HIV (Human Immunodefficiency Virus)

Feedback Covid Service Update

HIV (Human Immunodefficiency Virus)

What is HIV?

Human Immunodeficiency Virus (HIV) is a viral infection which damages your immune system (the part of your body that fights infection). The damage to your immune system usually happens gradually.

How do you get it?

  • The HIV virus is found in semen, blood, rectal fluids, vaginal fluids and breast milk.
  • The most common ways of getting HIV is through unprotected vaginal or anal sex without a condom, by sharing sex toys without using condoms, or by sharing syringes or needles to inject drugs.
  • HIV can also be passed from an infected mother to baby during pregnancy or through breastfeeding, although if she is on medication, this can prevent transmission to the baby. Most women in Scotland who have HIV do not pass it on to their baby because they are on treatment.

 

You can't get HIV:

  • From sharing food, cooking or eating utensils
  • From kissing
  • From shaking hands or hugging
  • From the toilet or swimming pools
  • From spitting or biting
  • From sneezing

How do I know if I have HIV?

  • You may not have any symptoms
  • The only way to find out if you have HIV is to get tested

Where can I get tested?

  • Make an appointment with your GP or contact Grampian Sexual Health Services - call 0345 337 9900 
  • For men who have sex with men, gay, bi-sexual and trans men and women- Exchange Street Clinic, Aberdeen – call 0345 337 9900 for more information
  • Terence Higgins Trust click here for test details
  • You can buy an HIV test at a chemist or online

How do they test for HIV?

  • Tests at a sexual health clinic or GP are completely free and confidential. You can also buy a test from a chemist or online
  • An HIV test involves taking a small amount of blood from you, usually from your arm.
  • In some areas, saliva tests are available. In this test, a sample of saliva is taken using a mouth swab.
  • It can sometimes take 3 months (the window period) for the blood test to show positive. During the window period a person can be infected with HIV and infectious but have a negative HIV test. You may be advised to come back for a repeat test when that ‘window period’ is up.

What is the treatment?

  • Although there is no cure for HIV, there are effective treatments available that allow people with the infection to stay well and to lead healthy lives.
     
  • Treatment can also prevent mothers passing the virus to their children.
     
  • The sooner treatment starts, the more effective it will be.
     
  • HIV is treated with a range of drugs that slow the process of the disease. They can prevent the infection causing health problems but you need to keep taking them for them to continue working.
     
  • Regular blood testing to look at the amount of virus in the blood is used to show whether the treatment is working or whether a change in medicines is needed.
     
  • Most people just take one pill every day and see a specialist at the hospital every 3-6 months for a check up.

How do I reduce my risk of getting HIV?

  • The best way to prevent all sexually transmitted infections including HIV, is to practise safer sex. This means using a condom for vaginal or anal sex, a dam or condom for oral sex or practicing safer sex alternatives
     
  • If you use or inject drugs even performance and image enhancing drugs such as steroids never share needles, syringes, water or other paraphernalia. Use fresh, clean equipment every time you inject, and use appropriate disposal containers for used equipment.
     
  • Pre exposure prophylaxis (PrEP):

This leaflet explains what PrEP is Know-PrEP-leaflet.pdf

PrEP is free for people who need it in Scotland. To find out more about PrEP contact NHS Grampian Sexual Health Service on 0345 337 9900 to make an appointment.

 

  • Post exposure prophylaxis (PEP):

What is PEP?

  • PEP may reduce your risk of HIV infection after you have been exposed to the virus
  • PEP is a four week course of medication which is effective against HIV
  • It needs to be started as soon as you have been exposed to the virus and always within 72 hours of exposure
  • The course of treatment must be finished for it to have the best chance of working.

 

You can get PEP at the following places:

  • The Emergency Department (ED), Aberdeen Royal Infirmary
  • G-Docs
  • Sexual Health Services NHS Grampian 03453379900
  • Ward 111 Infection Unit Aberdeen Royal Infirmary
  • ED, Dr, Gray’s Hospital Elgin
  • ED, Peterhead hospital
  • ED, Chalmers Hospital, Banff
  • ED, Jubilee Hospital Huntly
  • Your occupational health provider for work related incidents.

