Annals of Internal Medicine

Good News with an Asterisk

Transgender pride

This is important:

The largest group of internal medicine doctors in the U.S. came out Monday in support of policies it says will improve the health of the country’s lesbian, gay, bisexual and transgender (LGBT) people.

Those policies include support for civil marriage rights for same-sex couples, opposition to so-called conversion or reparative therapy and support for health insurance plans that include comprehensive transgender healthcare services.

“The LGBT community deserves the same high quality care that any community in the United States should be getting, but may not be getting,” said Dr. Wayne J. Riley, president of the American College of Physicians.

(Seaman)

This is the challenge: Prevention and risk identification. The Reuters report notes, for instance, that among the estimated 1.1 million HIV cases in the United States, one in six is not yet diagnosed. And think about that for a moment; that nearly seventeen percent works out to nearly one hundred eighty-four thousand people with unknown transmission potential likely in high risk profiles.

And this is a problem. First and foremost, doctors need to know these patients in order to help. But as a practical concern, this number also represents a tremendous gateway for potential further undiagnosed exposure, transmission, and contraction. Both individual and public health are at risk.

(more…)