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To: AgAuUSA who wrote (11246)12/8/1998 9:16:00 AM
From: AgAuUSA  Respond to of 14328
 
CDC Encourages Use of Quick HIV Test
12.56 p.m. ET (1756 GMT) March 27, 1998

By Chelsea J. Carter, Associated Press

ATLANTA — Tony Braswell's staff spends weeks, sometimes months, waiting for people who took
anonymous HIV tests to return for their test results. Many never show.

"It's an anonymous testing site. It's not like you can call these people up and say 'Hey, your test came
back positive. We need to talk to you,"' said Braswell, executive director of AID Atlanta.

The federal government on Thursday recommended the use of a new HIV test that yields results
instantly, making it possible for health workers to cut down on cases slipping through the cracks.

The Centers for Disease Control and Prevention estimated the new test would catch nearly 700,000
people a year, including 8,000 infected with HIV, who take the test but never return for results, said
Bernard Branson, a medical epidemiologist at the CDC.

There is a downside: An additional 8,000 people would receive false-positive results, said Branson, the
chief architect of the CDC's recommendation.

"It's clearly a risk messing with people's psyche, telling them they are HIV-positive," he said. "But
you have to ask whether the benefit outweighs the risk."

Both the new and the old tests look for antibodies in the blood. But the traditional, one-week test also
looks for specific protein bands that are considered the absolute indicator of HIV.

The CDC estimated the false-positive rate of infections using 1995 data.

The Bell Flower Clinic in Indianapolis has been using the rapid test for about a year, said Mary McKee,
spokeswoman for the Marion County, Ind., health department.

To combat false results, the clinic gives three quick HIV tests. If one or more comes back with a
positive, a traditional blood test is taken to determine whether it's a false positive or the person really
has HIV. The results are made available in about seven days, she said.

"Most people felt it would be better to know ... because they could take the precautions they need to
take with their partners" while they waited, Ms. McKee said.

The CDC said the use of the new tests should be based on a combination of factors: the prevalence of
HIV in a community and return rates for test results.

In cities where there is a high prevalence of HIV and a low return rate, the new tests should be used,
Branson said.

The new test is not publicly funded and costs $10 to $25 at public clinics across the country. Traditional
AIDS tests at public clinics typically are free.

Currently, only one rapid test has been approved by the FDA for use in clinics in the United States. The
test, manufactured by Murex of Norcross, Ga., takes about 10 minutes to determine whether the virus
is present.

Several other tests are awaiting FDA approval, Branson said.

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