Showing posts with label Testing. Show all posts
Showing posts with label Testing. Show all posts

February 21, 2015

HIV Testing is rising in the Uk but Their Knowledge of Prevention is down


                                                                               

Some men are testing more frequently


  
With health services and HIV prevention organisations now having relentlessly focused on HIV testing for several years, new data suggest that more English gay men have recently taken an HIV test, have good knowledge of HIV testing and were happy with testing services. But the data, from the 2014 Gay Men’s Sex Survey, also include signs of decreases in basic knowledge of safer sex and of poorer access to condoms.
“Are we putting all our prevention needs in one testing basket?” Ford Hickson of Sigma Research asked the HIV Prevention England conference in London yesterday.
Over the last decade, HIV testing has become a public health priority and many more clinical services have invited gay and bisexual men to test. An increasing proportion of HIV prevention campaigns have focused on testing and many local HIV prevention services have offered testing as part of their outreach work. But some feel that some of the other ‘bread and butter’ issues of HIV prevention may have been neglected.
The data presented were the first to emerge from the 2014 Gay Men’s Sex Survey, which recruited a large convenience sample of men through dating websites and apps, Facebook promotion and HIV organisations
.
The data are cross-sectional, but comparisons are made between the surveys conducted in 2010 and 2014. In order to improve the validity of these comparisons, only men recruited through dating websites and apps are included (the other recruitment methods weren’t used in 2010). Moreover, there was statistical adjustment for observed differences between the samples (geographical area, average age, level of education, employment and identifying as ‘gay’). The comparison is of 11,519 men in 2010 and 6784 men in 2014.
The proportion that had ever taken an HIV test rose, from 72% in 2010 to 77% in 2014. 
But the biggest changes were in how recently the test had been taken. Across the sample, the proportion that had tested for HIV in the past year jumped from 43% in 2010 to 56% in 2014. Amongst those who had ever tested, the proportion who had done so in the past year increased from 66 to 75%. 
The differences between 2010 and 2014 were statistically significant after adjustment for confounding factors.
But as more men were tested, a lower proportion were diagnosed with HIV at that test. Moreover those diagnosed reported similar CD4 cell counts in the two surveys, suggesting that the increase in the frequency of HIV testing may have primarily occurred in men who did not have undiagnosed HIV.
The increase in testing volume was not at the expense of service quality. In 2014, 80% of those testing negative and 84% of those testing positive were ‘very satisfied’ with the way the service kept their confidentiality; and 79% of those testing negative and 82% of those testing positive were ‘very satisfied’ with the respect they were treated with. These figures were actually higher than they had been in 2010. Fewer men testing negative received counselling in 2014, but this did not affect men’s satisfaction.
On indicators of basic knowledge about HIV testing, there were no changes between the surveys. Only 3% did not know that you can’t work out someone’s HIV status from their appearance, 1% did not know that testing exists and 10% were not aware that tests have window periods. Men remained confident that they could get an HIV test if they wanted one.
The proportion of men expressing some degree of doubt or uncertainty about their own HIV-negative status increased. This is in keeping with the aims of health promotion – people who have taken a sexual risk since their last HIV test should not take their HIV-negative status for granted.
More worryingly, gaps in knowledge of safer sex appear to be widening. These changes were small but statistically significant. Compared to 2010, more men did not know that sexually transmitted infections increase the risk of HIV transmission (up from 39 to 42%), that the insertive sexual partner (‘top’) can acquire HIV during anal sex (up from 10 to 15%) or that HIV cannot be passed on during kissing (up from 19 to 21%).  
And more men reported problems getting hold of condoms. In the past month, 7.7% of men had wanted a condom but did not have one and 5.2% had had unprotected sex for that reason. (The 2010 figures were 6.5 and 3.8% respectively.)
Ford Hickson suggested that health organisations’ singular focus on HIV testing – sometimes to the expense of education around safer sex or condom distribution programmes – may be having an impact. While HIV testing has improved, needs around safer sex have got worse. 

