AfA Look Back 2014

As the year draw to a close, we would like to take this chance to look back on a wonderful year, filled with activities, sweat and joy.

So here’s a huge thank you to all our volunteers, members and advocates. We couldn’t have done it without you. Let’s do it (even) better in 2015.

—————

Song – Broke for Free – Night Owl http://freemusicarchive.org/music/Broke_For_Free/Directionless_EP/

Non-Occupational Post-Exposure HIV Prophylaxis

Introduction to PEP

Post-Exposure Prophylaxis (PEP) is any prophylactic (preventive) treatment started immediately after exposure to be pathogen (such as a virus) with the aim to prevent infection.


What is PEP?

PEP is the use of Antiretroviral Therapy (ART), often becoming the standard of care for healthcare workers, who hold on to the risk of occupational exposure to HIV. PEP should ideally be initiated within 72 hours of exposure, failing which is not advised.


Who needs PEP?

Anyone who have experienced condom failure or were involved in any form of unprotected anal or vaginal intercourse, receptive fellatio with ejaculation with:

  • A known HIV-infected partner and or
  • HIV at-risk groups (commercial sex workers, IV drug users, men who have sex with men – including bisexual men) and or
  • A person who was forced into any sexual act involuntarily (raped).

Before PEP Prescription

A detailed history of the exposure if crucial in evaluating a patient. An assessment will then be done by the doctor to determine the likelihood of HIV transmission. The level of risk can be estimated with the following table:

ExposureEstimated Risk
Needle stick injury0.33%
Receptive anal intercourse1%
Insertive anal intercourse0.04%
Receptive vaginal intercource0.1%
Insertive vaginal intercourse0.05%
Receptive fellatio with ejaculation (Oral Sex)0.04%
Sharing needles0.67%

The patient will then be advised on the risks, benefits and alternatives of PEP. Should the decision be made to proceed with treatment, it would be important to follow-up for: potential side effects of the medications, repeat HIV screenings as well as reinforcement of counselling messages.


Course of PEP

The full course for this PEP drug combination will be for a duration of 28 days. AfA Is working closing with DSC Clinic to bring you PEP at very affordable rates.


Adverse Effects of PEP

Any drugs prescribed have the potential possibility of side effects.

These symptoms includes nausea and diarrhoea.

It is advisable to check with your healthcare provider on what are the possible side effects on the medications being prescribed to you.


Do you think you need PEP?


Other Information

  • Exposure to saliva, urine, tears and sweat are not thought to be infectious
  • HIV transmission from splashes of contaminated fluids to mucosal surface (i.e. nostrils, mouth, lips, eyelids, ears, genital area and the anus) or non-intact skin is likely to be low, although it has not been accurately justified
  • PEP treatment is not 100% effective, best reports quote that PEP can potentially decrease the possibility of transmission by 81%

Gay and MSM Community Sexual Health Survey Singapore 2014

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HIV infection is spreading rapidly in our community. In 2013 56% of the newly detected HIV infections were among gay and other men who have sex with men (MSM). We estimate that over 5% of all MSM in Singapore are HIV infected. The situation is especially urgent because HIV is infecting more young men, many of whom have not yet started their careers.

Effective information and prevention programmes are needed to slow down the spread of HIV. We are therefore seeking to improve our understanding of sexual health behaviour and attitudes. The Information you provide in this survey is anonymous and will assist us and our partners to plan programmes and deliver services to meet your needs, and the needs of other MSM.

 

各有所爱 - 中元节活动

Our HSO progrmame ambassador Mr. Chen Tian Wen, & Ye Shi Pin will be making appearances at several getai in the month of August.

The Mobile Testing Van will also be near by to provide anonymous HIV testing too!! So mark down on your calendar and join us for a night of fun, informative & unique getai!


 

AFA will be there from 7pm-10pm

 

Consolidated guidelines (UNAIDS 2014)

People at higher risk of HIV infection are not getting the health services they need, according to a new report by the World Health Organization entitled Consolidated guidelines on HIV prevention, diagnosis, treatment and care for key populations.

