{"id":34772,"date":"2018-08-24T11:30:56","date_gmt":"2018-08-24T11:30:56","guid":{"rendered":"http:\/\/i-base.info\/htb\/?p=34772"},"modified":"2018-08-24T15:48:59","modified_gmt":"2018-08-24T15:48:59","slug":"viral-load-testing-in-latin-america-and-the-caribbean","status":"publish","type":"post","link":"https:\/\/i-base.info\/htb\/34772","title":{"rendered":"Viral load testing in Latin America and the Caribbean"},"content":{"rendered":"<p class=\"HTBsubhead3authorcredit\"><strong><span lang=\"EN-US\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-medium wp-image-34425\" src=\"https:\/\/i-base.info\/htb\/wp-content\/uploads\/2018\/06\/LOGO-IAS-2018-combined-164x300.png\" alt=\"\" width=\"164\" height=\"300\" srcset=\"https:\/\/i-base.info\/htb\/wp-content\/uploads\/2018\/06\/LOGO-IAS-2018-combined-164x300.png 164w, https:\/\/i-base.info\/htb\/wp-content\/uploads\/2018\/06\/LOGO-IAS-2018-combined.png 188w\" sizes=\"auto, (max-width: 164px) 100vw, 164px\" \/>Simon Collins, HIV i-Base<\/span><\/strong><\/p>\n<p class=\"HTBBODYtext\"><b><span lang=\"EN-US\">Information about routine access to viral load testing in 31 countries in Latin America and the Caribbean (LAC) was presented in a poster by researchers from the Pan-American Health Organisation.<\/span><\/b><\/p>\n<p class=\"HTBBODYtext\"><span lang=\"EN-US\">Results were compiled from <\/span>official surveys (UNAIDS\/WHO\/UNICEF) <span lang=\"EN-US\">at the end of 2016 <\/span>to assess existing gaps in viral load testing policies, capacity and coverage.<\/p>\n<p class=\"HTBBODYtext\"><span lang=\"EN-US\">All countries had access to viral load testing but guidelines varied for recommended testing frequency: two tests per person per year in 61% countries (19\/31), annually in 32% (10\/31) and more frequently in Costa Rica and the Bahamas.<\/span><\/p>\n<p class=\"HTBBODYtext\"><span lang=\"EN-US\">The poster compared the number of viral load tests that were performed over a two-year period with the expected number needed, based on the numbers of people who were positive and the national policy for testing.<\/span><\/p>\n<p class=\"HTBBODYtext\"><span lang=\"EN-US\">Of 22\/31 countries with this data, 7\/22 exceeded 90% of estimated need (range 92% to 170%) with 11 countries reporting 51% to 87% of expected use, and four countries &lt;50% (range (16% to 48%).<\/span><\/p>\n<p class=\"HTBBODYtext\"><span lang=\"EN-US\">A second analysis based on a standardised policy of two viral load tests a year produced similar results, with 6 countries at &gt;90% use, 12 countries with between 50% to 90% use, and 7 countries at &lt;50% use.<\/span><\/p>\n<p class=\"HTBBODYtext\"><span lang=\"EN-US\">In this analysis, lowest use was reported for Haiti (16%), Cuba (21%) and highest use for Brazil (99%) and Bahamas (110%). <\/span><\/p>\n<p class=\"HTBBODYtext\"><span lang=\"EN-US\">Further results by country are reported in the abstract and poster.<\/span><\/p>\n<p class=\"HTBreference-noindent\"><span lang=\"EN-US\">Reference<\/span><\/p>\n<p class=\"HTBreference-noindent\"><span lang=\"EN-US\">Leal A et al. Are all people on antiretroviral treatment having their HIV viral load monitored? Gaps analysis in Latin America and the Caribbean. AIDS 2018, 23-27 July 2018, Amsterdam. Poster TUPEB044.<br \/>\n<\/span><a href=\"http:\/\/programme.aids2018.org\/Abstract\/Abstract\/12601\"><span lang=\"EN-US\">http:\/\/programme.aids2018.org\/Abstract\/Abstract\/12601<\/span><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Simon Collins, HIV i-Base Information about routine access to viral load testing in 31 countries in Latin America and the Caribbean (LAC) was presented in a poster by researchers from the Pan-American Health Organisation. Results were compiled from official surveys &hellip;<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4,38,21],"tags":[255],"class_list":["post-34772","post","type-post","status-publish","format-standard","hentry","category-conference-reports","category-treatment-access","category-diagnostic","tag-world-aids-22-amsterdam-2018"],"_links":{"self":[{"href":"https:\/\/i-base.info\/htb\/wp-json\/wp\/v2\/posts\/34772","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/i-base.info\/htb\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/i-base.info\/htb\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/i-base.info\/htb\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/i-base.info\/htb\/wp-json\/wp\/v2\/comments?post=34772"}],"version-history":[{"count":0,"href":"https:\/\/i-base.info\/htb\/wp-json\/wp\/v2\/posts\/34772\/revisions"}],"wp:attachment":[{"href":"https:\/\/i-base.info\/htb\/wp-json\/wp\/v2\/media?parent=34772"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/i-base.info\/htb\/wp-json\/wp\/v2\/categories?post=34772"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/i-base.info\/htb\/wp-json\/wp\/v2\/tags?post=34772"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}