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Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. HIV Information The Next slide has several.

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Presentation on theme: "Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. HIV Information The Next slide has several."— Presentation transcript:

1 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. HIV Information The Next slide has several choices for you You can choose information on such topics as: Understanding HIV Understanding HIV Understanding HIV Understanding HIV Medication Medication Medication STDs STDs STDs Hepatitis Hepatitis Hepatitis Re-infection Re-infection Re-infection Are any of these topics areas you would like more information on?

2 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. Understanding HIV/AIDS and Its Treatment The University of Illinois at Chicago Howard Brown Health Center Treatment Advocacy Program These materials provided in part by Abbott Pharmaceuticals

3 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. HIV and AIDS HIV stands for “Human Immunodeficiency Virus” HIV stands for “Human Immunodeficiency Virus” HIV is a virus (germ) that infects blood and damages your immune system, which helps you fight disease. HIV is a virus (germ) that infects blood and damages your immune system, which helps you fight disease. AIDS stands for “Acquired Immune Deficiency Syndrome” AIDS stands for “Acquired Immune Deficiency Syndrome” AIDS is the disease caused by HIV. People with AIDS lose their ability to fight germs that can make them sick AIDS is the disease caused by HIV. People with AIDS lose their ability to fight germs that can make them sick Understanding HIV

4 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. How is HIV passed from one person to another? HIV is passed through body fluid from one person to another HIV is passed through body fluid from one person to another The four bodily fluids that transmit HIV are blood,semen, vaginal secretions and breast milk The four bodily fluids that transmit HIV are blood,semen, vaginal secretions and breast milk Some of the ways HIV can be passed include: Some of the ways HIV can be passed include: Unprotected Sex Unprotected Sex Sharing injection needles Sharing injection needles Infected body fluids in contact with Infected body fluids in contact with Mucous membranes Mucous membranes Cuts in the skin Cuts in the skin Now that you are infected with HIV is it important that you take precautions to not pass it to others. Now that you are infected with HIV is it important that you take precautions to not pass it to others. Avoid being re-infected with another strain of the virus Avoid being re-infected with another strain of the virus Avoid co-infection of Hepatitis C Avoid co-infection of Hepatitis C Understanding HIV

5 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. Blood tests measure the effect of HIV on your body The basic HIV test tells whether you are infected by detecting antibodies to HIV, a reaction to HIV from your immune system. The basic HIV test tells whether you are infected by detecting antibodies to HIV, a reaction to HIV from your immune system. Other tests measure how much virus is in your blood; this is your viral load. Other tests measure how much virus is in your blood; this is your viral load. We measure how strong your immune system is by seeing how many helper T cells you have. This is called your CD4 count. We measure how strong your immune system is by seeing how many helper T cells you have. This is called your CD4 count. If your viral load is high and/or your CD4 count is low, the virus is harming your immune system. If your viral load is high and/or your CD4 count is low, the virus is harming your immune system. Your Doctor will prescribe drug treatments to keep the virus from further harming your immune system. Your Doctor will prescribe drug treatments to keep the virus from further harming your immune system. Understanding HIV

6 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. Your immune system The immune system works in your body to fight germs and keep you healthy The immune system works in your body to fight germs and keep you healthy T cells (CD4) recognize germs in your body, and they work with other cells to destroy them T cells (CD4) recognize germs in your body, and they work with other cells to destroy them Understanding HIV

7 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. How your immune system fights HIV Killer T cells find and destroy cells infected with HIV Killer T cells find and destroy cells infected with HIV Helper T cells (CD4 cells) order killer T cells to do their job Helper T cells (CD4 cells) order killer T cells to do their job HIV infects helper T cells (CD4s) HIV infects helper T cells (CD4s) When the helper T cells (CD4s) are destroyed by HIV, the immune system cannot fight germs When the helper T cells (CD4s) are destroyed by HIV, the immune system cannot fight germs That is why the CD4 count is important to you… That is why the CD4 count is important to you… Understanding HIV

8 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. There is a war between your body and HIV Billions of viruses are created every day Billions of viruses are created every day HIV attacks and infects your T cells HIV attacks and infects your T cells Your immune system attacks and kills the T cells that have been infected with HIV Your immune system attacks and kills the T cells that have been infected with HIV Understanding HIV