HIV testing: comparison with other data

Since 2001, data from successive Gay Men’s Sex Surveys have shown increases in the proportion of respondents who have ever taken an HIV test. A previously published comparison showed that 46% had ever tested in 2001 and 66% had done so in 2007. While the most recent edition had somewhat different recruitment methods (making comparisons problematic), it showed that 77% had tested.
But men who are recruited through dating websites and apps do not represent the whole population of men who have sex with men (MSM). The National Survey of Sexual Attitudes and Lifestyles (Natsal)recruited a large, representative sample from households throughout Great Britain, making it more likely than other studies to give representative data. The proportions of MSM testing are much lower in this survey than described above, although it has recorded a rise over a twenty-year period, from 34% in 1990, to 39% in 2000 and 52% in 2010. Moreover, concerning testing in the past year, this was only reported by 27% of gay men in 2010 (compared to 43% in that year's Gay Men’s Sex Survey). 
And while the vast majority of gay men attending sexual health clinics do take an HIV test, the number of clinic attendees is much lower than the estimated population of gay men, also suggesting that many men test infrequently. While we don’t have figures for tests conducted in GP surgeries, other medical settings, community settings or at home, this is unlikely to make up the shortfall.

Roger Pebody

Reference

Hickson F et al. HIV prevention objectives among MSM in England: Data from Gay Men's Sex Surveys 2010 and 2014. HIV Prevention England conference, London, 19 February 2015.

July 3, 2014

You Might Have been one of 7k FaceBook Tests Rats in 2012


                                                                              


Facebook’s disclosure last week that it had tinkered with about 700,000 users’ news feeds as part of a psychology experiment conducted in 2012 inadvertently laid bare what too few tech firms acknowledge: that they possess vast powers to closely monitor, test and even shape our behavior, often while we’re in the dark about their capabilities.

The publication of the study, which found that showing people slightly happier messages in their feeds caused them to post happier updates, and sadder messages prompted sadder updates, sparked a torrent of outrage from people who found it creepy that Facebook played with unsuspecting users’ emotions. Because the study was conducted in partnership with academic researchers, it also appeared to violate long-held rules protecting people from becoming test subjects without providing informed consent. Several European privacy agencies have begun examining whether the study violated local privacy laws.
 
Facebook said last week that it deliberately manipulated the emotional content of posts in the news feeds of nearly 700,000 users to see if emotions were contagious.Bits Blog: Facebook’s Secret Manipulation of User Emotions Faces European InquiriesJULY 2, 2014
Facebook revealed that it had altered the news feeds of over half a million users in its study.Facebook Tinkers With Users’ Emotions in News Feed Experiment, Stirring OutcryJUNE 29, 2014
But there may be other ways to look at the Facebook study and its publication. For one thing, studying how we use social media may provide important insights into some of the deepest mysteries of human behavior.

 
Facebook and much of the rest of the web are thriving petri dishes of social contact, and many social science researchers believe that by analyzing our behavior online, they may be able to figure out why and how ideas spread through groups, how we form our political views and what persuades us to act on them, and even why and how people fall in love.

Most web companies perform extensive experiments on users for product testing and other business purposes, but Facebook has been unusually forward in partnering with academics interested in researching questions that aren’t immediately pertinent to Facebook’s own business. Already, those efforts have yielded several important social science findings.

But there’s another benefit in encouraging research on Facebook: It is only by understanding the power of social media that we can begin to defend against its worst potential abuses. Facebook’s latest study proved it can influence people’s emotional states; aren’t you glad you know that? Critics who have long argued that Facebook is too powerful and that it needs to be regulated or monitored can now point to Facebook’s own study as evidence.

It is problematic that Facebook roped users into the study without their express consent. The company has apologized, and now says it will look at ways to improve its guidelines for conducting research. “After the feedback from this study, we are taking a very hard look at this process,” said Jonathan Thaw, a Facebook spokesman.

If Facebook figured out a way to be more transparent about its research, wouldn’t you rather know what Facebook can do with the mountains of information it has on all of us?

Wouldn’t you also be interested in what other tech firms know about us? How does Google’s personalized search algorithm reinforce people’s biases? How does Netflix’s design shape the kinds of TV shows we watch? How does race affect how people navigate dating sites?

