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

Médecins Sans Frontières (MSF), July 2017

12 pp. 429 kB
http://www.msf.org/sites/msf.org/files/17109_msf_aids_rapport_a4_v9.pdf

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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