Today is World AIDS Day
, an opportunity to learn the facts about HIV, and to show support for people living with HIV and to commemorate people who have died from the disease caused by the human immunodeficiency virus. The theme this year for World AIDS Day is "Focus, Partner, Achieve: An AIDS-Free Generation."
A UN AIDS report released earlier this year showed a 58 percent decline
in the number of new cases of HIV in children globally since 2001. Yet almost 60 percent of young people with HIV in the United States do not know they are infected, according to the Centers for Disease Control and Prevention
Some contributing factors affecting this age group are not being aware of their infection status, having sex at an early age, and abusing drugs, according to Lawrence D'Angelo, MD
, Chief of Adolescent and Young Adult Medicine at Children’s National Health System.
“Youth aged 13 to 24 accounted for an estimated 26 percent of all new HIV infections in the United States in 2010,” according to the CDC
“Our numbers are down overall,” Dr. D’Angelo said. “We still know that HIV/AIDS is a threat particularly among adolescents and young adults because they experiment with behaviors that put them at risk such as sexual contact with multiple partners and beginning drug use, which are two of the largest modes of transmission among adolescents.”Prevention is Key
Dr. D’Angelo said making sure one is aware of their HIV-status, taking necessary precautions to avoid infecting others, and avoiding risky behaviors are essential in reducing transmission.
Among the ways to help reduce transmission, Dr. D’Angelo suggested, include:
Supporting HIV/AIDS education and prevention programs aimed at this age group
Providing improved testing and making sure it’s available to as many people as possible
Providing medical care as early as possible to reduce the likelihood of someone transmitting the virus to someone else is also crucial. He also said prevention programs promoting abstinence, as well as efforts that provided safer sex awareness for heterosexual, homosexual, bisexual, and transgender youth, can help.Who Is at Risk of Contracting the Virus?
Individuals who inject drugs are at a significantly increased risk. Also, young women are at risk of becoming infected due to sexual contact. “The biggest risk is lack of adequate barrier protection and the number/age of sexual partners; for young women, having older partners is a major risk factor in and of itself,” Dr. D’Angelo said. “They may be more experienced and more likely to have encountered injection drug use, more likely to have experimented sexually.”
Another group contributing to the epidemic among youth is young men who have sex with men.
“Most new HIV infections among youth occur among gay and bisexual males; there was a 22 percent increase in estimated new infections in this group from 2008 to 2010,” according to the CDC.Ways to Reduce Transmission
“Test and test regularly,” Dr. D’Angelo said. “If you are someone engaging in any risk behavior, make sure that you’re not having sexual contact with anyone who you are not absolutely 100 percent sure that you can trust and therefore preferably someone you’re in a long-term committed relationship with. If you do have a partner who you either know or highly suspect may be HIV-infected, get tested. ”
For more information, learn more about Children’s National’s HIV/AIDS Services
and our HIV Services Mental Health Program
as well as our Burgess Clinic
, which promotes a supportive environment to meet the unique medical needs of adolescents infected with or affected by HIV/AIDS. One of the largest programs in the United States, the Burgess Clinic treats more than 90 percent of the Washington, DC, metropolitan area’s HIV-infected adolescents ages 13 to 21.
In recognition of World AIDS Day, there are different events taking place at Children’s National. Free HIV testing is available for staff and the community in the Mental Health Suite. Tomas Silber, MD
, an adolescent Medicine specialist at Children’s National, is leading a panel discussion titled “Moral, Legal, and Medical Perspectives on HIV Disclosure and Related Care.” And there will be a discussion following the screening of “AIDS: Living in the Shadows,” a documentary focused on stigma associated with HIV/AIDS. There will also be art projects and live performances geared toward youth in the hospital’s Main Atrium.