected with HIV. In 2011, the CDC estimated that about three in four people living with diagnosed HIV infec- tion are linked to care within 3 to 4 months of diagnosis and that only half are retained in ongoing care. Treatment with antiretroviral therapy (ART) can help to reduce the level of HIV virus in the blood, sometimes to viral suppression (i.e., to an undetectable level), resulting in improved health outcomes for PLWHA as well as reduced risk of HIV transmission. Yet, only 19–28 percent of PLWHA are virally suppressed.

978-0-309-21850-4
NONE
Healthcare Management
English
2012
1-353
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