Treatment FAQ

why don't we have treatment for hiv

by Prof. Zander Miller I Published 3 years ago Updated 2 years ago
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Why There’s No HIV Cure Yet

  • Early Hope. In 1987, the FDA approved AZT as the first drug to treat HIV. With only two years between when the drug was...
  • A Bad Memory. The secret to why HIV is so hard to cure lies in a quirk of the type of cell it infects. ... That’s why...
  • Defining a Cure. Around a decade ago, scientists began to talk amongst themselves about what a...

Why isn't there a cure for HIV? The reason why it is so difficult to cure HIV is that once HIV infects a person's body, it integrates into the host genome of several cell types. Those cells then hide in any of the lymphoid tissue, such as the lymph nodes, the liver and the spleen.Jun 14, 2021

Full Answer

How can I prevent getting or transmitting HIV?

To prevent getting HIV through sex, you can:

  • Choose less risky sexual behaviors. ...
  • Use condoms. ...
  • Talk to your doctor about PrEP. ...
  • Take PEP within 72 hours after a possible HIV exposure. ...
  • Encourage your HIV-positive partner to get and stay on HIV treatment. ...
  • Get tested and treated for other STDs and encourage your partners to do the same. ...
  • Reduce your number of sexual partners. ...
  • Decide not to have sex. ...

More items...

What are facts about HIV?

HIV (human immunodeficiency virus) is a virus that attacks the body’s immune system. If HIV is not treated, it can lead to AIDS (acquired immunodeficiency syndrome). There is currently no effective cure. Once people get HIV, they have it for life. But with proper medical care, HIV can be controlled.

What are the signs of being HIV positive?

  • Fever
  • Fatigue
  • Swollen lymph nodes — often one of the first signs of HIV infection
  • Diarrhea
  • Weight loss
  • Oral yeast infection (thrush)
  • Shingles (herpes zoster)
  • Pneumonia

What are the causes and effects of HIV?

are:

  • herpes simplex virus, an infection that often causes sores on the mouth
  • Salmonella, a bacterial infection that affects the intestines
  • oral thrush or vaginal thrush, which are infections with a fungus called Candida
  • toxoplasmosis, a parasitic infection that can affect the brain

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Is there ever going to be a cure for HIV?

Is an HIV Cure Possible? Researchers remain hopeful that they're heading in the right direction to finding a cure for HIV, the virus that causes AIDS. Right now, it's still out of reach.

Why can HIV not be treated with antibiotics?

Antibiotics cannot kill viruses because viruses have different structures and replicate in a different way than bacteria.

What is HIV treatment?

HIV treatment (antiretroviral therapy or ART) involves taking medicine as prescribed by a health care provider. HIV treatment reduces the amount of...

When should I start HIV treatment?

Start HIV treatment as soon as possible after diagnosis. All people with HIV should take HIV treatment, no matter how long they’ve had HIV or how h...

What if I delay HIV treatment?

If you delay treatment, HIV will continue to harm your immune system. Delaying treatment will put you at higher risk for transmitting HIV to your p...

Are there different types of HIV treatment?

There are two types of HIV treatment: pills and shots. Pills are recommended for people who are just starting HIV treatment. There are many FDA-app...

What are HIV treatment shots?

HIV treatment shots are long-acting injections used to treat people with HIV. The shots are given by your health care provider and require routine...

Can I switch my HIV treatment from pills to shots?

Talk to your health care provider about changing your HIV treatment plan. Shots may be right for you if you are an adult with HIV who has an undete...

What are the benefits of taking my HIV treatment as prescribed?

HIV treatment reduces the amount of HIV in the blood (viral load). Taking your HIV medicine as prescribed will help keep your viral load low. HIV t...

Does HIV treatment cause side effects?

HIV treatment can cause side effects in some people. However, not everyone experiences side effects. The most common side effects are Nausea and vo...

What should I do if I’m thinking about having a baby?

Let your health care provider know if you or your partner is pregnant or thinking about getting pregnant. They will determine the right type of HIV...

Can I take birth control while on HIV treatment?

You can use any method of birth control to prevent pregnancy. However, some HIV treatment may make hormone-based birth control less effective. Talk...

