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Care Management Materials & Links Care Management Materials & Links: Could It Be Early HIV? (DOH 9585) http://www.health.ny.gov/publications/958S.pdf HIV Case Management Standards & Forms (Not Printed) http://www.health.ny.gov/diseases/aids/providers/standards/casemanagement/cmstandards.htm Medicaid Health Homes & HIV Case Management Mother-to-Child Transmission (DOH 9685) http :1/www. health. ny .gov /publication s/9685. pdf Designated AIDS Centers Ending the Epidemic GET TESTED TREAT EARLY STAY SAFE END AIDS healt h.ny.gov/ete* Early/Acute Early HIV is the beginning stage of HIV disease, right after H IV infection occurs. If you were not aware that your partner is living with HIV, you did not realize you were at risk. During early HIV, the virus is reproducing very rapidly and HIV can be easily passed to others through sex or sharing injection equipment. Early HIV is sometimes called acute HIV infection. Signs and Symptoms of Acute/Early HIV • Sore throat • Swollen glands • Fever • Ra sh • Joint and muscle aches • Diarrhea • Tired feeling • Tonsillitis • Mouth sores The signs and symptoms of acute HIV infection can begin 2 to 4 weeks after you are infected with HIV. Symptoms can last for j ust a few days or weeks. In rare cases, they could last for several months. The signs and symptoms of early HIV infection are similar to the signs and symptoms of other common illnesses like the flu, cold, sore throat or mononucleosis. Is it the flu or Early/Acute HIV? The symptoms of early HIV and the flu are similar but not the same. Flu and Early HIV Symptoms :_ _____F~Vej ___o_E qtigu~ • M_!..t?Cie Q~Qg~---- _ ~ Headaches • Sore throat • Swollen lymph nodes If you have these symptoms you may have the flu. ~~---=---=--=- --~---=--- ELu_ SyJllJllQ_rn.s _ ~ _- ~_- ~-:_--= Nasal congestion • Cough • Sneezing If you have these symptoms you may have early/acute HIV. Early HIV Symptoms Rash • Mouth Sores If you are not sure if you have the flu or early HIV, ask yourself the questions below. If your answer to tw o or more of these questions is yes, it could point to HIV rather than the flu. • Is there a rash? • Di d you have unprotected sex or share injection equipment in the past few w eeks? • Do you have a new sexually transmitted infection? Testing for Acute HIV infection If you think you might have been exposed to HIV within the last 30 days and/ or you have symptoms of early HIV, talk to your health care provider. Certain HIV tests can detect HIV as early as 7-10 days after infection took place. By talking with your healthcare provider about your symptoms and your recent risk for HIV, he or she can make sure you get the proper tests to detect early HIV. Waiting for Test Results While waiting for your test results it is very important for you to know that if you have early HIV you can pass the virus to your partners. Until you know your test results you can minimize the risk of spreading HIV to others by: • Abstaining from sex • If you have sex, use a condom every time • If you use drugs do not share needles or other drug paraphernalia Treatment of Early/Acute HIV infection • If you find out you have early HIV infection it is recommended that you start treatment as soon as possible. Early treatment helps protect the immune system and also reduces the chances that a person with HIV infection will pass the virus on to their partners. • HIV treatment is highly effective, simple to take and has few or no side effects. For More Information on Acute HIV/HIV and AIDS: New York State Department of Health: • Caii1-800-541-AIDS English • 1-800-233-SIDA Spanish • Call the HIV TTY/TTD Information Line at: 1-212-925-9560. Voice callers use the New York relay: 711 or 1-800-421 +1220 and ask for 1-212-925-9560. Or visit www.health.ny.gov CDC (Centers for Disease Control and Prevention) National AIDS Hotline: • 1-800-342-2437 English • 1-800-344-7432 Spanish Or vi sit www.cdc.gov Health line • www.healthline.com/health/acute-hiv-infection ... ·2 c -tc:l ntroduction ·Brief Background New York, once the state with the highest reported number of children with AIDS, has made tremendous strides toward eliminating .. mother-to-child transmission (MTCT) of HIV. 1111990, a seroprevalence study demonstrated that 1,898 HIV-positive women gave birth in New Yo rk State (NYS), with an estimated 475 to 760'(estimated 25 percent- 40 percent transmission rate) oft heir infants infected through MTCT. Twenty years later, in 201 p; fewe.r thanSOO HIV-positive women gave birth in NYS, with three (Q.7 percent; actual rate) of ·their.infants infected. · · · · · · .. This dramatic reduction in MTCT was accomplished through a comprehensive public health approach that, .over time• .was adapted as. need.ed to reap the benefits of advances in diagnosis and treatment of HIV. Avast network of stakeholdersthroug hout NYS ·continues to