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D.A.P. Revises HIV Prevention Guidelines

For Immediate Release
April 25, 2017
Contact: Tom Tarr, Director of Client Development
Tel: 760-656-8460
Email: [email protected]

Desert AIDS Project revises its prevention guidelines in light of support for new research

Desert AIDS Project joins other national HIV prevention organizations by embracing a recent policy statement of the National Association of State and Territorial AIDS Directors (NASTAD). That policy titled, “Risk of Sexual Transmission of HIV from Virally Suppressed People Living with HIV” affirms the related scientific evidence and aligns prevention policy with that of many in the public health community.

“Recent research has shown that treating people with HIV and helping them maintain an undetectable viral load (less than 200 copies/ml) prevents the sexual transmission of HIV,” said Bruce Weiss, Director of Community Health at D.A.P. “The studies demonstrated no new transmissions occurred when the HIV positive partner was virally suppressed. This provides an additional prevention strategy for HIV-positive persons and their sexual partners which can also help end new HIV infections.”

In light of this new research, D.A.P. now recommends the following to prevent new HIV infections:

  • 1. Commitment to ongoing treatment for HIV – ongoing treatment for individuals with HIV is vital to the success of this prevention strategy
  • 2. Regular healthcare and viral load testing – staying healthy and regular testing is necessary for individuals utilizing this prevention strategy
  • 3. Steps need to be taken to prevent Sexually Transmitted Infection (STI)
    • Because of rising STI rates in the Coachella Valley, D.A.P. recommends that individuals having sex with more than one partner continue to use condoms. Condoms are the only proven strategy to help prevent new infections of STIs such as Syphilis, Gonorrhea and Chlamydia.
    • Regular STI testing is also recommended at least every three months for those having sex with multiple partners, in order to detect infections early and ensure proper treatment.

“We’re excited about the confirmation of effectiveness that the research provides and the prevention community has embraced,” said David Morris, MD, Medical Director at D.A.P. “But to be effective, it’s important that people commit to taking their medicine as directed, as well as seeing a healthcare professional for regular monitoring and care. Without this commitment, this prevention strategy becomes ineffective.”

“It is important to increase awareness of this prevention strategy,” said Karen Mark, MD, Ph.D., Chief of the Office of AIDS in the Center for Infectious Diseases at the California Department of Public Health. “We’ve made great strides in our efforts to prevent new HIV infections. This strategy can play a key role in ending or reducing HIV-related stigma and allow partners to select prevention methods that work best for their relationships.”

For more information about D.A.P.s policy, the NASTAD position, and related research, please visit these pages:

NASTAD Policy: Risk of Sexual Transmission of HIV from Virally Suppressed People Living with HIV
PARTNER Study: How to Interpret the Zero Transmission Results
HPTN 052: Study Summary

About Desert AIDS Project

Desert AIDS Project (D.A.P.) is a Federally Qualified Health Center in Palm Springs, CA offering D.A.P. Total Care – a combination of medical, dental, counseling, social services, support groups, alternative therapies, in-house pharmacy and lab, and other health and wellness services.  D.A.P.’s sexual health clinic, The DOCK, offers STD testing and treatment, Pre-Exposure Prophylaxis (PrEP), Post-Exposure Prophylaxis (PEP), and free HIV and HCV testing. D.A.P.’s Get Tested Coachella Valley campaign, the nation’s first region-wide HIV testing and access to care initiative, was recognized by the White House for helping to bring about an AIDS-free future.  D.A.P. is rated a “Top 20 HIV Charity” by About.com. Visit www.desertaidsproject.org, www.thedockclinic.org, and www.gettestedcoachellavalley.org to learn more.

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Printable version: Desert AIDS Project Press statement Viral Suppression Prevention Strategy 04.25.2017

Meet the Provider: Hector Paul Vizoso

Helping to keep our operations running smoothly in the health center is Hector Vizoso, D.A.P.’s Clinical Quality Improvement Coordinator/Nurse Manager. Fluent in Spanish, he prides himself on being a creative problem solver and leader, adept at managing projects and people while providing support and promoting a cohesive team environment.

