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The CeGIDD team at the Agen-Nérac hospital. Photo repro hospital source.
The Agen-Nérac hospital via CeGIDD is committed to the fight against HIV and insists on screening to stop the epidemic. Too many patients are unaware of each other and are contaminants.
In 2017, the spread of the AIDS crisis is still sadly on the table with 36.9 million people living with HIV worldwide, 21.7 million people living with HIV on antiretroviral therapy and 1.8 million people living with HIV. new HIV infections in the year 2017 "which half of people died," says Dr. Patrick Rispal, infectious disease at Agen-Nérac hospital. In France, the hidden epidemic remains important. Around 25,000 people living with HIV are undiagnosed.
Dr. Rispal draws an interesting statement: "The interest of screening is twofold: individual and collective. A person who starts antiretroviral therapy has the same life expectancy as an HIV-negative person. "
Multi-therapies treatments (combination of molecules per monoprise) have progressed, even if they remain heavy. However, they are a guarantee of efficiency, a better tolerance, at the cost of a rigorous medical follow-up and the respect of a healthier lifestyle by monitoring the cardiovascular risks: "The viral load becomes undetectable, even deleted, and the patient is no longer a contaminant. What is the number of new infections? 6,000 in 2017 in France. Why ? The reports are unprotected and the viral load is not suppressed because the "status" is unknown. Which profiles? 40% of men who have bad with men, 40% of heterobaduals of sub-Saharan and North African origin living in France, 15% of heterobaduals having had a relationship at risk and 1% of drug addicts "(rounded figures and official data). For the specialist, "the idea is to know all the sick individuals and to have them access to care to stop the epidemic. The target in terms of detection is to reach 90% against 75% today. It is abnormal to discover one's HIV status at the stage of complications. We must detect people well before! " Too many people are ignoring each other. The equation is simple: "Detect, treat to no longer be a contaminant".
Dr Rispal is aware of the effect of announcing an HIV-positive status: "We mistakenly think that it is the end of life, it is certainly stigmatizing, desocializing, but not at all as at the beginning of the life. epidemic where one was getting a disabled adult's pension. People join a professional life.
Dr. Aïda Dione, doctor in charge of the four CeGIDD of the 47, militates for a wide diffusion of the messages of prevention. And to "get tested at least once in your life" in case of lasting relationship. "A positive speech without demonizing things, but the disease is still present". And HIV goes unnoticed the first time. After an unprotected report at risk, she recommends performing a blood test after six weeks or a self-test sold in pharmacies after 3 months. In the case of an increased risk of transmission, it is possible to go to the ER within 48 hours to receive post-exposure triple therapy.
actions at the station and the Hang'Art
The CeGIDD 47 and the Agen-Nérac hospital in badociation with Agen SNCF station, AIDES badociation, Secours populaire and Hang'art café mobilized for World AIDS Day. Friday, November 30 from 3 pm to 7 pm and Saturday, December 1 from 10 am to 2 pm at Agen SNCF station: information booths, distribution of condoms, hot drinks, possibility of free and anonymous screening on site. Saturday, December 1, from 6 pm to 9 pm a film / debate evening at the "Le Hang 'art" badociative café with free screening of an Oscar-winning film on the theme of HIV: "Dallas Buyer Club" (by reservation at Hang' art) , limited places) followed by a free discussion with Dr. Thierry-Mieg, the CeGIDD nurse and a member of Aides.
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