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New Method for Diagnosing HIV Rapid Testing Algorithm RTA Study

History of SF CTL . 1985 Mass Screening, Group Counseling, 2 Weeks Wait 198? One on One Counseling, 2 Weeks Wait198? 1 Week Wait1994 World Health Organization Approves use of RTA 2003 Rapid Testing, No wait for Negatives ?Prelimary Positive," 1 Week Wait for Confirmation2007 Rapid Tes

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New Method for Diagnosing HIV Rapid Testing Algorithm RTA Study

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    1. New Method for Diagnosing HIV Rapid Testing Algorithm (RTA) Study San Francisco Counseling Testing and Linkage Unit 2007

    2. History of SF CTL 1985 Mass Screening, Group Counseling, 2 Weeks Wait 198? One on One Counseling, 2 Weeks Wait 198? 1 Week Wait 1994 World Health Organization Approves use of RTA 2003 Rapid Testing, No wait for Negatives Prelimary Positive, 1 Week Wait for Confirmation 2007 Rapid Testing Algorithm, RTA Study, No Wait 200? RTA Standard of Care

    3. The RTA Study Using a sequence of up to 3 HIV rapid tests, we will provide clients with information about their HIV status within 1 hour and link into care the same day

    4. Background for Study Early care reduces disease progression Nationally, 30% do not return for confirmation, in SF it is 40% False positives New rapid technology

    5. Intervention One appointment Clients linked to care at same visit

    6. Test #

    7. Numbers

    8. Study Structure Standard consent 100 to 150 Positive tests at intervention sites 100 to 150 Positive tests at control sites 18 Months LA second site (200 to 300)

    9. Intervention Control AIDS Healthcare Foundation Asian & Pacific Islander Wellness Center Bay Area Addiction Research and Treatment Forensic AIDS Project Glide Health Services Magnet Tenderloin Health Estimated 150 New Positives AIDS Health Project City Clinic Larkin Street Youth Services Mission Neighborhood Health Center Native American Health Center St Anthony's Free Medical Clinic St. James Infirmary Tom Waddell Health Center Women's Community Clinic Estimated 150 New Positives

    10. Study Objectives Feasibility and Cost (Can we do it & $) Validation (Does it work) Impact on Linkage to Care Protocols and Best Practices (What did we learn)

    11. OraQuick #1 Blood or Oral Store at room temperature Screens for HIV-1 and HIV-2 Read in 20-40 minutes

    12. Stat-Pak #2 Blood Only Store at room temperature Screens for HIV-1 and HIV-2 Read results in 15-20 minutes

    13. Uni-Gold #3 Blood Only Store at room temperature Screens for HIV-1 Read in 10-12 minutes

    14. Follow up Process Getting HIV+ clients into care Standardized citywide protocol Have contact at SFDPH to assist with any questions/concerns, problems related to linkages

    15. Concerns RTA This is new, dealing with some unknowns Having to adhere to 3 testing standards Powerful news for the client and counselor in one session ?????

    16. Benefits RTA Addresses false positives Help people to feel more comfortable with rapid testing All clients will know their results within one hour Reduces # of clients who do not receive confirmatory results ??????

    17. Contacts Teri Dowling SF CTL Program Manager 415-554-9167 Teri.dowling@sfdph.or Shelley Facente Coordinator for CTL Evaluation and Quality Assurance 415-554-9136 Shelley.facente.@sfdph.org Thomas Knoble Coordinator for Community Interventions 415-702-7379 Thomas.knoble@sfdph.org Omar Menendez Coordinator for Linkages 415-703-7280 Omar.menendez@sfdph.org

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