Continue reading the main story
After the outcry against the Facebook research, we may see fewer of these studies from the company and the rest of the tech industry. That would be a shames.

“It would be kind of devastating,” said Tal Yarkoni, a psychology researcher at the University of Texas at Austin who works on methods for studying large sets of data. “Until now, if you knew the right person at Facebook and asked an interesting question, a researcher could actually get collaborators at Facebook to work on these interesting problems. But Facebook doesn’t have to do that. They have a lot to lose and almost nothing to gain from publishing.”

If you’ve been cast in a Google or Facebook experiment, you’ll usually never find out. Users who are put into experimental groups are selected at random, generally without their knowledge or express permission. While Facebook says people agree to such tests when they sign up for the site, users aren’t given any extra notice when they’re included in a study.

Continue reading the main story
RELATED IN OPINION

Op-Ed Contributor: Jaron Lanier on Lack of Transparency in Facebook StudyJUNE 30, 2014
One problem is that obtaining consent may complicate experimental results.

“Facebook could throw up a bubble asking people to opt-in to each test, but it would totally mess up the results, because people would be selecting themselves into the test,” Mr. Yarkoni said. (Offline social-science and medical researchers face a similare problem.) Another option would be for users to be periodically asked whether they wanted to take part in research, but some research ethicists have balked at the prospect of not giving users individual notice of each study.

Ryan Calo, an assistant professor at the University of Washington School of Law who studies technology policy, has called for firms that conduct experiments on their users to create “consumer subject review boards,” a kind of internal ombudsman who would assess each proposed experiment and balance the potential risks to users against the potential rewards. The board would also be able to offer a set of explanations when there is a question about why certain experiments were approved.

“There’s enough pressure and understanding of this issue that these firms are going to have to come up with a way to make the public and regulators comfortable with experimenting with consumers,” Mr. Calo said.

Much of the research that Facebook and Google conduct to improve their own products is secret. Some is not. Google has acknowledged running about 20,000 experiments on its search results every year. It once tested 41 different shades of blue on its site, each color served to a different group, just to see which hue garnered the most engagement from users.

Over the last few years, Facebook has expanded what it calls its Data Science team to conduct a larger number of public studies. The company says the team’s mission is to alter our understanding of human psychology and communication by studying the world’s largest meeting place. So far, it has produced several worthy insights.

In 2012, the Data Science team published a study that analyzed more than 250 million users; the results shot down the theory of “the filter bubble,” the long-held fear that online networks show us news that reinforces our beliefs, locking us into our own echo chambers. Like the new study on people’s emotions, that experiment also removed certain stories from people’s feeds.

Continue reading the main storyContinue reading the main storyContinue reading the main story
In another experiment, Facebook randomly divided 61 million American users into three camps on Election Day in 2010, and showed each group a different, nonpartisan get-out-the-vote message (or no message at all). The results showed that certain messages significantly increased the tendency of people to vote — not just of people who used Facebook, but even their friends who didn’t.

Zeynep Tufekci, an assistant professor at the School of Information and Library Science at the University of North Carolina, points out that many of these studies serve to highlight Facebook’s awesome power over our lives.

“I read that and I said, ‘Wait, Facebook controls elections,'” she said. “If they can nudge all of us to vote, they could nudge some of us individually, and we know they can model whether you’re a Republican or a Democrat — and elections are decided by a couple of hundred thousand voters in a handful of states. So the kind of nudging power they have is real power.”

Ms. Tufekci has offered a stirring call to arms against Facebook, Google and other giant web firms because of their power to shape what we do in the world. She makes a worthy argument.

But if every study showing Facebook’s power is greeted with an outcry over its power, Facebook and other sites won’t disclose any research into how they work. And isn’t it better to know their strength, and try to defend against it, than to never find out at all?
 

June 26, 2014

Outrageous Statistics! One in Six are HIV but Don’t Know it


                                                                             

One in six people living with HIV don’t know it. That means these individuals are not getting the treatment they need to stay healthy and may be passing the virus on to others unknowingly. In honor of National HIV Testing Day this Friday, health officials at the health department of Orange and Seminole counties are sponsoring free HIV testing at two locations.

