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Checkpoint (rapid HIV testing facility)

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1334: 201: 304:, something for which no scientific basis was ever established. In practice, it turned out to be a matter of logistics. Testing a large number of blood samples simultaneously was cheaper: the cost per test was lower. Once the laboratory had initiated the testing procedure, the results from all blood samples were known within an hour. Additionally, the laboratories would suffer a loss in income if the testing localities required only the Western blots. 63: 120: 22: 1354: 575:
In 79% of cases, the confirmatory result was received in person a week later. In contrast to the previous week, clients were noticeably less emotional at this second talk and had highly specific and practical questions to ask. Although initially a point of criticism, this second post-test talk was in
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The rapid HIV test had to be on offer to everyone who had incurred a risk of HIV infection, irrespective of gender or sexual orientation. The testing procedure had to include comprehensive pre-test and post-test counselling. Knowledge gained from this form of testing had to be analyzed and eventually
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shop a surgery was held on Sunday afternoons. In this way Checkpoint hoped to reach more effectively the MSM who visited leather bars. This turned out not to be the case, but it was attractive for less well educated men who were taking high risks, regularly experimenting with recreational drugs and
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This project was run by 43 volunteers. Once selected, volunteers followed an internal training programme, depending on their experience and duties, before being allowed to operate independently. In 2007 Checkpoint became the second voluntary organization in Amsterdam and the 25th in the Netherlands
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received extensive support from Checkpoint Amsterdam. The Swiss Checkpoints have gone further, developing into Gay Health Centres. Not only do they perform tests for STDs and HIV, but they also offer support for HIV-positive persons and in general for coming out, general psychological care for gay
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When the service began, everyone could attend without an appointment. However, demand exceeded supply, so it became necessary to work by appointment. HVN volunteers maintained the appointment schedule. When making an appointment over the phone, clients were asked whether or not they belonged to a
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a pilot was conducted with 1000 OraQuick ADVANCE® Rapid HIV-1/2 oral fluid tests. Initially this appeared to form the ideal HIV self-test, but during this pilot two false-negative outcomes were discovered. In a slightly smaller-scale pilot in London a false-negative was noted on three occasions.
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The rapid HIV test enabled a reliable outcome to be generated within 15 to 20 minutes, which in practice lowered the threshold for such testing. Because in this way more people opted for testing, more HIV-positive people could be reached. A clear advantage was that the diagnosis was made at the
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In 2002 and 2008 Checkpoint was operational for 26 Friday evenings. For comparison, the corresponding results per group are given for the Amsterdam Public Health Service's STD Policlinic. More detailed results (Dutch language) are to be found in '6 jaar Checkpoint, een samenvatting' .
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When 60% of the local health authorities appeared to be using rapid HIV testing as part of their standard screening method or were busy implementing it, this project could be successfully wound up. During an extensive farewell party on 27 June 2008, the then Mayor of Amsterdam,
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Zelin J. (2008) "An evaluation of the performance of OraQuick®Advance™ Rapid Hiv-1/2 Test in a high-risk population attending genitourinary medicine clinics in East London", International Journal of STD & AIDS Volume 19 pp.
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As of 2005, the Amsterdam City Council's public health service (the GGD) started offering rapid HIV tests to high-risk visitors to the STD outpatient clinic. At this moment, the first of Checkpoint's goals was also realized.
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test could still be requested in addition to a Western blot. This indicates whether the infections had occurred less than 6 months earlier or longer ago than this. It turned out that 63% of the infections were not recent.
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For one more year, foreign rapid HIV testing projects were supported. All source documentation was made available in digital form. The Checkpoint formula was adopted not only in the Netherlands but in many other cities:
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high-risk group and about the risk they had experienced; they were informed about the window period. This information enabled a better match to be made between a doctor or nurse and the client for the Friday evening.