9 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. HIV eventually drains your immune system When T cells are killed by HIV, they are replaced—but not as quickly as they are being killed When T cells are killed by HIV, they are replaced—but not as quickly as they are being killed HIV reproduces very fast HIV reproduces very fast Eventually, T cells fall too far behind and then cannot do their job of fighting germs Eventually, T cells fall too far behind and then cannot do their job of fighting germs Understanding HIV

10 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. The amount of virus in your blood can predict how well you will do the number of copies of HIV in a (ML) of blood Viral load - the number of copies of HIV in a (ML) of blood The lower your viral load the better The lower your viral load the better Some infections your immune system keeps in check also know as opportunistic infections Some infections your immune system keeps in check also know as opportunistic infections Because you are HIV+ your body sometimes can not keep them from occurring Because you are HIV+ your body sometimes can not keep them from occurring Viral load is different for each person Viral load is different for each person When viral load increases, then you are getting closer to AIDS and severe illness When viral load increases, then you are getting closer to AIDS and severe illness Understanding HIV

11 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. When viral load goes up, immunity goes down When there is more HIV in your blood (higher viral load), the HIV can infect and kill more helper T cells (CD4s) When there is more HIV in your blood (higher viral load), the HIV can infect and kill more helper T cells (CD4s) T cells are needed to fight HIV and other germs T cells are needed to fight HIV and other germs Eventually, your body cannot produce T cells as fast as they are killed by HIV Eventually, your body cannot produce T cells as fast as they are killed by HIV Understanding HIV

12 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. When immunity goes down, you get sick Eventually you don’t have enough T cells to fight HIV and other germs that enter your body Eventually you don’t have enough T cells to fight HIV and other germs that enter your body You may start to get AIDS when the number of helper T cells in your blood (your CD4 count) gets very low (less than 200) You may start to get AIDS when the number of helper T cells in your blood (your CD4 count) gets very low (less than 200) Often people with HIV will begin drug treatments when their CD4 count is below 350 or so. Often people with HIV will begin drug treatments when their CD4 count is below 350 or so. Your doctor will help you make an individual decision about treatment, based on your CD4 count, your viral load, and your overall health. Your doctor will help you make an individual decision about treatment, based on your CD4 count, your viral load, and your overall health. Understanding HIV

13 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. Untreated HIV infection spreads throughout the body Untreated HIV is a race most people cannot win Untreated HIV is a race most people cannot win There is time to act before HIV develops into AIDS There is time to act before HIV develops into AIDS Understanding HIV

14 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. Treatment slows the virus Treatment slows down the HIV so it can’t replicate as fast Treatment slows down the HIV so it can’t replicate as fast When the HIV replicates slower, your viral load goes down When the HIV replicates slower, your viral load goes down When viral load is down, you are doing better against HIV When viral load is down, you are doing better against HIV Understanding HIV

15 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. Summary: HIV infection is a disease of the immune system HIV is a virus that infects blood HIV is a virus that infects blood HIV is passed from one person to another through blood or certain body fluids HIV is passed from one person to another through blood or certain body fluids The four bodily fluids that transmit HIV are blood, semen,vaginal fluid and breast milk The four bodily fluids that transmit HIV are blood, semen,vaginal fluid and breast milk HIV reproduces very fast and attacks and kills Helper T cells HIV reproduces very fast and attacks and kills Helper T cells T cells are needed to fight HIV and other germs T cells are needed to fight HIV and other germs Viral load is the amount of HIV in your blood. Viral load is the amount of HIV in your blood. CD4 cell count is the number of helper T cells in your blood, and generally shows how strong your immune system is. CD4 cell count is the number of helper T cells in your blood, and generally shows how strong your immune system is. End of Understanding HIV – Return to Main Menu End of Understanding HIV – Return to Main Menu Understanding HIV

16 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu.Medication In this section you will learn about the four different types of medication. You will learn names of classes of medications. You will also learn how medication works to help with HIV replication. Medication Overview

