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  At VCT centers, visitors will receive professional counseling before and after the HIV test to prepare for and understand their test results.

A counselor will:

Explain about AIDS and how HIV is spread

Discuss the meaning of a positive test result

Describe how the test is done

Discuss about the test results and its impact on you, whether negative or positive

VCT services are confidential

 
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VCT & ART - ART Center
Biology of AIDS
How AIDS develops
VCT Centers  | ART Centers
 
  The Virus    Infection    AIDS develops    Anti HIV drugs


Early Stages

About half of people who contract HIV suffer flu-like symptoms within the first two to four weeks of infection.
These include fevers, fatigue and rashes, sore joints, headaches and swollen lymph nodes.

The graph on the right shows the course of a typical HIV infection over time. The CD4+ cell count is the number of CD4+ cells per cubic millimetre of blood, and decreases as the virus progresses.

A healthy immune system has 600 – 1200 cells per cubic millimetre of blood. If this drops as low as 200, the patient is considered to have Aids.

The "viral load" is the number of virus particles per millilitre of blood. Initially, this peaks as the virus replicates rapidly in the bloodstream.

Within six to twelve weeks of infection, the body starts producing a specific type of antibody, or disease-fighting protein.

While not very effective in fighting the virus, the antibody is a reliable indicator of whether someone is infected.

The most common HIV test detects the antibodies. This means that a person may infect others as soon as he or she becomes infected, but will not test positive for several weeks.

Some people with HIV may live for several years before developing Aids, feeling healthy and with no outward signs of the virus.

Others may suffer symptoms such as weight loss, fevers and sweats, frequent yeast infections, rashes and short-term memory loss while living with HIV.

 
THE PROGRESSION OF HIV
 
 
 
INFECTION RISKS AS CD4+ COUNT DROPS
 

AIDS develops

As the immune system becomes damaged, it loses its capacity to fight disease and infections can become life-threatening.
People who are HIV positive are more susceptible to widespread diseases such as tuberculosis, malaria, pneumonia and shingles. Their vulnerability increases as their CD4+ cell count drops.

HIV patients also become vulnerable to a host of "opportunistic infections". These are infections caused by common bacteria, funguses and parasites which healthy bodies can fight, but which can cause illness and in some cases death in people with damaged immune systems.

Some of these are likely to occur at higher CD4+ counts than others. Most become active below CD4+ counts of 200, the point where Aids develops.

If full medical care is available, patients can be given drugs which treat and guard against some of these infections, although these are sometimes expensive and can cause side effects.

 

 
     
 
 
 
 
Amhara HIV/AIDS Prevention and Control Secretariat
P.O. Box 449
Bahir Dar, Ethiopia
Tel (058) 2206336
Fax (058) 2206827
aracs@ethionet.et