HIV-positive man welcomes Berkshire hospital A&E blood testing

BBC News

10-03-2025

A man living with HIV believes a new initiative to test people for the virus when they visit A&E will help save lives.Patients aged 16 and over who receive blood tests while at Royal Berkshire Hospital's (RBH) emergency department will also be checked for HIV, hepatitis B and hepatitis C.The hospital in Reading is in a "high-prevalence" area for the blood-borne viruses, and has become one of 47 across the country running the opt-out tests.Allan, from Maidenhead, said because he was diagnosed early, effective medication meant the virus was now undetectable and not transmittable.
'I thought my life was over'
Speaking about his HIV-positive status publicly for the first time, Allan wants to challenge the stigma around it."I can understand some of the ignorance, because I myself was ignorant until I got it and I learned a little bit more about it", he said."Initially it affected me a lot because I isolated and I thought my life was over."But now he said the virus has minimal impact on his life, and only crosses his mind when he takes his medication.He said: "It's the people that don't know they've got HIV that are the ones that pass it around, unknowingly."Once you know then you can do something about it. Why would you not want to know?"
The scheme has also been expanded to other hospitals across the south, including Southampton General Hospital, Royal Bournemouth Hospital and Poole Hospital, and Queen Alexandra Hospital in Portsmouth.Patients can opt-out of the additional checks by telling a member of A&E staff.But RBH consultant physician Dr Alan Tang hopes most will realise the benefits of having their HIV status checked for free and confidentially."I think people are not diagnosed partly because they think they are low risk or have no risk at all," he said."So we looking at people who have no idea they could have been HIV infected, and therefore they could pass it on and become sick."
Rise in heterosexual referrals
The most recent NHS data, from 2023, showed a 15% rise in HIV cases across England, up from 2,451 to 2,810.Sarah Macadam, CEO of Thames Valley Positive Support, expects the A&E testing will lead to an increase in demand for the Slough-based HIV charity."We're aware that more people will be diagnosed with HIV and therefore more people will need our support," she said."The highest rise in new referrals for us, is heterosexual people - that's the biggest group that we see coming through our doors in need of support having been diagnosed."
Consultant microbiologist at RBH, Dr George Jacob, said even though HIV was not curable, it was very treatable with early detection and diagnosis."With HIV and hepatitis B, there's very good anti-viral treatment available that can suppress the disease, enable patients with the infection to live long, productive lives, with very limited complications," he said.The government said it wants to end new HIV transmissions in England by 2030.
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