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					Navy HIV Diagnostic Program
CAPT Glenn Schnepf, MC, USN Ms. Edith Smith Mrs. Jacqueline Sheffield

HIV Testing SECNAVINST 5300.30C
• Reasons to Test
– Readiness
• Maintain the safety of the blood supply • Maintain troop readiness • Identify unfitting conditions for worldwide deployment

– Detect immunologic deficiency
• Offer treatment • Process for disability and separation

Navy HIV Testing
SECNAVINST 5300.30C

• Reasons to test, cont:
– Prevent infections
• Sexual partners • Co-workers (walking Blood Bank) • Patients (medical care providers)

– Comply with host nation requirements and SOFA

Navy HIV Testing
SECNAVINST 5300.30C

• Navy Accession Policy
– HIV positive are not eligible for naval service
• The condition existed prior to entry • Potential for life threatening reactions to live virus immunizations at basic training • Not able to participate in battlefield blood donor activities or other military blood donation programs • No way to differentiate those who will progress to clinical disease and those who will remain healthy • Avoid medical costs • The individual may not complete the initial service commitment (wasted training)

Navy HIV Testing
SECNAVINST 5300.30C
• Annual HIV test requirement – Active duty personnel overseas – Active duty personnel in deployable units – All active duty health care providers – Reserve personnel • With routinely scheduled medical examinations • Active duty with PCS orders to a continental US deployable command (within 12 months) • Active duty with PCS orders overseas (within 12 months) • All visits to STD clinics, alcohol or drug abuse treatment or counseling visits and prenatal care visits

US ARMED FORCES STRENGTH FIGURES FOR JUNE 30, 2002
SERVICE US Army US Navy US Marine Corps US Air Force Total DoD END STRENGTH 485,536 384,576 173,385 369,721 1,413,218

Data Source: DoD Directorate for Information Operations and Reports (http://www.dior.whs.mil/mmid/military/ms6.xls)

Total Navy HIV Initial Elisa Annual Data
Fiscal Year 1990 1991 1992 1993 1994 1995 1996 Total 790,613 785,972 840,590 882,744 843,977 764,353 733,299 Fiscal Year 1997 1998 1999 2000 2001 2002 Total 753,738 728,553 685,120 679,556 682,653 586,218*
* Jan – Aug 02

Total Navy HIV Initial Elisa Annual Tracking
TRACKING CHART
1000000
THOUSAN D

800000 600000 400000 200000 0 90 91 92 93 94 95 96 97 98 99 00 01 02 FISCAL YEARS

NAVY CENTRAL HIV SERVICE 2002 HIV TESTING DATA up to AUGUST 2002
Active Duty Navy Tested
Active Duty Navy Seroconverters Active Duty Marines Tested Active Duty Marines Seroconverters Total tested

223,134 55 105,579 5 328,713

DoN HIV Testing Compliance
Year 1997
1998

HIV Positive 83
71

Number Tested 532,671
515,631

Incidence/ 1000 0.14
0.14

End Strength % Tested 560,706
542,769

95
95

1999
2000

71
100

494,720
488,495

0.14
0.20

543,648
546,514

91
89

2001

101

500,427

0.20

548,934

91

Data Source: Navy Testing Contractor

Number and Timing of HIV Tests of DoN Personnel
Total Personnel HIV test in last 2 years HIV test in last 2 years HIV test in last 5 years HIV test in last 5 years HIV test ever HIV test ever

Number
Navy

# 333,622 160,282
493,904

% 89.8 92.8
91.3

# 369,340 171,958
541,298

% 91.2 99.6
95.4

#
371,23 4

% 100 99.9
99.95

371,406 172,664
544,070

USMC Total

172,57 2 543,80 6

Active Duty on 31 Aug 2001
MSMR – Vol.8 No.1 Jan/Feb 02

Navy HIV Program
• Recommendation
– DoD wide standard HIV testing period
• • • • • • Simple Easy to remember Easy to monitor for compliance Set standards for compliance Not related to timing of deployments Meets SOFA and International Requirements

– Annual testing at birth month for DoD


				
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