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Author Topic: 40% of HIV Infected Die Without Receiving Treatment  (Read 2384 times)

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Offline northernguy

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40% of HIV Infected Die Without Receiving Treatment
« on: February 22, 2008, 09:31:36 PM »
I found the statistic that 40% of HIV infected people here (British Columbia) die without ever receiving treatment, even though meds are free here.]
http://www.news1130.com/news/topstory/article.jsp?content=20080222_170105_6164

But upon further reflection, I found it sobering that 60% of those who died did receive treatment. :-[  I knwo there's a bunch of variables there, but it still makes me concerned.
Apr 28/06 cd4 600 vl 10,600 cd% 25
Nov 8/09 cd4 510 vl 49,5000 cd% 16
Jan 16/10 cd4 660 vl 54,309 cd% 16
Feb 17/10 Started Atripla
Mar 7/10 cd4 710 vl 1,076 cd% 21
Apr 18/10 cd4 920 vl 268 cd% 28
Jun 19/10 cd4 450 vl 60 cd% 25
Aug 15/10 cd4 680 vl 205 cd% 27
Apr 3/11 cd4 780 vl <40 cd% 30
Jul 17/11 cd4 960 vl <40 cd%33
April 15/12 cd4 1,010 vl <40 cd% 39
April 20/12 Switched to Viramune + Truvada
Aug 2/12 cd4 1040, vl <40, cd% 38
Oct 19 cd4 1,110 vl <40 cd% 41

Offline komnaes

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Re: 40% of HIV Infected Die Without Receiving Treatment
« Reply #1 on: February 22, 2008, 09:51:35 PM »
Hiya Northie..

I wouldn't interpret the stats this way. From what I have read in this article, the shocking fact here is that 2 out of 5 HIV/AIDS-related death in BC are of patients who didn't take any treatments for other factors such as poverty, homelessness, etc, even though you guys have universal health care, or simply didn't know that they were positive until it killed them.

As for the other 3, the article hasn't mentioned how they died. Was the cause treatment failure? Or of other unrelated health problems (heart attacks, etc), or even suicide? We also don't know what's the average years of treatments those deceased patients had received.

The fact is - we all gonna die. Being positive just makes us more aware of this fact that time is truly limited.

Hugs, Shaun

Aug 07 Diagnosed
Oct 07 CD4=446(19%) Feb 08 CD4=421(19%)
Jun 08 CD4=325(22%) Jul 08 CD4=301(18%)
Sep 08 CD4=257/VL=75,000 Oct 08 CD4=347(16%)
Dec 08 CD4=270(16%)
Jan 09 CD4=246(13%)/VL=10,000
Feb 09 CD4=233(15%)/VL=13,000
Started meds Sustiva/Epzicom
May 09 CD4=333(24%)/VL=650
Aug 09 CD4=346(24%)/VL=UD
Nov 09 CD4=437(26%)/VL=UD
Feb 10 CD4=471(31%)/VL=UD
June 10 CD4=517 (28%)/VL=UD
Sept 10 CD4=687 (31%)/VL=UD
Jan 11 CD4=557 (30%)/VL=UD
April 11 CD4=569 (32%)/VL=UD
Switched to Epizcom, Reyataz and Norvir
(Interrupted for 2 months with only Epizcom & Reyataz)
July 11 CD=520 (28%)/VL=UD
Oct 11 CD=771 (31%)/VL=UD(<30)
April 12 CD=609 (28%)/VL=UD(<20)
Aug 12 CD=657 (29%)/VL=UD(<20)
Dec 12 CD=532 (31%)/VL=UD(<20)
May 13 CD=567 (31%)/VL=UD(<20)
Jan 14 CD=521 (21%)/VL=UD(<50)

Offline Miss Philicia

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Re: 40% of HIV Infected Die Without Receiving Treatment
« Reply #2 on: February 22, 2008, 10:03:33 PM »
Wow, lots of data to go on in that article.  What if 85% of the people that died had substance abuse issues, and the ones from that group that were on HIV treatment had done so because they only took half of their meds or less.  Feel better?
"Iíve slept with enough men to know that Iím not gay"

Offline lucas clay

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Re: 40% of HIV Infected Die Without Receiving Treatment
« Reply #3 on: February 22, 2008, 10:08:27 PM »

The fact is - we all gonna die. Being positive just makes us more aware of this fact that time is truly limited.
Hugs, Shaun


Amen Shaun

                          Lucas

Offline madbrain

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Re: 40% of HIV Infected Die Without Receiving Treatment
« Reply #4 on: February 23, 2008, 02:29:47 AM »
I found the statistic that 40% of HIV infected people here (British Columbia) die without ever receiving treatment, even though meds are free here.]
http://www.news1130.com/news/topstory/article.jsp?content=20080222_170105_6164

But upon further reflection, I found it sobering that 60% of those who died did receive treatment. :-[  I knwo there's a bunch of variables there, but it still makes me concerned.

