i-Base

HIV and COVID-19: i-Base articles and links

graphic of green coronavirus with a red heart either sideSimon Collins, HIV i-Base

This page links to i-Base articles and posts about the new coronavirus and COVID-19.

Introduction

The last months have seen unparalleled social, economic, and medical responses to this global health crisis.

Even with the examples of responses in China, Taiwan, South Korea and Italy as likely models the changes have shocked nearly everyone.

The restrictions to regular life are likely to continue. Although still based on limited direct evidence, the advice for people living with HIV has slowly gained consensus. Most HIV positive people are at similar risk to general population. Having a very low CD4 count increases this risk and means you should shield (see first Q below).

From 23 March 2020, the UK was on general lockdown. Everyone was told to stay at home in order to protect NHS services. This brought specific difficulties for HIV care and sexual health – and for the health workers who provide front-line care.

From July 2020, lockdown is steadily being reduced. This still involves taking care to reduce risks of catching or transmitting coronavirus. For example, wearing a mask has at last become recommended in shared public buildings. Hand-washing and physical distancing are still important.

Although these guidelines are for each country in the UK – the actual risks will vary depending on rates of infections more locally. It is also very likely that risks will change again with the expected second wave. Please continue to be as safe as you can.

i-Base articles will be linked below as they become available.

Q&A posts and non-technical links

HIV, PrEP, COVID-19 & Sex – What you need to know
Easy to read Q&As about HIV, sex and the new coronavirus – from HIV Scotland.

PrEP and coronavirus: what you need to know
Easy to read Q&As about PrEP – from HIV Scotland.

Sex and COVID-19 (PDF)
This information from NYC includes positive information about how to manage a safer approach to sex during the coronavirus health crisis. It covers the safety of sex with yourself and of virtual sex including if your job currently includes sex work.

HTB articles and medical links

HIV and COVID-19 no 6 – (22 July 2020)
This extended issue – 40 pages – combines HTB (which has first reports from the AIDS 2020 conference) with the supplement on COVID-19. Important COVID-19 news includes more studies on HIV coinfection, new drug approval (and failed studies), impact of race/ethnicity and more.
Contents online (html pages)
HIV and COVID-19 no 6 – 22 July 2020 – (PDF)

HIV and COVID-19 no 5 – (26 June 2020)
HIV and COVID-19 coinfections including data from South Africa, dexamethone effective in advanced COVID-19, hydroxycholoquine not effective in UK RECOVERY study, plus updates on remdesisivr and other treatments…
Contents online (html pages)
HIV and COVID-19 no 5 – 26 June 2020 (PDF)

HIV and COVID-19 no 4 – (1 June 2020)
HIV and COVID-19 coinfections, UK access to remdesivir, convalescent plasma, interferon, famotidine, tocilizumab, concern with hydroxychloroquine, UK research plus more…
Contents online (html pages)
Download: HIV and COVID-19 issue 4 (PDF)

HIV and COVID-19 no 3 – (14 May 2020)
Latest issue includes news on latest treatments, including US approval of remdesivir, plus tentative results with other drugs that reduce immune inflammation (anakinra) – perhaps as essential as antivirals – anticoagulants, ACE inhibitors. Plus latest guidelines.
Contents online (html pages)
Download: HIV and COVID-19 issue 3 (PDF)

HIV and COVID-19: no 2 – (17 April 2020)
The second supplement of HTB with more than 30 COVID-19 reports: hydroxychloroquine studies, antivirals, transmission and prevention research, online resources.
Contents online (html pages)
Download: HIV and COVID-19 issue 2 (PDF)

HIV and COVID-2019: no 1 – (27 March 2020)
This 20-page HTB supplement compiles links to articles and resources about COVID-19 including information for managing the care of HIV positive people. It includes short reviews of key studies and early guidelines.
Contents online. (html pages)
Download: HIV and COVID-19 issue

US interim guidelines on COVID-19 and HIV

British HIV Association (BHIVA) statements on COVID-19

Public Health England (PHE) information on distancing
Guidance for everyone in the UK including HIV positive people on ART

PHE information on shielding
Guidance for people who are extremely vulnerable, including HIV positive people with a low CD4 count (less than 50 cells/mm3).

Information from World Health Organisation (WHO)

Future medical conferences and meetings
This HTB link will update information about HIV conferences, many of which have already been cancelled or rescheduled.

This page was first posted on 10 April. It has been updated several times in each month since with this current update on 21 July 2020.