Agency officials expects greater spread of HIV this year
By Deborah Jeanne Sergeant
For people at risk for human immunodeficiency virus (HIV) infection, receiving a free hiv test and getting prompt test results can help reduce their chances of spreading HIV. Since the pandemic began last spring, testing and prompt results have been disrupted.
According to Planned Parenthood of Central and Western New York, which maintains offices serving the Rochester, Buffalo and Syracuse areas, testing for HIV has decreased dramatically since the local onset of the pandemic.
The agency facilitated 4,644 tests from Mar. 1, 2019 through Oct. 1, 2019. During the same period in 2020, the number of tests plummeted to only 2,403. That is 51% fewer tests.
The reasons vary behind why testing has declined so dramatically.
“I think that is directly related to our patients not wanting to come in,” said Amy Hsi, nurse practitioner for Planned Parenthood of Central and Western New York in Rochester, Buffalo and Syracuse. “In general, it’s because of the risk of COVID and having to adjust for safety reasons.”
The healthcare industry underscored the seriousness of COVID-19 by suspending non-emergency services for weeks during the pandemic’s onset. Although on April 1, Planned Parenthood announced expansion of telehealth, testing for HIV through Planned Parenthood requires a physical presence.
“Most healthcare providers are offering telehealth services so people can get care, but for HIV testing, you have to go somewhere,” Hsi said. “They need to come in or we could order it and they could go to a lab.”
The agency does not provide home-based tests for patients to take or mail to a lab. Home tests are available at pharmacies such as CVS and Rite Aid for about $35 to $45. Oral tests offer accurate results in minutes; however, they are only accurate if the test is taken after three months of the exposure incident. For people who frequently engage in risky activity, waiting that long for test results can contribute to the spread of HIV.
Although healthcare providers have opened back up for seeing more patients, the social distancing rules mean fewer patients can be admitted in offices at a time. That can hamper providers’ ability to offer services in a timely fashion.
Hsi said that periodic surges in COVID-19 infection numbers continue to keep many wary patients away.
She thinks that the pandemic may cause greater spread of HIV compared with previous years. At this point, it is difficult to tell.
“If people really are self-quarantining and not getting out as much, they may not be doing at-risk activities,” Hsi said. “Then again, maybe people at home are having more unprotected sex without knowing their HIV status. If people can’t get condoms and PrEP, it puts them more risk.”
Pre-Exposure Prophylaxis (PrEP) is a daily medication that can prevent people at high risk for HIV from contracting the infection.
According to the Centers for Disease Control and Prevention, “In the United States, HIV is mainly spread by having sex or sharing syringes and other injection equipment with someone who is infected with HIV. Substance use can contribute to these risks indirectly because alcohol and other drugs can lower people’s inhibitions and make them less likely to use condoms.”