To encourage residents to get tested, the health departments is joining community partners to host “Take the Test, Take Control” screening events. The HIV awareness and prevention campaign emphasizes the importance of making residents aware of their HIV status and of learning about access to prevention and health care. 

In Orange County, free HIV testing will be available from noon to 7 p.m. at Walgreens, 2420 East Colonial Drive, Friday, June 27. Free BMI, glucose and blood pressure tests will also be available. The event is sponsored by Walgreens, Heart of Florida United Way, the Florida Department of Health in Orange County and the Central Florida AIDS Planning Consortium.

In Seminole County, free HIV testing will be available at the health department at 400 West Airport Boulevard, Sanford from 8 a.m. to 11 a.m., and from 1p.m. to 3 p.m.


“Testing is so important, because routine HIV testing protects individuals, partners and the community's health,” said Dr. Kevin Sherin, director of the Orange County health department.

“AIDS-related deaths occur when people who are infected do not receive the testing, treatment, and care they need,” said Dr. Swannie Jett, health officer for the Seminole County health department.

The Centers for Disease Control and Prevention recommends that everyone between the ages of 13 and 64 get tested for HIV at least once as part of routine health care, and that those who have risk factors get tested more often. Gay and bisexual men, and people who have more than one sex partner, have a sexually transmitted disease, or inject drugs are at high risk and should get tested at least annually.

This year marks the 20th annual National HIV Testing Day. For more information, on National HIV Testing Day, go to http://www.floridahealth.gov/diseases-and-conditions/aids/index.htmlOne in six people living with HIV don’t know it. That means these individuals are not getting the treatment they need to stay healthy and may be passing the virus on to others unknowingly. In honor of National HIV Testing Day this Friday, health officials at the health department of Orange and Seminole counties are sponsoring free HIV testing at two locations.

To encourage residents to get tested, the health departments is joining community partners to host “Take the Test, Take Control” screening events. The HIV awareness and prevention campaign emphasizes the importance of making residents aware of their HIV status and of learning about access to prevention and health care. 

In Orange County, free HIV testing will be available from noon to 7 p.m. at Walgreens, 2420 East Colonial Drive, Friday, June 27. Free BMI, glucose and blood pressure tests will also be available. The event is sponsored by Walgreens, Heart of Florida United Way, the Florida Department of Health in Orange County and the Central Florida AIDS Planning Consortium.

In Seminole County, free HIV testing will be available at the health department at 400 West Airport Boulevard, Sanford from 8 a.m. to 11 a.m., and from 1p.m. to 3 p.m.

“Testing is so important, because routine HIV testing protects individuals, partners and the community's health,” said Dr. Kevin Sherin, director of the Orange County health department.
  

“AIDS-related deaths occur when people who are infected do not receive the testing, treatment, and care they need,” said Dr. Swannie Jett, health officer for the Seminole County health department.

The Centers for Disease Control and Prevention recommends that everyone between the ages of 13 and 64 get tested for HIV at least once as part of routine health care, and that those who have risk factors get tested more often. Gay and bisexual men, and people who have more than one sex partner, have a sexually transmitted disease, or inject drugs are at high risk and should get tested at least annually.

This year marks the 20th annual National HIV Testing Day. For more information, on National HIV Testing Day, go to http://www.floridahealth.gov/diseases-and-conditions/aids/index.html. 

December 6, 2013

New Mass HIV Testing Easy and Accessible



A new device intends to make diagnosing AIDS easier and more accessible for people in developing countries.

The instrument would eliminate the need for expensive equipment and highly trained staff, resources that are not available in many areas where the HIV epidemic is most severe.

HIV kills by destroying a particular type of disease-fighting white blood cells called CD4+ T lymphocytes. Full-blown AIDS sets in when patients’ CD4 counts fall below a critical level and they are unable to fight off infections. That’s when antiretroviral drugs are critical.