How does treatment help prevent HIV?

Having an undetectable viral load may also help prevent transmission from injection drug use.

Why is it important to take HIV medication?

Taking HIV medication consistently, as prescribed, helps prevent drug resistance. Drug resistance develops when people with HIV are inconsistent with taking their HIV medication as prescribed. The virus can change (mutate) and will no longer respond to certain HIV medication. If you develop drug resistance, it will limit your options ...

What does it mean when your HIV is suppressed?

Viral suppression is defined as having less than 200 copies of HIV per milliliter of blood. HIV medicine can make the viral load so low that a test can’t detect it (called an undetectable viral load ). If your viral load goes down after starting HIV treatment, that means treatment is working.

What is the amount of HIV in the blood called?

The amount of HIV in the blood is called viral load . Taking your HIV medicine as prescribed will help keep your viral load low and your CD4 cell count high. HIV medicine can make the viral load very low (called viral suppression ). Viral suppression is defined as having less than 200 copies of HIV per milliliter of blood.

What does it mean when your viral load goes down after HIV treatment?

If your viral load goes down after starting HIV treatment, that means treatment is working. Continue to take your medicine as prescribed.

How long does it take for a mother to give her baby HIV?

If a mother with HIV takes HIV medicine as prescribed throughout pregnancy, labor, and delivery and gives HIV medicine to her baby for 4 to 6 weeks after birth, the risk of transmitting HIV to her baby can be 1% or less.

How long does it take to get rid of HIV?

There is no effective cure for HIV. But with proper medical care, you can control HIV. Most people can get the virus under control within six months. Taking HIV medicine does not prevent transmission ...

Why aren't people getting HIV treatment?

One big reason: They can’t afford it.

How long can a person with HIV live?

With the right treatment, people with HIV can live relatively healthy lives for decades. But an estimated one-third [PDF] of Americans diagnosed with HIV aren’t receiving any kind of treatment, ...

How much money did Obama give to the HIV program?

The Obama administration also released millions in emergency funding to bolster HIV programs, including $40 million in 2011 and an additional $35 million to be distributed this summer to ease the burden on ADAP.

Where is the most AIDS epidemic?

The epidemic has hit particularly hard in the south — about half of the people living with AIDS are in southern states, according to a 2010 Human Rights Watch report. The region has the highest rates of new infections, the most AIDS deaths, and the largest number of adults and teens living with HIV/AIDS. Minorities, particularly blacks, are disproportionately affected.

Is ADAP a crisis?

But for the last few years, ADAP has been facing a crisis. Better but more costly drugs have become available to improve the health of HIV-positive patients. But that’s made it more expensive for ADAP to keep up with the demand as people live longer lives, and led to waiting lists for people needing care.

Is Medicaid the largest source of HIV coverage?

Medicaid is estimated to be the largest source of coverage for people with HIV, according [PDF] to the Kaiser Foundation, and the program makes up half of federal spending on HIV. But that coverage is still restricted.

Do HIV positive people have health insurance?

But many HIV-positive people don’t have health insurance. In 2010, the government estimated that less than 17 percent of Americans living with HIV have private insurance. Nearly 30 percent have no coverage at all.

Why Is HIV Treatment Important?

Getting and staying on HIV treatment because it reduces the amount of HIV in your blood (also called the viral load) to a very low level. This keeps you healthy and prevents illness. There is also a major prevention benefit. People living with HIV who take HIV medication daily as prescribed and get and keep an undetectable viral load have effectively no risk of sexually transmitting HIV to their HIV-negative partners. This is called treatment as prevention.

What Is HIV Treatment?

HIV treatment involves taking medicines that slow the progression of the virus in your body. HIV is a type of virus called a retrovirus, and the combination of drugs used to treat it is called antiretroviral therapy (ART). ART is recommended for all people living with HIV, regardless of how long they’ve had the virus or how healthy they are. ART must be taken every day, exactly as your health care provider prescribes.

What Is HIV Drug Resistance?