17 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. Antiretroviral treatment (ART) can slow down HIV Medication can reduce viral load Medication can reduce viral load When viral load goes down: When viral load goes down: HIV is not reproducing as fast HIV is not reproducing as fast The number of T cells (CD4s) can go up The number of T cells (CD4s) can go up Damage to the immune system can be less Damage to the immune system can be less Treatment reduces the chance that HIV will find ways to hide from drugs that can kill it Treatment reduces the chance that HIV will find ways to hide from drugs that can kill it Medication Overview

18 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. Antiretroviral treatment keeps HIV from getting ahead Sometimes viral load can be reduced so much that the virus cannot be detected Sometimes viral load can be reduced so much that the virus cannot be detected Even if your viral load is detectable as long as it is low, you are doing well Even if your viral load is detectable as long as it is low, you are doing well When this happens, HIV cannot reproduce enough to do damage When this happens, HIV cannot reproduce enough to do damage When there is not a constant attack from HIV, T-cell levels rise and they can do their job When there is not a constant attack from HIV, T-cell levels rise and they can do their job Medication Overview

19 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. HIV will never be completely removed from your body Even if viral load cannot be detected, HIV is still there and can be transmitted to others Even if viral load cannot be detected, HIV is still there and can be transmitted to others This is why sexual safety will always be important This is why sexual safety will always be important Because HIV is always there, you must continue to take all your medications, on time, without stopping Because HIV is always there, you must continue to take all your medications, on time, without stopping IF YOU STOP TAKING YOUR MEDICINE, YOUR VIRAL LOAD CAN QUICKLY GET VERY HIGH! Medication Overview

20 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. Types of Anti-Retrovirals Fuzeon

21 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. Lifecycle of HIV Understanding the lifecycle of the virus helps you see how the HIV drugs work. Understanding the lifecycle of the virus helps you see how the HIV drugs work. Fusion -The HIV virus attaches itself to the CD4+ cell. Fusion -The HIV virus attaches itself to the CD4+ cell. Transcription - The virus gives instructions to reproduce HIV using an enzyme know as reverse transcriptase. Transcription - The virus gives instructions to reproduce HIV using an enzyme know as reverse transcriptase. Integration - After the virus successfully reprograms the cell, it makes HIV, by using an enzyme called integrase. Integration - After the virus successfully reprograms the cell, it makes HIV, by using an enzyme called integrase. Medication Overview

22 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. Medicine interferes at different places NNRTIs stop HIV from making copies of itself by interrupting early in the process. NNRTIs stop HIV from making copies of itself by interrupting early in the process. NRTIs stop the HIV early in the same place as NNRTIs, but in a different way NRTIs stop the HIV early in the same place as NNRTIs, but in a different way PIs stop the HIV from making infectious copies by blocking the last step, just before new copies of HIV are assembled PIs stop the HIV from making infectious copies by blocking the last step, just before new copies of HIV are assembled Entry Inhibitors/Fusion drugs stop fusion of HIV with host cells before the virus enters the cell and begins replication Entry Inhibitors/Fusion drugs stop fusion of HIV with host cells before the virus enters the cell and begins replication Medication Overview

23 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. Lifecycle of HIV Cleavage - The viral materials produce long chains of the virus. Using a protease, these can be built into a new virus. Cleavage - The viral materials produce long chains of the virus. Using a protease, these can be built into a new virus. Packing - The virus is wound tightly to fit inside the virus shell. Packing - The virus is wound tightly to fit inside the virus shell. Budding – The virus then moves through the outer cell to escape. The virus uses part of the cells outer wall to complete its structure. Budding – The virus then moves through the outer cell to escape. The virus uses part of the cells outer wall to complete its structure. The HIV virus is now ready to move on and infect other CD4+ cells The HIV virus is now ready to move on and infect other CD4+ cells Medication Overview

24 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. Combination therapy The best way to treat HIV is by using more than one kind of drug at a time. The best way to treat HIV is by using more than one kind of drug at a time. Some use PIs with NRTIs which brings medication together that works at the beginning and end of the replication of the virus. Some use PIs with NRTIs which brings medication together that works at the beginning and end of the replication of the virus. Others use NNRTIs with NRTIs that work at the beginning of the assembly of the HIV virus Others use NNRTIs with NRTIs that work at the beginning of the assembly of the HIV virus Medication Overview