Released on 11 July, the publication warns that failure to provide adequate

 

HIV services for key groups, such as men who have sex with men, people in prison, people who inject drugs, sex workers and transgender people, threatens the global progress of the HIV response.

The consolidated guidelines outline the steps for countries to take to reduce new HIV infections and increase access to HIV testing, treatment and care services by populations at higher risk. The report aims to provide a comprehensive package of evidence-informed HIV-related recommendations for all populations, increase awareness of the needs of and issues important to key populations, improve access, coverage and uptake of effective and acceptable services, and catalyse greater national and global commitment to adequate funding and services.

“Failure to provide services to the people who are at greatest risk of HIV jeopardizes further progress against the global epidemic and threatens the health and well-being of individuals, their families and the broader community.”

Gottfried Hirnschall, Director of the HIV Department at the World Health Organization


 

First published – July 11 2014

Better HIV Testing Options

First Published on HIV Plus Mag, By Dr. Gerald Schochetman, June 27 2014

National HIV Testing Day reminds us that every nine and a half minutes, someone in the United States is infected with HIV, which is why we need to empower ourselves with the latest tools at our disposal.

It has been more than 30 years since HIV was first identified, and we have changed the course of this deadly disease. Breakthroughs in treatment in the mid-1990s have led to longer and healthier lives for people living with HIV and have resulted in dramatic declines in HIV-related deaths. HIV prevention has also saved countless lives—including an estimated 350,000 in the United States alone.

So why are many public health experts calling for an update to current HIV testing guidelines, that at least in part, depend on 25-year-old testing technology?

Read More

Our Mobile Testing Service uses the new HIV combo test (Antigen & Antibodies)

MSM Community Symposium

Introduction
The gay and MSM community is experiencing increasing numbers diagnosed with HIV infection every year. Many of the MSM who are diagnosed are young (29 years and below).

We would like to take this opportunity to invite our community stakeholders to come together, as a community, for a meeting to discuss the issue of HIV and MSM in Singapore and to hopefully come up with new & better ideas to stop the spread of the infection and to assist those with HIV./AIDS amongst us.

This event will be held just before Pink Dot and will be a timely call for action to keep all members of our community in good health.

Objectives

  1. Provide updates on HIV and STI prevention , treatment and care
  2. Be a platform for brainstorming and sharing of resources
  3. Build new and strengthen existing partnerships and networks

Who Should Attend

  1. Community leaders and partners who have a stake and interest in HIV prevention and support for MSM
  2. Concerned individuals who are willing to contribute actively and constructively to the discussion
  3. Interested organisations should nominate key personnel to attend

Event Details

  • Venue : Park Royal at Pickering (Conference Room 1 Lvl 2 )
  • Date: 28 June 2014
  • Time: 12:30 Registration

RSVP Details

RSVP by June 25 – Participants are welcome to stay as observers for Action for AIDS’s Annual General Meeting and thereafter, proceed across the street to Hong Lim Park for Pink Dot.

Daniel Le

Manager

MSM Programme Outreach

daniel.le@afa.org.sg


Agenda

Topic Speaker
Welcome Prof. Roy Chan
HIV/STIs Epidemiology and Statistic
HIV Prof. Roy Chan (AFA)
STIs Dr. Gavin Ong (NSC)
Clinical Services for MSM for HIV/STI
HIV A/Prof. Lee Cheng Chuan (CDC)
STIs Dr. Martin Chio (NSC)
Break
Support Services for MSM and HIV
Coordinated Care Anwar Hashim (AFA)
PLC/MSM Support Group Paul Toh
Newly Diagnosed Priority Programme Avin Tan (AFA)
Intervention and Education Programmes
Counselling Bryan Choong (Oogachaga)
Youth Social Support Hafiz Muhd (SG Rainbow)
Varify – Testing buddy Nathan Renga (Purple Alliance)
gayhealth.sg Daniel Le/Avin Tan (AFA)