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I Tested HIV Positive in 1998 When I Had TB, Should I Start ARVs Now?

Question: Hooray!!! Finally we have some good news, the government agreed to provide antiretrovirals (ARV's) to us. I tested HIV positive in 1998 when I had TB, should I start ARV's now.

Answer: I'm glad to hear you are excited about the ARV's being made freely available. It is difficult for me to say you will qualify to be on ARV's. The best thing for you to do is to go to your nearest clinic or doctor and request that they refer you to an HIV clinic. At the clinic they are going to take bloods from you to test your CD4 count, which helps the doctors to determine how strong your immune system is or how high your viral load is. Remember, to qualify to be on ARV's you have to have a CD4 count of less than 200 or an AIDS defining illness.

Remember, HIV's trick is that it attacks our immune system and by so doing leaves our body vulnerable to infections. Our immune system is like our body's army. It's job is to keep us healthy by fighting any germs or diseases that attack us. The immune system is made up of special cells called CD4 cells. When a person has a strong immune system they have lots of CD4 cells. If we want to know how strong a person's immune system is, we do a CD4 count.

To go back to how HIV attacks the immune system: When a person is infected with HIV, it takes over the CD4 cells. The virus stops the CD4 cells from fighting off diseases and forces them to make more viruses instead. After many years the person has a lot of virus in their blood and very few CD4 cells. When the immune system is low opportunistic infections may set in such as TB, which will lower the immune system even more, but as you know TB can be treated even if a person is HIV positive.

A reminder, there is no cure for HIV. Antiretroviral drugs are medication that could help you to live a longer and healthier life, by slowing down the effects of the virus on your body. Act now so that you benefit from the available ARV program.

The content on this page was last updated on 12 December 2005
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