https://www.gileadhiv.com/component---src-pages-landscape-hiv-rapid-start-js-d0462e527be96868013a.js

1"use strict";(self.webpackChunkgilead_hiv=self.webpackChunkgilead_hiv||[]).push([[404],{8313:function(e,t,a){a.r(t),a.d(t,{default:function(){return E}});var n=a(7387),l=a(6540),s=a(3270),r=a(3048),i=a(4479),o=a(1105),c=a(3904),m=a(9498),d=a(263),p=a(4692),u=a.n(p);var h=function(e){function t(){var t;return(t=e.call(this)||this).closeModal=()=>{t.setState({showModal:!1})},t.showModal=()=>{"undefined"!=typeof window&&u()(window).width()<=767&&t.setState({showModal:!0})},t.state={showModal:!1},t}return(0,n.A)(t,e),t.prototype.render=function(){return l.createElement("div",{className:""+(this.props.show?"d-block":"d-none")},l.createElement(d.A,{centered:!0,show:this.state.showModal,onHide:this.closeModal,className:"svg-modal"},l.createElement(d.A.Body,{className:"px-0"},l.createElement("img",{src:"/1-3-7-FRAMEWORK-FOR-RAPID-START-mobile.svg",alt:"CHART: Gray Chart Titled GILEAD'S SUGGESTED 1-3-7 FRAMEWORK FOR RAPID START",className:"w-100"}))),l.createElement(r.A,{fluid:!0,className:"hero hiv-rapid-start",role:"img","aria-label":"Letterbox view of a person's face"}),l.createElement(r.A,{className:"hiv-rapid-start"},l.createElement(i.A,null,l.createElement(o.A,{xs:10,className:"m-auto px-0"},l.createElement("div",{className:"hero-callout muted-yellow-dark"},l.createElement("h1",{className:"title "},l.createElement("span",{className:"sub-title d-block"},"Rapid Start Initiation"),"Starting HIV Treatment As Soon As Possible")),l.createElement(r.A,null,l.createElement(i.A,null,l.createElement(o.A,{xs:12,className:"px-0 pr-2"},l.createElement("p",null,"Rapid Start initiation is an HIV treatment strategy that is supported and recommended by many organizations, including the US Department of Health and Human Services (DHHS).",l.createElement("sup",null,"1-4")," Rapid Start can provide health benefits for people with HIV, such as an increase in the uptake of ART and linkage to care, decrease in the time to viral suppression, and improvement in viral suppression rates, when HIV treatment is taken as prescribed.",l.createElement("sup",null,"1"))),l.createElement(o.A,{xs:12,className:"px-0"},l.createElement("div",{className:"mb-4 mb-lg-5"},l.createElement("h2",{className:"title"},"What is Rapid Start?"),l.createElement("p",null,"Rapid Start is the initiation of antiretroviral treatment (ART) as soon as possible after an HIV diagnosis.",l.createElement("sup",null,"1")," While Rapid Start is supported and recommended by DHHS, the World Health Organization (WHO), the AIDS Education Training Center (AETC), and the New York State Department of Health (NYSDOH), the definitions of Rapid Start and the length of time between diagnosis and treatment initiation vary.",l.createElement("sup",null,"1-4")," When initiating ART, it is important to educate patients about the goals and benefits of ART and to identify and address barriers to care engagement and treatment adherence."),l.createElement(r.A,{className:"definitions-rapid-start my-3 my-lg-4"},l.createElement(i.A,{className:"flex-lg-nowrap"},l.createElement(o.A,{xs:12,lg:3,className:"px-4 py-3 mb-3 mb-lg-0 text-center d-flex flex-column justify-content-between mr-2 custom-col"},l.createElement("p",null,"Initiating ART ",l.createElement("span",{class:"font-red font-heavy"},"immediately (or as soon as possible)")," after an HIV diagnosis",l.createElement("sup",null,"1")),l.createElement("p",{className:"mb-0 text-uppercase font-red font-heavy"},"DHHS")),l.createElement(o.A,{xs:12,lg:3,className:"px-4 py-3 mb-3 mb-lg-0 text-center  d-flex flex-column justify-content-between mr-2 custom-col"},l.createElement("p",null,"Rapid initiation is defined as ",l.createElement("span",{class:"font-red font-heavy"},"within 7 days")," from the day of HIV diagnosis",l.createElement("sup",null,"2")),l.createElement("p",{className:"mb-0 text-uppercase font-red font-heavy"},"WHO")),l.createElement(o.A,{xs:12,lg:3,className:"px-4 py-3 text-center mb-3 mb-lg-0 d-flex flex-column justify-content-between mr-2 