ASHM Report Back
Clinical posts from members and guests of the Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM) from various international medical and scientific conferences on HIV, AIDS, viral hepatitis, and sexual health.
HIV Outbreak in FNQ
Started in Cairns in 2014-
Prominently young indigenous males, facing social challenges consistng of poor housing situations, employment issues, drug and alcohol use, high mobility and low health literacy. MSM and sporadic IDU use. Coinfection with STI's especially syphilis.
Low levels of testing occurring in this group, with individuals not identifying as being at risk, low health literacy and lack of knowledge of HIV. Knowledge of TasP poor and known sporadic engagement with health services and treatment compliance issues. Stigma, shame, cultural factors and lack of trust are contributing to challenges in culturally appropriate contact tracing.
The way forward-
Urgent culturally appropriate health promotion activities, increasing point of care testing, access to condoms,TasP, PrEP, NSP's. Treatment and support needs to be individualised using a multidisciplinary outreach approach.