But counting CD4 cells requires a blood sample and a lab equipped to analyze it. In many areas hardest hit by the AIDS epidemic - much of sub-Saharan Africa, for example, “there is just no way to get the patient or the blood very easily to the lab,” said Rashid Bashir, head of the bioengineering department at the University of Illinois at Urbana-Champaign.

Lab on a chip

So, Bashir and colleagues have developed a prototype “lab on a chip” with all the equipment and chemicals to do the job in a 3-centimeter-by-4-centimeter cartridge.

Bashir has a stake in Daktari Diagnostics, Inc., which is working to commercialize the chip and develop a hand-held, battery-powered reader.

“The promise is to bring the lab to the patient rather than the patient to the lab,” he said.

The device uses just a drop of blood. It separates the oxygen-carrying red cells from the disease-fighting white cells. It then isolates and counts the CD4 lymphocytes among those white cells.

Simple sample prep

Lehigh University bioengineering professor Xuanhong Cheng is not involved in the research, but she said combining processing and detection in one chip is an advantage over other CD4 counters in development.

“A lot of people just look at the detection side,” she said. “But if the sample has to be processed using very complicated methods, then it’s still not quite applicable in resource-limited settings.”

Bashir also sees applications for blood tests for infections or assessing a patient’s immune status prior to chemotherapy.

“Essentially, any application where blood cell counts are done, our goal is to turn that into a cartridge and a point-of-care device,” he added.

It will be at least a few years before any of them hit the market. Cheng also is working on developing a prototype CD4 counter into a product, and she noted, “The way that we make a device in a lab is very different from industrial manufacturing processes. So, the process is not as straightforward as some people would think.”

The need for these tools is urgent, though, and she said she’s glad for the competition.

“Definitely we need more people working on the area of global health diagnostics. I think we definitely need more new technologies,” said Cheng.


September 15, 2013

Health Officials and Politicians Are Going To Craig List to Have You


An increase in the number of people diagnosed with the HIV virus, which causes AIDS, has spurred new strategies to encourage testing.
The Madison County AIDS Program has free walk-in testing available from 9 a.m. and 3 p.m. Monday through Friday at its office at 2016 Madison Avenue in Granite City. It also has a variety of new methods to reach the most susceptible residents, according to the program's Prevention Coordinator Andrea Stafford.
"We're trying to promote healthy relationships, promote condom use and talking to partners about HIV testing," Stafford said. "We are also trying to do more through social media and posting our services on Craiglist because some people advertise for sex on there. Our outreach workers also post flyers at bars and clubs in the area, particularly gay bars."
Expanding testing hours and making an effort to reach out to residents has raised awareness, Stafford said.
"I think convenience has a lot to do with it," she said. "A lot of clients are scared to come in initially. When they work up the courage to come in and get tested, they are more likely to come right then versus setting an appointment for such and such a time."
The Madison County AIDS Program offers a variety of services in addition to testing, including outreach, surveillance, linkage to care, prevention education and partner services.
The St. Clair County Health Department administers the Ryan White HIV Care Services, a state-funded program providing medical care, risk-reduction education and other supportive services. Access to these services helps residents with HIV or AIDS manage the virus and prevent the spread of HIV, according to HIV Program Manager Tina Markovich.
"A great deal of effort is made to assure individuals living with HIV/AIDS are aware of the Ryan White HIV Care Program and those unaware of their status know where they can go for HIV testing," Markovich said. "Everyone should know their HIV status. The only way to know your HIV status is to get tested. It is most often those who don't know their status, or those who are aware of their status but not compliant with their medical care and medications, who spreading the virus."
Meanwhile, Illinois HIV Care Connect, a statewide program, is launching a social media campaign to reach younger residents and a Spanish-language website. Care Connect is a state program of the Illinois Department of Public Health and supported by the Illinois Public Health Association.
"This effort is all about extending HIV prevention and treatment across Illinois," said Tom Hughes, executive director of the Public Health Association. "By preventing HIV and helping those living with HIV find early and ongoing treatment, we can improve health outcomes and reduce medical costs." Statewide, 2,390 people were diagnosed with HIV or AIDS in the past year.
Care Connect launched a website in English in 2009. More than 800 people visit the site per month, according to program coordinators. A Spanish version of the website was recently launched to help Illinois' Hispanic population. For more information, go to www.hivcareconnect.com.
A lack of health-care coverage also prevents from being tested for the disease, according to Jeffery Erdman with the Illinois Public Health Association.
"A lot of people may be HIV positive and don't know because they are not tested," Erdman said. "A quarter of the people with HIV don't even know they are HIV positive. What we also know is most of infections, 50 to 60 percent, occur among people who don't know they are positive."
Contact reporter Daniel Kelley at dkelley@bnd.com or 618-239-2501.

