: Its time to think of HIV positive patients during Covid #IndiaNEWS #DEEP DIVE By Avinash PrabhakarNew Delhi, Aug 12 | As India is reeling under the second Covid wave and the spectre of the third looming,

Its time to think of HIV positive patients during Covid #IndiaNEWS #DEEP DIVE
By Avinash PrabhakarNew Delhi, Aug 12 | As India is reeling under the second Covid wave and the spectre of the third looming, the focus is on to curb the corona infections leaving aside other such deadly diseases like the AIDS or HIV.
Before the outbreak of Covid-19, India has the third largest number of HIV patients in the world. As per government estimates, India has around 23. 49 lakh people living with HIV/AIDS in 2019, though, the epidemic saw a decreasing trend with estimated annual new infections declining by 37 per cent between 2010 and 2019.
While the Covid pandemic is challenging the health infrastructure and systems across the globe, it has caused uncertainty among people living with HIV. Commenting on this, Rajiv Gandhi Super Speciality Hospital Medical Director Dr B. L. Sherwal said, The number of HIV patients seems to have shrunk during the Covid pandemic as immunity plays an important role in both diseases HIV AIDS and Covid and people have become more aware of building immunity.
Outdoor activities and other reasons that may contribute for HIV infections like contact with infected blood, semen, or vaginal fluids or others have largely reduced during the lockdown, Dr Sherwal cites another reason for decreasing trend of HIV infections during the pandemic.
Talking about the HIV-positive people undergoing treatment during the pandemic, he advised that such people need to take extra care of their health and must avoid taking treatment into home isolation as they have a higher risk of developing severe complications like pneumonia, Septicemia, ARDS and various infections.
He said that HIV infection causes immunity deficiency; hence, chances are more to get a severe infection. He recommended parallel treatment of Covid with AIDS in case of infection.
Dr Vineeta Singh Tandon, Consultant, Internal Medicine at PSRI Hospital, said, HIV is an immuno-suppressive disease and hence patients will have an increased risk of acquiring any infection including SARS CoV-2. They have a higher risk of developing Covid related complications like pneumonia, septicemia, ARDS and various other infections and are associated with a higher risk of mortality.
Several factors like patients commitments to adhere to ART therapy, CD4 count and viral load, determine the possibility and the risk of acquiring Covid-19 infections.
On being asked about treatment protocol, she said, They should continue their ARV as previously and should not change or stop it in order to prevent Covid-19. For hospitalized patients also, ARV is important. The same Covid treatment regime protocol based on categories of severity is followed for them as for people without HIV infection.

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