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Danish HIV research could revolutionise treatment internationally

TheCopenhagenPost
June 3rd, 2015


This article is more than 9 years old.

Study shows benefits of starting treatment early

Groundbreaking research by scientists at the University of Copenhagen could revolutionise guidelines for the treatment of HIV, reducing the risk of contracting AIDS and other serious illnesses. The results of the international study have been released ahead of schedule due to the enormity of their implications for HIV sufferers around the world.

Treatment: the sooner the better
Jens Lundgren, the head of the Centre for Health and Infectious Diseases at Copenhagen’s Rigshospitalet who is a clinical professor at the University of Copenhagen, said the study’s central message is that when it comes to the treatment of HIV, the sooner treatment begins, the better.

“If you receive treatment early, there is a significantly lower risk of contracting AIDS or another serious illness,” he said.

“In addition, early treatment can contribute to lowering the risk of transmitting HIV to others.”

Does away with guidelines
Until now international guidelines for the treatment of HIV have been that treatment should start when the count of CD4 cells, those with a type of glycoprotein on their surface, falls to 500 cells/µL or less.

Lundgren explained that the new study challenges the received wisdom of such recommendations.

“The study makes it clear that it pays to start the treatment of HIV early in the course of the HIV infection,” he said.

“Treatment should begin as soon as a person receives an HIV diagnosis. Our research does away with these guidelines and highlights that treatment should be deployed, even though the HIV-infected person is symptom-fee and regardless of their CD4 cell count.”

“We have reached a milepost in HIV research that will be of great importance for the global guidelines for treatment.

Lungren and his group are advocating for a change in the international guidelines for the treatment of HIV.

“We have a meeting with the WHO soon, where we will recommend them to change the international guidelines,” he said.


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Moreover, 21 percent of those surveyed admitted to medicating their kids with paracetamol, such as Panodil, before sending them to school.

The FOLA parents’ organisation is shocked by the findings.

“I think it is absolutely crazy. It simply cannot be that a child goes to school sick and plays with lots of other children. Then we are faced with the fact that they will infect the whole institution,” said FOLA chair Signe Nielsen.

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At the Børnehuset daycare institution in Silkeborg a meeting was called where parents were implored not to bring their sick children to school.

At Børnehuset there are fears that parents prefer to pack their kids off with a pill without informing teachers.

“We occasionally have children who that they have had a pill for breakfast,” said headteacher Susanne Bødker. “You might think that it is a Panodil more than a vitamin pill, if it is a child who has just been sick, for example.”

Parents sick and tired
Parents, when confronted, often cite pressure at work as a reason for not being able to stay at home with their children.

Many declare that they simply cannot take another day off, as they are afraid of being fired.

Allan Randrup Thomsen, a professor of virology at KU, has heavily criticised the parents’ actions, describing the current situation as a “vicious circle”.

“It promotes the spread of viruses, and it adds momentum to a cycle where parents are pressured by high levels of sick-leave. If they then choose to send the children to daycare while they are still recovering, they keep the epidemic going in daycares, and this in turn puts a greater burden on the parents.”