I think the article is not very big on facts. And the headline says something totally different than the article.
The deadline says "40% of HIV/AIDS patients dying in BC haven't received any treatment", without specifying the cause of death . 100% of the population dies. If 40% of everybody infected with HIV died - of any causes - without ever getting treatment, then yes, that would be worrisome.

But the article later says "40% of the people in BC who die from HIV-AIDS have not accessed treatment". I'm going to take a guess that the number of deaths is not very high in the first place, but it is missing from the article. And even though 60% of the deaths are for patients who got treatment, it doesn't say how long those patients got the treatment after they were infected or diagnosed .

Offline Matty the Damned

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Re: 40% of HIV Infected Die Without Receiving Treatment
« Reply #5 on: February 23, 2008, 02:38:25 AM »
Nor does it take account of co-morbid factors.

MtD

Offline LordBerners

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Re: 40% of HIV Infected Die Without Receiving Treatment
« Reply #6 on: February 23, 2008, 10:22:19 AM »
Imagine the percentage in the US, where access to medical treatment is extremely difficult to attain.
Please, just call me Berners.. or Baron.

Offline northernguy

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  • Posts: 1,347
Re: 40% of HIV Infected Die Without Receiving Treatment
« Reply #7 on: February 23, 2008, 12:19:51 PM »
Wow, lots of data to go on in that article.  What if 85% of the people that died had substance abuse issues, and the ones from that group that were on HIV treatment had done so because they only took half of their meds or less.  Feel better?

True, I looked for a longer version but that was the only one I could find.  Sadly the city has a bad drug problem and I'm sure that a huge factor.  I guess much of the other 60% could be adherence issues as it would be hard to assure adherence among the mentally ill or those with a serious drug problem.
« Last Edit: February 23, 2008, 12:21:25 PM by northernguy »
Apr 28/06 cd4 600 vl 10,600 cd% 25
Nov 8/09 cd4 510 vl 49,5000 cd% 16
Jan 16/10 cd4 660 vl 54,309 cd% 16
Feb 17/10 Started Atripla
Mar 7/10 cd4 710 vl 1,076 cd% 21
Apr 18/10 cd4 920 vl 268 cd% 28
Jun 19/10 cd4 450 vl 60 cd% 25
Aug 15/10 cd4 680 vl 205 cd% 27
Apr 3/11 cd4 780 vl <40 cd% 30
Jul 17/11 cd4 960 vl <40 cd%33
April 15/12 cd4 1,010 vl <40 cd% 39
April 20/12 Switched to Viramune + Truvada
Aug 2/12 cd4 1040, vl <40, cd% 38
Oct 19 cd4 1,110 vl <40 cd% 41

Offline Dachshund

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Re: 40% of HIV Infected Die Without Receiving Treatment
« Reply #8 on: February 23, 2008, 12:38:24 PM »
Imagine the percentage in the US, where access to medical treatment is extremely difficult to attain.

that's not true when it comes to HIV.

Offline 404error

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  • Posts: 431
Re: 40% of HIV Infected Die Without Receiving Treatment
« Reply #9 on: February 25, 2008, 02:26:23 AM »
northernguy, think of the people who live in places like East Hastings and Whalley.  For the most part these people have some serious problems/mental illnesses above and beyond their hiv affliction.  I'd imagine many of those people either don't know of their situation, do know but can't be bothered because they have more pressing concerns like where to score the next hit and how to get money to do that, or because the lifestyle they lead isn't conducive to prescribed drug adherence.  This is BC and if you live in the lower mainland surely you have seen this going on around you. 
A social critic who promotes equality...

Offline madbrain

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Re: 40% of HIV Infected Die Without Receiving Treatment
« Reply #10 on: February 26, 2008, 08:33:05 PM »
Hi,

that's not true when it comes to HIV.

It is still comparably hard. My bf had to wait for over 2 months to get a genotype processed last year, while his tcells went down to 240. This is the time it took between when they drew his blood in late january, and when Ryan white paid for the result to get it back in late march. This was in California, in the bay area, where supposedly HIV/AIDS treatment is accessible. The county doc couldn't prescribe his meds without the genotype result, even though my bf was eligible for ADAP. After I found a job the next month, I put him on my insurance because the public system sucked so bad.

Offline Miss Philicia

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  • celebrity poster, faker & poser
Re: 40% of HIV Infected Die Without Receiving Treatment
« Reply #11 on: February 27, 2008, 05:02:52 PM »
Madbrain, for what it's worth things like that can happen on private insurance.  I encountered it many times during my first decade on HIV before going on Medicare.
"Iíve slept with enough men to know that Iím not gay"

Offline littlefire

  • Member
  • Posts: 36
Re: 40% of HIV Infected Die Without Receiving Treatment
« Reply #12 on: March 03, 2008, 02:25:16 PM »
I think sometimes statistics are a load of crap, honestly. For instance: 33% of a buffalo population were poached, 33% were terminally ill and had to be put down, and the other one got away.  ???

I didn't read the background info, but am always a bit weary of percentages. Having done postgrad statistics, I don't accept any percentage values without a standard error or level of confidence (even my doc knows that!).

But... that's just me :)

 


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