In a recent press conference, Dr. Bonnie Wong, a consultant for the Centre for Health Protection (CHP) in Hong Kong, highlighted the urgent need for early HIV testing. She expressed concern over the increase in the percentage of “late presenters,” individuals who are diagnosed with HIV at an advanced stage of the infection.
While the number of new HIV cases in Hong Kong has been decreasing since 2015, the proportion of late presenters has risen significantly. Wong emphasized the importance of early testing, as late presenters face a higher risk of transmission and a tenfold mortality risk compared to those who are diagnosed early.
Despite an overall decrease in HIV cases, the proportion of late presentation cases has been on the rise over the past decade. In the third quarter of 2024, more than 43% of cases were identified as late presenters based on their CD4 cell count, indicating a weakened immune system.
Wong shared a case involving a 60-year-old woman who was diagnosed with HIV and AIDS after experiencing prolonged diarrhea and weight loss. This highlights the importance of regular testing, especially for older age groups, as late diagnosis is commonly associated with older individuals.
The CHP also noted an increase in HIV cases among individuals above 50 years of age in the third quarter of 2024. Wong attributed this trend to factors such as inadequate knowledge about HIV, low risk perception, fear of a positive diagnosis, and discrimination.
While there has been a decrease in HIV cases among younger individuals, the number of cases among older age groups has been on the rise. The CHP urged people at risk of HIV infection, including homosexual men, transgender individuals, sex workers, people who inject drugs, and those with multiple sex partners, to get tested regularly.
It is essential for individuals who have engaged in risky behavior or are unsure of their HIV status to undergo testing, as early diagnosis can significantly impact treatment outcomes. Wong emphasized that about one in five newly infected cases are not part of high-risk demographics, underscoring the importance of widespread testing and awareness.
In conclusion, early HIV testing is crucial in preventing late diagnoses and reducing the risk of transmission. The CHP’s call for increased testing among high-risk groups and the general population aims to curb the prevalence of late presentation cases and improve overall public health outcomes. Stay informed and prioritize your health by getting tested regularly.
