New video: 5 Things You Need to Know About PEP

SAMESH, August 2017

SAMESH has released a new PEP video on their YouTube Channel. The is about Post-Exposure Prophylaxis (PEP) for HIV prevention. PEP is a course of medication that if begun within 72 hours of exposure (the sooner the better) may prevent you becoming infected with HIV.

PEP after Non-Occupational and Occupational Exposure to HIV: Australian Guidelines revised

Our apologies to those who tried to access SASHA while it was down. The technical difficulties have now been resolved.

——————————————————————————————————————–

Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine, August 2016

The Second edition of the Post-Exposure Prophylaxis after Non-Occupational and Occupational Exposure to HIV: Australian National Guidelines is now available.

These guidelines outline the management of individuals who have been exposed (or suspect they have been exposed) to HIV in non-occupational and occupational settings.

There are currently no data from randomised controlled trials of the use of post-exposure prophylaxis (PEP) and evidence for use has been extrapolated from animal data, mother to child transmission, occupational exposure and small prospective studies of PEP regimens in HIV-negative men. Accordingly, assumptions are made about the direction of management.

Every presentation for PEP should be assessed on a case-by-case basis, balancing the potential harms and benefits of treatment.

Recommendations following non-occupational exposure have been updated, and information about PEP in the context of pre-exposure prophylaxis (PrEP), PEP and children, renal disease, and gender identity and history has been added.

  • Download the revised guidelines (PDF) here
  • Updates to the supplementary documents, as well as a navigable website for the guidelines, will soon be available. At present, the 2013 literature review and checklist are still available, linked below:

    PEP Checklist (2013)

    Literature Review (2013)

 

Experiences of HIV: The Seroconversion Study: Final report, 2007 – 2015

The Kirby Institute, UNSW, July 2016

The Seroconversion Study has existed in several forms since 1992. This most recent version completed data collection in 2015. Seroconversion studies have played an important role in the Australian HIV response and are a useful research tool in understanding the current circumstances of HIV infection.

As with previous versions of the study, this one mainly targeted gay and bisexual men (GBM). However, some limited data were collected from women and heterosexual men in this current version.

The Summary of Findings includes:

  • There are multiple reasons why men avoid or delay testing in the months or years prior to their diagnosis, including the belief that they had not done anything ‘risky’, and fear of being told they were HIV-positive. Men who were less socially connected to other gay men were more likely to have avoided or delayed testing prior to their diagnosis.
  • On reflection, most men were satisfied with how they were tested and how they received their positive diagnosis.
  • Knowledge of post-exposure prophylaxis (PEP) at the time of their HIV infection was
    surprisingly low among these recently diagnosed individuals.
  • Few HIV infections among gay men are attributable to sex with their primary regular male partner (or ‘boyfriend’).
  • On the occasion when they believe they were infected, gay men who acquire HIV showed little evidence of the use of risk reduction strategies.
  • After diagnosis, and for some time thereafter, most gay men with HIV dramatically change their sexual behaviour in ways that would likely minimise the possibility of onward transmission.
  • Some individuals felt that their mental health had deteriorated since their diagnosis.
  • Access to peer-support after diagnosis was a key predictor of changes in sexual behaviour, disclosure of HIV status to others, and access to information.
  • The decision whether or not to commence ART by HIV-positive gay men continues to be a challenging one.
  • There was little evidence of substantial differences across the jurisdictions, except those that would be expected.
  • There was also little evidence of substantial changes over time.
Download report (PDF, 208 pages) here

SAMESH Newsletter (5) September 2015

samesh 2

South Australian Targeted HIV and STI Prevention Program

Newsletter (5) September 2015 

It’s been an exciting month for SAMESH with us finding a new home, rolling out new STI and HIV campaigns and recruiting SAMESH volunteers.

