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Author Topic: Swine Flu (Influenza A H1N1) and HIV  (Read 26628 times)

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Offline Miss Philicia

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Re: Swine Flu (Influenza A H1N1) and HIV
« Reply #100 on: May 01, 2009, 11:29:04 AM »
We now have four cases just in Philadelphia, up from the first one about 24 hours ago.  Add in 10 at the University of Delaware and 5 in New Jersey and that's almost 20 in my immediate metro area. 
"I’ve slept with enough men to know that I’m not gay"

Offline WillyWump

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Re: Swine Flu (Influenza A H1N1) and HIV
« Reply #101 on: May 01, 2009, 04:57:13 PM »
Swine flu has arrived in Hong Kong, Shaun -- get out your masks leftover from SARS.

Wow, I feel so bad for giggling at that one Miss P :)
POZ since '08

Last Labs-
6/3/14 CD4- 736, UD 34%
6/25/13 CD4- 1036, UD,
2/4/13, CD4 - 489, UD, 28%

Current Meds: Prezista/Epzicom/ Norvir
.

Offline J.R.E.

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Re: Swine Flu (Influenza A H1N1) and HIV
« Reply #102 on: May 01, 2009, 05:50:36 PM »

And it's official. Two cases confimed in Florida :


TALLAHASSEE (Bay News 9) -- Two cases of swine flu have been confirmed in the state of Florida through the Centers for Disease Control.

"We have our first two confirmed cases of the H1N1 virus in Florida," Gov. Charlie Crist announced at a news conference Friday afternoon. "They are located in Lee and Broward County. They involve two students."

One of the cases is an 11-year-old male who attends Spring Creek Elementary in Lee County.  The other is a 17-year-old female in Hallandale High School in Broward County.

Crist said it's up to the superintendents of those schools to decide on closures.

 
Florida's surgeon general says the state has now referred eight suspected cases of swine flu to the Centers for Disease Control and Prevention in Atlanta for more testing.

Dr. Ana M. Viamonte Ros said Friday that the cases included three reported Thursday as well as five others. The state could hear back about the cases late in the afternoon or on the weekend. The suspected cases are in Alachua, Orange, Lee, Broward, Palm Beach and Pinellas counties.

Meanwhile, 20 suspected cases in Miami-Dade County were ruled out.

The state is working on setting up a hotline where citizens can call for more information as well as distributing masks and antiviral medication.

Information from the Associated Press was used in this article. 




Ray

Current Meds ; Viramune, Epzicom, 40mg of simvastatin, 12.5mg of Hydrochlorothiazide.
Metoprolol tartrate 25mg



http://forums.poz.com/index.php?topic=40802.0

http://forums.poz.com/index.php?topic=45159.0

http://forums.poz.com/index.php?topic=39722.msg495621;topicseen#msg495621

http://forums.poz.com/index.php?topic=46806.0

http://forums.poz.com/index.php?topic=39414.msg491701#msg491701


 In October of 2003, My t-cell count was 16, Viral load was over 500,000, Percentage at that time was 5%. I started my first  HAART regimen  on October 24th,03.

 As of 6/4/14,  t-cells are at 423, Viral load <40

 Current % is at 13% 

  
 62 years young.

Offline mjmel

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Re: Swine Flu (Influenza A H1N1) and HIV
« Reply #103 on: May 01, 2009, 11:48:42 PM »
Avoid this...

[attachment deleted by admin]
« Last Edit: May 01, 2009, 11:50:20 PM by mjmel »

Offline Miss Philicia

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Re: Swine Flu (Influenza A H1N1) and HIV
« Reply #104 on: May 02, 2009, 12:26:25 AM »
... and also avoid this

[attachment deleted by admin]
"I’ve slept with enough men to know that I’m not gay"

Offline denb45

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Re: Swine Flu (Influenza A H1N1) and HIV
« Reply #105 on: May 02, 2009, 01:17:55 AM »
... and also avoid this

Miss Philicia............is that you?
"it's so nice to be insane, cause no-one ask you to explain" Helen Reddy cc 1974

Offline Assurbanipal

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5/06 VL 1M+, CD4 22, 5% , pneumonia, thrush -- O2 support 2 months, 6/06 +Kaletra/Truvada
9/06 VL 3959 CD4 297 13.5% 12/06 VL <400 CD4 350 15.2% +Pravachol
2007 VL<400, 70, 50 CD4 408-729 16.0% -19.7%
2008 VL UD CD4 468 - 538 16.7% - 24.6% Osteoporosis 11/08 doubled Pravachol, +Calcium/D
02/09 VL 100 CD4 616 23.7% 03/09 VL 130 5/09 VL 100 CD4 540 28.4% +Actonel (osteoporosis) 7/09 VL 130
8/09  new regimen Isentress/Epzicom 9/09 VL UD CD4 621 32.7% 11/09 VL UD CD4 607 26.4% swap Isentress for Prezista/Norvir 12/09 (liver and muscle issues) VL 50
2010 VL UD CD4 573-680 26.1% - 30.9% 12/10 VL 20
2011 VL UD-20 CD4 568-673 24.7%-30.6%
2012 VL UD swap Prezista/Norvir for Reyataz drop statin CD4 768-828 26.7%-30.7%