For more information about PEP visit www.pepscotland.com
 

A quick guide to instant result HIV self-test kits

Instant result self-test kits for HIV are now available to buy: they are kits you can use to test yourself for HIV. They give a result straight away, you can use them wherever you like, and there's no need to involve a doctor or nurse unless you want to.

You can buy self-test kits online, but be careful:  only buy kits that you can be sure meet European standards and carry the 'CE' mark. There's no way to be sure other tests are safe or reliable. So far, the only test kit that has this CE quality mark is the BioSure HIV Self Test. You can find out more about it here: www.hivselftest.co.uk

These kits are very accurate if they're used correctly:  but it's very important to follow the instructions that come with the kit carefully. Also know that it can take up to three months for HIV to show up in your blood. If you're concerned or confused in any way, talk to your GP, nurse or staff from a sexual health clinic or specialist charity (contact details below).

There are lots of ways to test for HIV:  instant result self-testing is just one. It's quick, convenient and can feel more private, but you might prefer to be tested by a health worker. NHS and community HIV tests are free, confidential and can be anonymous. They also give you the chance to be tested for other sexually transmitted infections at the same time, to talk about any concerns you have and to be referred to other services you might need. Just visit your GP, local sexual health service, specialist charity or call NHS Inform.

If you do want to use a self-test kit, have a think beforehand: how you would feel and what would you do if the test shows you might have HIV? Do you have questions or want to talk about it with a health worker first? It's also a good idea to figure out where you could go for a follow-up test or for support.

If your self-test kit result says you have HIV, get it confirmed: go and get tested by your GP or at a clinic to confirm the result if it's positive. This is standard practice for all HIV tests, and will make sure you get the information, care and support you need quickly. There isn't a cure for HIV but treatment is very effective and people can live long and healthy lives.

If you get a negative result, it's likely you don't have HIV: so long as you followed the instructions carefully, you don't need a follow-up test to confirm it. It's a good idea to think about whether you need to be tested for other sexually transmitted infections, though. And remember: test for HIV regularly if you are having unprotected sex, and the best ways to prevent HIV are to use condoms and never share injecting kit.

For more information, testing or support
Our Positive Voice Grampian - 01224 968468
info@ourpositivevoice.org or visit www.ourpositivevoice.org

NHS Grampian Sexual Health Services - 0345 337 99 00 
NHS Inform NHS 24 - call 111 
Gay Men's Health 
HIV Scotland Terrence Higgins Trust Scotland
Waverley Care

 

HIV FAQ's

What are instant result self-test kits for HIV?

An instant result self-testing kit can be used by anyone to test their own blood or saliva sample for HIV. They can be used at home or in any other setting that a person prefers, and the result can be seen straight away. The test doesn't have to be used in a clinic, at your GP or a hospital, and it doesn't need to be sent to a laboratory or involve a healthcare worker in any way.

 

What's involved in taking an instant result self-test?

The BioSure HIV Self Test, the only instant result HIV self-test kit that has so far been approved for sale in the UK, has four quick, simple steps: getting a single small drop of blood; applying the blood to the test device; operating the test and waiting for the result; and reading the result. For more information, watch the video at www.hivselftest.co.uk

 

Where can I get an instant result self-test kit?

You should only buy kits that you can be sure meet European standards and carry the 'CE' mark. There's no way to be sure other tests are safe or reliable. So far, the only test kit that has this CE mark is the BioSure HIV Self Test. You can find out more about it at: www.hivselftest.co.uk

You can buy a BioSure HIV Self Test over the internet but self-test kits may be made available in other places in the future, such as pharmacies.


How much do instant result self-test kits cost?

The BioSure HIV Self Test costs approximately £29.95 (including postage and packaging).

 

How reliable are instant result self-tests?

Any kit approved for sale in the UK will meet European standards for accuracy (the number of times it correctly identifies that people do or do not have HIV).  These standards mean that any test carrying the CE mark is very accurate.  However, people will need to follow the instructions which come with the kit very carefully to get an accurate result.

If the result appears to indicate signs of HIV infection ('HIV positive') it must be confirmed with another test by a health worker. This is standard practice for all 'positive' HIV tests. Tests to confirm results should be done at a clinic or other health care setting, to ensure that if the result is genuinely positive you are linked into appropriate care and support quickly.