viders; community-based organizations, medical societies, . participate i~ this effort. These stakeholders include consumers, medical pro hospitals, clinics and governmental agencies. ·In 2011, NYS's goal has shifted from reducing mother-to-child transmission uf HIV to eliminating MTCT, consistent with the Centers for Disease Control and Prevention (CDC) goal of eliminating MTCT in the United States.T he CDC defines "elimination" as a transmission rate df less than·one percent of exposed infants and less than one caseof MTCT per 100,000 live births. Eventually, NYS hopes to eradicate MTCT so that iw child is infected peri natally with.HIV. · NYS's goal of reaching and sustaining elimination of MTCT is within reach. However, significant challengesmust be addressed to · ameliorate the factors that often contribute to MTCT. To address these challenges, the NYS Department of Health (NYSDOH) convened the NYS:Advisory Panel on the Prevention ofPerinatal HIVTransmission. The deliberations ofthe Advisory Panel, which met in November 2010, provided the focus and content for this StrategicPlan . ·· Mission and Vision . :The mission of the New York State Strategic Plan for Elimination of Mother-to-Child Transmission of HIV is to outline a comprehens ive · approach to decrease the incidence of HIVamong wo men of childbea ri ng age, ensure quality care for preg-nant women who are at risk for; or living with, HIV and prevent transmission of HIV to exposed infants. ' . The vision is elimination ·of mother:to-child transmission of HIV in New York State. Brief Overview of the New York State (NYS) St~ategic Plan for Elimination of Mother-to-Child Transmission of HIV The NYS Advisory Panel for the Prevention of Perinatal HIVTransmission met on November 15 and 16, 2010. The panel was composed of women living with HIV and 28 experts from all regions of NYS with experience in caring for HIV-positive women, including pregnant women·, HIV-exposed infants and HIV-positive children. Staff from both New York State and New York City agencies, including Health, Mental Health, Alcoholism and Substance Abuse Services, Correction.al Services and community-based organizations, als9 attended; The major goal of the meeting was to develop recommendations to further eliminate, and eventually eradicate, MTCT in NYS. The Strategic Plan provides·aframework to address four cross-cutting issue areas identified by the panel as key for elimination of MTCT: 1) Health and Well ness of Women and Children, 2) Clinical Issues, 3) Work Force Issues, and 4) Systems Development and Coordination. A goal is provided for each ·issue area, along with recommended strategies to accomplish each goal. The framework provides a flexible approach for diverse stakeholders to align their efforts in support of elimination of MTCT. > '• Within the NYSDOH, the AIDS Institute provides leadership in support of the goals and strategies of the Strategic Plan for Elimination of Mother-to-Child. Transmission of HIV. However, the NYSDOH cannot alone, accomplish elimination of MTCT. The success of the Strategic · Plan and, ultimately, achieving a·nd sustaining elimination of MTCT in NYS, requires ongoing collaboration of all stakeholders caring for women, children and families . Stakeholders are strongly encouraged to .review the following goals and strategies, identify those that are applicable to their settings and incorporate those strategies, as appropriate. The NYS Advisory Panel for the Prevention of Perinatal HIV Transmission recognized that elimination of perinatal HIV transmission in NYS requires proactive leadership on the part of entities other than the NYSDOH, and many of the strategies in the Strategic Plan require actions by other agencies and organizations. The Strategic Plan provides the means for all stakeholders to align their efforts in support of elimination of perinatal HIV transmission. The NYSDOH will continue to facilitate the active involvement of stakeholders in carrying out the activities of the StrategicPlan with the goal of achieving elimination of mother-to-child .transmission ofHIV. · Framework Health and Wellness of Women and Children Goal: Women of childbearing age are empowered and supported to prevent mother·to·child transmission of HIV. Strategies: 1.1 Ensure that all women of childbearing age know their HIV status. · 1.2 Provide access to HIV prevention and preconception health information, messages and supplies (e.g., male and female condoms, sterile injection equipment, formula for HIV-exposed infants). 1.3 Recruit, engage and retai n all pregnant women in prenatal and primary care, and HIV-positive pregnant and postpartum women in HIV care as well. 1.4 Engage and retain HIV-exposed and HIV-positive children in HIV care. 1.5 Identify and address barriers that may lead to limited or no care for women and children.
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