25 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. Different drugs work together to reduce viral load Viral Load is the amount of virus in ml of blood (about a tablespoon of blood) Example: Viral load before treatment might be 100,000 per ml Treatment Viral load reduced to: One drug class10,000 Two drugs classes 1,000 Three drugs classesGreater chance of undetectable Medication Overview

26 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. Your doctor will recommend a treatment plan Everyone is different, so each person will have a different treatment plan Everyone is different, so each person will have a different treatment plan Your treatment plan will be designed to REDUCE VIRAL LOAD to an undetectable level by stopping the virus from making more copies of itself Your treatment plan will be designed to REDUCE VIRAL LOAD to an undetectable level by stopping the virus from making more copies of itself Medication Overview

27 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. How do you know if the drugs are working? Your doctor can do blood tests to measure the two things that show how well you are doing: 1. Viral load should go down 2. T-cell (CD4) count should go up Medicines need time to work, so these things do not happen right away Medication Overview

28 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. HIV drugs can cause side effects As with most powerful medicines, side effects can occur, especially soon after starting therapy. The most common side effects include:  Nausea and vomiting  Diarrhea  Dizziness and headache  Fatigue  Weakness  Rash  Fever & Flu-like symptoms These often go away in 4 to 6 weeks, so if your medications are helping stick with them and see if the side effects stop. Medication Overview

29 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. You and your doctor may decide to change your treatment plan Some reasons for changing medicines: If viral load starts to go up, different drugs may be needed If viral load starts to go up, different drugs may be needed The way you respond to side effects can cause you to choose a different drug The way you respond to side effects can cause you to choose a different drug The schedule for taking some drugs might not work with the way you live The schedule for taking some drugs might not work with the way you live Medication Overview

30 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. People with HIV can live well, even with side effects Drugstore medications can help relieve diarrhea and nausea Drugstore medications can help relieve diarrhea and nausea A lot of people mistakenly stop medicines because of side effects. A lot of people mistakenly stop medicines because of side effects. Talk with your doctor about your side effects Talk with your doctor about your side effects Keep taking you medication Keep taking you medication Stopping medication can damage your immune system Stopping medication can damage your immune system Good nutrition and regular exercise help you stay strong Good nutrition and regular exercise help you stay strong If needed, your doctor can give you stronger prescription medicines to help relieve side effects If needed, your doctor can give you stronger prescription medicines to help relieve side effects Medication Overview

31 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. Adherence is the main ingredient for making HIV drugs work Your immune system can recover and stay strong only if your viral load stays low Your immune system can recover and stay strong only if your viral load stays low Even missing a few doses can let HIV reproduce Even missing a few doses can let HIV reproduce Most drugs work only if people take them exactly as prescribed. This is called drug adherence. Most drugs work only if people take them exactly as prescribed. This is called drug adherence. HIV drugs are very sensitive to non-adherence; to keep your viral load down you must take all of your doses, on time HIV drugs are very sensitive to non-adherence; to keep your viral load down you must take all of your doses, on time Medication Overview

32 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. Adherence prevents drug resistance Drug resistance means that your HIV has become “used to” the drugs, and they no longer stop the virus. Drug resistance means that your HIV has become “used to” the drugs, and they no longer stop the virus. Drug resistance means HIV in your body happens because you miss a few doses of medication Drug resistance means HIV in your body happens because you miss a few doses of medication If you develop drug resistance your viral load will go way up, and the number of T cells will drop, even if you keep taking the drugs. If you develop drug resistance your viral load will go way up, and the number of T cells will drop, even if you keep taking the drugs. If this happens you will have to change to different drugs you are not resistant to If this happens you will have to change to different drugs you are not resistant to If you become resistant to HIV drugs it becomes harder and harder for your doctor to treat you. If you become resistant to HIV drugs it becomes harder and harder for your doctor to treat you. Medication Overview

33 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. Important questions to ask your doctor How often should I take my medicine? How often should I take my medicine? What is the right number of pills to take? What is the right number of pills to take? Do I take my medicines with or without food? Do I take my medicines with or without food? How should I store my medicine? How should I store my medicine? What medicines should / should not be taken together? What medicines should / should not be taken together? What do I do if I miss a dose? What do I do if I miss a dose? What do I do if I experience side effects? What do I do if I experience side effects? Your Treatment Advocate will work with you in ways to talk to your doctor.

