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in+care Campaign Webinar: MCN Examines Retention in HIV Care
MCN's Chief Medical Officer, Dr. Ed Zuroweste, presented September 25, 2013 on our work with HIV providers on retaining patients in ongoing HIV medical care as they move across state and national borders. He shares MCN's model in addition to some of the results we have seen borne from their efforts. In addition, representatives from NO AIDS Task Force in New Orleans, LA discuss their experience in working with MCN for some of their migrant patients. This webinar was presented in partnership with in+care, an innovative initiative from HRSA that focuses on the simple idea that when patients stay in care they get the services that they need, leading to healthier people and stronger communities.
HIV/AIDS takes an especially heavy toll on the most vulnerable and marginalized groups in US society. Poverty, low income, limited education, sub-standard housing, and limited access to health care are all factors that increase the rate of HIV/AIDS in a population. Farmworkers in the US contend with all these risk factors, plus others: limited English proficiency, mobile lifestyle, and social isolation, to mention but a few. This confluence of social and economic risk factors creates a situation in which a serious HIV/AIDS outbreak is a distinct possibility
An outbreak would be particularly devastating for a population already vulnerable due to minimal physical and financial resources and poorer health status than the general population. At present, the seroprevalence rate of HIV/AIDS in farmworker communities is unknown. The vast majority of the epidemiological data on HIV incidence among farmworkers is based on small, local studies. A 1992 study of 310 farmworkers in Immokalee, FL, by the Centers for Disease Control and Prevention (CDC) found an HIV positive prevalence rate of 5%, almost 10 times that of the national rate of 0.6% at the time. A few other small studies reported have reported rates ranging from 0.47% to 13% .
In the absence of adequate population-based data on farmworkers, useful inferences may be drawn from statistics collected on migrant Latinos in the US, a group known to be disproportionately affected and infected by HIV. HIV/AIDS cases among Latinos are increasing in both incidence and prevalence . Latinos comprise approximately 13% of the US population, but account for 16% of all AIDS cases since the onset of the epidemic. Additionally, approximately 19% of all newly-diagnosed cases in the US are among Latinos.
For more information about HIV/AIDs in the migrant population download the HIV in the Farmworker Population white paper.