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A research team working in Country A conducts a prevalence survey...

A research team working in Country A conducts a prevalence survey of HIV in adults (age 15-70 years old) in the country. Country A has a population of 700,000 adults. The prevalence survey finds an overall HIV prevalence of 3% in adults. They find that 12% of people with HIV did not know their HIV status at the time of the survey. Among people who knew their status, 94% had initiated antiretroviral therapy (ART) already. Among people who had initiated ART, 88% were virally suppressed.
 How many adults in Country A with HIV are virally suppressed?
 How many adults in Country A with HIV are not virally suppressed?

The study also found that prior to the prevalence survey, the median CD4 count at the time of ART initiation was 253 cells/mm3. Based on this finding, what is an important area for Country Z to focus on with its national HIV program, and why?
Group of answer choices
Improving ART linkage for people living with HIV, because most people who know their status are not initiating ART.
 Improving access to HIV testing, so more people can learn their HIV status closer to the time of infection and begin antiretroviral therapy earlier, before they become immunosuppressed.
 Improving access to preventive treatment for opportunistic infections, because most people with HIV have advanced HIV disease.
 Improve access to second-line antiretroviral therapy, since high levels of drug resistance are causing people to be unable to become virally suppressed when they are taking antiretroviral therapy.

Expert Answer

A research team working in Country A conducts a prevalence survey of HIV in adults (age 15-70 years old) in the country. Country A has a population of 700,000 adults. The prevalence survey finds an overall HIV prevalence of 3% in adults. They find that 12% of people with HIV did not know their HIV status at the time of the survey. Among people who knew their status, 94% had initiated antiretroviral therapy (ART) already. Among people who had initiated ART, 88% were virally suppressed. How many adults in Country A with HIV are virally suppressed? How many adults in Country A with HIV are not virally suppressed? The study also found that prior to the prevalence survey, the median CD4 count at the time of ART initiation was 253 cells/mm3. Based on this finding, what is an important area for Country Z to focus on with its national HIV program, and why? Group of answer choices Improving ART linkage for people living with HIV, because most people who know their status are not initiating ART. Improving access to HIV testing, so more people can learn their HIV status closer to the time of infection and begin antiretroviral therapy earlier, before they become immunosuppressed. Improving access to preventive treatment for opportunistic infections, because most people with HIV have advanced HIV disease. Improve access to second-line antiretroviral therapy, since high levels of drug resistance are causing people to be unable to become virally suppressed when they are taking antiretroviral therapy.

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