34 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. Tell your doctor about yourself Talk about any medicines you take Talk about any medicines you take Talk about “street drugs,” if you use them Talk about “street drugs,” if you use them Talk about the way you live Talk about the way you live Talk about sexuality or intimacy; make sure s/he knows if you get a new sexually transmitted disease Talk about sexuality or intimacy; make sure s/he knows if you get a new sexually transmitted disease Talk about your health history Talk about your health history Your doctor can treat you best if s/he knows you well For any topic you are uncomfortable talking to your doctor about, your Treatment Advocate can help you approach these subjects with your doctor. Medication Overview

35 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. Take an active role in your treatment Find a doctor you are comfortable with Find a doctor you are comfortable with Educate yourself about your drugs Educate yourself about your drugs Know your viral load & CD4 Know your viral load & CD4 Talk to your doctor or advocate about side effects Talk to your doctor or advocate about side effects If you are unhappy with your medicines, talk to your doctor about other options If you are unhappy with your medicines, talk to your doctor about other options Never make changes in your treatment plan without talking with your doctor Never make changes in your treatment plan without talking with your doctor Use your Treatment Advocate to find resources, such as HIV information, support groups, counseling, etc. Use your Treatment Advocate to find resources, such as HIV information, support groups, counseling, etc. Medication Overview

36 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. What else can you do? Eat healthy, nutritious foods Eat healthy, nutritious foods Lower your use of “recreational” drugs Lower your use of “recreational” drugs Practice safer sex (Avoid co-infection with other strains of HIV, Hepatitis C and new STDs) Practice safer sex (Avoid co-infection with other strains of HIV, Hepatitis C and new STDs) Exercise Exercise Join a class or health club Join a class or health club Find others to walk or work out with Find others to walk or work out with Stay relaxed Stay relaxed Join a relaxation or stress management class Join a relaxation or stress management class Get books or readings about relaxation Get books or readings about relaxation Keep your spirits high Keep your spirits high Find others to talk to such as support groups Find others to talk to such as support groups Consider spiritual counseling Consider spiritual counseling Keep in touch with your advocate! Keep in touch with your advocate! Medication Overview

37 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. Antiretroviral Treatment of HIV For complete information about how antiretroviral treatments (ART) work, the latest on different drugs and general treatment issues, go to: End of Medication Overview – Return to Main Menu End of Medication Overview – Return to Main Menu Medication Overview

38 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. Hepatitis Overview In the next few slides you will learn about Hepatitis. The different types of Hepatitis and what you should know about transmission. Hepatitis Overview

39 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. What is Hepatitis and how is it transmitted ? Hepatitis is an inflammation of the liver Two types are acute and chronic: Two types are acute and chronic: Acute can be cured and can go away in a few days Acute can be cured and can go away in a few days Chronic is when the inflammation does not go away. Chronic is when the inflammation does not go away. Three most common types of Hepatitis are A,B,& C Hepatitis A is found in the stool of persons with the virus. Hepatitis A is found in the stool of persons with the virus. It is spread by close personal contact and sometimes by eating infected food or drinking water containing (HAV) It is spread by close personal contact and sometimes by eating infected food or drinking water containing (HAV) Hepatitis Overview

40 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. Symptoms of Hepatitis A Mild “flu-like” illness Mild “flu-like” illness Jaundice (yellow skin or eyes) Jaundice (yellow skin or eyes) Severe stomach pains Severe stomach pains Diarrhea Diarrhea People with hepatitis A infection often have to be hospitalized Hepatitis Overview

41 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. Hepatitis B virus (HBV) can cause acute and/or chronic illness. Hepatitis B virus (HBV) can cause acute and/or chronic illness. Hepatitis B symptoms such as: Hepatitis B symptoms such as: Loss of appetite Loss of appetite Tiredness Tiredness Pain in muscles,joints and stomach Pain in muscles,joints and stomach Diarrhea and vomiting Diarrhea and vomiting Jaundice (yellow skin or eyes) Jaundice (yellow skin or eyes) Hepatitis B Hepatitis Overview