Offline Tim Horn

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Re: Swine Flu (Influenza A H1N1) and HIV
« Reply #107 on: May 02, 2009, 03:36:38 PM »
Lower Mexico flu death toll calms nervous world

"Mexico cut its suspected death toll from the H1N1 flu to up to 101 from as many as 176, as dozens of test samples came back negative. Fewer patients with severe flu symptoms were also checking into hospitals, suggesting the infection rate of a flu that has spread to Europe and Asia was declining."

http://in.reuters.com/article/health/idINTRE5410TS20090502

Offline GuyInLA

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Re: Swine Flu (Influenza A H1N1) and HIV
« Reply #108 on: May 02, 2009, 04:24:02 PM »
HIV patients at higher risk from flu, WHO says 02 May 2009 11:53:21 GMT

http://www.alertnet.org/thenews/newsdesk/L2516414.htm
Infected - Early Dec 08
The "Flu" - 6 Jan 09
Diagnosed - 12 Mar 09
12 Mar 09 - VL 406,000   CD4 515 (no %)
31 Mar 09 - VL 322,520   CD4 605 (14.5%)
08 May 09 - Started Atripla
09 Jun 09  - VL 160  CD4 594 (27%)
10 Aug 09 - Switched to Prezista/Norvir/Truvada (Atripla drove me crazy)
1 Sept 09 - Undetectable
23 Dec 09 - Undetectable CD4 830 (36.1%)
17 Mar 10 - Undetectable CD4 1000+

Offline Tim Horn

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Re: Swine Flu (Influenza A H1N1) and HIV
« Reply #109 on: May 02, 2009, 05:35:14 PM »
Thanks GuyinLA.

One thing I'd like to point out about the linked story:

HIV and the new flu strain could also mix together in a dangerous way, as has occurred with HIV and tuberculosis, the WHO said in guidance for health workers on its website.

This is misleading. Neither WHO nor the CDC say that H1N1 "mixes" with HIV in a dangerous way. Fact is, HIV cannot mix with an influenza virus, just like the virus can't mix with the bacteria that causes tuberculosis. What WHO and the CDC are warning is that complications of H1N1 may be worse in people living with HIV, only because they may have compromised immune systems and possibly at greater risk for secondary complications associated with the flu -- notably bacterial pneumonia. 

Truthfully, WHO could have worded its original statement a bit better. "Although there are inadequate data to predict the impact of a possible human influenza pandemic on HIV-affected populations, interactions between HIV/AIDS and A(H1N1) influenza could be significant" is, in itself, somewhat misleading.

Here's a link to the original WHO statement:

http://www.who.int/hiv/mediacentre/influenza_hiv.pdf

Offline Assurbanipal

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Re: Swine Flu (Influenza A H1N1) and HIV
« Reply #110 on: May 02, 2009, 06:03:54 PM »
More guidance from Washington

CDC Interim Guidelines on Swine Flu for HIV Infected Individuals

http://www.cdc.gov/h1n1flu/guidance_HIV.htm

Most important may be the suggestion that HIV infected individuals with "... typical acute respiratory illness (e.g., cough, sore throat, rhinorrhea) and fever or feverishness, headache, and muscle aches" get tested to see if they have swine flu.  If so, they should start Tamiflu or Relenza within 48 hours of reporting symptoms. 

FDA and FTC Issue Fraud Alert

The U.S. Food and Drug Administration and the Federal Trade Commission are alerting the public to be wary of Internet sites and other promotions for products that claim to diagnose, prevent, mitigate, treat or cure the 2009 H1N1 influenza virus.  The agencies are also advising operators of offending web sites that they must take prompt action to correct and/or remove promotions of these fraudulent products or face enforcement action.

http://www.fda.gov/bbs/topics/NEWS/2009/NEW02007.html
5/06 VL 1M+, CD4 22, 5% , pneumonia, thrush -- O2 support 2 months, 6/06 +Kaletra/Truvada
9/06 VL 3959 CD4 297 13.5% 12/06 VL <400 CD4 350 15.2% +Pravachol
2007 VL<400, 70, 50 CD4 408-729 16.0% -19.7%
2008 VL UD CD4 468 - 538 16.7% - 24.6% Osteoporosis 11/08 doubled Pravachol, +Calcium/D
02/09 VL 100 CD4 616 23.7% 03/09 VL 130 5/09 VL 100 CD4 540 28.4% +Actonel (osteoporosis) 7/09 VL 130
8/09  new regimen Isentress/Epzicom 9/09 VL UD CD4 621 32.7% 11/09 VL UD CD4 607 26.4% swap Isentress for Prezista/Norvir 12/09 (liver and muscle issues) VL 50
2010 VL UD CD4 573-680 26.1% - 30.9% 12/10 VL 20
2011 VL UD-20 CD4 568-673 24.7%-30.6%
2012 VL UD swap Prezista/Norvir for Reyataz drop statin CD4 768-828 26.7%-30.7%

