Home Community HIV amd TB show modest effect on COVID-19

HIV amd TB show modest effect on COVID-19

649
123
Blood sample with respiratory coronavirus positive

HIV Preliminary results from a study of 12 987 COVID-19 patients in South Africa indicate that HIV and TB have a modest effect on COVID-19 mortality, scientists Quarraisha Abdool Karim and Salim Abdool Karim said.

According to the experts, 12% and 2% of COVID-19 deaths are attributable to HIV and TB, respectively, compared to 52% of COVID-19 deaths attributable to diabetes in South Africa.

“The small contribution of HIV and TB to COVID-19 mortality is mainly due to these deaths occurring in older people, in whom HIV and active TB are not common. Integrated medical care for these three conditions is important, as COVID-19 patients co-infected with HIV or TB start attending healthcare services in larger numbers,” the scientists said.

Professor Salim Abdool Karim is the Director at the Centre for the AIDS Programme of Research in South Africa (CAPRISA) and the country’s chief Coronavirus scientist. Professor Quarraisha Abdool Karim is an infectious diseases epidemiologist and Associate Scientific Director at CAPRISA.

The lead scientists published a paper in Science Magazine on how South Africa’s TB and HIV infrastructure helped with a rapid response to COVID-19. However, they believe that the focus on COVID-19 has an “opportunity cost” to the enormous gains made against these conditions.

“We can’t afford to be complacent,” the scientists said.

Access to chronic medication

According to the pair, access to medical care for non–COVID-19 conditions was limited during the hard lockdown, with health facilities experiencing dwindling numbers of TB and HIV patients collecting their medication on schedule.

“In South Africa, 1 090 TB patients and 10 950 HIV patients in one province have not collected their medications on schedule since the start of the national lockdown.”

Meanwhile, 13.2% of the 19 330 individuals surveyed in the country indicated that their medication for chronic disease was inaccessible during the lockdown.

“Furthermore, hospital admissions for HIV and TB declined as a result of hospitals reducing non-urgent admissions in preparation for a surge of COVID-19 cases and owing to closures to reduce exposure to COVID-19 patients,” said the professors.

This could pose a threat and have substantial repercussions for both treatment and control, including the development of drug resistance for HIV and TB patients.

While the biological and epidemiological interaction of COVID-19, HIV and TB is not well understood, the two professors think that patients, whose immune system is compromised by HIV or TB, could be more susceptible to severe COVID-19.

South Africa’s COVID-19 lockdown regulations have also had a disproportional impact on women, many of whom are self-employed or day labourers without a safety net, research revealed.

“This may have a longer-term effect on increasing diseases associated with poverty such as TB and with gender, such as HIV, for which young women bear a disproportionate burden,” said the professors.

They also warned of the negative impact of the declining economy on HIV and TB programmes.

New and ongoing research

According to the professors, new and ongoing research on HIV and TB prevention and treatment have been affected by the pandemic.

South Africa has about 7.9 million people living with HIV and ranks among the worst-affected countries in the world for TB, with the fourth-highest rate of HIV-TB co-infection at 59%.

“At the initiation of the lockdown in South Africa, the National Health Research Ethics Committee suspended all medical research, including clinical trials.

“However, COVID-19 research efforts have increased collaboration and created new approaches to speed up therapeutic and vaccine development and testing, which will likely have long-term benefits for medical research beyond COVID-19,” said the professors.

South Africa has made steady progress since 2010 in controlling both diseases. Access to antiretroviral drugs for treatment and prevention of mother-to-child transmission of HIV has resulted in a 33% reduction in AIDS-related deaths between 2010 and 2018, the professors said.

In addition, the death rate among TB cases has declined from 224 per 100 000 population in 2010 to 110 per 100 000 population in 2018.

“Past investments in infectious disease training and research have generated handsome returns to the COVID-19 response, highlighting the importance of maintaining these investments in the future,” the professors said.