After receiving his BA degree in Medical Sociology from Hunter College in New York City, graduating cum laude with departmental honors, Mr. Vizoso headed west and became a Registered Nurse at Monterey Peninsula College. He later received his Master of Science in Nursing Administration at California State University.

Mr. Vizoso has also stood on the teaching side of the college podium – first as an Assistant Professor at San Francisco State University, teaching a practicum in Nursing Fundamentals, and later at the University of Phoenix, teaching Evidence-Based Nursing Research & Practice. His clinical and academic experience has led him to contribute to a variety of research projects, as well as journal articles and abstracts.

After extensively participating in the study of medical marijuana, in 2015 Mr. Vizoso presented Vaporization as a Smokeless Cannabis Delivery System: A Pilot Study to the International Association for Cannabis as Medicine in Leiden, Netherlands. For five years, he was Research Nurse Clinician/Study Coordinator responsible for independently managing medicinal marijuana studies for HIV and cancer patients, funded by the Center for Medicinal Cannabis Research, including on-site monitoring.

Mr. Vizoso is a member of a number of professional societies including the Association of Nurses, the Oncology Nursing Society, the Honor Society of Nursing, and the International Association of Clinical Research Nurses.

Meet the Provider: Matt Moran

Matt Moran is an Advanced Practice Nurse Practitioner (APNP) with specialty, post-graduate education and training in the treatment of Human Immunodeficiency Virus (HIV) infection, and has completed a Fellowship in HIV medicine. He has also received the advanced education and training required to perform high-resolution anoscopies, which are used in the diagnosis and treatment of anal dysplasia. Mr. Moran has been involved in the design and implementation of clinical programs targeting anal dysplasia screening and research., to both assist with the triage and treatment of affected adults, and to provide consultation to other

Mr. Moran has been involved in the design and implementation of clinical programs targeting anal dysplasia screening and research, to both assist with the triage and treatment of affected adults, and to provide consultation to other healthcare providers.

Mr. Moran has provided leadership in developing clinical protocols necessary for anoscopy research, has provided insight into recruitment strategies for target populations, and has provided data safety monitoring to Principal Investigators and study statisticians.

From 2014-2016, Mr. Moran held a faculty position at the UCLA School of Nursing, where he provided instruction to Nurse Practitioners. He has been at Desert AID Project for 4+ years and we hope for many more.

Hepatitis Center of Excellence Opens at …

FOR IMMEDIATE RELEASE

Contact:
David Brinkman, CEO
Desert AIDS Project (D.A.P.)
Tel: 760-992-0418
Email:  [email protected]

Hepatitis Center of Excellence Opens at Desert AIDS Project

Desert AIDS Project collaborates with Desert Oasis Healthcare to make state-of-the art Hepatitis testing and treatment accessible to the community.

PALM SPRINGS, CA, (December 5, 2016) –  Desert AIDS Project (D.A.P.) has opened the doors today to the Hepatitis Center of Excellence – a new clinic designed to address a serious and growing need for Hepatitis care in the local community.  D.A.P. is collaborating with Desert Oasis Healthcare (DOHC) to staff the new Center with Infectious Disease Physicians and Pharmacists who specialize in Hepatitis care.

Hepatitis Center of Excellence
at Desert AIDS Project
1695 N. Sunrise Way (at Vista Chino)
Open Monday through Friday (except holidays) from 8AM-5PM
By appointment only; to make an appointment, call 760-992-0426
Patient entrance:  Through loading dock ramp on south side of building
Check-in at The DOCK reception desk

Located at D.A.P.’s main campus in Palm Springs, the new Hepatitis Center of Excellence will deliver comprehensive, state-of-the art expertise to manage, support and cure those afflicted with Hepatitis. Services will include non-invasive diagnostic testing and staging, improved access to curative treatments, and compassionate support for the many complex issues associated with a Hepatitis diagnosis.