Offline elf

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Re: Swine Flu (Influenza A H1N1) and HIV
« Reply #111 on: May 03, 2009, 04:24:32 AM »
Here all Tamiflu is sold out, and I didn't get to buy my dose.  :'(
Let's have a Kiki!

Offline Jeffreyj

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Re: Swine Flu (Influenza A H1N1) and HIV
« Reply #112 on: May 04, 2009, 07:12:57 AM »
Live your life, this is all over blown, for now. It's next fall-winter that may be a problem!  :(
Positive since 1985

Offline mecch

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  • red pill? or blue pill?
Re: Swine Flu (Influenza A H1N1) and HIV
« Reply #113 on: May 04, 2009, 01:25:37 PM »
Re, last poster:

Anderson Cooper had an airline AIR SAFETY specialist on the show who explained that airplane air is generally not a cesspool of germs.

Ventilation goes cross wise, not the length of the plane, so there are different zone and different filters.

Air is filters 10x an hour, but unfortunately not all airlines use the best filters or any filter at all.

Recommended to put the air blower thing on, blowing fresh air onto your face, because this stream will help prevent any droplets that might be in the air from a nearby cough or sneeze.

Wash your hands, bring hand sanitizer, do not put your hands on your face or mouth unless they are sanitized.

Otherwise, the expert said airplane travel does not necessarily spread germs.

It was a kind of unpersuasive and uncomforting report.  I think you believe what you want, common sense would say its not a great idea....
“From each, according to his ability; to each, according to his need” 1875 K Marx

Offline mecch

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  • red pill? or blue pill?
Re: Swine Flu (Influenza A H1N1) and HIV
« Reply #114 on: May 04, 2009, 01:30:02 PM »
The U.S. Food and Drug Administration and the Federal Trade Commission are alerting the public to be wary of Internet sites and other promotions for products that claim to diagnose, prevent, mitigate, treat or cure the 2009 H1N1 influenza virus.  The agencies are also advising operators of offending web sites that they must take prompt action to correct and/or remove promotions of these fraudulent products or face enforcement action.

Shameless.
http://www.youtube.com/watch?v=Tt8pi-SE7FY
Cher & Tina Turner - Shame, Shame, Shame
“From each, according to his ability; to each, according to his need” 1875 K Marx

Offline Assurbanipal

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Re: Swine Flu (Influenza A H1N1) and HIV
« Reply #115 on: May 04, 2009, 02:28:24 PM »
Mexico lowers alert level -- to reopen most businesses on Wednesday.

"MEXICO CITY — Citing an ebb in the number of swine flu cases, Mexican officials said Monday that they would lower the public alert against the virus and allow most of the nation’s businesses to reopen this week, even as the outbreak, which appears to have started in Mexico, continued its spread worldwide.

In Mexico City, where most of the nation’s 26 deaths from the virus and more than 700 infections have been recorded, restaurants and other eateries will reopen on Wednesday. Churches and museums will reopen Thursday, but bars, nightclubs, cinemas and theaters will remain closed until further notice, The Associated Press reported."

full story  http://www.nytimes.com/2009/05/05/health/05flu.htm
5/06 VL 1M+, CD4 22, 5% , pneumonia, thrush -- O2 support 2 months, 6/06 +Kaletra/Truvada
9/06 VL 3959 CD4 297 13.5% 12/06 VL <400 CD4 350 15.2% +Pravachol
2007 VL<400, 70, 50 CD4 408-729 16.0% -19.7%
2008 VL UD CD4 468 - 538 16.7% - 24.6% Osteoporosis 11/08 doubled Pravachol, +Calcium/D
02/09 VL 100 CD4 616 23.7% 03/09 VL 130 5/09 VL 100 CD4 540 28.4% +Actonel (osteoporosis) 7/09 VL 130
8/09  new regimen Isentress/Epzicom 9/09 VL UD CD4 621 32.7% 11/09 VL UD CD4 607 26.4% swap Isentress for Prezista/Norvir 12/09 (liver and muscle issues) VL 50
2010 VL UD CD4 573-680 26.1% - 30.9% 12/10 VL 20
2011 VL UD-20 CD4 568-673 24.7%-30.6%
2012 VL UD swap Prezista/Norvir for Reyataz drop statin CD4 768-828 26.7%-30.7%

Offline madbrain

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Re: Swine Flu (Influenza A H1N1) and HIV
« Reply #116 on: May 05, 2009, 04:12:41 AM »
Otherwise, the expert said airplane travel does not necessarily spread germs.