custom-col"},l.createElement("p",null,"Starting HIV treatment ",l.createElement("span",{class:"font-red font-heavy"},"as soon as possible")," after the diagnosis of HIV infection, preferably on the first clinic visit (and even on the same day the HIV diagnosis is made)",l.createElement("sup",null,"3")),l.createElement("p",{className:"mb-0 text-uppercase font-red font-heavy"},"AETC")),l.createElement(o.A,{xs:12,lg:3,className:"px-4 py-3 text-center  d-flex flex-column justify-content-between custom-col"},l.createElement("p",null,"Rapid initiation of ART preferably on the same day of diagnosis or ",l.createElement("span",{class:"font-red font-heavy"},"within 72")," hours—should be offered to all individuals who are candidates for rapid ART initiation",l.createElement("sup",null,"4")),l.createElement("p",{className:"mb-0 text-uppercase font-red font-heavy"},"NYSDOH")))),l.createElement("p",null,"Based on the recommendations from DHHS, WHO, and NYSDOH, Gilead recommends Rapid Start be considered on the same day of diagnosis, within 3 days, or within 7 days.",l.createElement("sup",null,"1,2,4")," Gilead's suggested 1-3-7 framework for Rapid Start may help organizations and clinics implement a Rapid Start protocol and help move patients through the HIV care continuum quickly."),l.createElement("div",{className:"chart-bg w-100 mx-0 mb-4 mb-lg-5"},l.createElement("div",{onClick:this.showModal,className:"cont-chart ending"},l.createElement("h3",null,"Gilead's suggested 1-3-7 framework for Rapid Start"),l.createElement("div",{className:"chart-area"},l.createElement("div",{className:"cont-img p-3 pl-lg-4 d-flex justify-content-center"},l.createElement("img",{className:"w-100 framework-rapid-img d-none d-md-block",src:"/1-3-7-FRAMEWORK-FOR-RAPID-START.svg",alt:"CHART: Gray Chart Titled GILEAD'S SUGGESTED 1-3-7 FRAMEWORK FOR RAPID START"}),l.createElement("img",{className:"w-100 framework-rapid-img d-block d-md-none",src:"/1-3-7-FRAMEWORK-FOR-RAPID-START-mobile.svg",alt:"CHART: Gray Chart Titled GILEAD'S SUGGESTED 1-3-7 FRAMEWORK FOR RAPID START"})))),l.createElement("div",{className:"footnote"},"Based on recommendations from DHHS, WHO, and NYSDOH.",l.createElement("sup",null,"1,2,4")))),l.createElement("div",{className:"mb-4 mb-lg-5"},l.createElement("h2",{className:"title seo"},"Potential benefits of Rapid start"),l.createElement("p",null,"According to DHHS guidelines, beginning HIV treatment as soon as possible after a diagnosis may provide important health benefits, including helping:"),l.createElement("ul",{className:"ml-lg-5 pl-lg-5 mb-standard"},l.createElement("li",{className:"mb-2"},l.createElement("span",{class:"font-red font-heavy"},"Increase")," the ",l.createElement("span",{class:"font-red font-heavy"},"uptake")," of ART and viral suppression rates when HIV treatment is taken as prescribed",l.createElement("sup",null,"1")),l.createElement("li",{className:"mb-2"},l.createElement("span",{class:"font-red font-heavy"},"Decrease")," the ",l.createElement("span",{class:"font-red font-heavy"},"time to viral suppression",l.createElement("sup",null,"1"))),l.createElement("li",{className:"mb-2"},l.createElement("span",{class:"font-red font-heavy"},"Reduce transmission")," to HIV-negative sexual partners if an undetectable viral load (HIV-1 RNA <200 c/mL) is maintained for at least 6 months",l.createElement("sup",null,"1")),l.createElement("li",null,l.createElement("span",{class:"font-red font-heavy"},"Improve retention in care",l.createElement("sup",null,"1")))),l.createElement("p",{className:"font-heavy"},"Why Rapid Start Matters:"),l.createElement("ul",{className:"ml-lg-5 pl-lg-5"},l.createElement("li",{className:"mb-2"},l.createElement("span",{class:"font-red font-heavy"},"Getting to")," and ",l.createElement("span",{class:"font-red font-heavy"},"keeping")," an ",l.createElement("span",{class:"font-red font-heavy"},"undetectable viral load")," may help ",l.createElement("span",{class:"font-red font-heavy"},"reduce internalized stigma"),l.createElement("sup",null,"5")),l.createElement("li",{className:"mb-2"},"Data from 2013 to 2014 (N=86) showed that the ",l.createElement("span",{class:"font-red font-heavy"},"median time to viral suppression was 2.5 months sooner among Rapid Start")," patients (n=39) compared with those in a non–Rapid Start intervention (",l.createElement("em",null,"P"),"=0.0001)",l.createElement("sup",null,"6")),l.createElement("li",{className:"mb-2"},"Data from 2016 to 2017 (N=274) showed ",l.createElement("span",{class:"font-red font-heavy"},"that more people were virally suppressed (<100 copies/mL) after 1 year")," when they initiated ",l.createElement("span",{class:"font-red font-heavy"},"same-day Rapid Start vs standard ART care")," (50.4% vs 34.3%; ",l.createElement("em",null,"P"),"=0.007)",l.createElement("sup",null,"7")),l.createElement("li",{className:"mb-2"},"According to DHHS, ",l.createElement("span",{class:"font-red font-heavy"},"achieving and maintaining an undetectable viral load")," by taking and adhering to ART as prescribed for at least 6 months ",l.createElement("span",{class:"font-red font-heavy"},"prevents transmission of HIV to sexual partners"),l.createElement("sup",null,"1")))),l.createElement("div",{className:"mb-4 mb-lg-5"},l.createElement("h2",{className:"title seo"},"A Rapid Start Case Study: Valley AIDS Council"),l.createElement("p",null,"In 2022, the Valley AIDS Council (VAC)—primary provider of HIV services, education, and testing services in the Harlingen, Texas area and Gilead grant recipient—implemented ",l.createElement("span",{class:"font-red font-heavy"},"RAPIDO:")," ",l.createElement("span",{class:"font-red font-heavy"},"R"),"apid ",l.createElement("span",{class:"font-red font-heavy"},"A"),"RT ",l.createElement("span",{class:"font-red font-heavy"},"P"),"rogram for ",l.createElement("span",{class:"font-red font-heavy"},"I"),"ndividuals to reach un",l.createElement("span",{class:"font-red font-heavy"},"D"),"etectable ",l.createElement("span",{class:"font-red font-heavy"},"O"),"utcomes.",l.createElement("sup",null,"8,9,10")," This Rapid ART initiation program focused on making HIV healthcare, education, and resources more accessible to the Hispanic/Latino communities served by VAC."),l.createElement("p",null,"Many factors contribute to low rates of engagement in HIV care by the Hispanic/Latino community. These include, but are not limited to, stigma, language barr

1iers, lack of education about HIV, and limited access to care and culturally appropriate services.",l.createElement("sup",null,"11")),l.createElement("div",{className:"white-box funding pl-lg-4"},l.createElement("h3",{className:"title-callout"},"In patients 13 and older:"),l.createElement("ul",{className:"mb-0"},l.createElement("li",null,"In ",l.createElement("span",{class:"font-red font-heavy"},"2021,")," the Hispanic/Latino community represented ",l.createElement("span",{class:"font-red font-heavy"},"18%")," of the US population, but represented ",l.createElement("span",{class:"font-red font-heavy"},"25%")," of people reportedly living with HIV",l.createElement("sup",null,"12")),l.createElement("li",null,"In ",l.createElement("span",{class:"font-red font-heavy"},"2022"),", only ",l.createElement("span",{class:"font-red font-heavy"},"73%")," of HIV-positive Hispanic/Latino people with diagnosed HIV in the US received HIV care",l.createElement("sup",null,"13")),l.createElement("li",null,"No more than ",l.createElement("span",{class:"font-red font-heavy"},"64%")," of Hispanic/Latino people with diagnosed HIV in the US were virally suppressed",l.createElement("sup",null,"13")))),l.createElement("p",null,"In just one year, the program was successful in building trustworthiness in their South Texas community, thanks in good part to their ‘red carpet’ approach concerning patient navigation, which included",l.createElement("sup",null,"10"),":"),l.createElement("div",{className:"white-box funding pl-lg-4"},l.createElement("ul",{className:"mb-0"},l.createElement("li",null,l.createElement("span",{class:"font-red font-heavy"},"Providing HIV education")," (like U=U and the importance of treatment) ",l.createElement("span",{class:"font-red font-heavy"},"within 2 hours")," of a preliminary