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Title  HIV testing is it a joke
Author alpa furia   On: 26 Jan 2010
Catagory Public health
P, is a 7 year old girl whose parents were HIV infected. She underwent HIV testing at Mumbai in a government setup. Her tests revealed that she was also HIV infected. Her parents were devastated. P had never had any problems in her life and was an outstanding student in her school. Parents contemplated suicide but decided to do another test after consulting another doctor. Fortunately for P, her test was negative. Subsequently her tests have come negative elsewhere too. P is not HIV infected.

Why did P get a positive HIV report There have been many newspaper articles on faulty kits and false positive HIV reports. Infact due to not knowing identity of these patients, many patients who may have tested positive may actually be negative and not knowing about the same. What life they must be living!!. It may be miserable for them. Not all like P would have got a repeat test done elsewhere. Someone may have contemplated suicide, some one may have got depression and someone may have even lost his senses. Who stands responsible - the government who did the test, the manufacturer who made the kit, the agency who selected the kit Someone has to be responsible and avoid such irrational behaviors. HIV is not a disease to be taken lightly - imaging the plight of knowing a positive result. The mental and social trauma is too large, there is too much at stake. Such substandard kits should be banned, corrective action should be taken and the government should wake up. Its high time, people demand their rights.
[Reply To This Blog]
Title  Interchangibilty of NVP and EFV
Author Edsel Peter   On: 11 Nov 2008
Catagory ART
WIth the advent of FDCs and free ART, antritretroviral therapy has become affordable and convenient for children. However most of the pediatric FDCs are avaibale with NVp and EFV is mainly kept aside to be used in children on ART with TB coinfection. But there is a problem there. There are some instances when patients who have been on EFV based therapy for years when go to the government centre are shifted to NVP as the govt plan has no provision for EFV in these children. Also if a child is on anti TB treatment ATT and he is started on ART then he is given EFV for the time that he is on ATT and then shifted to NVP once ATT is stopped. Also there is no govt provision for children less than 3 years and when requiring ART with ATT.. When will this interchangibility end Logistically it may be a lot of money but resistance is a major issue. The rules need to be more open to EFV based regime in these children or allow NVP to be increased to a dose of 400mgsqmday when the child is on ATT.
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