Mot clé : Traitement du VIH

HIV and mental health: The elephant in the room

By Tammy C. Yates

In his famous poem “The Blind Men and the Elephant”, John Godfrey Saxe retells an Indian parable about three blind men who went to see an elephant. Of course, being blind, they could only ‘see’ the elephant by touching it. When asked to describe the elephant, one grabbed it by its trunk and said, “An elephant is like a snake!” The second man took his turn to touch it, pulled it by the leg, and confidently determined, “No, an elephant is like a tree trunk!” The third and final person to touch the elephant grabbed it by its tusks and said, “Tsk, tsk, tsk, you are both wrong: an elephant is smooth, cold and hard.” Each of the men touched the elephant, yet from their perspectives, the experiences of the elephant were totally different.

Connected patients, connected providers: Delivering comprehensive, coordinated, team-based care to people living with HIV in Canada

By Dr. Claire Kendall and Katie Ablett

Thanks to effective anti-HIV treatment, HIV has evolved into a chronic illness. However, people living with HIV often today also live with other physical and mental health conditions, which can be difficult to cope with, especially for those also coping with difficult socio-economic circumstances.

To provide quality care to people living with HIV and other long-term medical and social conditions, health-care providers not only need to ensure  that people living with HIV are engaged in quality health care, but we also need to enhance the capacity of Canadian HIV clinics to integrate and coordinate additional resources. By integrating and coordinating resources, we help address the needs of a whole person —needs that often cut across the various disciplines, specialties, sectors and systems that we have traditionally organized care around.

The good news is that through several interconnected research studies, our research team led out of the Bruyère Research Institute in Ottawa has shown that the complex health and social care needs of people living with HIV can be met –and, in fact, are being met –by various care models, settings and teams working in HIV clinics across Canada.

U=U and the overly-broad criminalization of HIV nondisclosure

By Nicholas Caivano and Sandra Ka Hon Chu

People living with HIV in Canada have been charged with some of the most serious offences in the Criminal Code, even in cases of consensual sex where there was negligible or no risk of HIV transmission, no actual transmission and no intent to transmit.

The Undetectable=Untransmittable (“U=U”) campaign is based on scientific research, including the ground-breaking PARTNER study, establishing that when a person living with HIV on treatment maintains an undetectable viral load for at least six months, the risk of transmitting the virus through sex is effectively non-existent. As advocates for persons living with HIV await action from federal, provincial and territorial governments to address the overly-broad criminalization of HIV non-disclosure, how might the U=U campaign and the results of the PARTNER study impact ongoing prosecutions under the current state of the law?

Indétectable = Intransmissible – CATIE y adhère

Par Laurie Edmiston

Nous tous, ici, chez CATIE, et par le fait même les gens de partout au monde, célèbrent l’avancée la plus importante dans le monde du VIH depuis l’avènement du traitement combiné efficace il y a 20 ans : les personnes vivant avec le VIH et ayant une charge virale indétectable durable peuvent déclarer avec confiance à leurs partenaires sexuels qu’elles ne sont pas contagieuses! Le caractère « fabuleux » de cette annonce ne peut être sous-estimé. Avec ou sans condom, si vous êtes indétectable, vous ne transmettrez pas le VIH! Cette avancée change toute la donne et les personnes vivant avec le VIH peuvent fièrement partager cette information. Parallèlement, les fournisseurs de services travaillant dans le domaine du VIH doivent rapidement se mettre au niveau et partager largement cette info dans leurs communautés. CATIE élaborera davantage de ressources pour aider à partager cette nouvelle extraordinaire, alors restez à l’écoute! Entretemps, consultez les ressources sur la prévention à catie.ca et ajoutez le nom de votre organisme à la Déclaration de consensus de la campagne pour l’accès à la prévention. Passons le mot! Faites-vous tester, suivez un traitement, devenez indétectable et profitez de vos relations sexuelles!

 

Laurie Edmiston est directrice générale de CATIE, la source canadienne de renseignements sur le VIH et l’hépatite C.