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HIV Testing


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Vital Signs About 50,000 people get infected with HIV each year in the US

Knowing if you are infected with the human immunodeficiency virus (HIV), the virus that causes acquired immunodeficiency syndrome (AIDS), is the first step in getting medical care and other needed services. The length of time between infection and the start of symptoms can be as long as 10 years or more.

There are two important reasons to get tested if you think you may have been exposed to HIV. If you are infected, you can get early medical care so that you can stay healthy for a long time, and you can learn how to prevent spreading the infection to others.

Who should be tested?

The national Centers for Disease Control and Prevention released new recommendations in 2006 that encourage everyone between the ages of 13 and 64 to be tested for the HIV virus through their health care providers as a routine screening. This broad recommendation is meant to identify those who may be HIV-infected, but do not yet know their status. Early detection can help an HIV-positive person find services and reduce HIV transmission.

Testing and counseling for early diagnosis of HIV infection are especially recommended for the following people:

  • People who have sexually transmitted diseases
  • Injecting drug users and their spouses, sex partners and needle-sharing partners
  • Pregnant women or women who plan to become pregnant
  • People who have been sexually abused
  • People who have unprotected sex, especially if they or their partners have had sex with other people
  • Tuberculosis patients

See CDC Recommendations

Why does the CDC recommend pregnant women be tested for HIV?

Testing is recommended because there are treatments for the HIV-infected pregnant woman that greatly reduce the chance of passing HIV on to her infant before and during birth. Remember, you could be infected with HIV and not be aware.

Why should a person who has a sexually transmitted disease (STD) be tested for HIV?

A person with an STD has a much greater chance of becoming infected or transmitting HIV, because he or she is having unprotected sex with a partner who also had unprotected sex.

When and how often should I be tested for HIV?

Anyone at high risk for HIV should be tested at least annually. People considered at high risk for HIV include injection-drug users and their sex partners, persons who exchange sex for money or drugs, sex partners of HIV-infected persons, men who have sex with men (MSM) and heterosexual persons who themselves or whose sex partners have had more than one sex partner since their most recent HIV test. Anyone who had unprotected sex or shared needles should be tested. If you are worried that you might be infected, you can be tested at any time. Ideally before starting a new sexual relationship, both persons should be tested for HIV. But testing should never take the place of prevention.

Where can I get tested for HIV?

The Department of Health has free and confidential HIV testing at two sites in Annapolis and one in Glen Burnie. Call 410-222-7108 to schedule an appointment at a time and location convenient for you.
See HIV Testing Sites

What HIV tests are available?

The tests commonly used to detect HIV infection look for antibodies produced by your body to fight HIV-1 and HIV-2 viruses. The Department of Health provides two types of HIV tests:

Blood Draw (Results in two weeks)
If you have your blood drawn to test for HIV, a small amount of blood is collected by inserting a needle into a vein in your arm. The blood is then sent to a laboratory to determine if HIV-1 or HIV-2 antibodies are detected.

Fingerstick (Clearview® COMPLETE HIV 1/2) (Results in 20 minutes)
The Clearview COMPLETE HIV 1/2 Antibody Test is used to test a drop of your blood for HIV antibodies. One drop of blood is collected by gently pricking the end of your finger with the fingerstick lancet. The droplet of blood is then put into the Clearview Vial for 20 minutes to run the test to determine if HIV-1 or HIV-2 antibodies are detected. If the test results are positive (called a preliminary positive) for HIV antibodies, then a confirmatory test is done by drawing blood.

How accurate are HIV test results?

Both tests are at least 99% accurate. Most people develop detectable antibodies to fight HIV within 3 months after they are exposed to infection (the average is 25 days). In rare cases, it can take up to 6 months to test positive. The national Centers for Disease Control and Prevention recommend testing or retesting 6 months after the last possible exposure (unprotected vaginal, anal or oral sex or sharing needles).

During the 6 months between a possible exposure and the test, it is important to protect yourself and others from possible exposure to HIV. Never share needles, and only have safe, protected sex.

What if I test positive for HIV?

If you test positive for HIV, early medical treatment and a healthy lifestyle can help you stay well, delay the onset of AIDS and prevent or treat some life-threatening conditions. If you are HIV-positive, call the Department of Health's HIV/AIDS program at 410-222-7108 and ask for assistance regarding services available in the County for HIV-positive individuals. If you are uninsured or underinsured, a case manager can meet with you confidentially to help you plan and get the services you need, including medical treatment.
HIV/AIDS Case Management Services

Maryland HIV Reporting Law
On April 24, 2007, Governor Martin O'Malley signed into law The Maryland HIV Reporting Act of 2007 (House Bill 1270), requiring health care providers and laboratories to report cases of HIV infection by name to the local health department. House Bill 1270 ensures compliance with federal law and meets the conditions that are set forth by the Centers for Disease Control and Prevention for prevention services and for the care and treatment of individuals with HIV/AIDS. For more information, call HIV/AIDS Services at 410-222-7108 or speak with your private health care provider.

If I test HIV-negative, does that mean that my partner is also HIV-negative?

No. Your HIV test results reveal only your HIV status. It is possible that your partner is infected but has not yet transmitted the infection to you.

How do I interpret HIV test results?

The best way to interpret the test is through an HIV/AIDS counselor or trained health care provider. The counselor can provide emotional support and information.

If you learn you are HIV-positive, the counselor can explain where to get help and the treatment options, discuss ways to keep you healthy longer and methods to avoid spreading HIV to others.

If you learn you are HIV-negative, an HIV/AIDS counselor can help you learn skills to avoid future infection. If you are negative but at risk, you may need to be retested on a regular basis.

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