Wednesday, December 29, 2010

Study Fuels debate over HIV broad testing and its cost

An AIDS symbol is displayed on the North Lawn of the White House in December, 2010.Enlarge the Jewel Samad/Getty Images

AIDS symbol is displayed on the lawn North of the White House in December, 2010.

An AIDS symbol is displayed on the North Lawn of the White House in December, 2010.Jewel Samad/Getty Images AIDS symbol is displayed on the lawn North of the White House in December, 2010.

Wider use of cheap blood test may help, cut the number of new HIV infections by more than 80,000 in the United States more than 20 years.

Examination costs only a few dollars. But researchers say, screening all at least once and people more likely to get the disease, such as lesbians, annually would be cost-effective. However, even this is a significant effort to cut HIV infections expected new 1.23 million in the next decades para by a small percentage of 7.

The benefits could cost 27 billion USD or $ 337,500 for each infection to prevent and treat the additional costs. Test results are displayed in the latest Annals of internal Medicine.

 

The survey is part of a unit of the growing evidence that HIV advocates say should support national guidelines recommend that doctors screen all adults incurable virus. Federal disease control centres and the prevention of a copy of this item.

However, another panel of the U.S. preventive services workgroup, team support from the Government, the result of the medical evidence and has a knack for excitation of grave public (see, Mammography), do not come from this view, advising doctors only to screen "saving" people.

And, in their opinion matters: insurance would have to pay for anything they recommend new rights of health protection.

The debate over how often to test HIV is only one window to the dispute, which the Government plans to introduce more evidence to medical practice, including the requirement that insurers pay for the recommendations of the Panel of the preventive services.

Group of the last review of the evidence of wide review of the HIV in 2005, shall take a decision after the latest recommendations of the CDC not to update its opinion. The Panel Plans to release a year, or the review, which includes the Annals of research, said the official. If them back suggestions there, "it would be a good beginning of the first," said Andrea Weddle, Executive Director of the HIV Medicine Association, promotional group, representing doctors and scientists.

Group by Weddle and other supporters OF HIV promotes wider recommendations of the Working Group, in accordance with the Federal Agency, the houses of the Panel. However, it is not clear how the group will Weigh. Dr. Ned Calonge, President of the departing Panel, told us in the summer which "bar … this something to someone who already is also must be really high."

In the meantime, some States, such as the Illinois, were moved to open the door for universal HIV screening, "says John Peller, Director of government relations for the AIDS Foundation of Chicago. Illinois once the required forms of special permits to HIV classification; Now doctors you can add it to their usual set of tests, so long as the objection to the patients, said.

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