They said the resources built up over decades for the control of HIV and TB, and now redirected to control COVID-19, include diagnostic platforms, community outreach programmes, medical care access and research infrastructure.

However, the professors said the COVID-19 response also provides potential opportunities to enhance HIV and TB control.

123 COMMENTS

  1. Hello, i read your blog from time to time and i own a similar one and i was just
    wondering if you get a lot of spam comments?
    If so how do you protect against it, any plugin or anything you can recommend?
    I get so much lately it’s driving me insane so any help
    is very much appreciated. 0mniartist asmr

  2. Good day I am so delighted I found your blog page, I really
    found you by mistake, while I was searching on Aol for something else,
    Nonetheless I am here now and would just like to say
    cheers for a incredible post and a all round entertaining blog (I also love the theme/design), I don’t have time to read
    it all at the minute but I have book-marked it and also included your RSS feeds,
    so when I have time I will be back to read much more,
    Please do keep up the awesome jo.

  3. Greate pieces. Keep posting such kind of info on your blog.

    Im really impressed by your site.
    Hello there, You’ve done an excellent job. I’ll definitely digg it and
    in my view recommend to my friends. I’m confident they’ll be benefited from this site.

  4. scoliosis
    Great goods from you, man. I have bear in mind your stuff prior to and you’re simply extremely wonderful.
    I really like what you’ve received right here, certainly like what you are saying and
    the best way in which you assert it. You’re making it entertaining and you continue to care for to keep it smart.
    I can’t wait to learn far more from you. This is
    really a great site. scoliosis

  5. Excellent post. I was checking constantly this blog and
    I’m impressed! Extremely useful info specially the last
    part 🙂 I care for such info a lot. I was seeking
    this certain information for a very long time. Thank you
    and best of luck.

  6. Its like you read my thoughts! You appear to grasp so much about this, like
    you wrote the book in it or something. I feel that you can do with
    a few p.c. to drive the message home a bit, but
    other than that, that is wonderful blog. A fantastic read.
    I’ll certainly be back.

    My web blog :: kebe.top

  7. You are so cool! I do not suⲣpose I have reɑd thr᧐ugh sⲟmething like
    that before. So grеat to find somebody witһ a few oгiginal thoughts on this issue.
    Really.. many thanks for starting this up. This website іs one thing that is required on the web, someone with a biіt of oriɡinality!

  8. Greetings! I know this is kіnda off topic however , I’d figured
    I’d ask. Wouⅼd you be interested in trading lіnks or mɑybe ɡueswt writing a blog article or
    vice-vеrsa? My blog goes over a lot of the same subjects as yours and I feel we could greatly
    benefit from each otһer. If you’re interested feeel free tto shokot me an e-mail.

    I look forward to heaгing from you! Wonderful blog bby the way!

  9. Its sᥙch as you reɑd my tһoughts! You appеar
    to know a lօt about this, lіke уou wrote the еblok in it oг
    something. I believe thаt you just could do with a ffew percent to
    drive thе messagе house a little bit, buut other than thɑt, this is
    fantastic bloց. A great read. I will certainly be baϲk.

  10. Unquestionably imagine that which you stated. Your favourite justification seemed to be at the web the easiest thing to consider of.
    I say to you, I certainly get annoyed whilst other people consider worries that they plainly do not recognize about.
    You managed to hit the nail upon the highest as well as defined out the entire thing with no need side-effects , people can take a
    signal. Will probably be again to get more. Thanks

    Feel free to surf to my website … Bio Wellness CBD (Freddy)

  11. Thank you for your site post. Thomas and I have already been saving
    to buy a new book on this subject matter and your post has made us all to save our money.

    Your opinions really responded all our inquiries.
    In fact, over what we had known previous to the time we discovered your
    superb blog. I no longer nurture doubts along with a troubled mind because you have attended to
    our own needs in this post. Thanks

    My blog; La Velours Serum Review – http://forum.adm-tolka.ru,

  12. I simply had to say thanks once again. I’m not certain what I might have worked on without these basics
    contributed by you concerning my field. It was the alarming condition in my opinion, but discovering the very expert approach you resolved it forced me to leap
    for fulfillment. Extremely grateful for the support and then trust you recognize what a great job
    you were carrying out instructing people today all through your blog.
    More than likely you’ve never come across any
    of us.

