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Mental illnesses have had a great impact on the AIDS epidemic, and new research shows that providing psychiatric treatment to HIV-infected patients who have a psychiatric comorbidity will produce better treatment outcomes, a researcher says.
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While the HIV epidemic has shifted toward poor, rural Southern areas, the funding mechanism behind the AIDS Drug Assistance Program (ADAP) favors the populated, urban states where the epidemic first erupted 25 years ago, southern AIDS advocates say.
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North Carolina investigators found evidence earlier this year of an HIV outbreak among white men who have sex with men (MSM) in the Charlotte area. The cluster of cases in Mecklenberg County were associated with MSM who used crystal methamphetamine and found sexual partners via the Internet, says Peter Leone, MD, an associate professor in the department of medicine at the University of North Carolina in Chapel Hill.
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AIDS advocates now say they look back at the late 1990s as a time when they never had it so good: New antiretroviral regimens turned HIV infection into a chronic rather than fatal disease; AIDS funding increased each year; and most states improved their funding for the AIDS Drugs Assistance Program (ADAP).
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To hear AIDS advocates tell it, ever since the late 1990s when the first antiretroviral cocktails were prescribed, there never has been enough money for the AIDS Drug Assistance Program (ADAP) to provide drugs to all of the HIV-infected and uninsured people who need them.
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Quarantine is depressing and anxiety provoking
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New draft patient isolation guidelines by the Centers for Disease Control and Prevention include the following performance measures.
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Rather than a dreaded, unnecessary task, a new requirement to conduct a root-cause analysis (RCA) for fatal and impairing infections is an idea whose time has come in the new era of patient safety, said Denise Murphy, RN, MPH, CIC, chief of patient safety at Barnes Jewish Hospital at Washington University Medical Center in St. Louis.
