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The Pharmaceutical Journal
Vol 271 No 7277 p735
29 November 2003

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Health Protection Agency: "Renewing the focus" (more)
December 1 is World Aids Day (more)


Cases of HIV have risen sharply in UK

A new focus on preventing transmission of sexually transmitted infections is needed

There has been an almost 20 per cent increase in the number of people infected with HIV in the United Kingdom, according to a report published this week by the Health Protection Agency.

The report says that in 2001 there were an estimated 41,700 people infected with HIV. This rose to 49,500 in 2002. “The key factors driving this increase were a possible expansion of HIV transmission in homosexual and bisexual men and continued migration of HIV-infected heterosexual men and women from sub-Saharan Africa,” the HPA report states.

The increase in HIV transmission in homosexual and bisexual men is happening despite a large increase in the use of combination antiretroviral therapy among men diagnosed with HIV and various targeted health promotion campaigns. The report adds that a third of people infected with HIV are unaware that they are infected.

Diagnoses of other sexually transmitted infections (STIs) have also continued to rise. In England, Wales and Northern Ireland, 82,206 new diagnoses of genital Chlamydia trachomatis infections were reported in 2002, a 14 per cent increase over the previous year. New infections of gonorrhoea rose by a similar degree, with 24,958 new infections diagnosed in 2002.

The most marked increases were seen for infectious syphilis, with 1,232 reported cases in England, Wales and Northern Ireland — a 68 per cent rise since 2001.

The report lists a range of interventions introduced over the past year aimed at improving sexual health. However, the report concludes: “From a health protection perspective, a renewal of focus is now required in which raising awareness about STIs and strategies to prevent their transmission, providing early and effective treatment, and undertaking effective surveillance in order to inform public health intervention must be prioritised.”

The full report, entitled “Renewing the focus”, can be accessed here. World AIDS day is on 1 December. The theme this year is reducing stigma and discrimination.

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