ShareSpot: AETC Blog
Health Resources and Services Administration (HRSA), HIV/AIDS Bureau (HAB) Graduate/Health Profession Training Programs
John A. Nelson, PhD, CPNP
AETC National Resource Center
With only about one-quarter of Americans living with HIV being virally suppressed, more Americans becoming newly infected each year, and an aging cohort of HIV specialty care providers (who started providing care to HIV infected persons in the 1980’s), it is essential that health professional training programs incorporate curricula and experience regarding HIV prevention, diagnosis, care, and treatment.
Training and Technical Assistance for U.S. Immigration and Customs Enforcement (ICE) Clinicians: HIV Champions Pave the Way
Alyssa A. Bittenbender, MPH
Program Director, Arizona AETC
Family and Community Medicine
University of Arizona College of Medicine
Tom Donohoe, MBA
Director and Principal Investigator, UCLA AETC
U.S.-Mexico Border Project Coordinator
UCLA Center for Health Promotion and Disease Prevention
David Geffen School of Medicine at UCLA
U.S. Immigration and Customs Enforcement (ICE) deported a record high of nearly 410,000 individuals in 2012; 96% of these removals fell into one of ICE's enforcement priorities of identification and removal of those that have broken criminal laws, recently crossed our border, repeatedly violated immigration law or are fugitives from immigration court.1 In past years, the majority of deportees were from Mexico and Central America.2 Although data are unavailable, a conservative estimate on our part of how many of those individuals are infected with HIV is 1,230 (using Mexico’s HIV prevalence rate, the lowest rate among the U.S. and Central America). An internal needs assessment conducted by U.S. - Mexico Border AETC Steering Team (UMBAST) in 2009 revealed that additional training was needed on how to connect HIV infected detainees to care when they were deported to their country of origin. This assessment launched AETC’s effort to address HIV training needs among U.S. ICE providers.
Cristina Gruta, PharmD
HIV/AIDS Clinicians’ Consultation Center
In August, the U.S. Public Health Service released updated guidelines for the management of occupational exposures to HIV. In multiple sections of the Guidelines for the Management of Occupational Exposures to Human Immunodeficiency Virus and Recommendations for Postexposure Prophylaxis, the AETC National Clinicians' PEPline (888.448.4911) is cited as a resource for expert consultation.
Cristina Gruta, PharmD, is a PEPline clinician consultant, where she and her physician and nurse colleagues field about 10,000 occupational exposure consultations annually. We asked Cristina to summarize the new Guidelines.
Sarah Cook-Raymond, MA
Impact Marketing + Communications
Approximately 85 percent of incarcerated persons pass solely through jails. Each year there are nearly 13 million jail admissions—representing 9 to 10 million unique persons annually—in the United States. This equates to more than 4 percent of the U.S. adult population passing through a jail in a given year, yet most interventions focus exclusively on prisons.