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Australia’s First Peoples – Where are we in the Epidemic? Success, Emerging Issues and the Same Persistent Issues.

Australia’s First Peoples – Where are we in the Epidemic? Success, Emerging Issues and the Same Persistent Issues.

Efforts need to be maintained however to ensure an escalated epidemic does not occur, particularly among heterosexual people, especially women, and people who inject drugs. in addition new ideas are required as we enter a new era of HIV prevention within the context of “treatment as prevention”, and “getting to zero new infections”. Given that there are many factors that heighten HIV risk for Indigenous Australians, such as reported higher rates of IDU and STIs, lower outcomes in many social determinants of health and the proximity of the Torres Strait Islands to PNG, it is important that prevention efforts are sustained outside of biomedical propositions such as treatment as prevention.

Further work is required to understand risk and newer issues in HIV. For example, with regard to ‘treatment as prevention’ and ‘getting to zero’, very little is known about the treatment levels of indigenous people living with HIV nor the amount of HIV testing occurring in Indigenous communities. This presentation will highlight the prevention efforts in Indigenous communities that have contributed to success in maintaining a stable epidemic as well as highlight emerging issues that increase the vulnerability of Indigenous Australian communities and where gaps exist in moving forward in the next chapter of HIV in the Australian context.

Speakers: James Ward
Areas of Interest / Categories: Australian Society for HIV 2015

Australian Society for HIV 2015

HIV and Hodgkin's lymphoma - a medical dilemma

The case is of a 30 year-old HIV positive Zimbabwean woman (UK resident) who arrived in Australia in January 2011 on a one-year working visa. She was diagnosed with HIV in 2003 in the UK and commenced on Atripla® in 2005. She was first seen in Adelaide in May 2011, requesting a script for Atripla.®.

High Resolution Anoscopy - Practice makes perfect

Background: Liquid based anal Papanicolaou smears, followed by High Resolution Anoscopy (HRA) guided biopsies are increasingly being advocated to identify areas of High Grade Anal Intraepithelial Neoplasia (HGAIN). We hypothesized that the ability to identify HGAIN would increase with experience of the anoscopist, and that comparison with contemporary Papanicolaou smears might yield insights into technical abilities.

An Indigenous cultural appropriateness audit piloted in a sexual health clinic in NSW: making Aboriginal and Torres Strait Islander peoples a priority.

Indigenous Australians experience a greater burden of sexually transmitted infections, however are less likely than the general population to access sexual health services. We examined the effectiveness of an Indigenous cultural appropriateness audit in assessing a sexual health clinic with low rates of Indigenous clients.

Chlamydia and the Urban Aboriginal Medical Service

Despite the high proportion of young people annually accessing general practices, including Aboriginal Medical Services (AMS), testing for Chlamydia trachomatis remains relatively low in urban areas. A project officer was employed within the Institute of Urban Indigenous Health (IUIH) to serve a mentoring and facilitation role for the SE Queensland network of AMS and their sexual health workers, with a view to improving testing, management and follow-up of chlamydia and other STIs by community controlled medical services.

An optimised eight-colour flow cytometry protocol for the analysis of monocyte heterogeneity and monocyte activation markers during HIV infection.

Monocytes are a heterogeneous cell population having specialised functions and differing phenotype. They are a link between innate immune system and adaptive immune system therefore, to identify if immune activation exists in HIV-1 individuals with controlled virema and recovered CD4 T cell counts, we assessed cell surface monocyte activation markers (MAM) within the monocyte subsets.

The Ask Share Know Project: a research translation study of three consumer questions to enhance treatment decision making

Involving consumers in healthcare decisions is important for high quality care. We previously tested a brief, consumer-led intervention consisting of three questions in a trial employing trained, standardized patients. The intervention enhanced discussion of evidence and increased patient involvement. We now report a research translation study which tested implementation with real patients at a reproductive and sexual health clinic.

Combination prevention with confidence?: A review of where community HIV health promotion evaluation is most, moderately and least developed