42 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. Hepatitis B is spread through contact with blood and body fluids of an infected person Hepatitis B is spread through contact with blood and body fluids of an infected person It can be spread by: It can be spread by: Unprotected sex Unprotected sex shared needles shared needles stick from used needle stick from used needle Hepatitis B Hepatitis Overview

43 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. About 1/3 of people who have hepatitis B in the U.S. don’t even know that they have it. About 1/3 of people who have hepatitis B in the U.S. don’t even know that they have it. Vaccinations for hepatitis A and B are available separately and also in a combined formula. Vaccinations for hepatitis A and B are available separately and also in a combined formula. People at high risk for hepatitis A and B are: People at high risk for hepatitis A and B are: Men who have sex with men Men who have sex with men People receiving blood products People receiving blood products Travelers Travelers People who share needles People who share needles Risky sexual practices Risky sexual practices Fecal matter (rimming) Fecal matter (rimming) Hepatitis (cont) Hepatitis Overview

44 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. Should I get vaccinated? We know that men who have sex with men are at high risk: Vaccination is the single best way to Vaccination is the single best way to prevent infection. prevent infection. Have an open discussion with your doctor Have an open discussion with your doctor regarding risk to see if a Hepatitis screening regarding risk to see if a Hepatitis screening is needed. is needed. Hepatitis Overview

45 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. Symptoms of Hepatitis C Most people don’t even feel sick when they are first infected and don’t have symptoms for years Most people don’t even feel sick when they are first infected and don’t have symptoms for years The jaundice caused by the liver not being able to get rid of waste may cause: The jaundice caused by the liver not being able to get rid of waste may cause: Itching Itching Nausea Nausea Fever Fever Body aches Body aches Hepatitis Overview

46 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. Can I give Hepatitis C to someone else? Yes once you have Hepatitis C you can give it to someone else Yes once you have Hepatitis C you can give it to someone else The virus may be transmitted through sex with someone who has HCV The virus may be transmitted through sex with someone who has HCV People living in the same house sharing razors and toothbrushes can transmit Hepatitis C. People living in the same house sharing razors and toothbrushes can transmit Hepatitis C. Hepatitis Overview

47 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. Treatment for Hepatitis C Intense regimen of injections and medicines. Intense regimen of injections and medicines. Treating Hepatitis C and HIV at the same time is difficult. Decreased liver function Treating Hepatitis C and HIV at the same time is difficult. Decreased liver function makes many HIV Medications less effective and harder to take. makes many HIV Medications less effective and harder to take. Side effects include: Side effects include: Fevers, body aches, headaches, fatigue, Fevers, body aches, headaches, fatigue, irritability, nausea, vomiting, sleep loss or changes in your blood. irritability, nausea, vomiting, sleep loss or changes in your blood. End of Hepatitis Overview – Return to Main Menu End of Hepatitis Overview – Return to Main Menu Hepatitis Overview

48 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. Re-Infection Overview In the next few slides we will talk about Re-Infection of HIV How it happens and how to protect yourself from re-infection. Re-Infection Overview

49 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. Initial HIV infection  There are many strains of the HIV virus.  When someone is infected, they are infected with the same strain as their the person who infected them.  The strain you are infected with may already be resistant to some medications. Re-Infection Overview

50 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. The re-infection debate In several years there has been much debate if re-infection with a new strain of the HIV virus is possible. This new strain may be resistant to your medication or classes of medication This new strain may be resistant to your medication or classes of medication Does it occur? Yes As in much of the study on HIV we continue to learn more everyday. Re-Infection Overview

51 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. What is Re-infection Re-infection is a term used to describe a new or secondary infection by a virus that has already infected a person. This is also know as “Superinfection”a second distinct strain of HIV. Re-Infection Overview

52 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. Can resistance be passed on? Doctors believe that drug resistance can be passed or transferred to individuals. Even in initial HIV infections In some cases your HIV can worsen. The new strain can be resistant to medication. (will not work). Patients can be possibly infected with dual (even multiple) HIV infections. Re-Infection Overview