QUICK NEWS

  • The lease has been signed and the SAMESH team have a new home! SAMESH will be found in the city at 57 Hyde Street, Adelaide. We’ve set a move date for 2 November, so stay tuned for SAMESH’s official launch at our new site.
  • SAMESH has a new website: www.samesh.org.au/. Also you can follow us on Facebook and Twitter
  • SAMESH wishes to thank Jan Fisher for her generous donation of 600 books to SAMESH. We have made a commitment to Jan Fisher that the books will be made available to community members. SAMESH will establish a library committee in January 2016 and recruit community volunteers to ensure the new SAMESH Library grows and is accessible to the LGBTIQ community.
  • SAMESH has sponsored Feast, and our commitment has been recognised by Feast naming SAMESH the Official Health Partner for 2015 -2016. SAMESH looks forward to working with Adelaide’s leading LGBTIQ Arts Festival throughout the year. Look out for our Drama Down Under Spring campaign throughout the festival.
  • The inaugural South Australian HIV and STI Collaborative Action Group (CAG) had its first meeting, and the HIV sector of South Australia will work collaboratively throughout 2015 -2016 to implement the SA HIV Implementation and Evaluation Plan.
  • SAMESH wishes to thank Ian Purcell, Tim Reeves and Will Sergeant for inviting SAMESH to attend numerous commemorative events for the 40th Anniversary Celebration of Gay Law Reform in South Australia. SAMESH’s Team Leader, Wills Logue, looks forward to participating in the State of LGBTI Rights community forum run by the Gay and Lesbian Health Alliance on Saturday 17 October, at the Wheatsheaf Hotel.

COUNSELLING

SAMESH Counselling Service has begun at SHine SA with our peer counsellor Rob Willoughby. A new online counselling service will commence when SAMESH moves to the city location. For an appointment with Rob (Tuesday – Thursday) call Shine SA reception on 1300 794 584.

SAMESH will establish a peer volunteer counselling service in the near future. If you’re a qualified counsellor and a gay man and/or person living with HIV, please contact our volunteer coordinator Daniel Jefferies via email:   daniel.jeffries@shinesa.org.au

VOLUNTEERS

SAMESH’s Volunteer program is up and running. We have recruited community members to pack our ‘Safe Packs’ for distribution across Adelaide gay venues, social groups and sexual health Clinics.

We’re looking to recruit volunteers to help with SAMESH outreach during Pride March, Feast, Picnic and World AIDS Day. If you want more information contact Daniel, details below.

SAMESH volunteer co-ordinator delivered his first sauna outreach sessions last Friday and we’re looking to recruit and train community members to provide sexual health information to sauna users. If you use the sauna and are keen to become a safer sex SAMESH ambassador contact Daniel: email daniel.jeffries@shinesa.org.au

GetPEP

The GetPEP campaign has been launched, with posters being distributed to Pulteney 431, Mars Bar & various pub/club locations around Adelaide over the next month. Look out for SAMESH PEP coasters, condoms and business cards at numerous queer and non queer venues across Adelaide.

Blaze readers can see our PEP advert in the September issue. For further information check out our updated PEP info page: http://www.samesh.org.au/been-exposed-(pep).html

POSITIVE LEADERSHIP DEVELOPMENT – By Steve Moran

A highlight for me has been attending the Positive Leadership Development Institute™ (PLDI™) “Who am I as a Leader” workshop. The workshop was held in the stunning Dandenong Ranges from 4 – 6 September, and to say the workshop was motivational and inspirational would be an understatement!

The Positive Leadership Development (PLDI™) offers people living with HIV across Australia and New Zealand the opportunity to develop skills for leadership and resilience. PLDI™ is about identifying and building the personal sense of agency and capacity that translates into resilient leadership practices and strengthened community outcomes.

The workshop was attended by 12 amazingly diverse people living with HIV (PLHIV) from across Australia and New Zealand. The diversity of our experiences as PLHIV across age, gender, sexuality and time since diagnosis allowed us to bond and discuss the issues that impact our communities and how we can work together to create a rich web of connection and community. The workshop activities were at times personally challenging but intensely rewarding. As a community of people living with HIV we learnt a lot by stepping outside of our own realms of knowledge and connecting with others such as taking more with positive women, younger people living with HIV and people living with HIV from different cultural backgrounds. The people I shared the intense experience with will stay with me forever and since the workshop we have been frantically keeping in touch to build on the sense of urgency, energy and excitement we experienced.

Over the coming months you will be hearing more about the Positive Leadership Development Institute™ and how SAMESH will be supporting other PLHIV in the community to attend future workshops around the country.

If you would like to know more about the Positive Leadership Development Institute please feel free to call me Mon – Fri 08 8300 5371 or email steve.moran@shinesa.org.au.

Are antimicrobial condoms the new frontier against STIs? Not quite…

The Conversation, 13 October 2014, 6.09am AEDT

Australian biotech company Starpharma has announced the imminent launch of a condom coated with an antimicrobial chemical.

While it might be marketed as a great leap forward for preventing sexually transmitted infections (STIs), it’s unlikely to offer any more protection than your average condom.

Read more here