Abstract

The large International AIDS Society meeting has come and gone from Cape Town. The agenda was dominated by a New Big Idea, an audacious mathematical model by a group of brave World Health Organisation modellers showing that giving antiretroviral therapy to everyone with HIV, immediately, could make the epidemic disappear.

Highlights

  • AsThtheisJojouurnrnaal li’ss rsetaardteinrgs atroefweeelllliakwe aMree,nH’sIVHehaalsthc,owmhpaltexwith anpdoswteidrse,gruaindgeilningesimanpdacntoswoanstthaeteh-oefa-ltthheoafrtinscfeiecntceeduinpd-ate, diHviIdVuTarlesa. tMmuecnht Bouflltehtiisn,cfoamllipnlgexoituyt iosfdiut.eEtxocothies nplaetausreed to ofanhnoostu-nvcieruasniinmteproarctatinotnasndansdtrattheegicpaptahrtonpehrsyhsioplwogityh oHfIV i- infected individuals; and neurocognitive manifestathBeavsier,uws haondpuitbslissehqHuIeVlaTereiantmdieffnetrBenultleotrigna

  • ETRhe neurocognitive manifestations are a significant cause of morbidity; instaotfehserarteo raepraeilraStiovuetlhy Acformicam’sownoperfeuslehnetaalttihonserovficeH.IAVt- the creasingly we are recognising that these disorders may be managed effectively, including by early initiation of antiretroviral therapy, to improve the prognosis of affected individuals

  • At the primary and secondary levels of the health care system, medical officers and physicians must be able to identify patients with a possible mental disorder and work up these patients to arrive at a preliminary diagnosis, make management decisions, and follow up patients over time

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Summary

Introduction

AsThtheisJojouurnrnaal li’ss rsetaardteinrgs atroefweeelllliakwe aMree,nH’sIVHehaalsthc,owmhpaltexwith anpdoswteidrse,-gruaindgeilningesimanpdacntoswoanstthaeteh-oefa-ltthheoafrtinscfeiecntceeduinpd-ate, diHviIdVuTarlesa. tMmuecnht Bouflltehtiisn,cfoamllipnlgexoituyt iosfdiut.eEtxocothies nplaetausreed to ofanhnoostu-nvcieruasniinmteproarctatinotnasndansdtrattheegicpaptahrtonpehrsyhsioplwogityh oHfIV i- infected individuals; and neurocognitive manifestathBeavsier,uws haondpuitbslissehqHuIeVlaTereiantmdieffnetrBenultleotrigna. It promises to be a critical conference where we will really formulate the key steps in getting PMTCT, treatment, testing and prevention group of mental health professionals who are providing slievoanrivnruooigttcuetenhwtdhaei.rente(hdIeoapHinrnrloIyvaVmed/ssAicastatIeieDgletaSthththaii(nstaPgtyLitWewtawhirHlile:lAlb3eea)1fglsffMieornocabttmroeschtloaoutfaronmdH3stIehVAonefptoaSrfniuAll.nphTs!eth)eaoiaPstplilsteilshteaistcoes poeinnstuoref bvireilwlia.nCtuKrZreNnwt ereatsheearr!ch projects include investiniggIknaeftytoihorsincsmaseleedinn-ituttioaoplnnqd,euiwsueoersortadicoleronergsas:ndiinyJteibHrvoeeImgVdi,neiastSonoirdndegbexharrismeeifxinnppelHsoysrIoecVshm, ostehlcooergefieetctnhah-elisces intaenrdvelengtiaolintys ionf PtrLaWdiHtiAonwalithhedaleeprsrepsesirofonr.ming HIV testing (I know many have asked why this HAS to be the domain LaonfdonnursMesyeornilsy)a. ETRhe neurocognitive manifestations are a significant cause of morbidity; instaotfehserarteo raepraeilraStiovuetlhy Acformicam’sownoperfeuslehnetaalttihonserovficeH.IAVt- the creasingly we are recognising that these disorders may be managed effectively, including by early initiation of antiretroviral therapy, to improve the prognosis of affected individuals.

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