It was a kind of unpersuasive and uncomforting report.  I think you believe what you want, common sense would say its not a great idea....


A few years ago, I had one of those really bad colds hit me towards the end of a trip to Europe. Colds tend to linger with me as they have my whole life. My return ticket to California was non-refundable. I didn't have trip insurance and the doctor wouldn't write me off for a cold anyway. Getting a new ticket for another day on short notice could have cost several thousand dollars. So, I boarded the plane and had the worst 12-hour journey of my life. I used over 100 tissues during that time and I probably didn't have 5 minutes without sneezing. The plane was full, of course. I don't think you would have wanted to be on the same one ! Now, I try to purchase trip insurance ahead of time whenever I fly.

Speaking of cold, I have now been grounded at home for one week, except for seeing the doc last thursday. I ran a fever shortly over the weekend. I still can barely speak. My doc called me at home monday night and said there was nothing else for me to do but wait more for it to go away on its own :(.

Offline WillyWump

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  • your ramblings bore Yamaguchi Kitteh
Re: Swine Flu (Influenza A H1N1) and HIV
« Reply #117 on: May 06, 2009, 11:36:42 AM »
This looks like another case of WHO not "carefully" wording their statements..


http://www.examiner.com/x-8543-SF-Health-News-Examiner~y2009m5d4-WHO-head-Chan-Swine-flu-combined-with-HIV-poses-serious-threat

If articles such as these hit the mainstream media it could create a huge backlash for those of us with HIV. As I read it it insinuates that Swine Flu could come back in the fall as an extremely virulent form and could potentially mutate and combine with the HIv virus, which implies that the HIv virus could be spread with the flu.

 "The genetic building blocks of the swine flu virus come from pigs, humans and birds. Scientists believe that the virus mutated into its present version in pigs which may have been exposed to an avian version of the flu, which then mutated into its present form. Disease experts are especially concerned that the ability to mutate seen so far in the virus could eventually see it combine with the human immunodeficiency virus, which causes AIDS"

I doubt this is possible, however I wish there was a definitive answer on this, and I wish WHO and related news organizations would cease with these inflammatory statements.
POZ since '08

Last Labs-
6/3/14 CD4- 736, UD 34%
6/25/13 CD4- 1036, UD,
2/4/13, CD4 - 489, UD, 28%

Current Meds: Prezista/Epzicom/ Norvir
.

Offline mecch

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Re: Swine Flu (Influenza A H1N1) and HIV
« Reply #118 on: May 06, 2009, 06:11:08 PM »
So that would be communicable HIV?  From sneezing and coughing and touching your fingers to your eyes?

And would HAART protect me from this?

Geez louise, this is just a horrendous thought.
“From each, according to his ability; to each, according to his need” 1875 K Marx

Offline Tim Horn

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Re: Swine Flu (Influenza A H1N1) and HIV
« Reply #119 on: May 07, 2009, 05:56:19 AM »
This looks like another case of WHO not "carefully" wording their statements..

If articles such as these hit the mainstream media it could create a huge backlash for those of us with HIV. As I read it it insinuates that Swine Flu could come back in the fall as an extremely virulent form and could potentially mutate and combine with the HIv virus, which implies that the HIv virus could be spread with the flu.

Problem is, articles such as this have already hit the mainstream media. First there was the Reuters report linked above, followed by an even more alarming (and outrageous) piece by UPI -- two mainstream news agencies.  Fact is, they just don't get it and have royally misconstrued the WHO recommendations and Margaret Chan's statements.

Nobody has said that H1N1 can reassort with HIV. They are structurally different viruses, belonging to completely different virus families and infect different cells. Reuters, UPI and the Examiner simply got it wrong, period, and should be ashamed of themselves. In some ways many of these news reports are like viruses themselves, one reports and error and it is forever replicated.

http://www.aidsmeds.com/articles/hiv_swine_flu_2042_16519.shtml

Tim Horn


Offline veritas

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Re: Swine Flu (Influenza A H1N1) and HIV
« Reply #120 on: August 29, 2009, 05:22:32 AM »

WHO warns of severe form of swine flu.

http://news.yahoo.com/s/nm/20090828/hl_nm/us_flu_pandemic

"Data continue to show that certain medical conditions increase the risk of severe and fatal illness. These include respiratory disease, notably asthma, cardiovascular disease, diabetes and immunosuppression," WHO said.

v

Offline loop78

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Re: Swine Flu (Influenza A H1N1) and HIV
« Reply #121 on: August 29, 2009, 06:43:41 AM »
Fresh from the WHO webpage:

Quote
Co-infection with HIV

The 2009 influenza pandemic is the first to occur since the emergence of HIV/AIDS. Early data from two countries suggest that people co-infected with H1N1 and HIV are not at increased risk of severe or fatal illness, provided these patients are receiving antiretroviral therapy. In most of these patients, illness caused by H1N1 has been mild, with full recovery.

