Positive Support Services in North Yorkshire and York
NYAA provides support for people in North Yorkshire and York who are living with or affected by HIV. From 1st July 2015, our support services will be delivered as part of our Partnership with York Teaching Hospital NHS under the recognised name YorSexualHealth.
On this website, you can find more information about who we are in the “About NYAA” section and what we do – what services we can provide – in the “Services” section. There is also an overview of information about HIV and HIV treatment in the “Information About HIV” section, with suggestions on where to find reliable, more detailed information. And there is also a “News” section, for news not only about NYAA, but also about things to do with HIV that might be of interest.
You can find our contact details here.
Topics on this page include the following: you can jump to them by clicking on the headings below:
Yellow Fever Vaccination
Yellow fever is a viral infection, spread by mosquito bites. People travelling to many African and South American countries need to get vaccinated against it. There is a risk of infection in many countries in central and west Africa, including Nigeria, Ivory Coast, Cameroon and the Democratic Republic of Congo, as well as Uganda and parts of Kenya. Brazil, Colombia and other South American countries are also affected. (See maps here.)
Yellow fever is prevented by a highly effective vaccine. However, it’s a live vaccine, which means that it should not be used by people living with HIV when they are unwell or have a CD4 count below 200. For HIV-positive people with stronger immune systems travelling to countries affected by yellow fever, vaccination is recommended.
A new study looked at how long the yellow fever vaccine was effective. They assessed the proportion of people with HIV who had a protective immune response in the years following yellow fever vaccination – this indicates that the vaccine could still protect them against yellow fever. Overall, this was the case for 95% of HIV-positive people one year after vaccination, 86% five years after vaccination and 75% ten years after vaccination.
Results were better for people with HIV who had an undetectable viral load at the time of vaccination. At each time point, 99% or more had a protective immune response. The recommendation is that people with HIV should be vaccinated against yellow fever (if they need it) when they have an undetectable viral load. If they remain on HIV treatment, they can then wait ten years before having a booster yellow fever vaccination.
If people are vaccinated when their viral load is not undetectable, they should either have their immune response to the yellow fever vaccine measured or get a booster yellow fever vaccination straight away.
For more information, read the NHS’ information about yellow fever vaccination.
Dealing with Multiple Healthcare Providers
Many people living with HIV have other health conditions as well as HIV. You may need to see a number of different doctors and go to more than one clinic for your healthcare needs. For example, your HIV clinic may look after your HIV, while your GP may help with cholesterol, high blood pressure or other issues. You might also need to see hospital-based specialists for treatment of other conditions, such as arthritis or cancer.
This can be complicated and difficult. NAM have produced a new Factsheet to give you some information and advice on how to cope with this.
- If you have several health conditions, you may find that health services are not as joined up as you’d like.
- There’s a lot you can do yourself to make things work more smoothly and to prevent problems from occurring.
- You are entitled to ask for one healthcare professional to co-ordinate your care across different services.
World AIDS Day 2017
On and around World AIDS Day, NYAA displays the North Yorkshire AIDS Memorial Quilt in locations around the county. You can read about the Quilt here. Sharon Stoltz, Director Public Health York Council, and Cllr Runciman came to the NYAA office to see the preparations for the Quilt display and hear about our services.The Quilt will be displayed in Malton Hospital Outpatients B Waiting Room from November 23rd (the Malton Gazette are going to publish a report on this). It will be displayed there until Tuesday morning, 28th November.
It will be in York District Hospital on World AIDS Day Friday 1st December.