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HIV /AIDS : MORE PEOPLE LIVING WITH ARV MEDICINES AND NOW OLD DAY DISEASES WITH HIV /AIDS IS A CHALLENGE FOR PHYSICIANS
PROF.DRRAM ,HIV/AIDS,SEX DISEASES,SEX WEAKNESS & ABORTION SPECIALIST
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GOOD ARV MEDICINES FOR HIV /AIDS HAS RESULTED With good adherence to ART,many HIV-infected persons can expect to live to an older age. The CDC estimates that by 2015, half the people living with HIV infection in the United States will be 50 years of age or older. CDC also reports that a significant proportion of new infections are occurring in older adults.
Further, research studies have shown that HIV disease itself and/or its treatment appear to affect the process of aging or the development of illnesses associated with aging. For example, the NIH-sponsored Multicenter AIDS Cohort Study has shown that HIV disease accelerates the development of chronic diseases. Older adults with long-term or new HIV infection experience complex interactions with HIV, antiretroviral therapy (ART), age-related changes to the body, and, often, treatment for illnesses associated with aging. These conditions include cardiovascular disease, infectious and noninfectious cancers, osteopenia/osteoporosis, liver and renal disease, and neurocognitive decline. Globally, research in Sub-Saharan Africa, the geographic area where most HIV-infected people live, suggests that this trend is also occurring in resource-limited settings. These findings have many clinical, social and economic ramifications and will pose a number of challenges to provide effective health care to an increasing number of HIV-infected individuals.
Research in this area must address:
multi-morbidity, i.e. the development of multiple chronic conditions that complicate HIV disease;
the complexity of distinguishing what complications are attributable to HIV, to its treatment, or to the aging process;
the simultaneous use of a large number of HIV and non-HIV medicines;
the inter-related mechanisms of aging of the immune system, inflammation and coagulation disorders;
the need for accurate methods to identify HIV-infected patients who need specific interventions or are at high-risk for specific complications; and
issues of community support, care giving and systems infrastructure.
In response to the recommendations of this Working Group, the NIH has launched a number of new initiatives to support research in this area. The report will continue to help shape the NIH research agenda to address the medical implications of aging with HIV and to develop more sophisticated treatment strategies so these older adults can live longer, healthier lives.
SO NOW WITH GOOD MEDICINES HIV/AIDS PATIENTS RE LIVING MORE AND MANY ARE NOW IN OLD AGE BUT MORE COMPLICATIONS ARE OCCURING IN THEM BESIDE OPPURTUNISTIC ONE DUE TO ONE EITHER TO OLD DISEASES AND MORE COMPLICATED WITH SIDE EFFECTS OF ARV MEDICINES.