If these preliminary findings are confirmed, this will be reassuring news for countries where infection with HIV is prevalent and treatment coverage with antiretroviral drugs is good.

On current estimates, around 33 million people are living with HIV/AIDS worldwide. Of these, WHO estimates that around 4 million were receiving antiretroviral therapy at the end of 2008.

Offline Ann

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Re: Swine Flu (Influenza A H1N1) and HIV
« Reply #122 on: August 29, 2009, 07:44:36 AM »
Early data from two countries suggest that people co-infected with H1N1 and HIV are not at increased risk of severe or fatal illness, provided these patients are receiving antiretroviral therapy.

Crikey, nice of them to drop that little bomb-shell on those of us who are treatment-naive without saying anything more about it. Have people who are not on therapy been dying or becoming seriously ill? Is there any correlation with CD4 counts or VL levels? I hate it when they tell half a story.  >:(
« Last Edit: August 29, 2009, 07:47:31 AM by Ann »
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"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

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Offline Assurbanipal

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Re: Swine Flu (Influenza A H1N1) and HIV
« Reply #123 on: August 29, 2009, 08:08:13 AM »
Early data from two countries suggest that people co-infected with H1N1 and HIV are not at increased risk of severe or fatal illness, provided these patients are receiving antiretroviral therapy.

Crikey, nice of them to drop that little bomb-shell on those of us who are treatment-naive without saying anything more about it. Have people who are not on therapy been dying or becoming seriously ill? Is there any correlation with CD4 counts or VL levels? I hate it when they tell half a story.  >:(


Earlier in the press release they are more specific about groups at risk and saying that it includes people who are immunosuppressed -- so read in conjunction with the statement about people with HIV presumably the concern is largely for people with low tcell counts as opposed to those who are still pretty healthy and not yet on treatment.

And that would be consistent with the news that has been coming out all summer.

"Vulnerable groups
An increased risk during pregnancy is now consistently well-documented across countries. This risk takes on added significance for a virus, like this one, that preferentially infects younger people.

Data continue to show that certain medical conditions increase the risk of severe and fatal illness. These include respiratory disease, notably asthma, cardiovascular disease, diabetes and immunosuppression.

When anticipating the impact of the pandemic as more people become infected, health officials need to be aware that many of these predisposing conditions have become much more widespread in recent decades, thus increasing the pool of vulnerable people.

Obesity, which is frequently present in severe and fatal cases, is now a global epidemic. WHO estimates that, worldwide, more than 230 million people suffer from asthma, and more than 220 million people have diabetes.

Moreover, conditions such as asthma and diabetes are not usually considered killer diseases, especially in children and young adults. Young deaths from such conditions, precipitated by infection with the H1N1 virus, can be another dimension of the pandemic’s impact."



http://www.who.int/csr/disease/swineflu/notes/h1n1_second_wave_20090828/en/index.html


edited (for bolding)
« Last Edit: August 29, 2009, 08:11:50 AM by Assurbanipal »
5/06 VL 1M+, CD4 22, 5% , pneumonia, thrush -- O2 support 2 months, 6/06 +Kaletra/Truvada
9/06 VL 3959 CD4 297 13.5% 12/06 VL <400 CD4 350 15.2% +Pravachol
2007 VL<400, 70, 50 CD4 408-729 16.0% -19.7%
2008 VL UD CD4 468 - 538 16.7% - 24.6% Osteoporosis 11/08 doubled Pravachol, +Calcium/D
02/09 VL 100 CD4 616 23.7% 03/09 VL 130 5/09 VL 100 CD4 540 28.4% +Actonel (osteoporosis) 7/09 VL 130
8/09  new regimen Isentress/Epzicom 9/09 VL UD CD4 621 32.7% 11/09 VL UD CD4 607 26.4% swap Isentress for Prezista/Norvir 12/09 (liver and muscle issues) VL 50
2010 VL UD CD4 573-680 26.1% - 30.9% 12/10 VL 20
2011 VL UD-20 CD4 568-673 24.7%-30.6%
2012 VL UD swap Prezista/Norvir for Reyataz drop statin CD4 768-828 26.7%-30.7%

Offline veritas

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Re: Swine Flu (Influenza A H1N1) and HIV
« Reply #124 on: August 29, 2009, 08:38:04 AM »

loop78,

In the link I posted they said the same:

"The good news -- people infected with AIDS virus do not seem to be at special risk from H1N1, WHO said"

What concerns me here is not the risk per se since it makes sense that everyone living with HIV has about the same risk as everyone else in contracting the flu, but rather the severity of the strain. All of us should and must try to do all we can to minimize our threat (ie: wash your hands  often, get vaccinated etc.). I would imagine that cd4's would be hard pressed to keep up the fight which brings me to Ann's questions. Ann, I don't think they have the answers yet to those questions.
This  flu is something all of us should watch closely. If this flu hits the way they think, it may be very difficult even to get into a hospital.

v

Offline Ann

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Re: Swine Flu (Influenza A H1N1) and HIV
« Reply #125 on: August 29, 2009, 09:06:48 AM »

Earlier in the press release they are more specific about groups at risk and saying that it includes people who are immunosuppressed -- so read in conjunction with the statement about people with HIV presumably the concern is largely for people with low tcell counts as opposed to those who are still pretty healthy and not yet on treatment.