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soon had to be abandoned. During the first 26 Friday surgeries, demand was 20% higher than the then available 375 test spots. Clients regularly declared that they had been waiting years for such rapid testing.
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Checkpoint had chosen the Determine rapid HIV test, then the only reliable rapid HIV test available in the Netherlands. The reliability of this test had already been established but was not known to everyone.
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test and clients had to wait 1 or 2 weeks for the result. When an increasing number of local health authorities began using the rapid HIV test, Checkpoint had served its purpose and could be closed down.
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When an appointment is being made over the telephone, the client was asked whether he belongs to a high-risk group, what the reason is for wanting an HIV test and whether he is still in the
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Clients testing positive were immediately referred to a support project run by HIV-positive volunteers who, in various languages, offer support during the 48 hours after testing positive
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If the client tested positive or the result was ambiguous, a blood sample was taken for a Western blot and an appointment was made for receipt of the confirmatory result a week later.
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earliest possible stage of the infection, facilitating adequate treatment. In addition, through successful early treatment, the infectious period for HIV-positive people was reduced.
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The rapid HIV testing employed by Checkpoint was new for the Netherlands, because it was at that time not used by the various local health authorities. Such authorities and
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It appears that, in the years of its operation as given above, Checkpoint was better able to reach higher-risk groups than was the Amsterdam Public Health Service (GGD).
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A few GPs used the rapid HIV test in their practice. They noted that this encouraged patients who were otherwise reluctant to face a general STD investigation.
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Content can be sorted per column using the arrows in the headings. GGD Amsterdam refers to the local public health authority Gemeentelijke Gezondheidsdienst
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Loon, C.L.J. Van and W.M. Koevoets (December 2008) "Foutnegatieve meldingen OraQuick®Advance™ Hiv 1/2" Amsterdam, SOAAIDS Magazine Jaargang 5, nummer 4 –
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Preferably with the knowledge of and in the presence of the partner, friends and family, who can give effective support in the case of testing positive
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Koevoets, W.M. and C.L.J. Van Loon (Augustus 2007) "OraQuick®Advance™, een nieuwe hiv-sneltest…?” Amsterdam, SOAAIDS Magazine Jaargang 4, nummer 3 –
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to receive the Goed Geregeld award from the Dutch Association of Voluntary Organizations (NOV): an award reflecting the high quality achieved.
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Hogeweg, J.A. en H.J. Hospers (2000) "Monitoronderzoek 2000", Maastricht, Universiteit Maastricht Capaciteitsgroep Experimentele Psychologie
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men, training in safe drug usage, and assistance with smoking cessation and excessive alcohol use. In 2012 Checkpoints opened in
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After this, a nurse or doctor gave pre-test counselling, conducted the HIV test, and communicated the outcome 15 minutes later.
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More questionable was the conviction that having to wait seven highly worrying days for the result of an HIV test would have a
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A volunteer trained in the paramedical field registered the client, talked about safe sex, and gave a condom demonstration.
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The rapid HIV test was used (the Amsterdam Checkpoint employed the Determine rapid HIV test (third generation), with a 100%
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to encourage the use of rapid HIV testing, to make an inventory of all obstacles to this, and to eliminate these obstacles.
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Persbericht (14 juni 2002) "Checkpoint, test je betrouwbaar, snel en anoniem op hiv", Amsterdam, Hiv Vereniging Nederland
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Loon, C.L.J. Van and W.M. Koevoets (2008) "6 jaar Checkpoint, een samenvatting", Amsterdam, Hiv Vereniging Nederland
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Jaarverslagen SOA-polikliniek GG&GD Amsterdam (2002, 2003, 2004, 2005, 2006, 2007, 2008), Amsterdam, GG&GD
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After testing, the Dutch HIV Association (HVN) Service Centre was available for advice or questions
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Another criticism was that a positive result from a rapid HIV test was first confirmed by a
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Rijk, P. de (2007) "De langzame start van een kwaliteitsonderscheiding", Utrecht, Movisie
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Checkpoint positioned itself as a facility which shares the client's point of view.
