Phylogenetic clustering networks among heterosexual migrants with new HIV diagnoses post-migration in Australia

Phylogenetic clustering networks among heterosexual migrants with new HIV diagnoses post-migration in Australia

Rachel Sacks-Davis  et al

PLOS One

Published: September 1, 2020

https://doi.org/10.1371/journal.pone.0237469

Background:

It is estimated that approximately half of new HIV diagnoses among heterosexual migrants in Victoria, Australia, were acquired post-migration. We investigated the characteristics of phylogenetic clusters in notified cases of HIV among heterosexual migrants.

Conclusion:

Migrants appear to be at elevated risk of HIV acquisition, in part due to intimate relationships between migrants from the same country of origin, and in part due to risks associated with the broader Australian HIV epidemic. However, there was no evidence of large transmission clusters driven by heterosexual transmission between migrants. A multipronged approach to prevention of HIV among migrants is warranted.

 

Disparities in characteristics in accessing public Australian sexual health services between Medicare‐eligible and Medicare‐ineligible MSM

Disparities in characteristics in accessing public Australian sexual health services between Medicare‐eligible and Medicare‐ineligible men who have sex with men

Australian and New Zealand Journal of Public Health

Anysha M. Walia, Christopher K. Fairley, Catriona S. Bradshaw, Marcus Y. Chen, Eric P.F. Chow

First published: 31 August 2020
https://doi.org/10.1111/1753-6405.13029
Abstract:

Objectives: Accessible health services are a key element of effective human immunodeficiency virus (HIV) and sexually transmitted infection (STI) control. This study aimed to examine whether there were any differences in accessing sexual health services between Medicare‐eligible and Medicare‐ineligible men who have sex with men (MSM) in Melbourne, Australia.

Methods: We conducted a retrospective, cross‐sectional study of MSM attending Melbourne Sexual Health Centre between 2016 and 2019. Demographic characteristics, sexual practices, HIV testing practices and STI diagnoses were compared between Medicare‐eligible and Medicare‐ineligible MSM.

Results: We included 5,085 Medicare‐eligible and 2,786 Medicare‐ineligible MSM. Condomless anal sex in the past 12 months was more common in Medicare‐eligible compared to Medicare‐ineligible MSM (74.4% vs. 64.9%; p<0.001) although the number of partners did not differ between groups. There was no difference in prior HIV testing practices between Medicare‐eligible and Medicare‐ineligible MSM (76.1% vs. 77.7%; p=0.122). Medicare‐ineligible MSM were more likely to have anorectal chlamydia compared to Medicare‐eligible MSM (10.6% vs. 8.5%; p=0.004).

Conclusions: Medicare‐ineligible MSM have less condomless sex but a higher rate of anorectal chlamydia, suggesting they might have limited access to STI testing or may be less willing to disclose high‐risk behaviour.

Implications for public health: Scaling up access to HIV and STI testings for Medicare‐ineligible MSM is essential.

Sex and gender: modifiers of health, disease, and medicine

The Lancet, Volume 396, Issue 10250, 22–28 August 2020, Pages 565-582
Mauvais-Jarvis, F., et al

Clinicians can encounter sex and gender disparities in diagnostic and therapeutic responses. These disparities are noted in epidemiology, pathophysiology, clinical manifestations, disease progression, and response to treatment. This Review discusses the fundamental influences of sex and gender as modifiers of the major causes of death and morbidity. We articulate how the genetic, epigenetic, and hormonal influences of biological sex influence physiology and disease, and how the social constructs of gender affect the behaviour of the community, clinicians, and patients in the health-care system and interact with pathobiology. We aim to guide clinicians and researchers to consider sex and gender in their approach to diagnosis, prevention, and treatment of diseases as a necessary and fundamental step towards precision medicine, which will benefit men’s and women’s health.

 

Online training: Hepatitis C in Primary Care

ASHM, August 2020

This training aims to provide participants with the knowledge and confidence to pursue the management of HCV in their primary care setting.

Primary care providers can play a critical role in the elimination of hepatitis C in Australia by 2030.

This workshop will provide an overview of the management of HCV in primary care
settings, including case finding, testing, patient assessment and treatment.

Learning Objectives:

• Identify priority populations for HCV screening
• Order and interpret tests appropriately to diagnose chronic HCV infection
• Describe the recommended pre-treatment assessment
• Demonstrate understanding of antiviral therapy for treatment of HCV
• Communicate confidently with patients about HCV

Webinar Presenter: Dr Alireza Ahmavand, General Practitioner, Arafura Medical Clinics – Casuarina

Target Audience:
General Practitioners, Nurse Practitioners, nurses, primary care-based practitioners
and other health care workers.

When: Wednesday 19 August 2020 7.30pm – 9.00pm AEST  (7 – 9.30 pm ACST)

Delivered online, free

This activity is allocated 3 activity points in the RACGP QI&CPD Program for the
2020-2022 Triennium.

For further details or assistance contact: Molly Stannard

 

Abnormal Uterine Bleeding – RACGP seminar by Dr Amy Moten

RACGP, August 2020

SHINE SA’s Sexual Health Practitioner, Dr Amy Moten will be presenting an online webinar on behalf of the RACGP on Abnormal Uterine Bleeding.  

Abnormal uterine bleeding is a common presentation in general practice with heavy menstrual bleeding affecting 25% of people who are menstruating. This presentation will discuss the common causes of heavy menstrual bleeding and other menstrual irregularities and describe appropriate investigation and management of abnormal uterine bleeding.

COST: FREE (for RACGP Members)
DATE: Tuesday 11 August 2020
TIME: 7:00 pm – 8:30 pm ACST

 

Diagnosis and Management of Syphilis in Patients With HIV Co-infection

Khaw, C., Malden, C., Ratnayake, M. et al. Diagnosis and Management of Syphilis in Patients With HIV Co-infectionCurr Treat Options Infect Dis (2020). https://doi.org/10.1007/s40506-020-00225-6

Published

Purpose of review

Syphilis cases are on the increase especially in men who have sex with men (MSM) in urban areas of high-income countries.

There is a strong association between syphilis and HIV infections.

We review the more recent literature regarding the epidemiology, clinical manifestations, diagnostic investigations, treatment and follow-up of syphilis in HIV infection.

  • Read abstract here (For full text access you can purchase from the publisher or see your librarian)