Fair enough, but I'd still like to see some figures on what CD4 and VL levels are problematic. Probably me being paranoid and asking too much as well. ::)

l
 Ann, I don't think they have the answers yet to those questions.

This  flu is something all of us should watch closely. If this flu hits the way they think, it may be very difficult even to get into a hospital.


LOL yes, you posted while I was attaching the chart below. As I said, I'm probably asking too much.

As for getting in to a hospital, here where I live they are asking people who think they might have it to stay away from doctor's offices and hospitals as well. You have to ring a number and talk to someone who decides if you need meds or not.

A poz friend of mine had swine flu and she felt horrible for about five days, then it went. She's on ARVs has been undetectable for years and she's also got more CD4s than you could shake a stick at. Around 900 last time we compared notes.



On another note, I went to the http://www.hiv-druginteractions.org/ site to over a question in another thread and found they have a chart available for interactions between hiv meds and anti-viral flu meds - Oseltamivir (Tamiflu), Zanamivir (Relenza), Amantadine (Symmetrel) and Rimantadine (Flumadine). Might be worth checking out for those of you on meds. I've attached it below (if it works! it didn't! too large!). You'll have to visit the site yourself to see it - it's on the main page.

Ann


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Offline BlueMoon

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Re: Swine Flu (Influenza A H1N1) and HIV
« Reply #126 on: August 29, 2009, 09:48:37 AM »
Ann, thanks for the link to the chart.  Looks like there are a couple of flu meds I should watch out for.
...................VL.....CD4.....%
-----------------------------------------
08/10-- ......<40.....290.....42
05/10-- ......<48.....290.....46
02/10-- ......<48.....481.....44
10/09-- ......<48.....277.....46
07/09-- ......<48.....300.....38
05/09-- ........51.....449.....39
03/09-- Added Isentress
02/09-- ........65.....299.....34
11/08-- ........62.....242.....40
08/08-- ........66.....212.....29
05/08-- ......202.....217.....27
03/08-- ....5210.....187.....21
02/08-- Began Truvada/Reyataz/Norvir
12/07-- 273,000.....157.....22
11/07-- 229,000.....209.....22
10/07-- Diagnosis

It's a complex world.

Offline GNYC09

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Re: Swine Flu (Influenza A H1N1) and HIV
« Reply #127 on: August 29, 2009, 02:43:22 PM »
I actually have 1/2 a dozen surgical masks lying around, which I'll use this Fall if needed.  I know it may sound like I'm overreacting but I'd rather be safe than sorry, especially since up to 1/2 the U.S. could theoretically become infected.  Unfortunately, I remember reading they're actually not super effective but they are the masks they gave my visitors when I was in the TB ward last April. 

I get my flu vaccine in two weeks but I hear the H1N1 vaccine won't be ready in the U.S. until mid-October.

Offline veritas

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Re: Swine Flu (Influenza A H1N1) and HIV
« Reply #128 on: August 29, 2009, 03:07:53 PM »
GNYC09,

Good move with the masks. However, I believe also that ordinary surgical masks won't prevent biological particles from entering one's body unless they have at least an OSHA rating of at least N95 approved. I believe masks with that high a rating can be found in Lowes stores. I'm looking for the link which I can't seem to find at the moment but if I come across it I will post.
The masks however will not stop biologics from entering your body through other means (ie: eyes, cuts etc.).

v
ps: found the link:
http://www.masksnmore.com/n95-medical-masks1.html
« Last Edit: August 29, 2009, 03:18:51 PM by veritas »

Offline bocker3

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Re: Swine Flu (Influenza A H1N1) and HIV
« Reply #129 on: August 29, 2009, 05:10:29 PM »
Masks are probably better for folks who have the flu than those that don't.  You are far more likely to catch the flu via self-innoculation (i.e. touch a contaminated surface and then touching your eyes, nose or mouth) than from breathing in the virus.  Of course, a mask would certainly help you NOT touch your mouth or nose -- it is amazing how frequently one DOES touch your face during the course of a day.

I'm not sure that anyone has yet determined why this flu virus seems to be "tougher" on the youger folks, but I do know that they think one reason the 1918 flu was so tough on the youger was due to an over-reaction by the immune system.  So in 1918, the stronger your immune system, the more risk you faced......

