“Does He or Doesn’t He?” OraQuick May Know for Sure

Home Testing Kit for HIV Now Available

Just like a pregnancy in home test kit, anyone can now pick up a HIV test that will let users know if they have the HIV virus. Approved by the U.S. Food and Drug Administration, it is the first at-home rapid test.

“If it becomes a community norm, people may start testing their partners,” said Alex Carballo-Dieguez, the lead author of the study, a Columbia University professor and the associate director of the H.I.V. Center for Clinical and Behavioral Studies at the New York State Psychiatric Institute. See http:www.newyorktimes/10/5/12/Another Use for Rapid Home H.I.V. Test: Screening Sexual Partners

Advantages of OraQuick

  • Less waiting time – only 20 minutes.
  • Sexual History kept private.
  • Can Screen sexual partner as well (with second box).
  • Don’t have to go to medical unit for testing.
  • Test is estimated to correctly identify about 45,000 HIV-positive diagnoses per year, preventing another 4,000 new transmissions.
  • Ease of use with swab.
  • 70% of 4,000 men and women in clinical trials said they would most likely use OraQuick for screening.

Disadvantages of OraQuick

  • Price. It costs around $60.00.
  • Accuracy rate of about 93%. This equals 3,800 missed HIV-positive diagnoses each year. Possible that person has virus, though the body is not yet producing the antibodies that the test detects.
  •  Hard to insist that partners take test.
  •  Only study of the practice involved small population: 27 gay men who frequently had anonymous unprotected sex..
  • People who refuse to take test would refuse to wear condoms.
  • Test could have false negatives resulting in forgoing condoms that prevent STDs.
  • Sexually active men and women don’t always reveal HIV status.

Other HIV Breakthrough

This fall saw another breakthrough, a FDA-approved tablet that fuses four drugs into one pill. Called Stribild, previously known as Quad, the pill, manufactured by Gilead, combines elvitegavir, cobicistat, emtricitabine, and tenofovir disoproxil fumaarate into a single daily dose.

Expensive, the cost of this single pill is about $7,000 more than Gilead’s combination drug Atripla, approved in 2006.

 

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