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had observed around that time that 31% of positive results were not being collected.
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Initially, the mainstream bodies in this field, such as SOA Aids Nederland and the
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Broekhuizen A. "(14 june 2002) "Checkpoint: een snelle aidstest", Algemeen Dagblad
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It may require cleanup to comply with Knowledge's content policies, particularly
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Clients quickly learned about Checkpoint, which meant that the low-threshold
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From HIV-testing to Gay Health Centres: A Mapping of European "Checkpoints"
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Graphic comparison %hiv+ Checkpoint vs. GGD STI Clinic Amsterdam 2002–2008
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fact regarded by the doctors, nurses, and clients as having added value.
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Research conducted in 2000 revealed that in the Netherlands only 42% of
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Positive or dubious results were checked using a Western blot test
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European and Developing Countries Clinical Trials Partnership
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WHO disease staging system for HIV infection and disease
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List of HIV/AIDS cases and deaths registered by region
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A major contributor to this article appears to have a
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CDC website with information about rapid HIV testing
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List of countries by HIV/AIDS adult prevalence rate
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President's Emergency Plan for AIDS Relief (PEPFAR)
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Joint United Nations Programme on HIV/AIDS (UNAIDS)
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Please discuss further on the 61: 20: 1398:not resident in Amsterdam. The 261:provided financial assistance. 39:or discuss these issues on the 1520: 1502: 1484: 1466: 1457: 1436: 1427: 1393:In this Amsterdam leather and 1: 2039:Misconceptions about HIV/AIDS 2019:International AIDS Conference 1973:HIV/AIDS in the porn industry 1916:Discrimination against people 579: 248: 1899:Catholic Church and HIV/AIDS 1780:HIV Drug Resistance Database 1420: 472:Determine Hiv-1/2 Rapid Test 7: 2200:Côte d'Ivoire (Ivory Coast) 2034:Media portrayal of HIV/AIDS 1963:List of HIV-positive people 1368:Until early 2006 a Detuned 589:Consultations and diagnoses 530:usage and sexual techniques 10: 2697: 2100:Reports from the Holocaust 2024:International AIDS Society 2014:Elton John AIDS