Mike
Atripla - Started 12/05
Reyataz/Norvir - Added 6/06
Labs - Pre-Meds
Sep05 T=350/25% VL98,559
Nov05 288/18%  47,564
Current Labs
May2013 691/31% <20

Offline veritas

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Re: Swine Flu (Influenza A H1N1) and HIV
« Reply #130 on: August 29, 2009, 06:50:05 PM »

Mike,

I think your referring to the possibility of Cytokine storm - scary stuff:

http://www.wisegeek.com/what-is-the-cytokine-storm.htm

v

Offline GNYC09

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Re: Swine Flu (Influenza A H1N1) and HIV
« Reply #131 on: August 29, 2009, 08:17:14 PM »
too bad about the surgical masks not working as well as hoped :-\
« Last Edit: August 29, 2009, 08:18:55 PM by GNYC09 »

Offline havetohavefaith

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Re: Swine Flu (Influenza A H1N1) and HIV
« Reply #132 on: August 29, 2009, 10:29:19 PM »
Swine flu officially hit our home.

it is running pretty rampant where we live ( 20+ cases JUST in the middle school)

3 of my kids got it, as did myself and husband ( he is HIV+)
we all got pretty sick, and still feeling the effects of it ( aches and caugh)
But the Dr. told us he was more concerned for myself and daughter ( both having asthma) than he was for my husband. I'am just happy we all seemed to be on the mend.

My question is and I'am going to ask at our follow up....but what are the chances of getting it again??
with our house hold and 6 of the kids in school, it seems like whenever we get sick be it the flu,stomach bug ect....it always recycles itself I'am afraid the kids will bring it back home again come the fall months?? or once you get it you are immune from it??

Husband diagnosed 3/30/08
on Atripla
 8/07/09 Vl undetectable/ CD4 304

Offline Stone

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Re: Swine Flu (Influenza A H1N1) and HIV
« Reply #133 on: August 30, 2009, 03:41:36 AM »
Hi all!  Not sure if I am allowed to post in here so please let me know if I am out of line.  Also don't know if this will be helpful but because I am an ER nurse I have a little inside info on this topic.  Disclaimer:  I am not functioning as nurse here nor should anything stated here be used in place of your healthcare providers advice / direction.

Here goes:

1) Last spring when media coverage was heavy, we had an major influx of the "walking worried" patients.  Two or three patients actually turned out positive for H1N1, all were discharged home, and all recovered without intervention

2) In late May / June media coverage backed off, rapid flu testing was halted (it is no longer effective that late in the season), and the threat levels were lowered.  We were SLAMMED with young patients who had high temps, coughs, congestion, etc and were presumed positive.  To give you an idea, our ER is budgeted / staffed for an average daily patient load in the 130 range.  During this period we were seeing 160 - 180.  The media did not report this and most of the general population did not know about the amount of flu that was out there thus no special precautions were taken.  Despite this, there were no deaths attributed directly to the flu.  I mention this not to say you shouldn't be cautious, but don't panic. 

3) Don't go to the ER expecting Tamiflu or Releflu just because you were exposed to someone that was positive for H1N1.  If you are having symptoms, certainly get seen right away (meds work better the sooner they are started) but if you aren't having symptoms your chances of success will be slim.    This has nothing to do with deciding that some people are expendable as has been mentioned in this thread.  The problem is that if taken when not actually needed, the meds may not work as well when they ARE needed.  Also, it is a supply issue.  There will be a shortage even with conservative use so the supplies must be used carefully to ensure that people who acquire the virus can be treated.  I have been exposed to multiple people and have yet to be treated.

4) An N95 mask is the only mask that will be effective at preventing transmission.  That being said, if not put on and removed correctly you stand a high chance of infecting yourself and actually increase your risk.  The mask should only be used once and thrown.  There is a projected shortage of these masks coming as well so if you are planning on using them, you may want to pick some up now.
 

Offline veritas

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Re: Swine Flu (Influenza A H1N1) and HIV
« Reply #134 on: August 30, 2009, 05:24:42 AM »

stormynd,

Good advice!

Thanks for posting.

v

Offline GodSon83

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Re: Flu virus in Mexico and US Southeast
« Reply #135 on: August 30, 2009, 07:45:28 AM »
I think that the difference here is that there is human to human infections happening -- not simply animal to human as in the vast majority of the "bird flu" cases the last few years.  A pandemic isn't going to happen without human to human infection. 

While I think it is too soon to panic, it is certainly time to take precautions -- i.e. handwashing, etc.

Interesting, my brother has been in the hospital for a week now (he is in RI) with what has finally been diagnosed as pneumonia and influenza.  He's a healthy 42 year old with no history of respitory issues.  He's had a VERY hard time of it -- finally getting better, but spent a day in ICU because his blood oxygen levels were dangerously low.  I don't think he's been in Mexico lately, but he does like to vacation there......

