Saturday 8 December 2012

Why aren’t they testing for HIV?

If only the world was prefect, and everyone tested for HIV when they should.  Regrettably it is not, they don’t.

We operate HeadStartTesting, an online supplier of HIV Self-Test Kits for the Australian public. We are often challenged as to the quality of testing for HIV at home versus testing at a medical clinic that can also offer counselling. After 2 years of providing this service, our response is still the same.

Regrettably many individuals who know they have been at risk, delay or decide not to test through a medical centre. Some still continue normal sexual activity and as a result they are the category most likely to infect others. It is a safe assumption to say that most infected with HIV were infected by a partner who did not know they themselves had HIV.  Of course they most likely knew they had been at risk, but decided not to test (and thus infected others). We often receive communication from a client stating their high level of anxiety and concern over their status. Some can’t sleep they are so worried about their HIV status or the HIV status of a recent partner, yet they choose not to consult their doctor.

Why?

As logically anyone who thinks they have contracted a life threatening disease would seek medical assistance, there must be some other factor driving these individuals to not test for HIV.
Our conclusion is that HIV is still seen as a socially embarrassing topic and when the possible contamination method is sexual contact it is more embarrassing or sensitive still. This is a concern as early detection of HIV can greatly increase survival rates. If HIV testing seems so logical and beneficial, why are many not doing it?
Many feel too embarrassed to explain their behaviours to another? Denial, what are the chances, it can’t happen to me? I’ll do it next week. I can’t explain this to my partner so I’ll just hope it’s nothing.  I feel fine, I don’t have any HIV symptoms. I think I have HIV Symptoms but can’t face my doctor.

HIV home test kits, target those individuals who decided not to test, and offer them an alternate to the testing methods they chose not to use.

But…If one of those individuals (the one who decided not to test with his doctor) does test and is HIV positive we have the following scenario. They face the immediate result without counselling at their side. This is clearly difficult for some individuals. However, it is hard to argue it is a worse scenario than if they had just carried on normal activities and infected others.  After all we are talking about an HIV positive person who was putting off testing and had so far decided it did not warrant consulting a medical professional. The objective is simple, get their status known and stop their risk of contaminating others through any reasonable means possible.

Now we have identified the need for HIV testing at home. Can it be done accurately? Are the HIV self-test kits accurate? Yes, they detect both the HIV 1 and 2 sub-virus, have a +99% accuracy and are manufactured under ISO, GMP standards. They are simple to use and give results in 5 minutes. If used incorrectly they will show a failed test result and not a false negative or positive.

If in doubt about your HIV status or you are concerned you have HIV symptoms then please test. Testing as soon as possible for HIV will remove any doubts/anxiety and more importantly ensure your health and the health of others is best protected. Head Start Testing can supply you with HIV Home Test Kits if self-testing is your preference.

Monday 3 December 2012

Should HIV home test kits be used in Australia?



There is some controversy surrounding the recent availability of HIV self test kits in Australia.  It is a somewhat complicated argument that most certainly both sides of the have some merit.  Those against self testing for HIV in Australia are concerned that individuals testing of their HIV status without medical supervision of doing so without access to counseling to prepare them and assist them in the event of an HIV positive result.  They also foregoing counseling that may assist him in avoiding the necessity for testing by discussing the behavior that put them at risk of HIV infection and helping them understand how to avoid the risk.  These are certainly valuable points however the logic of that would then prevent many individuals from testing if test kits were not available could potentially have a negative effect in the overall percentage of the population the test for HIV after at risk behavior.   

It is logical to assume that most people in Australia infected with HIV as a result of sexual interactions were infected by a person who had not been tested for HIV.  It is also logical to assume that the conflicting individual was aware that they had had at risk sexual behavior yet for some reason they had not tested for HIV.  Given that everyone in Australia has access to a general practitioner and more and HIV testing clinic is also logical to assume that the potential reasons for that individual mark testing are those of convenience and  or privacy.  By giving those individuals and alternative testing method for HIV potentially HIV home tests kits will increase the percentage of at risk individuals testing for HIV.

No single HIV testing method will suit all members of the public.  The objective must certainly be to test as many individuals as possible through which ever HIV testing method they choose to use in Australia.  Only by testing those individuals who are not using traditional HIV testing methods the only hope to reduce the number of HIV positive individuals that have an unknown status carrying on at-risk sexual behavior.