Posts tagged HIV prevention

An illustration of a a man's brain with several red dots flaring off. These may be neurological issues.

Neurological Issues May Be Among HIV’s First Symptoms

An illustration of a a man's brain with several red dots flaring off. These may be neurological issues.

Neurological issues may be a telling sign that someone has HIV.

Neurological issues have been noted in patients who had recently been infected with HIV. There are a host of conditions that are associated with HIV infection and disease progression. Most treating physicians are aware of many of these and keep a close eye on their HIV-positive patients. However, it was recently noted that as early as just a few days after the infection, certain symptoms and issues can present in patients not yet diagnosed or treated for HIV infection. Many have been diagnosed with HIV after presenting with neurological symptoms.

A Study Reveals How Common Neurological Issues Are

In a recent study, a group of individuals was followed to find out more about early HIV infection and its effect on the nervous system. Participants all had recently been infected. For some, it had been only a few days, and for others, it was up to two months since the time of infection. Out of those followed, over half presented with neurological issues, including neuropathy (disease of the nervous system), cognitive trouble, and motor difficulties. In many instances, patients had experienced more than one type of the mentioned issues. In rare instances the conditions were severe.

The Benefits of Treatment in Reducing Neurological Symptoms

Such early stages of infection are generally undetectable by standard HIV testing as the immune response has yet to build. Neurological symptoms were noticed before any others in most cases. Once antiretroviral therapies were started, 90% of the neurological issues were resolved. For some, lingering symptoms were observed even after months of treatment. When researchers compared the lab tests, those with persistent symptoms also had higher viral levels in the blood. These findings show that the virus has a profound effect on the nervous system. The good news, however, is that most of the conditions cleared up with treatment.

Study on the subject is ongoing. Other issues as well are brought to light. For example, in the development of new treatments against HIV, researchers are considering taking into account the role of the brain and nervous system. Some theorize that latent HIV could be lurking in these areas, therefore causing issues early on. So new questions are raised, and delving further into the topic continues.

How Viruses Working Together Affect Your Health

Much can be accomplished with a team effort. This is true for most of the natural world. By forming networks and through communication, teamwork is seen in all walks of life, even in microbes. Viruses are included in this phenomenon.

Some years back, it was discovered that viruses do interact with each other. Recent studies are showing that this interaction plays a large role in the success of treating the infection. Researchers are hoping that with further study and clarification on the details, new treatments could be developed that will prove even more effective.

How Viruses Use Colonies to Resist Treatment

One study recently published its findings on the subject of viral diversity and social interaction. For a viral infection to take hold, a colony is formed. With HIV, this is also true. Once formed, the colony that resists treatment is normally the one with the most genetic diversity. The more mutations found within the colony, the better chance the virus has of becoming immune to drug therapy. Basically, diversity leads to a stronger hold on the host.

This is not good for the patient or the medical professionals who are trying to treat him or her. It does, however, help to explain why some treatment does not work as effectively as expected. Before, a drug was designed to focus on a single cell. Trying to treat an infection this way leaves out the potential for variants within the infection.

This brings us to the next point. When the viruses interact with each other, they form certain connections. Understanding how and why they communicate could unlock certain secrets that, in turn, could lead to better treatments—or even an eventual cure.

Changing the perspective on how to treat a viral infection, whether HIV, hepatitis A, or others, could help researchers find even more effective ways of eradicating a virus. When taking into account the virus’s social abilities along with the diversity it promotes, scientists become better equipped to handle the problem. Further investigation on such matters is underway.

Promising Results in HIV Trials

The scientific community has relentlessly been in pursuit of an effective vaccine against HIV infection. With a competent vaccine in the arsenal, researchers could buy time to find a cure. Not only that, prevention is one way to curb its spread and help contain the disease. New information on the virus is discovered on a regular basis. Putting the facts together to formulate a line of defense has taken patience and time. However, it seems there is a reason to hope that a new vaccine won’t stay a fantasy forever.

Vaccine Proves Effective in HIV Trials

A research group in China completed pre-clinical HIV trials for a vaccine meant to prevent infection that women get from men. Not only did the vaccine prove effective, it performed better than expected. In an effort to confirm these findings, a group in the U.S. repeated the HIV trials, and added some rigorous testing. The results were the same, much to the delight of the scientists.