Mike

I don´t think the problem is to vacation in Mexico,
i think the problem is the virus,
it could starts in which ever other country like Sri Lanka or why not, the Us,
the certain thing here, is to keep us safe,
be intelligent like in others virus cases,
just because HIV starts in Africa, you will not travel to Africa???  ???

well, hugs,
hope im not hearing mad- :P
Xo-Xo
Jun 08  - (-)
Jul 08   - (+)
Dic 08 - CD4:921
May 09- CD4: 1,025   CV: 8,233
Dic 09 - CD4:    911   CV: 5,160
May 10- CD4: 1,054  CV: 6,510
Sep 10- CD4:     923  CV: 1,832
Mar 11- CD4:     508  CV:  1,489
Jul   11- CD4:  1,064  CV:    558
Nov 11- CD4:  1,945  CV:    795
Abr  12- CD4:    859  CV:    401  ´Still no meds´

I like i feel! :)

Offline bocker3

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Re: Flu virus in Mexico and US Southeast
« Reply #136 on: August 30, 2009, 09:29:17 AM »
I don´t think the problem is to vacation in Mexico,
i think the problem is the virus,
it could starts in which ever other country like Sri Lanka or why not, the Us,
the certain thing here, is to keep us safe,
be intelligent like in others virus cases,
just because HIV starts in Africa, you will not travel to Africa???  ???

well, hugs,
hope im not hearing mad- :P

I agree with you -- but take a look at the date of the post that you quoted -- it was back in April.  At that time, the epicenter of this outbreak SEEMED to be Mexico.  It was not yet widely reported in the US and the fact that my brother had NOT been to Mexico seemed noteworthy.  I was NOT trying say the problem was Mexico.  My education is in healthcare, so I don't need to told that it is a virus and not a country that causes the flu.  You really ought to be less sensitive.
To give you more context -- in another thread, I point out that, in fact, my brother was subsequently diagnosed with PCP and through this discovered that he too is HIV positive.

Mike
(who will be in Mexico in October -- I am not afraid to travel to Mexico)
Atripla - Started 12/05
Reyataz/Norvir - Added 6/06
Labs - Pre-Meds
Sep05 T=350/25% VL98,559
Nov05 288/18%  47,564
Current Labs
May2013 691/31% <20

Offline veritas

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Re: Swine Flu (Influenza A H1N1) and HIV
« Reply #137 on: September 02, 2009, 04:51:05 AM »

Offline veritas

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Re: Swine Flu (Influenza A H1N1) and HIV
« Reply #138 on: September 03, 2009, 08:28:20 AM »

Offline Assurbanipal

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Re: Swine Flu (Influenza A H1N1) and HIV
« Reply #139 on: September 04, 2009, 10:38:08 AM »
Fair enough, but I'd still like to see some figures on what CD4 and VL levels are problematic. Probably me being paranoid and asking too much as well. ::)


Ann

For what it is worth, The Body just updated their interview with Joel Gallant (not sure about the effectiveness of updating an interview that refers to current events and leaving in old stuff, but ...   ???)
 
He didn't quote any hard numbers but had this to say about CD4 levels:
"I think that the people who should be most concerned are people with very low CD4 counts. People with higher CD4 counts should probably have the same level of concern that anyone else would have."

and, talking about what level of immunosuppression mattered

"... we can treat the immunodeficiency of HIV. If people are on treatment and have a decent CD4 count, they are probably not at significantly greater risk, in comparison with somebody who has a chronic immunodeficiency that is not treatable."


http://www.thebody.com/content/treat/art53187.html?ic=700100

A



5/06 VL 1M+, CD4 22, 5% , pneumonia, thrush -- O2 support 2 months, 6/06 +Kaletra/Truvada
9/06 VL 3959 CD4 297 13.5% 12/06 VL <400 CD4 350 15.2% +Pravachol
2007 VL<400, 70, 50 CD4 408-729 16.0% -19.7%
2008 VL UD CD4 468 - 538 16.7% - 24.6% Osteoporosis 11/08 doubled Pravachol, +Calcium/D
02/09 VL 100 CD4 616 23.7% 03/09 VL 130 5/09 VL 100 CD4 540 28.4% +Actonel (osteoporosis) 7/09 VL 130
8/09  new regimen Isentress/Epzicom 9/09 VL UD CD4 621 32.7% 11/09 VL UD CD4 607 26.4% swap Isentress for Prezista/Norvir 12/09 (liver and muscle issues) VL 50
2010 VL UD CD4 573-680 26.1% - 30.9% 12/10 VL 20
2011 VL UD-20 CD4 568-673 24.7%-30.6%
2012 VL UD swap Prezista/Norvir for Reyataz drop statin CD4 768-828 26.7%-30.7%

 


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