The new Center anticipates its major emphasis will be testing and treatment of Hepatitis C (HCV), a contagious liver disease that ranges in severity from a mild illness lasting a few weeks to a serious, lifelong illness that attacks the liver. Hepatitis C can lead to liver cancer, the need for liver transplants, and increased risk of death.

The Centers for Disease Control and Prevention (CDC) recommends that every American born from 1945 through 1965 get a blood test for Hepatitis C.  Thanks to recent medical breakthroughs, Hepatitis C can now be cured with anti-viral medication(s).

The collaboration between D.A.P. and DOHC was first suggested to the administration of both organizations by Shubha Kerkar, MD, MACP.  Dr. Kerkar has served both healthcare organizations for more than 20 years and has been a lead provider of HCV care for both agencies.

“This collaboration is bringing the effective model of HCV care we’ve developed at DOHC, to the community served by D.A.P., which is an FQHC,” she explained, referring to D.A.P.’s status as a Federally Qualified Health Center.  The new Center, which will make testing and care accessible to a broader population, accepts most private insurance, Medicare and Medi-Cal.   Uninsured income-qualified patients can receive care at reduced costs.

While systematic valley-wide testing would be needed to determine HCV prevalence in the Coachella Valley, it is estimated that as many as 4,000 Coachella Valley residents currently live with chronic HCV.  Approximately 3.5 million people in the US live have HCV – with somewhere in the range of 40% to 85% unaware that they are infected.  It is estimated that 2-3% percent of the global population, or 150 million individuals, are infected with HCV.

There are parallels between the HCV and HIV epidemics, and co-infection of the two viruses is common.  Per David Brinkman, CEO of Desert AIDS Project, “The number of people in the U.S. living with HCV is about triple the number living with HIV. Approximately 20% of D.A.P.’s HIV patients are co-infected with HCV. While the symptoms of HIV can take up to 10 years to appear, a person can have Hepatitis C for many decades without symptoms,” he continued. “As with HIV, the only way to know if you have Hepatitis C is to get tested.”

One highly significant difference between the two diseases is that HCV can now be cured.  However, “If people wait until they have symptoms of HCV, it’s too late,” emphasized Dr. Kerkar.  “We’re now seeing patients in their sixties, seventies and eighties with HCV, and it seems to be just the tip of the iceberg,” she cautioned.   “Stage 4 Hepatitis C is irreversible.  We need to find people at stages zero, one, two and three.”

Although D.A.P. has provided HCV testing and treatment for many years, the new Center enables the agency to offer its patients DOHC’s state-of the-art model of Hepatitis C care, delivered by Physicians and Pharmacists who specialize in Hepatitis.  The DOHC model has been published and presented in State and Regional US forums.  Additionally, the agency’s own unique D.A.P. Total Care model — which holistically integrates case management, counseling, and other healthcare services – will help patients to maintain their Hepatitis C medication regimens.

With the opening of the new Center, DOHC will continue to operate its existing Hepatitis clinic in Palm Springs which has treated more than 200 of its members.

Hepatitis C is usually spread when blood from a person infected with the Hepatitis C virus enters the body of someone who is not infected. Today, most people become infected with the Hepatitis C virus by sharing needles or other equipment to inject drugs. Before 1992, when widespread screening of the blood supply began in the United States, Hepatitis C was also commonly spread through blood transfusions and organ transplants.

People can become infected with the Hepatitis C virus during such activities as

  • Sharing needles, syringes, or other equipment to inject drugs
  • Needlestick injuries in heath care setting
  • Being born to a mother who has Hepatitus C

Less commonly, a person can also get Hepatitis C virus infection through

  • Sharing personal care items that may have come in contact with another person’s blood, such as razors or toothbrushes
  • Having sexual contact with a person infected with the Hepatitis C virus

No vaccine for Hepatitis C is available. Research into the development of a vaccine is under way.

