ESSAY ON ASSAY
NOTICE TO THE PUBLIC
A GLARING FLAW IN HIV GOVERNANCE people are not being adequately tested for HIV at all times of testing. In the United States there is no current mandate set in place to ensure complete HIV testing each and every time a person is tested for HIV.
When you go get tested for HIV, the health care providers you are trusting, may or may not run a complete test for HIV, but will base your result on the possible fragmented test. If HIV were hiding in your house and the only person looking for it (your doctor) did not feel like checking under the bed, yet came out and told you the coast is clear..... well, why wouldn't you trust that doctor? If only that doctor would just be honest up front and tell you that most was checked but not 100%, so at least you know what your dealing with here!
The governing body for HIV testing in the U.S. is CENTER FOR DISEASE CONTROL or CDC. http://www.cdc.gov/ Their motto: 24/7 Saving lives, Protecting people
The governing body in the U.S. for the actual HIV tests, which are called assays, is U.S. FOOD AND DRUG ADMINISTRATION or FDA. http://www.fda.gov/forconsumers/byau.../ucm117922.htm Their motto: Protecting and promoting Your Health
According to the CDC, Human Immunodeficiency Virus has two types, HIV -1 & HIV-2 http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6029a3.htm That is HIV-1 = HIV aaand HIV-2 = HIV
In the United States the only entity that must under law screen for HIV-1 & HIV-2 are blood donation centers. It is only deemed absolute necessary for each and every blood donation contributed to be screened for HIV-1 and HIV-2 both, separately (http://www.cdc.gov/mmwr/preview/mmwrhtml/00038078.htm) (and that did not start until 1992 at the FDA recommendation). Why? Cause this is very important, right? What if......?
In the United States the CDC recommends that for most other HIV tests, clinics only have to screen for HIV-1, if that one test is completely negative, then we can assume you are HIV negative (without checking for HIV-2) and more importantly say, "You do not have HIV."
A very large portion of people in the United States who have been tested for HIV, may never have been tested for HIV-2. Some people in the United States may have HIV-2 and not be aware because they were told they did not have HIV when tested.
CDC recommendations for not routinely screening for HIV-2 are contributed to various reasons.
Statistics, they say HIV-2 is rare in the U.S. but how would they even know when they are not even checking for HIV-2 routinely? Most all HIV-2 infections are in people in West Africa or in people from West Africa, but how would they even know when they are not even checking for HIV-2 routinely in the U.S.? Most of the time when a person is infected with HIV-2, they are also infected with HIV-1. BUT not all the time.
Cost, yep, not enough dollars. The CDC recognizes how costly it can be to test for HIV-1 and HIV-2 both so, they give a free pass on the routine tests for HIV-2. The follow up visit for review of a complete test, cost of paying more employees for counseling specifically for HIV-2, , using legit laboratories, and paying all the scientists performing HIV=2 specific tests and or the extra cost in the test itself is, the justification CDC offers. http://www.cdc.gov/mmwr/preview/mmwrhtml/00038078.htm
Part 2 will be up later and delves deeper into all areas of this notice, there is much more to say.