Client Scenario
28 year old Brandi (she/her) comes to the syringe exchange and reports she has hep C but wants an HIV test.
What test do you select?
What is EHE
Viral load considered to be undetectable.
What is <200.
Number of weeks a client's HCV can be cured.
What is 8-12 weeks.
Kevin (he/him) was arrested for solicitation after being pulled over with condoms. The police officer finds Biktarvy and Kevin discloses they are living with HIV but are undetectable. Can the police officer charge Kevin with a felony.
Yes
50 year old Christine's (she/her) Oraquick HCV test came back positive. She said she's had it in the past but cured it. What do you tell her next?
What is the Oraquick is an antibody test -- it will come up positive if they've ever had it.
Ask about recent exposures and recommend labs if there is a suspected reinfection.
What is ART
Anti-Retro Virals
How many times can a client's HCV be treated.
***depends on the clients***
Greg (he/him) was arrested after carrying his prescribed suboxone strips and narcan and his partner Dana (she/her) had syringes.
Provide them with a support letter. Notify program manager for additional advocacy, refer to CLS.
42 year old Jenny (she/her, they/them) was diagnosed back in 2002 with HIV and says she doesn't have a primary care or provider at this time. What's your next move?
Outreach: Connect her with case management and schedule with Adriana or any PCP same day or within the week.
Case management: Ask about viral load, recent medications, prioritize scheduling same day or within the week.
What is Rapid Start ART
Initiating HIV medication prior to receiving labs to get people towards undetectable viral loads.
21 year old Kayla (she/her) is living in the encampments and needs her HCV meds. Her labs are completed. What can we do?
Take them!
Staff person is pulled over carrying program supplies. Can you be arrested?
21 year old Colton (he/him) is on PreP and comes in to the front desk asking for testing. What do you ask him?
"What brings you in today?"
What STI is on the rise
Which is more easily transmitted - HIV or HCV
HCV
Can we give syringes to another program in Parma?
Not yet* we are protected in Cleveland but not Cuyahoga County.
37 year old Brian (he/him) is upset that he cant get in to see his provider for suboxone today.
Offer WinMat, support with transportation
When can you start HIV medications
Immediately (with a provider)
Is there a HCV vaccine
No!