Know your HIV Status 
There is a strong commitment throughout Manchester to raise awareness of HIV.
Manchester Pride has long been a supporter of free condoms and lube for men who have sex with men and that is why every year it helps, through Pride ticket sales, to support The Lesbian and Gay Foundation’s free Condom and Lube Scheme. The long-running scheme provides around 600,000 free packs of condoms and lube which are distributed across hundreds of locations. However access to free condoms and lube is just part of the battle in fighting HIV and sexually transmitted infections.
Over the summer, throughout the Pride season and leading up to World Aids Day in December promoting HIV testing will be one of the main focuses for Manchester’s World Aids Day Partnership (Manchester City Council, Manchester Primary Care Trust - NHS, Black Health Agency, George House Trust, and The Lesbian and Gay Foundation) to encourage more awareness around HIV and offer support for those affected by the virus.
HIV is on the increase in Manchester but with improved testing and better treatments the city is drawing attention to what more can be done to highlight the virus and also support those affected by it.
The Lesbian & Gay Foundation is committed to helping men who have sex with men think about HIV in relation to their sexual partners with a campaign encouraging guys to know their own HIV status.
• By the end of 2011 there will be over 100,000 people in the UK living with HIV
• Today in the North West of England there are now over 7,729 people living with HIV
• 3,754 people received treatment for HIV in Greater Manchester alone in 2009
Know your status, protect yourself, protect your partner and protect your community.
There is often a lot of confusion surrounding the statistics but new infections amongst men who have sex with men happen here in the UK, whereas the majority of new infections amongst heterosexual people happen abroad.
Every day these numbers are increasing.
1 in 10 men who have sex with men are HIV +ve*
HIV is still a big issue for men who have sex with men.
About 1 in 10 gay or bisexual men *in larger cities in the UK (and as many as 1 in 7 on London's gay scene) has HIV, and between 25% and 30% are unaware that they are positive. Amongst men who have sex with men in the North West in 2009 there were 339 new cases of HIV infection and of these 202 were from Greater Manchester.
Each one of those cases represents a person whose life has changed forever.
Let’s Talk About It
How many of us think about our partner’s sexual history when we are getting to know them? It is a difficult subject to talk about, particularly if we have just met someone, but simply thinking about it is a good starting off point.
About 75% of HIV negative men would expect someone to tell them if they have HIV, yet only 25% of HIV positive men feel comfortable enough to be able to do this.
Assume nothing. By only having the kind of sex that puts you at the minimal risk of contracting an Sexually Transmitted Infections or HIV, you know that you are doing the best to look after yourself, and your health.
Condoms and Lube still offer the best protection against HIV and STIs, but remember you don’t always have to have anal sex. STIs can be passed on through oral sex as well. Gay and bisexual men who are having sex with different people should be getting a full sexual health screen, including an HIV test at least once every 12 months.
Get Tested-Look After Your Health
Early diagnosis of HIV is so important because it means that someone who is diagnosed not long after they are infected with HIV will stand a better chance of long term health, than someone who doesn’t test and is diagnosed late.
In some areas of Greater Manchester, the late diagnosis rate of people with HIV is close to 50%. This means that they are open to opportunistic infections, as well as leaving their immune system open to intense damage over many years.
The reason that people present late with an HIV diagnosis is often because they were unaware that they were infected with the virus. Any symptoms that showed up may have been so mild as to be missed, or simply put down to other infections such as cold or flu. In many cases, there wouldn’t have been any symptoms to begin with. Over the years the virus would have been silently ravaging through their immune system, and the viral load in the blood would have been increasing.
That isn’t to say that their body wouldn’t have fought back a little in an attempt to control the HIV, but the way that it works means that the more that the body tries to do, the more of a grip the virus has. It is one of the unfortunate complexities of HIV, and one of the reasons why a cure cannot be easily found.
Protection & Testing
The two messages that men who have sex with men need to keep hearing are:
1. Protect yourself against contracting HIV
2. Get tested regularly
By testing at least once every twelve months any infection by HIV will be relatively recent, and you stand the best chance of good long term health. Once you receive a positive diagnosis, your blood will be checked regularly and the viral load measured. Your immune system will also be checked to see how many of the cells that HIV targets are affected, and how many of the cells are healthy. By having these checks the HIV specialists will be able to work out when it is best for you to start on Anti-Retroviral Therapy. All of this means that you will be healthier for longer.
Unfortunately, if this is left too late then the outlook is not as good. If the immune system has been damaged over a number of years then combination therapy will not be as effective. This can lead to further complications, hospitalisation and even death. Because symptoms for HIV infection are so unreliable, it is not effective to think that an infection will be picked up through routine healthcare.
Sexually Transmitted Infections & HIV
Knowing whether or not you have an STI is one of the most important things you can do to look after your health. As well as passing these on to other people, having an STI can make it more likely that you will pick up or pass on HIV. By having regular testing, you will feel more in control of your own health, and this is turn can make decisions around having safer sex seem more important. By taking personal responsibility, each one of us can make a proactive decision to halt new STI and HIV infections, or at the very least ensure that we do everything we can to reduce them.
Going for a Check-Up
Sexual health check ups, including HIV testing, at least once every twelve months for sexually active gay men is the best way to ensure that any infection is picked up and treated to maximise your long term health. Even if you feel perfectly well, get tested and take control of your health. Many gay and bisexual men put off going for a routine sexual health check up because of horror stories or myths that they have overheard.
There are no instruments used to ‘scrape’ your insides, most tests can be done with a urine sample. If swabs are used, they are nothing scarier than a small cotton bud. If you are afraid of needles, then talk to the nurses about this, blood tests are used, but talking about your concerns beforehand will help you.
The stigma that surrounds sexual health check ups is outdated. Clinics are modern healthcare centres, with the staff being completely non-judgemental and there to help. You don’t even have to give your real name if you don’t want to, and all tests and treatments are free, and the tests are fully confidential (the records are completely separate to your doctor’s records, for example).
Same Day HIV Testing
Sexually active gay and bisexual men are encouraged to get a full sexual health screen at least once a year, or more often if you are sleeping with lots of different people. With more people than ever living with HIV and about 27% unaware of their infection, it has never been more important to get tested regularly.
Some infections can be treated easily with antibiotics and are completely curable. HIV is not curable, but effective health monitoring and treatments are available in the UK.
Some places offer same day HIV testing, with the results available within the hour.
Know your status, protect yourself, protect your partner and protect your community.
For support and information please call 0845 3 30 30 30 or e-mail: info@lgf.org.uk
For more information on where to get tested and when checkout:
http://www.lgf.org.uk/testing