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HIV – an epidemic in Denmark no longer

TheCopenhagenPost
May 10th, 2016


This article is more than 8 years old.

‘Treatment-as-prevention’ showing astonishing results

Danish research is turning the tide on HIV (photo: CDC)

The Danish approach to eliminating HIV is paying dividends. According to the World Health Organisation (WHO), a disease with an annual infection rate of less than one person in every 1,000 is no longer an epidemic, and Denmark is closing in on that milestone.

According to a nearly two-decade analysis of a Danish study by researchers at the University of California, Los Angeles (UCLA), Denmark’s ‘treatment-as-prevention’ protocol is working.

Danish medical records show that in 2013 the strategy had reduced the occurrence of HIV in Denmark to 1.4 men in 1,000 that year

“The Danes have done what nobody else in the world has been able to do,” said Sally Blower, the head of the Center for Biomedical Modeling at UCLA.

“They have almost eliminated their HIV epidemic, and they have achieved this simply by providing treatment.”

Exceptional treatment
The report points out that Denmark has exceptional treatment programs.

“Treatment makes people less infectious,” said Justin Okano, the study’s lead author.

“In Denmark, 98 percent of patients take all of their HIV medications, which is why treatment as prevention has worked there. Unfortunately, adherence levels are nowhere near as high in other countries.”

The findings, which appeared online May 9, are based on analysis of data from an ongoing Danish study that began in 1995.

The project, which tracks all Danish men who have sex with men, and who have been diagnosed with HIV, was started by Danish clinicians and epidemiologists Jan Gerstoft and Niels Obel, who co-authored the new study.

Universal health care a key
The researchers said that many factors have contributed to Denmark’s success, including the country’s universal healthcare system and the availability of free treatment for all people who have been infected with HIV.

READ MORE: Danish HIV research could revolutionise treatment internationally

Worldwide, about 35 million people are living with HIV.


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A survey carried out by Megafon for TV2 has found that 71 percent of parents have handed over children to daycare in spite of them being sick.

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.

Pill pushers
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.”