Foundation 318:15th World AIDS Conference 273: 211:was the name of the first 2650: 2620: 2572: 2540: 2490: 2481: 2453: 2288: 2145: 2136: 2059:Treatment Action Campaign 1996: 1881: 1813: 1775:Tuberculosis co-infection 1717: 1638:disease progression rates 1605: 1348: 280:Municipal Health Services 204:Checkpoint Amsterdam Logo 1785:Innate resistance to HIV 1755:Neurocognitive disorders 1514:10 November 2013 at the 1496:10 November 2013 at the 255:men who had sex with men 2106:AIDS–Holocaust metaphor 2089:Gay Men's Health Crisis 1765:Opportunistic infection 2681:HIV/AIDS organizations 1933:HIV-affected community 1873:HIV and homosexual men 1412:In collaboration with 1358: 1338: 522:Information regarding 473: 264: 205: 2113:Silence=Death Project 1911:Criminal transmission 1831:Multiple sex partners 1356: 1336: 471: 435:. 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1668: 1666: 1663: 1661: 1658: 1656: 1653: 1652: 1651: 1648: 1644: 1641: 1639: 1636: 1634: 1631: 1629: 1626: 1624: 1621: 1619: 1616: 1615: 1614: 1611: 1610: 1608: 1604: 1599: 1595: 1588: 1583: 1581: 1576: 1574: 1569: 1568: 1565: 1558: 1555: 1554: 1550: 1547: 1546: 1542: 1539: 1538: 1523: 1517: 1513: 1510: 1505: 1499: 1495: 1492: 1487: 1478: 1469: 1460: 1451: 1449: 1439: 1430: 1426: 1418: 1415: 1410: 1409: 1408: 1403: 1401: 1396: 1391: 1390: 1389: 1384: 1381: 1380: 1379: 1374: 1371: 1366: 1365: 1364: 1363:Detuned ELISA 1355: 1346: 1342: 1335: 1326: 1323: 1320: 1317: 1314: 1311: 1308: 1305: 1302: 1301: 1297: 1294: 1291: 1288: 1285: 1282: 1279: 1276: 1273: 1272: 1268: 1265: 1262: 1259: 1256: 1253: 1250: 1247: 1244: 1243: 1239: 1236: 1233: 1230: 1227: 1224: 1221: 1218: 1215: 1214: 1210: 1207: 1204: 1201: 1198: 1195: 1192: 1189: 1186: 1185: 1181: 1178: 1175: 1172: 1169: 1166: 1163: 1160: 1157: 1156: 1152: 1149: 1146: 1143: 1140: 1137: 1134: 1131: 1128: 1127: 1119: 1116: 1113: 1110: 1107: 1104: 1101: 1098: 1095: 1094: 1090: 1087: 1084: 1081: 1078: 1075: 1072: 1069: 1066: 1065: 1061: 1058: 1055: 1052: 1049: 1046: 1043: 1040: 1037: 1036: 1032: 1029: 1026: 1023: 1020: 1017: 1014: 1011: 1008: 1007: 1003: 1000: 997: 994: 991: 988: 985: 982: 979: 978: 974: 971: 968: 965: 962: 959: 956: 953: 950: 949: 945: 942: 939: 936: 933: 930: 927: 924: 921: 920: 916: 913: 910: 907: 904: 901: 898: 895: 892: 891: 887: 884: 881: 878: 875: 872: 869: 866: 863: 862: 854: 851: 848: 845: 842: 839: 836: 833: 830: 829: 825: 822: 819: 816: 813: 810: 807: 804: 801: 800: 796: 793: 790: 787: 784: 781: 778: 775: 772: 771: 767: 764: 761: 758: 755: 752: 749: 746: 743: 742: 738: 735: 732: 729: 726: 723: 720: 717: 714: 713: 709: 706: 703: 700: 697: 694: 691: 688: 685: 684: 680: 677: 674: 671: 668: 665: 662: 659: 656: 655: 651: 648: 645: 642: 639: 636: 633: 630: 627: 626: 622: 619: 616: 613: 610: 607: 604: 601: 598: 597: 594: 586: 577: 573: 570: 567: 564: 552: 549: 545: 542: 538: 535: 532: 529: 525: 521: 519: 516: 513: 511: 508: 505: 502: 499: 498:window period 495: 492: 490: 487: 483: 479: 478: 477: 470: 461: 459: 455: 