Factors Predicting Retention In Care and Health Outcomes Among HIV Patients

The prevalence of persons living and diagnosed with HIV infection in the United States in 2010 to 2014 increased in number and rate (Center for Disease Control & Prevention (CDC), 2016). In 2015, persons aged 25-29 years had the highest rate (33.4), followed by persons aged 20-24 years (31.2) (CDC, 2016). Consistent reduced viral load is associated with reduced morbidity and mortality and a lower likelihood of transmitting HIV to sex partners (CDC, 2011). Retention into HIV care promotes life and decreases the risk for HIV transmission (Yehia et. al. 2015).

June 18, 2019

Syndrome Development to Assess IDU, HIV, and Homelessness in MA Emergency Departments

In Massachusetts, syndromic surveillance (SyS) data have been used to monitor injection drug use and acute opioid overdoses within EDs. Currently, Massachusetts Department of Public Health (MDPH) SyS captures over 90% of ED visits statewide. These real-time data contain rich free-text and coded clinical and demographic information used to categorize visits for population level public health surveillance. Other surveillance data have shown elevated rates of opioid overdose related ED visits, Emergency Medical Service incidents, and fatalities in Massachusetts from 2014-20171,2,3.

June 18, 2019

Dashboard Prototype for Improved HIV Monitoring and Reporting for Indiana

In 2015, ISDH responded to an HIV outbreak among persons using injection drugs in Scott County [1]. Information to manage the public health response to this event and aftermath included data from multiple sources (e.g., HIV testing, surveillance, contact tracing, medical care, and HIV prevention activities). During the outbreak, access to timely and accurate data for program monitoring and reporting was difficult for health department staff. Each dataset was managed separately and tailored to the relevant HIV program area’s needs.

June 18, 2019

Epidemiological Distribution of Reported Cryptosporidiosis cases in Houston, Texas, 2013-2016

Cryptosporidiosis is a diarrheal disease caused by microscopic parasite Cryptosporidium. Modes of transmission include eating undercooked food contaminated with the parasite, swallowing something that has come into contact with human or animal feces, or swallowing pool water contaminated with the parasite. The disease is clinically manifested usually with chronic diarrhea and abdominal cramps. It is found to be more prevalent in immunocompromised patients like HIV and AIDS. Cryptosporidiosis usually causes potentially life-threatening disease in people with AIDS.

January 21, 2018

Viral load testing to monitor the HIV epidemic among PWID in Vietnam

Vietnam initiated the HSS system in 1994 in selected provinces with high HIV burden. The surveillance has two components: monitor HIV sero-prevalence and risk behaviors among key population including PWID. However, no VL data were collected among HIV infected people. In 2016, Vietnam piloted an added component of VL testing to the existing HSS system. The purpose was to test the feasibility of adding VL testing to the HSS so that VL data among PWID would be available. The pilot was conducted in two provinces in southern Vietnam-Ho Chi Minh City and Long An.

January 21, 2018

Integrating data from disparate data systems for improved HIV reporting: Lessons learned

In 2015, the Indiana State Department of Health (ISDH) responded to a large HIV outbreak among persons who inject drugs (PWID) in Scott County. Information to manage the public health response to this event and its aftermath included data from multiple sources such as surveillance, HIV testing, contact tracing, medical care, and HIV prevention activities. Each dataset was managed separately and had been tailored to the relevant HIV program area’s needs, which is a typical practice for health departments.

January 19, 2018

Princess Marina Hospital HIV rates: Interrupted time series analysis for policy review

HIV testing remains the mainstay of optimal HIV care and is pivotal to control and prevention of the disease, however efforts to attain optimal testing levels have been undermined by low HIV testing especially in developing countries. Botswana in response, amended its Public Health Act in September 2013 but the effect of this action on facility based HIV testing rates has not been evaluated.

Objective:

We aimed to assess the effect of the amended Public Health act of 2013 on facility-based HIV testing in Princess Marina Hospital.

January 21, 2018

Refocusing the Vietnam HIV surveillance to the most burden areas for epidemic control

The Vietnam National HSS was established in 1994. In the late 1990s and early 2000s, when the epidemic was increasing rapidly, the HSS helped with the intensive close monitoring of the HIV epidemic. In its first 10 years, the HSS was rapidly expanded from 6 to 40 provinces and in some years, it was conducted semi-annually. After two decades, the HIV epidemic situation has changed. In most provinces, HIV prevalence has reported to have declined. Compared to the peak period, the HIV prevalence among key populations (KP) in the past decade decreased from 40-60% to 20% or lower.

January 21, 2018

Epi Info Cloud Data Analytics to improve quality of HIV Surveillance in Vietnam.

HIV surveillance in Vietnam is comprised of different surveillance systems including the HIV sentinel surveillance (HSS). The HSS is an annual, multi-site survey to monitor HIV sero-prevalence and risk behaviors among key populations. In 2015, the Vietnam Administration on HIV/AIDS Control (VAAC) installed the Epi Info Cloud Data Analytics (ECDA), a free web-based analytical and visualization program developed by the Centers for Disease Control and Prevention (CDC) to serve as an information management system for HIV surveillance.

January 21, 2018

Public Health Decisions Using Point of Care Data from Open Source Systems in Africa

Ministries of Health in Low and Middle Income Countries (LMIC) are making or trying to make public health decisions for infectious disease conditions like HIV using data garnered from sentinel events and disease tracking in the community. The process of gathering and aggregating data for these case-based reports for is, in all too often a cumbersome or paper-based process. The Center for Disease Control (CDC) was interested in prototyping and piloting approaches that could improve the efficiency and reliability of case reports in resource-constrained environments.

January 21, 2018

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