The vast majority of people will get accurate results when using self-testing kits. If you have any concerns about accuracy, you may prefer to test at a clinic or other NHS service, please contact a healthcare worker or specialist charity for advice.

Remember: only kits with the CE mark are approved for sale, and have been tested for accuracy. If you use a kit without the CE mark, there is no way to know how accurate it will be.

 

Is self-testing the right option for me?

Some people may choose to take a self-test because it's quick, doesn't require a trip to a clinic and may feel more private. This convenience could help you to test regularly too.

However, if you have any concerns about self-testing you can go to a clinic where you can be tested by a trained health worker. You can get free, anonymous and confidential access to HIV testing in Scotland through NHS and community services, such as those listed (below). At a testing clinic you could also be tested for other infections, talk about any concerns you may have and be referred to other services that may benefit you.  You can ask your doctor for an HIV test, visit your local sexual health service or specialist charity.

Using an instant result self-test kit for HIV may not be the most appropriate option for some people. Before testing by yourself, it's worth thinking about how you would feel and what you would do if the test showed that you might have HIV.  You may wish to seek advice and support following a self-test and this will be available in range of places, for example you could contact:

  • Your GP
  • HIV organisations
  • Sexual health clinics
  • HIV clinics
  • Specialist charity
  • NHS Inform


What should I do if I get a negative result?

If you followed the directions for the testing kit very carefully, then a negative result probably means that you do not have HIV. However, after someone is infected with a HIV, it can take up to three months before a test will find it. If you test too soon, or you continue to be at risk of HIV infection, you should test again to make sure you are not infected.  If you think you need to re-test, wait the time recommended in the kit instructions (3 months for the BioSure HIV Self Test) and test again.  Until you have tested after the recommended time has passed, it is important to avoid any activities that can transmit HIV between people.  So it is a good idea to:

  • Use a condom when having sex.
  • Use a fresh set of sterile equipment if you inject drugs, including spoons, filters and water.

If you get a negative result, you should also consider whether you may have been at risk of other sexually transmitted infections and whether you should get tested for these.

A negative test this time does not mean you will not be infected in the future. You should test regularly if you engage in any activities that could put you at risk of HIV. If you have any concerns, contact your GP or another health worker for advice, information and support.


What should I do if I get a positive result?

A positive result means you may have HIV.  If you get a positive result it is very important that you go to a health professional - for example at a specialist clinic or your GP surgery - to have the result confirmed with extra tests.

You can arrange this by contacting the services listed below. The specialist clinics provide an anonymous service if you need it. A small blood sample will be taken and sent to a laboratory for HIV testing. If the result is positive, you will be referred to an HIV specialist doctor who may recommend taking HIV drugs to lower the levels of virus in your body. HIV infection cannot be cured but treatment is very effective and people can live long and healthy lives. Everyone living with HIV in Scotland is offered free treatment, care and support.

 

How do I reduce the chance of passing on HIV to a partner?

  • The best way to prevent all sexually transmitted infections including HIV, is to practise safer sex. This means using a condom for vaginal or anal sex, a dam or condom for oral sex or practicing safer sex alternatives.
  • If you use or inject drugs (even performance and image enhancing drugs such as steroids) never share needles, syringes, water or other paraphernalia. Use fresh, clean equipment every time you inject, and use appropriate disposal containers for used equipment.
  • Remember that U=U. Undetectable = Untransmittable. If you are taking treatment for HIV and your regular blood tests show that the treatment is keeping the level of HIV virus in your blood low enough to be undetectable this means that you cannot pass the virus on to others.

Help and Support

Our Positive Voice Grampian (OPVG) is a forum for people living with HIV in Grampian- The purpose of OPVG is:

  • To provide and receive support
  • Be more informed about living well with HIV
  • Share experiences and meet other positive people
  • Help shape policy and services

Meetings every month - for more information call 01224 968468

e-mail info@ourpositivevoice.org or visit www.ourpositivevoice.org

 

For more information and support visit

www.hiv.scot

www.waverleycare.org

www.aidsmap.com

www.tht.org.uk
 

For more information visit NHS inform

www.nhsinform.scot/illnesses-and-conditions/immune-system/hiv