450: 446: 442: 438: 434: 430: 426: 422: 418: 414: 410: 406: 402: 398: 394: 390: 386: 382: 378: 374: 370: 366: 362: 358: 354: 348: 346: 340: 338: 334: 329: 325: 323: 319: 314: 311: 303: 299: 296: 292: 288: 285: 284: 283: 281: 271: 262: 260: 256: 246: 242: 239: 236: 232: 227: 225: 221: 217: 214: 210: 202: 198: 190: 187: 172: 169: 161: 151: 147: 143: 139: 133: 132: 127:This article 125: 116: 115: 106: 103: 95: 85: 81: 76: 74: 68: 59: 58: 53: 51: 44: 43: 38: 37: 32: 27: 18: 17: 2425:Taiwan (ROC) 2415:Saudi Arabia 2265:South Africa 2098: 2084:Larry Kramer 1826:Epidemiology 1522: 1504: 1486: 1477: 1468: 1459: 1438: 1429: 1411: 1406: 1405: 1404: 1392: 1387: 1386: 1385: 1382: 1377: 1376: 1375: 1367: 1362: 1361: 1360: 1343: 1340: 864:Number HIV+ 592: 583: 574: 571: 568: 565: 561: 507:Gay-friendly 475: 425:Thessaloniki 393:Ludwigshafen 349: 341: 331:In 2006 the 330: 326: 315: 307: 291:Western blot 277: 268: 252: 243: 228: 208: 207: 197: 182: 164: 158:January 2014 155: 140:by removing 136:Please help 128: 98: 89: 70: 47: 40: 34: 33:Please help 30: 2633:New Zealand 2505:El Salvador 2410:Philippines 2380:North Korea 2333:China (PRC) 2298:Afghanistan 1988:Product Red 1889:AIDS orphan 1745:Nephropathy 1680:vaccination 1277:Hetero men 1216:Checkpoint 1190:Hetero men 1187:Checkpoint 1158:Checkpoint 1041:Hetero men 980:Checkpoint 951:Checkpoint 925:Hetero men 922:Checkpoint 893:Checkpoint 776:Hetero men 715:Checkpoint 686:Checkpoint 660:Hetero men 657:Checkpoint 628:Checkpoint 537:Vaccination 500:for testing 486:specificity 484:and 99.75% 482:sensitivity 449:Switzerland 220:Netherlands 216:HIV testing 2345:East Timor 2318:Bangladesh 2308:Azerbaijan 2230:Mozambique 2215:Madagascar 1948:Red ribbon 1790:Serostatus 1718:Conditions 1670:prevention 1660:management 1618:Lentivirus 1407:Oral fluid 580:Volunteers 373:Copenhagen 249:Background 231:physicians 209:Checkpoint 138:improve it 92:April 2015 36:improve it 2628:Australia 2582:Argentina 2542:Caribbean 2520:Nicaragua 2510:Guatemala 2420:Sri Lanka 2355:Indonesia 2138:Locations 2079:"Free Me" 1805:Pregnancy 1800:Nutrition 1655:diagnosis 1421:Resources 1400:incidence 541:hepatitis 409:Nuremberg 361:Barcelona 345:Job Cohen 224:Amsterdam 84:talk page 42:talk page 2675:Category 2597:Colombia 2515:Honduras 2430:Thailand 2405:Pakistan 2390:Malaysia 2328:Cambodia 2280:Zimbabwe 2260:Tanzania 2185:Ethiopia 2180:Eswatini 2165:Botswana 2054:Solidays 1953:Safe sex 1894:Religion 1838:Timeline 1760:Pruritus 1697:Children 1675:research 1650:HIV/AIDS 1628:subtypes 1512:Archived 1494:Archived 1388:Mister B 539:against 524:safe sex 458:Lausanne 401:Mannheim 385:Helsinki 238:antibody 2621:Oceania 2612:Uruguay 2587:Bolivia 2555:Jamaica 2473:Ukraine 2445:Vietnam 2313:Bahrain 2303:Armenia 2255:Senegal 2245:Nigeria 2235:Namibia 2210:Lesotho 1997:Culture 1978:HIV.gov 1821:History 1814:History 1527:665–667 1414:OraSure 1129:% HIV+ 855:25 620 852:23 936 849:16 598 846:12 546 843:10 875 826:11 760 823:11 340 437:Denmark 369:Cologne 