    Feel free to visit my blog :: Active Uprise Nitric Oxide Boost Reviews (web.jmjh.tn.edu.tw)

  13. Thanks for your marvelous posting! I definitely enjoyed reading it, you
    might be a great author. I will make sure to bookmark your
    blog and will often come back someday. I want to encourage you to definitely
    continue your great writing, have a nice weekend!

    Take a look at my web page :: BTC Upbeat Reviews (http://www.business-terms.sblinks.net/out/public-profile-skyenoble8-digital-nomad-ads)

  14. Hi tһere! Someone in my Myspace gгoup shared tһis sitе with uss ѕo I came toߋ take a look.
    I’m defіnitely loving the information. I’m bookmarking and ԝill be tweeting this
    to my followers! Great blοg annd brilliаnt design.

  15. Good day I am so glad I found your site, I really found you by mistake, while I was browsing on Askjeeve
    for something else, Anyhow I am here now and would just like to say thanks for a fantastic post
    and a all round entertaining blog (I also love the theme/design), I don’t have
    time to read it all at the moment but I have saved it and also included your
    RSS feeds, so when I have time I will be back to read more, Please do keep up the excellent job.

    Also visit my homepage; SafeLine Keto Reviews (mpc-install.com)

  16. You’re so cool! I do not believe I’ve read a single
    thing like this before. So wonderful to discover
    someone with a few genuine thoughts on this issue.
    Really.. thank you for starting this up. This site is something that’s needed on the internet, someone with
    a bit of originality!

    My web blog … La Velours Serum Reviews; clubriders.men,

  17. Great – I should definitely pronounce, impressed with your
    site. I had no trouble navigating through all
    the tabs and related information ended up being truly simple to do to access.

    I recently found what I hoped for before you know
    it in the least. Reasonably unusual. Is likely to appreciate it for those
    who add forums or something, site theme . a tones way for your client to communicate.

    Excellent task.

    Here is my site One Shot Max Reviews (usedtiresbrowardcounty.com)

  18. Good – I should certainly pronounce, impressed with your site.
    I had no trouble navigating through all the tabs and related information ended up being truly easy
    to do to access. I recently found what I hoped for before you know it at all.
    Quite unusual. Is likely to appreciate it for those who add
    forums or something, web site theme . a tones way for your customer to communicate.
    Nice task.

    Feel free to surf to my blog post: https://mpc-install.com/punbb-1.4.6/viewtopic.php?id=106279

  19. I’ve been exploring for a bit for any high-quality articles
    or weblog posts on this kind of house . Exploring in Yahoo I finally stumbled upon this
    web site. Reading this information So i am satisfied to express that I’ve
    a very excellent uncanny feeling I discovered just
    what I needed. I most indubitably will make certain to do not forget this
    site and provides it a look regularly.

  20. Thanks for the sensible critique. Me and my neighbor were just preparing to do some research on this. We got a grab a book from our area library but I think I learned more clear from this post. I’m very glad to see such magnificent information being shared freely out there.

  21. I have been exploring for a little bit for any high-quality articles or weblog posts in this sort of area . Exploring in Yahoo I at last stumbled upon this site. Studying this info So i am satisfied to show that I’ve a very good uncanny feeling I came upon exactly what I needed. I so much indubitably will make certain to don?¦t overlook this website and provides it a look regularly.

  22. Unquestionably believe that which you said. Your favorite reason appeared to be
    on the net the easiest thing to be aware of. I say to you,
    I certainly get annoyed while people think about worries that they plainly don’t know
    about. You managed to hit the nail upon the top and defined out the whole thing without having side effect , people can take a signal.
    Will probably be back to get more. Thanks

    Feel free to visit my website: Slim Fast Keto