Waiting isn’t an option: Preventing and surviving advanced HIV

Médecins Sans Frontières (MSF), July 2017

12 pp. 429 kB

In 2015 alone, 1.1 million individuals still died due to HIV, despite being in an age of free anti-retroviral treatment (ART) that is more available and effective than ever before. In MSF-supported hospitals in Guinea, DRC, Kenya and Malawi, they witness a 30-40% mortality rate among patients with HIV. The majority of these patients are hospitalized with CD4 levels less than <200 cells/μL, the threshold used to define Advanced HIV. CD4 monitoring – at initiation and when people living with HIV (PLHIV) become severely ill – therefore remains critical: it is the best predictor of mortality for PLHIV and allows to quickly identify advanced disease as well as guide clinical management.

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