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COVID-19 and AIDS - Coronavirus and HIV

COVID-19

COVID-19 and AIDS, as well as coronaviruses and HIV, more or less the same thing and, however, slightly different, have been the questions that most appear to me in my daily conduct of this blog! It's really. it's not for less!

Since the day I was diagnosed, when the scenario was similar, but different, I had not been so worried. Human lives being taken by the hundreds and hundreds every day, in Italy, as an example, and a tepid response to prevent human damage and loss. What has not been said or explained is that no economy is of any use without trained and healthy labor.

First you save lives, then you count the money. B + A = BA!

Do you know that maritime logic of shipwrecks?

Gone, women and children first?

For certain people ...

COVID-19Coronavirus and HIV (COVID-19) - Responses to communications from the British HIV Association (BHIVA)

Thursday, March 19, 2020

What is the coronavirus?

Coronaviruses (CoV) are a large family of viruses that can infect mammals and birds. Seven strains can infect humans, usually causing mild illness (1 in 6 cases of common cold are caused by coronavirus) and more rarely, serious illnesses.

Currently, there are no coronavirus vaccines or antiviral drugs, but research teams around the world are working tirelessly to change that. There have been headlines about the use of the HIV drug lopinavir / ritonavir (rarely used for treatment in the UK) to treat coronavirus, but there is still no good evidence that it works. Medicines used for PrEP not are assets against coronavirus.

COVID-19 is a new condition caused by the coronavirus SARS-CoV-2 strain, which spreads very easily from person to person (much more than some other types of coronavirus). Nobody has immunity to that.

Although the estimated death rate of about 1 in 100 people appears low compared to some infections, if a very large number of people are infected, it would result in a high number of deaths.

Current data suggest that 1 in 5 people develop more serious illnesses, and large numbers that need hospital treatment can quickly overwhelm healthcare systems - this is happening in Italy now.

The people most at risk of serious illness and death are the elderly and people with long-term medical conditions, such as lung disease, kidney disease and diabetes.

However, about 80% of people with COVID-19 have relatively mild illness, which can lead to delay or loss of the diagnosis of infection, which increases the risk of transmission of the virus. Data from Japan estimate that 1 in 3 people with COVID-19 have no symptoms - making control even more difficult.

In February, the World Health Organization (WHO) declared COVID-19 a 'Public Health Emergency of International Interest' - giving WHO the legal right to make recommendations on how to deal with it and (hopefully) stimulate funding and Government action. On March 11, 2020, WHO declared COVID-19 a pandemic, an epidemic that has spread to several countries or continents, usually affecting large numbers of people.

1. The risk for people with HIV

There is no evidence that people living with controlled HIV are at a greater risk of getting COVID-19 or of becoming very ill than anyone else of the same age and overall health.. It is wise to assume that people who are not detectable in treatment or have a low CD4 (less than 200) may be at greater risk.

2. COVID-19 and HIV drugs

Although there is research investigating the use of antiretroviral drugs against COVID-19, there is no strong evidence that they are effective. There is no evidence that the use of HIV drugs will discontinue the use of COVID-19.

  • You should continue to take the recommended treatment at the same dose: DO NOT increase the number of pills you take. This will not help you if you purchase COVID-19, nor will it protect you from obtaining it. In fact, it can be harmful to exceed the normal dose.
  • Make sure you have 30 days of medicine.
  • Do not share your HIV medication: with someone who has COVID-19 or is concerned about taking it.
  • There is no problem with the supply of HIV drugs: there is no suggestion that there will be a shortage of HIV drugs. Where clinics are referring patients for non-urgent telephone consultations, measures are taken to ensure that medication for continuous use is readily available; or ask someone else to collect it for you, as the home delivery companies may not be able to accept new deliveries. We cannot provide more than four months of HIV medication at the same time, as this can have an impact on supply.

3. COVID-19, HIV and the immune system

People on HIV treatment with good CD4 and undetectable viral load are generally not considered to have a “Weakened immune system”, as specified in the recent PHE guidelines (16 March 2020). provide specific advice for people living with HIV based on viral load and CD4 count as things become clearer, and government guidelines are updated with specific reference to HIV. At the moment (March 17, 2020), consult the advice provided in the BHIVA statement: https://www.bhiva.org/comment-from-BHIVA-and-THT-on-UK-Government-Guidance-on-Social -Distancing

we recommend following PHE “Distance the social council ”, which does not necessarily mean “Self-isolation”, as in the Guidance issued to vulnerable people here: https://www.gov.uk/government/publications/covid-19 orientação sobre distanciamento social e para pessoas vulneráveis ​​/ orientação sobre distanciamento social para todos no Reino Unido e proteção de idosos e adultos vulneráveis

Physical distance reduces infection and advice is changing rapidly; therefore, regularly check government advice.

4. The newly diagnosed and those who are starting treatment

People who have recently been diagnosed with HIV should talk to their consultants about any concerns they may have about their immune system. However, as stated in point 3 above, people with an undetectable viral load are generally not considered to have a weakened immune system. Your consultant will ensure that you are monitored safely.

5. People with other health conditions, such as diabetes, heart or lung disease

If you have any concerns about health problems other than HIV and how they can affect you, see the NHS website for the latest advice (see point 8) or contact the clinic, taking into account that many services may have reduced capacity due to staff being sick, isolated or helping elsewhere in the NHS.

6. Stay mentally and physically healthy

If you get COVID-19, the more fit you are, the better the result. Quitting smoking will definitely help, as well as stopping vaping (although this is still preferable to smoking - see https://www.nhs.uk/smokefree for advice.) Exercise where and when you can, and if necessary. - isolated, you can find exercise suggestions online at https://www.nhs.uk/livewell.

It's normal to be worried - everyone is - and taking care of your mental health is also important, with helpful advice in this article: https://www.bbc.co.uk/news/health-51873799

7. How to protect yourself and others from COVID-19

There is useful information at https://www.nhs.uk/conditions/coronavirus-covid-19/

8. What to do if you think you have COVID-19

First, check out the latest advice, on a reputable news site, or the NHS at https://www.nhs.uk/conditions/coronavirus-covid-19/

The advice is to stay home if you have:

  • a high temperature - feels warm to the touch on your chest or back or your temperature is 37,8 degrees Celsius or more, if you have a thermometer;
  • a new, continuous cough - this means that you started coughing repeatedly.

No go to a GP surgery, pharmacy or hospital.

You NO you need to contact 111 to say you're home.

You can access advice online at https://111.nhs.uk/covid-19/. Currently, testing for coronavirus is not recommended as it is not necessary if you are at home.

If you feel you cannot cope with your symptoms at home, your condition worsens or your symptoms do not improve after 7 days, call 0800 16 2550

For more information, contact Josh at jo@commsbiz.com

If you need to talk and couldn't find me or Beto Volpe, this is a much more balanced option, Beto, you can also send your message. Maybe I can take a while. I check the messages at noon, shortly after, in fact, at 20:00.
It's getting harder and harder for me, this whole thing, to type.
And I end up needing an interval between one paragraph and another.

But be sure of one thing I learned:

Time and patience solve just about everything!
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