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W4233011880 abstract "We agree with the statement in your May 30 leader on HIV testing1The LancetThe UK's appalling failure to tackle HIV.Lancet. 2009; 373: 1820Scopus (9) Google Scholar that the number of people with undiagnosed HIV infection in the UK is too high, not least because late diagnosis of HIV infection is associated with significant morbidity and mortality. We disagree, however, with the statements that there is no credible strategy to address this or that the recommendations from the Health Protection Agency (HPA) have been largely ignored. The UK National Guidelines for HIV Testing 20082British HIV Association, British Association for Sexual Health and HIV, British Infection SocietyUK national guidelines for HIV testing 2008.http://www.bhiva.org/cms1222621.aspGoogle Scholar were launched at the Royal College of Physicians in September, 2008, and address all of the issues you raise. The guidelines advocate normalisation of HIV testing, and recommend increased testing to reduce undiagnosed infection and the adverse consequences of late presentation. They recommend HIV testing in all high-risk populations and where patients present with a wide variety of clinical indicator diseases. They also recommend opt-out testing of all men and women in areas of the UK where the undiagnosed prevalence exceeds 1:1000 in both primary care and hospital by use of data supplied by the HPA.3Health Protection AgencyNew guidelines on HIV testing in high-prevalence areas.http://www.hpa.org.uk/hpr/archives/2008/news3808.htm#hcaiGoogle Scholar The guidelines were drawn up by our three specialist societies, together with nominated representatives of relevant Royal Colleges, specialist societies, the Department of Health, the HPA, the General Medical Council, and the voluntary sector. There was a wide public consultation before their launch. Since then, the Department of Health has funded several pilot projects to assess the implementation of the guidelines in different health-care settings and awarded the Medical Foundation for Sexual Health and HIV a grant to produce a book to publicise them to general practitioners and hospital doctors. Wider acceptance and implementation of the guidelines is an important next step. We hope that their publication in Clinical Medicine later this year will contribute significantly to this process. We declare that we have no conflicts of interest." @default.
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W4233011880 date "2009-08-01" @default.
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W4233011880 title "HIV testing in the UK" @default.
W4233011880 doi "https://doi.org/10.1016/s0140-6736(09)61406-9" @default.
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