HIV COVID

When Epidemics Collide: Why People with HIV May Have Worse COVID-19 Outcomes and Implications for Vaccination

Jan 06, 2021 | Julia Zigman

An article published in Clinical Infectious Diseases in January 2021 discusses a growing body of evidence that people living with HIV (PLWH) may be at high risk for severe COVID-19 and have worse COVID-19 outcomes. The article provides multiple potential reasons for these clinical outcomes, including immunodeficiency in PLWH who are not engaged in care; excess inflammation, which is linked to severe COVID-19 outcomes, in PLWH who are receiving antiretroviral therapy (ART); and a high prevalence of comorbidities among PLWH.

The authors call for prioritization of PLWH for COVID-19 vaccination into the same tier as people with other comorbidities that confer increased risk of severe COVID-19, as well as stronger guidance for care and counseling of PLWH in the face of structural inequities driving comorbidities and continued clinical uncertainties related to COVID-19.

Read the full article by Triant and Gandhi of Massachusetts General Hospital here.


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About Julia Zigman

Pronouns: she/her

Julia Zigman is a Program Analyst on the NACCHO HIV, STI, & Viral Hepatitis team. Julia focuses primarily on NACCHO’s Ending the HIV Epidemic portfolio and is a lead staff member for the HIV, STI, and Viral Hepatitis Workgroup. Learn more about these programs here.

More posts by Julia Zigman

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