Blood Bourne Virus Training

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Terrence Higgins Trust

       Rob Tocknell
  Terrence Higgins Trust
Terrence Higgins Trust                                a
    Established in 1982 following the death of Terry
    25th anniversary this year.

   To support people living with HIV
   To support people with other aspects of sexual
   To work with initiatives to prevent HIV and STI
   To lobby for support for HIV as a cause
   Biggest HIV and Sexual
    Health charity in

   28 Offices in England,
    Scotland and Wales

   Employ around 300
    people and have
    around 500 volunteers
HIV/AIDS                    a
            Human
            Immuno-deficiency
            Virus

            Acquired
            Immune
            Deficiency
            Syndrome
Transmission                                          a
   Quantity – HIV needs to be present

   Quality – Good quality virus (only blood, semen,
    vaginal fluid and breast milk)

   Route – for the virus to get from the bodily fluid of the
    HIV+ve person to the bodily fluid of the negative

   Even if exposure happens it is not certain that
    transmission will take place
What Makes HIV Different                    a
   Stigma
   Stereotypes and Presumptions
   Impact on Family and Friends
   Multiple Illnesses
   Issues for Partners
   Criminalisation
   Affects the communities already marginalised
There is no stigma anymore!   a
Global Epidemiology                                  a
   40 million people are living with HIV
   that’s 11,000 new infections every day
   25 million people have died of AIDS
    since 1981 (population of UK approx 60 million)
   2,000 young people are infected every
   There are 15 million AIDS orphans, 12
    million in Africa.
UK statistics                              a
   Estimated 70,000 adults are living with HIV
   32% were unaware of their infection.
   8,000 new diagnoses of HIV a year
   16 people in the UK are diagnosed HIV+
    every day
   That’s one every 70 minutes
   Over 22,951 diagnoses of AIDS of which at
    least 17,482 have died
    National Campaigns                       a
   Around 25,000 people in Britain do not know
    that they have the virus that’s 32%

   Calling on the Department of Health to set a
    target to reduce the percentage of people
    whose HIV infection has not been diagnosed
    from 32% to 25% by 2012.
   ‘Get it on’ National condom use campaign,
    encouraging education and use of condoms.
What we do                                   a
   Prevention – information, training, outreach
   Support – advice, counselling, groups
   Clinical Services – testing services for HIV
    and STIs
   Lobbying, fundraising, awareness raising
   Health Promotion
A Case Study - John                     a
   HIV                 Needs – support,
   Hepatitis C          advice care
   Alcohol Misuse
   Depression          Requesting help
   Suicidal
   Not Sleeping        Wants – to give up
   Housing Issues       alcohol
   Discrimination
What Happened!                              a
   GUM referred to GP
   GP referred to Statutory Drug and Alcohol
    agency and Psychiatrist
   Agency referred to GUM
   Psychiatrist refused to see because HIV
   All issues must relate to HIV !!!
    THT case workers able to link services and
    assist John in getting his needs met.
What we really do……….                          a
   Tom     15

    HIV positive since birth
    ? Should he tell school mates
    ?Will he ever have a girlfriend

    THT work with Tom about how he can disclose his
    status and the importance of using condoms when
    he begins to have sex.
What we really do……….                             a
   Sara

    Sara has two children who are 6 and 8. Everyone at
    the children’s school has now found out that Sara is
    HIV positive.
    Now no one is allowed to come to Sara’s house to
    play with her children.
    THT works with the school to inform the parents
    there is no risk of their children getting HIV from
    Sara’s house
Essex Services                          a
2 Centres

   Southend
   Colchester
   Case work, Health Promotion,
    Counselling, Advice, therapies support
    groups, advocacy, training, information.
   Cover the whole of Essex
Thank you                         a

 THT Direct Helpline – 0845 1221 200