positive HIV test"),l.createElement("li",null,"Scheduling a ",l.createElement("span",{class:"font-red font-heavy"},"same-day appointment")," with a clinician (virtual or in-person) ",l.createElement("span",{class:"font-red font-heavy"},"who provides a 2–week")," ART starter pack"),l.createElement("li",null,l.createElement("span",{class:"font-red font-heavy"},"Coordinating with a case manager")," who provides ",l.createElement("span",{class:"font-red font-heavy"},"8 weeks")," of focused services, including follow-up testing"))),l.createElement("div",{className:"chart-bg w-100 mx-0 mb-4"},l.createElement("div",{className:"cont-chart ending"},l.createElement("h3",{className:"mb-0"},"Results of RAPIDO program after 1 year",l.createElement("sup",null,"14")),l.createElement("div",{className:"chart-area"},l.createElement("div",{className:"cont-img p-3 pl-lg-4 text-center"},l.createElement("picture",{className:"cont-img"},l.createElement("source",{media:"(max-width: 991px)",srcSet:"/results-of-rapido-program-after-1-year-mobile.svg"}),l.createElement("img",{src:"/results-of-rapido-program-after-1-year.svg",alt:"CHART: Gray chart titled RESULTS OF RAPIDO PROGRAM AFTER 1 YEAR",className:"w-100"}))))),l.createElement("div",{className:"footnote"},l.createElement("span",{className:"sup"},"*"),"January-March.",l.createElement("sup",null,"†"),"Missing May value.",l.createElement("sup",null,"‡"),"January-February.")),l.createElement("p",null,"Through RAPIDO, VAC showed that a holistic, patient-centric strategy, combined with appropriate treatment and equity, could help in the reduction of barriers to HIV healthcare and lead to better outcomes for people living with HIV.",l.createElement("sup",null,"10"))),l.createElement("div",{className:"mb-4 mb-lg-5"},l.createElement("h2",{className:"title mt-4 pt-3"},"Rapid Start and Health Equity"),l.createElement("p",null,"For people living with HIV who face barriers to care, such as income inequality, medical mistrust, or stigma, it can be difficult to seek and receive the care they need.",l.createElement("sup",null,"11,15-17")),l.createElement("p",null,"Rapid Start looks to address bias by standardizing protocols for every patient, no matter their financial situation.",l.createElement("sup",null,"18,19,§")," It may al

1so help individuals get linked to care in the same visit, alleviating the burden of coordinating additional visits or taking additional time to return for subsequent appointments.",l.createElement("sup",null,"5,20")),l.createElement("div",{class:"m-auto col-md-9 col-12"},l.createElement("div",{class:"bq-container"},l.createElement("p",{className:"bq-quote"},"“",l.createElement("span",{class:"font-heavy"},"The Rapid Start program really helps with bias and equity")," because it is the same protocol [for everyone], and it is not dependent on somebody’s housing status or funding.”",l.createElement("sup",null,"18")),l.createElement("p",{class:"bq-authorTitle"},l.createElement("div",{class:"authorContainer"},"Katherine Connor"),l.createElement("div",{class:"titleContainer"},"Director of HIV Services, CrescentCare Start Initiative, on their Rapid Start Program")))),l.createElement("p",null,"Linking patients to treatment immediately following a positive HIV diagnosis may lead to better engagement in care and, therefore, better health outcomes in the long term.",l.createElement("sup",null,"15,16")),l.createElement("div",{className:"footnote"},l.createElement("sup",{className:"sup"},"§"),"As noted in a CrescentCare Biennial Report about the Rapid Start program, CCSI (CrescentCare Start Initiative).",l.createElement("sup",null,"18,19")))),l.createElement(c.A,null)))))),l.createElement(m.A,{page:this.props.page}))},t}(l.Component);let f=function(e){function t(){return e.apply(this,arguments)||this}return(0,n.A)(t,e),t.prototype.render=function(){return l.createElement(l.Fragment,null,l.createElement(s.A,{section:"hiv-landscape",page:"hiv-rapid-start"},l.createElement(h,{section:"hiv-landscape",page:"hiv-rapid-start"})))},t}(l.Component);var E=f}}]);
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