In Brief is NEAETC's news service covering the latest developments and educational resources about HIV, hepatitis, health disparities, and related topics. To subscribe, please click HERE.
HIV Year in Review: 2017
An Additional Take on the Top HIV Developments of 2017
In the last issue of In Brief, we summarized several recent articles listing HIV clinicians’ and writers’ choices for the most significant HIV stories of 2017. Late last month, the website HIVandHepatitis.com published another perspective on the top HIV and hepatitis news of last year. For your easy review, we have listed their choices for the top ten developments below. The article provides a one-paragraph summary of each development, together with links to related articles that provide more extensive detail.
• Convergence of HIV Cure and Cancer Research
• Undetectable = Untransmittable
• Dual-Drug HIV Treatment and Other New Therapies
• HIV Infections Fall – But Not for Everyone
• Trans People and HIV
• New Hepatitis C Approvals – and the End of Drug Development?
• Can Hepatitis C Be Eliminated?
• Hepatitis C Treatment and Liver Cancer
• Progress on Hepatitis B
• Fatty Liver Disease a Growing Challenge
New York’s AIDS Institute Releases Comprehensive Update to Cervical Cancer Screening Guideline
The New York State Department of Health’s AIDS Institute has just released a comprehensive update to its clinical practice guideline, Cervical Screening for Dysplasia and Cancer in the Setting of HIV Infection. The revised guidelines include the following new recommendations:
• Clinicians should offer all individuals with HIV infection aged 9 to 26 years the 9-valent human papillomavirus (HPV) vaccine 3-dose series regardless of their prior Pap test results or their CD4 cell count.
• Clinicians should perform a cervical Pap test for all females who have HIV infection at the following time intervals: 1) within 2 years of the onset of sexual activity or by age 21 years; 2) annually until 2 tests in a row screen negative, then every 3 years; 3) at 6 months after treatment for an abnormal result, then annually until 2 tests in a row screen negative, then every 3 years; and 4) after total hysterectomy (uterus and cervix removed), clinicians should perform vaginal Pap testing at least annually until results are negative for 2 tests in a row, then every 3 years.
• Clinicians should perform HPV co-testing only for females who are more than 30 years old.
The New York guideline also contains new sections concerning the prevention of cervical cancer and precancerous lesions and the recommended follow-up for abnormal Pap test results. In addition, the guidelines emphasize that patients with HIV infection who are newly diagnosed with cervical cancer should be immediately referred to a gynecologic oncologist or surgeon trained in the management of cervical malignancies.
University of Washington Launches National STD Curriculum
The University of Washington’s STD Prevention Training Center (SPTC) plans to launch its new National STD Curriculum in a webinar on January 25. The curriculum has seven self-study modules on the following major sexually transmitted diseases and related conditions: chlamydia, gonorrhea, herpes simplex virus, human papillomavirus, pelvic inflammatory disease, syphilis, and vaginitis. The modules are based on the most recent CDC STD Treatment Guidelines and address the epidemiology, pathogenesis, clinical manifestations, diagnosis, management, and prevention – plus key points to remember – for each of the seven STDs and related conditions listed above. The curriculum also features 12 “Question Bank” topics with more than 100 interactive board-review style questions. The curriculum's target audience is medical providers, including physicians, physician assistants, nurse practitioners, nurses, and nurse-midwives. One hour of free Continuing Medical Education (CME) credit is available upon successful completion of each of the seven modules. The STD curriculum was funded by a grant from the CDC.
Health Communication and Social Media
New HIV.gov Posts Focusing on Digital Health Communication
As described in previous In Brief issues, the HIV.gov blog continues to post resources and tips to help readers enhance their digital communication strategies. During the past month, HIV.gov has posted the following features on digital communication:
Other New and Updated Resources
New and Updated HIV Materials from AIDSinfo and CDC
The AIDSinfo website recently posted several updated fact sheets on HIV-related topics. Each fact sheet includes a summary of key points, together with links to additional information and resources. The fact sheets are available in both English and Spanish.
CDC has also produced several new HIV-related resources:
•HIV in the United States by Geography (fact sheet)
•HIV in the United States: At a Glance (fact sheet)
•HIV Surveillance – Adolescents and Young Adults (slide set)