Navy HIV Diagnostic Program

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Navy HIV Diagnostic Program

• CAPT Glenn Schnepf, MC, USN
• Ms. Edith Smith
• Mrs. Jacqueline Sheffield

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HIV TestingSECNAVINST 5300.30C

• Reasons to Test
• Readiness
• Maintain the safety of the blood supply
• Maintain troop readiness
• Identify unfitting conditions for worldwide
  deployment
• Detect immunologic deficiency
• Offer treatment
• Process for disability and separation

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Navy HIV TestingSECNAVINST 5300.30C

• Reasons to test, cont
• Prevent infections
• Sexual partners
• Co-workers (walking Blood Bank)
• Patients (medical care providers)
• Comply with host nation requirements and SOFA

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Navy HIV TestingSECNAVINST 5300.30C

• Navy Accession Policy
• HIV positive are not eligible for naval service
• The condition existed prior to entry
• Potential for life threatening reactions to live
  virus immunizations at basic training
• Not able to participate in battlefield blood
  donor activities or other military blood donation
  programs
• No way to differentiate those who will progress
  to clinical disease and those who will remain
  healthy
• Avoid medical costs
• The individual may not complete the initial
  service commitment (wasted training)

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Navy HIV TestingSECNAVINST 5300.30C

• Annual HIV test requirement
• Active duty personnel overseas
• Active duty personnel in deployable units
• All active duty health care providers
• Reserve personnel
• With routinely scheduled medical examinations
• Active duty with PCS orders to a continental US
  deployable command (within 12 months)
• Active duty with PCS orders overseas (within 12
  months)
• All visits to STD clinics, alcohol or drug abuse
  treatment or counseling visits and prenatal care
  visits

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US ARMED FORCES STRENGTH FIGURES FOR JUNE 30,
2002
Data Source DoD Directorate for Information
Operations and Reports (http//www.dior.whs.mil/mm
id/military/ms6.xls)
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Total Navy HIV Initial Elisa Annual Data

• Fiscal Year Total
• 1990 790,613
• 1991 785,972
• 840,590
• 1993 882,744
• 843,977
• 764,353
• 733,299

• Fiscal Year Total
• 753,738
• 728,553
• 685,120
• 679,556
• 682,653
• 586,218
• Jan Aug 02

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Total Navy HIV Initial Elisa Annual Tracking
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NAVY CENTRAL HIV SERVICE 2002 HIV TESTING
DATAup to AUGUST 2002
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DoN HIV Testing Compliance
Data Source Navy Testing Contractor
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Number and Timing of HIV Tests of DoN Personnel
Active Duty on 31 Aug 2001 MSMR Vol.8 No.1
Jan/Feb 02
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Navy HIV Program

• Recommendation
• DoD wide standard HIV testing period
• Simple
• Easy to remember
• Easy to monitor for compliance
• Set standards for compliance
• Not related to timing of deployments
• Meets SOFA and International Requirements
• Annual testing at birth month for DoD