The CDC recommends that individuals talk to their doctor about being tested for Hepatitis C if any of the following are true:

  • You were born from 1945 through 1965.
  • You are a current or former injection drug user, even if you injected only one time or many years ago.
  • You were treated for a blood clotting problem before 1987.
  • You received a blood transfusion or organ transplant before July 1992.
  • You are on long-term hemodialysis treatment.
  • You have abnormal liver tests or liver disease.
  • You work in health care or public safety and were exposed to blood through a needlestick or other sharp object injury.
  • You are infected with HIV.

For more information about Hepatitis C from the Centers for Disease Control and Prevention, visit  http://www.cdc.gov/hepatitis/hcv/cfaq.htm

About Desert AIDS Project
Desert AIDS Project (D.A.P.) is a Federally Qualified Health Center in Palm Springs, CA offering D.A.P. Total Care – a combination of medical, dental, counseling, social services, support groups, alternative therapies, in-house pharmacy and lab, and other health and wellness services.  D.A.P.’s sexual health clinic, The DOCK, offers STD testing and treatment, Pre-Exposure Prophylaxis (PrEP), Post-Exposure Prophylaxis (PEP), and free HIV and HCV testing. D.A.P.’s Get Tested Coachella Valley campaign, the nation’s first region-wide HIV testing and access to care initiative, was recognized by the White House for helping to bring about an AIDS-free future.  D.A.P. is rated a “Top 20 HIV Charity” by About.com. Visit www.desertaidsproject.orgwww.thedockclinic.org, and www.gettestedcoachellavalley.org to learn more.

About Desert Oasis Healthcare (DOHC)
Desert Oasis Healthcare is a healthcare organization that serves the residents of the greater Coachella Valley and surrounding desert communities of Riverside and San Bernardino Counties. DOHC is not an insurance health care plan. Rather, health care plans (Medicare, Medicare Advantage, and Commercial) contract with DOHC who in turn contracts with a network of over 100 Primary Care Providers, over 200 specialists, hospitals and diagnostic centers, and a continuum of health care systems. The DOHC network serves over 70,000 members/patients.

Reflective of the ever changing healthcare world, DOHC has been evolving since 1981. Desert Oasis Healthcare is a member of Heritage Provider Network (HPN), and was the first organization of HPN formed in 1981 as Desert Medical Group. In 1992, Oasis Independent Physician Association was formed and in 2006, the organizations merged to form Desert Oasis Healthcare.

DOHC continues to grow its extensive network that includes Home Health, Family Hospice Care, Palliative Care, and Accountable Care Organizations to complement the network of agencies ready to serve you.

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The Healing Power of Reiki

Looking for ways to relieve stress and increase your total health?  Explore the healing benefits of Reiki.

What is Reiki? Reiki is a Japanese healing technique based on the principle that the Reiki therapist can channel energy from the patient by means of touch to activate the natural healing process of the patient’s body and restore physical and emotional well-being. Known for helping to relieve stress and promote healing, Reiki is one of many ways to take care of your total health.

Reiki

During sessions, Reiki practitioners apply the Reiki healing technique by channeling energy into the patients by means of touch to activate the natural healing processes of the patient’s body and restore physical and emotional well-being.

While Reiki is not a stand-alone treatment, it compliments medical treatment in many ways including; helping to increase energy levels, reducing blood pressure, supporting spiritual growth, and helping the body relieve stress.

D.A.P. Total Care is proud to offer free Reiki services by Reiki Master John Strobel at the Client Wellness Services Center to all patients of D.A.P.

Reiki services are available by appointment only on Thursday and Friday of each week between 10:30AM – 12:00PM in the Meditation Room. Please call Curtis Howard 1-760-656-8414 to reserve your Reiki session with John.