The vaccine in question was designed to protect women from seminal being transmitted to mucous membranes. In the studies, vaginal tissues were exposed to high viral loads – up to 70,000 times more than what is found in human semen. The vaccine was successful in warding off infection. Repeat exposure was tested as well. These also were fought off with the help of the vaccine. When they increased the viral amounts to 100,000 times the normal range, the immune system was overloaded and succumbed to the viral infection.

Experts are looking into how that might affect the vaccine — and ways to make it more potent. Another positive point that pleased the researchers was that certain environmental factors were inherently different between the two studies, yet the results yielded the same outcomes. The group is confident that with this confirming study, clinical HIV trials can proceed with little worry.

When and if that does happen, it could open doors for further vaccine testing and marketing. One other goal that has been in line with producing vaccines is designing them to be ingested instead of injected. The aim is to reach people in developing countries where resources may be limited.

Attempts to Decrease Mother-to-Infant Transfer of HIV in Underdeveloped Countries

HIV prevention ranks high on the priority list, especially among African nations that are seeing the highest rates of transmission. Challenges to implementing ways of preventing the transfer of HIV continue to crop up. One such challenge is in regards to HIV-positive women transferring the virus to their babies. Fortunately, for many communities, access to antiretroviral therapy means a measure of control over the spreading and transferring of HIV. It is in areas that are poor, isolated, and have limited medical resources where women are more likely to pass on the infection to their children.

Nigeria has continued to remain at the top of the list when it comes to death rates from HIV and also in the number of new infections each year. The nation is second only to South Africa for the number of HIV-positive children. To make matters worse, only 20% of those with HIV have access to antiretroviral treatments. Poverty certainly plays a part, and those in rural communities are even more limited in their access to certain types of medical care. One institute decided to implement an idea to help combat this growing problem.

Promoting Education, Screening, and Treatment to Prevent the Transfer of HIV

The idea was to efficiently provide medical testing, treatment, and education to those in rural communities. Women were given a package of services, and their husbands were also encouraged to get involved. Those in the villages who are responsible for providing healthcare were also instructed in how to provide a range of services. These included midwives, as their services are regularly sought after by those in the community. Cultural norms in certain areas include seeking medical attention and advice from individuals other than physicians.

The results of such efforts are promising. There was a decrease of nearly 75% in new infections for areas where this simple and cost-effective plan was put into practice. Results like this give hope that halting the spread of HIV can be achieved, even in regions where resources are limited. Such programs like this may be able to save many lives and have an influence on the transfer of HIV in developing lands.

HIV Prevention in Adolescents Faces Legal Barriers

Laws vary from state to state regarding parental consent when it comes to medical treatment for adolescents. This in itself is not a bad thing as parents have defined rights when it comes to their children’s health. However, when it comes to HIV prevention and research, these laws could pose a public health issue. For some regions, lines are blurred between what constitutes treatment or therapy, and prevention (particularly for HIV and other STDs), and what types of rights adolescents have when it comes to these matters.

Studies are conclusive when it comes to the number of young adults contracting HIV. The facts are:

  • The second largest at-risk population are individuals aged 13 to 24.
  • Of the new infections reported in the United States, researchers found 23% are in this age group.
  • Out of that number, over 70% are young gay and bisexual men.
  • This high-risk group would greatly benefit from certain preventative measures, such as safer sex practices, and using antiretroviral therapies for those who are not HIV-positive.

This latter method has been shown to greatly reduce the risk of contracting the virus. Not only would these measures aid young persons who are at the highest risk of transmitting and contracting the virus, but it could also help stem the growing tide of HIV outbreaks.

What Can Aid Prevention in Adolescents?

The ethical side is clear, and poses no threat. The legalities are what stand in the way. Each state has different laws governing parental consent. Most of these hinge on treatment, not necessarily prevention. It would essentially clear the roadblock if lawmakers and health officials collaborated, amending certain laws to allow for prevention of HIV and other sexually transmitted infections in minors without parental consent.

Another approach is to create clear legal boundaries between treatment and prevention. This could help in areas where laws are not clear-cut, yet tie the hands of healthcare workers as far as aiding the younger population in preventative care. Lastly, having a consistent law code in this regard would also help assure that this particular type of care could be given and received anywhere within the US.

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