Drug resistance can be a cause of treatment failure for people living with HIV. As HIV multiplies in the body, it sometimes mutates (changes form) and produces variations of itself. Variations of HIV that develop while a person is taking ART can lead to drug-resistant strains of HIV.

What happens if you have a low CD4 count?

If your CD4 cell count falls below a certain level, you are at risk of getting an opportunistic infection. These are infections that don’t normally affect people with healthy immune systems but that can infect people with immune systems weakened by HIV infection. Your health care provider may prescribe medicines to prevent certain infections.

Why do you prescribe HIV?

Your health care provider may prescribe medicines to prevent certain infections. HIV treatment is most likely to be successful when you know what to expect and are committed to taking your medicines exactly as prescribed.

How soon can you start ART for HIV?

Treatment guidelines from the U.S. Department of Health and Human Services recommend that a person living with HIV begin ART as soon as possible after diagnosis. Starting ART slows the progression of HIV and can keep you healthy for many years.

Can HIV drugs prevent HIV?

With drug resistance, HIV medicines that previously controlled a person’s HIV are not effective against new, drug-resistant HIV. In other words, the HIV medicines can't prevent the drug-resistant HIV from multiplying. Drug resistance can cause HIV treatment to fail. A person can initially be infected with drug-resistant HIV or develop ...

What happens if you stop HIV treatment?

This means that if the treatment is ever stopped, a latently-infected cell can be reactivated, causing the cell to begin to produce HIV again.

What is the challenge of HIV?

This is the gradual loss of the immune system’s ability to recognize the virus and launch an appropriate response.

How long does it take for HIV to replicate?

The replication cycle of HIV takes a little more than 24 hours.

What type of treatment shows initial potential?

One type of treatment that shows initial potential is stem cell-based gene therapy —an approach largely informed by Brown's case.

How many subtypes are there in HIV?

For example, in HIV-1 (a single strain of HIV), there are 13 distinct subtypes and sub-subtypes that are linked geographically, with 15% to 20% variation within subtypes and variations of up to 35% between subtypes. 4. Not only is this a challenge in creating a vaccine, but also because some of the mutated strains are resistant to ART, ...

Is TasP a cure?

While it's not a "cure," per se, the "treatment as prevention" (TasP) strategy—involving taking daily HIV medication—has been highly effective in reducing transmission for those who are already HIV-positive. 2

Who was the first person to be cured of HIV?

Perhaps the best-known case so far has been Timothy Brown, also known as "the Berlin Patient," who is considered to be the first person to have been "functionally cured" of HIV.

Why were participants more susceptible to HIV?

They speculated that those participants were more susceptible to HIV because they already had immunity to adenovirus 5 and that dampened HIV-protective responses from the vaccine.

How many trials have been done to test the efficacy of HIV?

To date, there have been only a handful of clinical trials to test the efficacy of potential HIV vaccines in people. Of the six trials that scientists saw to completion, only one vaccine candidate proved effective at preventing infection.

How does a virus hide from the immune system?

What’s more, the virus deploys multiple tactics to hide from the immune system. One tactic the virus uses is to cover parts of its surface in a dense layer of sugar molecules. Many of those surfaces would be the prime targets of immune proteins called antibodies that latch onto viral particles.

What was the first time people marched against HIV?

The complex biology of HIV makes the virus a tough target to tackle. The early days of the HIV pandemic in the United States were fraught with controversy as some people saw AIDS as a disease that affected only the gay community. In July 1983, people marched in Washington, D.C., to demand the funds to fight HIV/AIDS.

How long does it take for a virus to get rid of?

“If [the immune system] doesn’t get rid of the virus within 24 hours, the virus has won.”

How many people have been infected by HIV in 2019?

Meanwhile, the HIV pandemic, which probably got its start in Congo in the 1920s, has led to devastating loss. More than 75 million people have been infected around the world as of the end of 2019.

When was the HIV trial halted?

The trial was halted in February 2020 after an interim analysis found that the vaccine was not effective at preventing HIV infection. Gallo Images/The Times/Jackie Clausen.

Why is the HIV epidemic not over?

Why the HIV epidemic is not over. Fear, stigma and ignorance. That is what defined the HIV epidemic that raged through the world in the 1980s, killing thousands of people who may only have had a few weeks or months from diagnosis to death - if they even managed to be diagnosed before they died. “With no effective treatment available in ...

