Nearly four in 10 US HIV infections from people unaware of infection

This electron microscope image made available by the U.S. National Institutes of Health shows a human T cell, in blue, under attack by HIV, in yellow, the virus that causes AIDS. (AP)
Updated 19 March 2019
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Nearly four in 10 US HIV infections from people unaware of infection

  • The Trump administration has said it will invest $291 million in the next financial year to fight HIV/AIDS, which has plateaued since 2013 to around 39,000 annual transmissions

WASHINGTON: Almost 40 percent of new HIV cases in the US occur because people do not know they are infected, while a similar proportion know but are not in treatment, according to a study released Monday.
The report by the Centers for Disease Control and Prevention (CDC) is based on 2016 data and aims to bolster a strategy outlined by President Donald Trump to end the epidemic within 10 years.
The strategy has two main strands: far more widespread screening, and enabling the infected better access to treatment from the moment they test positive.
The study found that 38 percent of infections came from HIV-positive people who were unaware of their status, and 43 percent from people who knew they were infected but took no anti-retroviral drugs.
The remaining infections came from people who were receiving HIV treatment but were not yet “virally suppressed.”
The CDC blamed financial, social and other reasons for people not using medication, which these days typically comes in the form of a daily pill with minimal side effects.
The study said that the infection rate from the half million people in the United States who take medication and are virally suppressed — meaning they cannot pass on the disease to others — was zero.

The most at-risk group remains homosexual men, with almost three-quarters of new infections coming from men having sex with men, the report said.
Five percent of infections came from intravenous drug abuse among homosexual men, while 10 percent came from injecting drugs among the rest of the population.
Twelve percent of infections were among heterosexuals. Overall, the highest rate of transmission was among 13 to 24-year-olds.
The Trump administration has said it will invest $291 million in the next financial year to fight HIV/AIDS, which has plateaued since 2013 to around 39,000 annual transmissions.
The goal is to reduce that number by 75 percent within five years and by 90 percent in 10 years.
Questioned about the relatively small amount of money earmarked for the multi-billion dollar task of treating HIV carriers, CDC head Robert Redfield said he was “confident that the resources that are required to accomplish this mission are in the long term plan.”
The CDC, based in Atlanta, Georgia, wants doctors to make HIV screening a routine procedure.
“Everyone between the ages of 13 and 64 should get tested for HIV at least once in their lifetime,” said Eugene McCray, the head of the CDC’s Division of HIV/AIDS Prevention.
“Those at higher risk should get tested at least annually,” he said.
“The key to controlling is helping those with HIV to control the virus,” said the CDC’s Jonathan Mermin, who focuses on preventing the spread of the HIV as well as other sexually transmitted diseases, tuberculosis and hepatitis.
“Time spent working closely with patients who are having trouble paying for, picking up or taking their daily medications is time well spent“


'No collusion, no obstruction' Trump declares victory as Mueller report published

Updated 18 min 5 sec ago
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'No collusion, no obstruction' Trump declares victory as Mueller report published

  • Justice Department released the full — though redacted — report from Special Counsel Robert Mueller on Russian medaling in US election
  • Attorney General Bill Barr said in a summary of the report that there was no collusion between Trump and Russians

WASHINGTON: President Donald Trump, backed by his attorney general, declared himself fully vindicated Thursday in the investigation into Russian election meddling and alleged collusion with his campaign — before the long-awaited full probe report was made public.
“Game Over,” Trump tweeted, using a “Game of Thrones” style montage that pictured him standing in dramatic fog.


Just about an hour later, the Justice Department released the full — though redacted — report from Special Counsel Robert Mueller, which nevertheless raised questions about Trump’s actions, saying investigators were “unable” to clear him of obstruction.
Weeks ago, Attorney General Bill Barr said in a summary of the report that there was no collusion between Trump and Russians seeking to influence the 2016 presidential election in his favor.
In a nationally broadcast news conference held right before the report’s release, Barr repeatedly drove that point home.
“We now know that the Russian operatives who perpetrated these schemes did not have the cooperation of President Trump or the Trump campaign,” Barr told reporters, in a statement that effectively sought to spin the report before it was released.
“The special counsel found no collusion by any Americans,” Barr said.
“That is the bottom line.”
The extreme secrecy surrounding Mueller’s nearly two-year investigation ended abruptly at about 11a.m. in Washington when the 400-odd pages of the report were made public to Congress, the media and the public.
The report’s publication marks a new peak in a political storm raging over Washington throughout the first half of Trump’s first term in office.
While leftist opponents long hoped that Mueller would either charge Trump with crimes or provide evidence for impeachment, the outcome so far has favored the divisive, right-wing Republican president.
“NO COLLUSION. NO OBSTRUCTION,” a triumphant Trump wrote in his “Game of Thrones” pastiche tweet.
Later, he said at the start of a speech: “I’m having a good day.”
Barr emphatically sought to clear Trump of allegations that his actions — including his public attacks on Mueller and firing of then FBI chief James Comey — were not legally actionable.
The Trump-appointed attorney general had already asserted this in his summary of Mueller’s report a month ago, despite noting that Mueller himself had been unable to rule clearly on the issue.
At his news conference, Barr said he was standing by his own ruling, noting that Trump had no intention to obstruct and had merely been “frustrated and angered.”
“The White House fully cooperated with the special counsel’s investigation, providing unfettered access to campaign and White House documents, directing senior aides to testify freely, and asserting no privilege claims,” he said.
“And at the same time, the president took no act that in fact deprived the special counsel of the documents and witnesses necessary to complete his investigation.”
But the report said: “If we had confidence after a thorough investigation of the facts that the president clearly did not commit obstruction of justice, we would so state.
“Based on the facts and the applicable legal standards, however, we are unable to reach that judgment.”
Publication of the report — minus parts blacked out for legal or security reasons — will in theory give everyone a chance to get the full picture on a scandal that has been tangled in conspiracy theories.
But given the volcanic political temperature in Washington and the left-right chasm through the rest of the country ahead of Trump’s 2020 re-election bid, the debate over what really happened is likely to rage on.
At a minimum, the details — based on exhaustive interviews by Mueller’s prosecutors with Trump insiders — could paint an unflattering picture of the president and his links to Russia, including a previously undeclared real estate project in Moscow.
The deeper analysis of whether he committed obstruction of justice could also provide headaches for the White House.
Trump himself is supremely confident that his opponents have failed in what he claims was high-level “treason” to destroy his presidency.
“The Greatest Political Hoax of all time! Crimes were committed by Crooked, Dirty Cops and DNC/The Democrats,” the president said before Barr took the podium, reprising many of his favorite slogans about his opponents.
Claiming that Barr has been working to hamper and whitewash the Russia report, Democrats will push for still more details and testimony in the near future — including from Mueller himself.
“It is clear Congress and the American people must hear from Special Counsel Robert Mueller in person to better understand his findings,” House Judiciary Committee Chairman Jerry Nadler tweeted.
Nadler set a deadline of May 23 for Mueller to come to Capitol Hill.