53 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. How do I protect myself? Follow your safe sex guidelines: Use a condom Use a condom No exchange of bodily fluids No exchange of bodily fluids (Blood, Semen, Vaginal Secretions, Breast Milk) Do not share needles Do not share needles Be aware of open cuts or sores Be aware of open cuts or sores End of Re-Infection Overview – Return to Main Menu End of Re-Infection Overview – Return to Main Menu Re-Infection Overview

54 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. STD Overview As sexually active men we are all at risk of contracting an STD. In the next few slides we will learn the different types of STDs and how to protect ourselves for contracting an STD. An Important thing to remember is have regular screenings for STDs STD Overview

55 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. What are STDs? Sexually transmitted diseases are spread through sexual contact. Sexually transmitted diseases are spread through sexual contact. How are they spread: How are they spread: Vaginal sex Vaginal sex Anal sex Anal sex Oral sex Oral sex Sharing needles Sharing needles STD Overview

56 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. What are common STDs ? These STDs are curable Gonorrhea (clap) (estimated 650,000 new cases each year) Symptoms include: Discharge (drip, pus) from the penis Discharge (drip, pus) from the penis Burning or pain when peeing Burning or pain when peeing The need to urinate (pee) often The need to urinate (pee) often A sore throat A sore throat You may have no symptoms at all You may have no symptoms at all STD Overview

57 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. What are common STDs ? Chlamydia (estimated 3 million new cases each year) Symptoms include: There may be not symptoms There may be not symptoms Burning when you pee Burning when you pee Discharge from your penis Discharge from your penis A sore throat A sore throat You may have no symptoms at all You may have no symptoms at all

58 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. Syphilis (estimated 70,000 new cases each year) Symptoms of syphilis: A painless sore: On your penis Your anal area Your mouth You may have no symptoms at all These STDs are curable STD Overview

59 59 STDs that are curable (cont) The sore goes away and then other things may happen: There are spots on the palms of you hands or the bottom of your feet There are spots on the palms of you hands or the bottom of your feet You feel tired and sick You feel tired and sick Get a rash Get a rash Some of your hair may fall out Some of your hair may fall out May have sores in your mouth May have sores in your mouth UIC / HBHC Treatment Advocacy Program STD Overview

60 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. These STDs are not curable Hepatitis B (estimated 77,000 each year) Hepatitis B (estimated 77,000 each year) Genital herpes (estimated 1 million each year) Genital herpes (estimated 1 million each year) Human Papillio-mavirus (HPV)(estimated 5.5 million cases each year) Human Papillio-mavirus (HPV)(estimated 5.5 million cases each year) It is the name of a group of viruses that infect the skin. It is the name of a group of viruses that infect the skin. Certain types of HPV causes warts on the hands or feet other types can cause warts on the genitals. Certain types of HPV causes warts on the hands or feet other types can cause warts on the genitals. Some people never have warts, so many people with HPV don’t even know they have it. Some people never have warts, so many people with HPV don’t even know they have it. HIV infection (estimated 40,000 each year) HIV infection (estimated 40,000 each year) STD Overview

61 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. How do I protect myself? Talk with your partner agree to use condoms Talk with your partner agree to use condoms Use condoms for vaginal,oral,or anal sex Use condoms for vaginal,oral,or anal sex Be prepared carry condoms Be prepared carry condoms Get tested most people don’t even know they have an STD. They have no symptoms. Get tested most people don’t even know they have an STD. They have no symptoms. Make sure you are regular STD screenings as part of your standard of care Make sure you are regular STD screenings as part of your standard of care Use new needles or Cleaning needles if you share them. Use new needles or Cleaning needles if you share them. STD Overview

62 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. Possible symptoms are: Sores,bumps or blisters near your genitals,anus or mouth Sores,bumps or blisters near your genitals,anus or mouth Burning or pain when you pee Burning or pain when you pee Drip or discharge from your penis Drip or discharge from your penis Itching, pain or discharge from you anus Itching, pain or discharge from you anus Some STDs can be cured through medication. Some symptoms can be relieved by treatment to prevent damage to your body STD Overview

63 Next  Back Main Menu UIC / HBHC Treatment Advocacy Program Back to information menu. Back to information menu. Where from here? Be sure to ask your doctor if you have any questions For more information about HIV and AIDS visit these organizations on the internet. End of STD Overview – Return to Main Menu End of STD Overview – Return to Main Menu


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