Presentation on theme: "+ HIV in the United Kingdom: The oldest swingers? Craig Tipple. Gary Whitlock, Collins Iwuji, Melissa Perry."— Presentation transcript:
+ HIV in the United Kingdom: The oldest swingers? Craig Tipple. Gary Whitlock, Collins Iwuji, Melissa Perry
+ Breaking News… England, Wales, N. Ireland 50 yr age New cases: Tripled: 299 (2000) 710 (2007) Of these, 48% CD4<200 (30% in <50s) 50 yr HIV+ more likely than younger to be Men (with travel abroad) MSM White UK-acquired (if heterosexual) Increase in over-50s accessing care
+ Brighton Cohort 1531 patients had documented CD4 count within 3 months of diagnosis from 1 st Jan 2006 to 30 th May 2010 151/1531 (9.9%) diagnosed after the age of 50; median 54.7 (IQR 51.9-60.6) 753/1531(49%) of cohort presented late with HIV with median CD4 211 cells/mm3 (IQR 83-289) 96/151(63.6%) aged over 50 presented late with median CD4 139.5 (IQR 83-289) Mortality is higher in those diagnosed over age 50 compared to those under 50- OR 2.62; 95% CI: 1.64-4.20)
+ Case Summary: Mr F 70 year-old, MSM, White S. African Diagnoses: 1. Acute Cerebellar Infarct 2. New HIV positive (CD4 190) 3. Old Anterior MI 4. Late Latent Syphilis 5. Abnormal Bone Marrow – myeloma.
+ Those that survived… a personal story I was in my thirties when I was diagnosed, back in 1990. Then there was no therapy, no effective treatment. I didn't know how long I had, but I knew it wouldn't be long. Friends were already dead. We are the generation which saw HIV transformed from a death sentence into a chronic condition. If we keep going, it's not clear what we face in older age. As for the increase in the number of people my age being diagnosed for the first time with the disease, I do think it's time we got over our assumption that people that age don't have sex.
Summary Increase in new diagnoses in over-50s Late presentations higher in >50s with associated higher mortality People with HIV living longer Need for Health Promotion work targeted at >50s and services targeted at their needs