When did HIV become a cause of AIDS?

At the beginning of the 1980s, before HIV had been identified as the cause of AIDS, the infection was thought to only affect specific groups, such as gay men in developed countries and people who inject drugs.

What is the multisectoral response to HIV?

During the first decade of the response, it became increasingly evident that an effective HIV response required a multisectoral response: to tackle marginalization, stigma and discrimination, to address the economic, social and security threats of a rapidly expanding pandemic, and to generate the necessary human and financial resources to sustain worldwide action. In 1996, UNAIDS (the Joint United Nations Programme on HIV/AIDS) was established to lead a multisectoral response. In 2000, the United Nations General Assembly adopted the Millennium Development Goals, which committed to ‘halting and reversing the AIDS epidemic by 2015’. In 2002, The Global Fund to Fight AIDS, Tuberculosis and Malaria was established as a financing mechanism to attract and invest resources to end these three diseases. A year later, in 2003, the United States President’s Emergency Plan for AIDS Relief (PEPFAR) was launched, the largest ever bilateral international health initiative.

What is the target for HIV in 2020?

By 2020, the targets were that: 90% of all people living with HIV will know their HIV status; 90% of all people diagnosed with HIV infection will receive sustained antiretroviral therapy; and 90% of all people receiving antiretroviral therapy will achieve viral suppression. WHO and HIV: 30-year timeline.

Why is the red ribbon used for HIV?

At that time New York based artists from the Visual AIDS Artists' Caucus created the symbol, choosing the colour for its "connection to blood and the idea of passion—not only anger, but love...".

How many people have died from HIV?

Since the beginning of the epidemic, more than 70 million people have acquired the infection, and about 35 million people have died. Today, around 37 million worldwide live with HIV, of whom 22 million are on treatment. When World AIDS Day was first established in 1988, the world looked very different to how it is today.

When was the AIDS photo first published?

The image was first published in 1990 in Life magazine, who called it “The photo that changed the face of AIDS". © Therese Frare. 1 December 2018 marks the 30th anniversary of World AIDS Day – a day created to raise awareness about HIV and the resulting AIDS epidemics.

What happens if you wait too long for HIV?

The longer you wait, the more HIV replicates — and the weaker you and your defenses get.

What does HIV do to T cells?

HIV hijacks your CD4 (or t-cells) and uses them to replicate (make copies). CD4 cells are like the quarterbacks of your immune system, so it’s not so good when your quarterback starts playing for the other team! The more virus you have in your blood, the more CD4 cells get hijacked, making it even harder to defend against HIV and other infections.

What does it mean to start treatment?

It can sound like a lot of trouble, but that’s mostly because you haven’t done it yet. Starting treatment means you just make some new habits. Once you decide to commit to new, healthy habits, they can quickly become a regular part of your life.

Can you start HIV treatment after testing positive?

Doctors usually want you to start HIV treatment ASAP after you’ve tested positive for HIV. But sometimes it can be tempting to put off treatment. Treatment means doctor’s visits, taking your meds every day, getting labs done. It can sound like a lot of trouble, but that’s mostly because you haven’t done it yet.

Is it better to start treatment right away if you are HIV positive?

It’s up to you and your doctor to make the best treatment plan for you, but even if you are newly infected, experts know it’s better for your long-term health to start treatment right away. You may have heard someone who is HIV positive saying, “I have HIV, but HIV doesn’t have me.”. That’s the final benefit of treatment: If you control HIV, ...

Is HIV scary?

Anything you hear about HIV tends to be scary at first. In the old days, before HIV medicines became so effective, an HIV-positive diagnosis was life-changing in a different way than it is now. But now, we’ve learned so much about HIV and have many great meds to treat it. The key is, taking those meds!

Can HIV meds cure HIV?

They are the like the perfect linemen that every quarterback wishes they had! HIV meds can’t cure HIV, but as long as they protect the majority of your CD4 cells, they keep your immune system strong and healthy, suppress the virus, help you live a long, healthy life, and even protect your partner.

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