Could It Be HIV? Video for GPs

Thorne Harbour Health, November 2017

‘Could it be HIV?’ features of the story of Abby Landy, whose story is all-too-common for the many individuals who are given a late HIV diagnosis.

Produced with the support of ViiV healthcare, this video encourages clinicians and doctors to ‘consider HIV’. This clip also features Professor Jenny Hoy from Alfred Health.

“This video is vital. We shouldn’t be missing opportunities to diagnose HIV. With a late diagnoses, there is already substantial damage to the immune system. Diagnosing HIV in a timely manner is paramount — for the benefit of the individual as well as the benefit of the broader community’s health and wellbeing.” – Jenny Hoy

  •  Watch embedded video below:

A community perspective: On Human Papillomavirus (HPV)-related cancer among women and, trans and gender diverse people

Positive Life NSW & Femfatales, April 2019

Authors: Liz Sutherland, Lance Feeney, Katya Samodurov

Human papillomavirus (HPV) is a common virus which can be passed through skin to skin contact during sexual activity. Evidence to date shows that women living with HIV are 3 to 6 times more likely to develop cervical cancer than the general female population. They are also at greater risk of developing anal, vaginal, oropharyngeal and vulvar cancers.

There are other groups who may have a higher but preventable risk because they are often left out of the conversation about HPV and related cancers. Trans men are less likely to be up-todate with Pap tests to screen for cervical cancer. Furthermore, several studies have highlighted that trans and gender diverse people, and lesbian and bisexual cis-gendered women are often disregarded as not being at risk.

Positive Life and Femfatales developed a cross-sectional study to:

• Assess awareness and knowledge of HPV infection and risk for 4 HPV-related cancers (cervical, vaginal, vulvar, and anal) among women and, trans and gender diverse people in Australia;

• Assess the knowledge gaps to inform the development and implementation of population-specific educational resources to increase community and healthcare professional awareness of HPV and related cancers;

• Assist with the prevention of morbidity and mortality by increasing screening, early detection and treatment of HPV-related cancers, and;

• Assess rates of HPV vaccination in women and, trans and gender diverse people

KEY FINDINGS:

1. The results from this survey highlighted a lack of awareness of risk, prevention,
symptoms, and early detection of HPV-related vaginal, vulvar, and anal cancers.

2. Approximately 28% of HIV-positive respondents were unaware that a vaccination
against HPV exists and 71% of HIV-positive respondents had not been vaccinated
against HPV.

3. Over half (60%) of HIV-positive respondents believe their risk of anal cancer was either‘about the same’, ‘lower’, or ‘much lower’ than the general female population’s risk.

4. While all HIV-positive respondents had screened for cervical cancer at some point in
their lives, 91.7% had never had an anal examination for anal cancer.

5. Among HIV-positive and HIV-negative but immunocompromised respondents who had undergone staging or treatment for either cervical, vaginal, or vulvar cancer, none had ever screened for anal cancer.

6. Of the HIV-positive respondents who do not receive screening reminder notifications, none were aware of the new 3 yearly National Cervical Screening Guidelines and changes.

7. Qualitative responses indicated that respondents generally preferred having clinician-initiated conversations with female doctors or nurses who were non-judgemental, non-dismissive, clear, and made them feel comfortable.

8. In an open-ended short-answer question, more than 25% of qualitative respondents felt that more awareness and normalising talking about HPV in the public realm would help increase their chance of detecting HPV-related cancer early.

Survey for all women and anyone with a cervix: HPV-related cancer awareness

Positive Life in partnership with Femfatales, the National Network of Women Living with HIV, 2018

All women and anyone with a cervix in Australia, both HIV-positive and HIV-negative, are invited to take an online, anonymous survey about awareness of HPV and related cancers.

Positive Life NSW in partnership with Femfatales, the National Network of Women Living with HIV, has developed a survey to assess levels of HPV-related cancer awareness among women.

The results of this survey will help them better understand how they can support women to prevent HPV-related cancer and how they can support women in recovery from HPV-related cancer. The responses will also assist in the development of targeted educational resources for immunocompromised women and women living with HIV, who are three times more likely to develop cervical cancer. No identifying information will be collected.

The online survey will take approximately eight minutes to complete. If you require a hard-copy of the survey, they can mail some to you with reply paid envelopes: please feel free to contact Katya on (02) 9206 2178 or at KatyaS@positivelife.org.au

Disclaimer – the responsibility for the ethical aspects of this survey are with the organisation Positive Life NSW. SHINE SA accepts no responsibility or liability for the survey.

Smoking causes one in five cancers in people with HIV in North America

aidsmap/nam, 22 January 2018

A fifth of all cancers in people receiving HIV care in North America between 2000 and 2015 was due to smoking, according to US research published this month in advance online by the journal AIDS.

“In the United States, the prevalence of smoking among HIV-infected people is substantially higher than in the general population, and most HIV-infected individuals either currently smoke or have previously smoked,” comment the authors. “Our findings indicated that a substantial fraction of cancer diagnoses among HIV-infected individuals potentially would not have occurred if they had never smoked.”

Thanks to improvements in HIV treatment and care, most people with HIV now have a normal or near-normal life expectancy. As these people age, non-AIDS-related cancers are an important cause of death.

Gardasil 9 now on the National Immunisation Program

AJP, 9th Oct 2017

The Government has announced free access for young people to the improved HPV vaccine.

From 2018, Gardasil 9, which protects against nine HPV strains (up from four) will be offered through school-based immunisation programs to all 12 to 13-year-old boys, and girls in years seven or eight.

Position statement on Human Papillomavirus (HPV) vaccination

VAC, 2015/2017

Community members have recently been expressing interest in human papillomavirus vaccines (HPV) in online discussions. Health bodies in both the UK and Ireland have recommended that all gay and bisexual men receive the vaccine in order to reduce their risk of certain cancers.

VAC developed a position statement on this issue back in July 2015 in association with Melbourne Sexual Health Centre, which states that VAC believes the vaccines should be made available free of charge to all gay, bisexual and other MSM under the age of 26, and to all people living with HIV.

Download the position statement (PDF) at this link: PositionStatement_HPVvaccination_JULY2015