Evolving Strategies for the Prevention of HIV in the Federal Healthcare Setting
Between 2010 and 2016, approximately how many new cases of HIV infections were diagnosed among servicemembers per year?
C. 350. Between 2010 and 2016, an average of 350 new HIV infections were diagnosed among servicemembers per year, which represents nearly one new case each day. The Veterans Health Administration and the Department of Defense are working to advance the goals of the National HIV/AIDS Strategy and mitigate the effects of HIV on troop readiness by ensuring regular screening, retention in HIV care, and improved access to prevention services, including pre-exposure prophylaxis. (Okulicz JF, et al. MSMR. 2017;24:2-7).
Jamie P. Morano, MD, MPH
Associate Professor, Division of Infectious Diseases and International Medicine
University of South Florida Morsani College of Medicine
USF College of Public Health, Department of Health Policy and Management
Puja Van Epps, MD
Assistant Professor, Division of Infectious Diseases & HIV Medicine
Case Western Reserve University School of Medicine
Stephanie Larson, PhD
Clinical Content Manager
Laura Rafferty, ELS
Kathryn Schaefer, MSN, RN, CPHRM
Senior Manager, Accreditation and Compliance
East Lansing, MI
Upon completion, participants should be able to:
- Apply a nonjudgmental approach to routinely taking a sexual history to determine individual patients’ HIV-prevention needs
- Describe key elements of a guideline-based approach to implementing PrEP for patients at substantial risk of HIV
This activity is intended for physicians, nurses, nurse practitioners, physician assistants, pharmacists, and other healthcare professionals in the federal healthcare system.
Statement of Need
Although substantial progress has been made over the last 3 decades in the prevention and treatment of HIV, nearly 40,000 persons were newly diagnosed with HIV in the United States in 2016. In the same year, more than 28,000 veterans living with HIV received care at Veterans Health Administration (VHA) medical facilities, making the VHA the largest single provider of HIV care in the country. Both the VHA and the Department of Defense (DoD) support high clinical standards for preventing HIV transmission, especially in high-risk groups, and improving access to HIV care for veterans and active duty servicemembers. Clinicians in the VHA and Military Health System within the DoD may find it challenging to identify patients at high risk of HIV and implement strategies to help prevent HIV infection. It is imperative to provide these medical professionals with tools to support their efforts to reduce HIV transmission among servicemembers and veterans, including methods for engaging patients in nonjudgmental conversations about their sexual health, identifying patients who are most likely to benefit from pre-exposure prophylaxis (PrEP), initiating PrEP, and providing follow-up care.
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This CME/CE/CPE activity consists of a 1.0-credit publication. To receive credit, complete the pre-survey, read the introductory CME/CE/CPE material, read the publication, and complete the post-survey, evaluation, attestation, and post-test, answering at least 70% of the post-test questions correctly.
Initial Release Date: August 3, 2018
Expiration Date: August 2, 2019
Estimated Time to Complete This Activity: 1 hour
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Jamie P. Morano, MD, MPH
Contracted research: Amgen, Bristol-Myers Squibb
Other (USF Clinical Trials Site grant recipient): Gilead Sciences, Inc., Merck & Co., Inc., ViiV Healthcare
Puja Van Epps, MD, has indicated no real or apparent conflicts.
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