322:Bangkok 274:History 2602:Guyana 2592:Brazil 2500:Mexico 2495:Canada 2468:Russia 2455:Europe 2440:Turkey 2375:Jordan 2338:Yunnan 2323:Bhutan 2275:Zambia 2270:Uganda 2250:Rwanda 2220:Malawi 2195:Guinea 2155:Angola 2147:Africa 2094:ACT UP 1882:Social 1600:topics 1395:fetish 1349:Trials 1306:Women 1219:Women 1132:Group 1099:Total 1070:Women 983:Total 954:Women 867:Group 840:8 112 837:7 890 834:Total 820:7 712 817:5 564 814:5 039 811:3 626 808:3 415 805:Women 797:9 630 794:9 177 791:6 398 788:4 744 785:4 175 782:2 954 779:2 938 768:4 230 765:3 419 762:2 488 759:2 238 756:1 661 753:1 532 750:1 537 718:Total 689:Women 602:Group 528:condom 447:, and 445:Sweden 441:France 433:Zürich 431:, and 429:Zagreb 413:Odense 405:Munich 389:Lisbon 381:Geneva 377:Dublin 357:Athens 353:Aarhus 2550:Haiti 2400:Nepal 2370:Japan 2350:India 2240:Niger 2205:Kenya 2190:Ghana 2175:Egypt 2160:Benin 1370:ELISA 1153:2008 1150:2007 1147:2006 1144:2005 1141:2004 1138:2003 1135:2002 888:2008 885:2007 882:2006 879:2005 876:2004 873:2003 870:2002 724:1008 623:2008 620:2007 617:2006 614:2005 611:2004 608:2003 605:2002 417:Paris 397:Malmö 365:Basel 213:rapid 2607:Peru 2385:Laos 2365:Iraq 2360:Iran 2290:Asia 2225:Mali 2128:Ayds 1685:PrEP 1598:AIDS 1327:0.1 1324:0.3 1321:0.2 1318:0.4 1315:0.3 1312:0.4 1309:0.4 1298:0.2 1295:0.2 1292:0.3 1289:0.3 1286:0.3 1283:0.2 1280:0.5 1269:3.5 1266:3.5 1263:3.8 1260:5.6 1257:5.4 1254:4.2 1251:3.6 1248:MSM 1240:5.1 1237:1.0 1234:0.8 1231:0.0 1228:0.5 1225:1.0 1222:1.1 1211:0.0 1208:0.0 1205:1.2 1202:0.7 1199:0.4 1196:0.3 1193:0.8 1182:8.1 1179:2.9 1176:6.5 1173:5.7 1170:5.7 1167:4.8 1164:6.8 1161:MSM 1120:178 1117:162 1114:135 1111:163 1108:120 1033:148 1030:118 1024:126 1012:MSM 896:MSM 747:MSM 739:295 736:698 733:644 730:860 727:976 721:434 704:120 701:150 698:194 695:208 678:202 675:164 672:272 669:251 666:323 663:129 652:174 649:397 646:360 643:438 640:531 637:477 634:213 631:MSM 546:and 456:and 454:Bern 421:Riga 333:RIVM 1613:HIV 1606:HIV 1594:HIV 1105:87 1102:82 1091:11 1088:29 1085:18 1082:21 1079:17 1076:15 1073:12 1062:19 1059:15 1056:22 1053:16 1050:14 1044:14 1027:95 1021:89 1018:65 1015:56 1004:16 1001:12 998:26 995:28 992:23 989:24 986:16 917:14 914:11 911:23 908:26 905:21 902:21 899:14 710:39 707:99 692:92 681:82 320:in 295:CDC 265:Aim 235:HIV 2677:: 1447:^ 1047:7 975:2 972:1 969:1 966:0 963:1 960:2 957:1 946:0 943:0 940:2 937:2 934:1 931:1 928:1 526:, 460:. 443:, 439:, 427:, 423:, 419:, 415:, 411:, 407:, 403:, 399:, 395:, 391:, 387:, 383:, 379:, 375:, 371:, 367:, 363:, 359:, 355:, 45:. 1596:/ 1586:e 1579:t 1572:v 548:B 544:A 488:) 189:) 183:( 171:) 165:( 160:) 156:( 152:. 134:. 105:) 99:( 94:) 90:( 86:. 52:) 48:(

Index

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rapid
HIV testing
Netherlands
Amsterdam
physicians
HIV
antibody
men who had sex with men
GlaxoSmithKline
Municipal Health Services
Western blot
CDC
preventive effect
walk-in clinic
15th World AIDS Conference

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