Read more here: http://www.bnd.com/2013/09/14/2798635/local-health-officials-post-on.html#storylink=cpy

December 9, 2012

HIV Home Testing a Game Changer } Magic Johnson

Is HIV Home Testing a Game-Changer? Magic Johnson Thinks So 
As the first over-the-counter HIV test becomes available nationwide, here's how it will really affect HIV diagnosis and treatment. Plus, an exclusive interview with Magic Johnson on the problem with the state of the HIV/AIDS fight.
By Lauren Gelman 
Nearly 21 years after his very public announcement of his HIV status and retirement 
from the NBA, Magic Johnson has become the most important public face of not
 surviving, but thriving, with HIV.
But he’s worried about the current complacency around the life-threatening virus,
 which 1.15 million Americans currently have (and 18 percent don’t know it). 
He acknowledges that his robust, healthy appearance may be a double-edged
 sword when it comes to public perception of the HIV threat. “You can’t have 
that attitude that ‘if I get it, I’m going to be like Magic,’” he says. “Early detection
 saved my life. We jumped on a regimen right away. We have to put the fear back
 in people that you could die.”
What’s more, Johnson says that people aren’t talking about HIV and feeling the pressure
 to get tested like they used to when he first began advocating for the cause. He is 
optimistic that the new OraQuick In-home test will be a game-changer by giving 
people the freedom to get tested wherever they feel comfortable.
Johnson ascribes his own ability to live well with HIV to a conversation he had with 
his doctor when he was first diagnosed, in which he asked what the people who have 
been living with HIV for a long time do to stay healthy. “Take your meds, positive 
attitude, and continue to work out,” was the answer he got. “I knew I had to accept 
my new status,” Johnson says today. “If you don’t put the meds with a positive
 attitude and the thinking that everything’s going to be OK, it will be tough for you.”
The AIDS patient and activist Elizabeth Glaser encouraged Johnson back in 1991 
to go public with his status, which he now says is the best decision he and his wife 
ever made. “It really helped the HIV/AIDS fight at the time because it brought a face 
to it, and let people talk openly about it.
“I’ll never forget [Elizabeth Glaser],” he continues. “That’s why I always talk about her. 
I carry her torch as I’m doing the things I do in the HIV/AIDS fight.”
  
   Confess   Fatal Mistakes Many were quick to say so when the FDA approved the first over-the-counter test, called OraQuick, this past July. The same exact test that doctors and health care professionals have used since 2004, OraQuick—which uses an oral fluid sample to detect HIV antibodies in as little as 20 minutes—is currently rolling out to more than 30,000 drug and other retail stores nationwide. But some in the health care community aren’t so sure. Case in point: An interesting paper in this week’s Annals of Internal Medicine, which argues that the test is not a game-changer. “We applaud the FDA’s decision to promote healthy sexual behaviors by making HIV tests more available and convenient,” write authors A. David Paltiel, MD, and Rochelle P. Walensky, MD. “However we doubt that OraQuick will have much effect in either lowering barriers to care or reducing HIV transmission.” I had the opportunity to learn more about the new test at a luncheon sponsored by its manufacturer, OraSure Technologies, with special guest Magic Johnson, who is working with the company to promote the test and raise awareness for the importance of early detection and treatment of HIV.

After speaking with OraSure CEO Douglas Michels and Magic, my take is this: The OraQuick test is undoubtedly an important milestone in the ability to diagnose HIV in a private home setting and the buzz around its approval and retail store roll-out is a great way to reignite the message of the importance of knowing your HIV status. But would-be test users need to inform themselves about the pros and cons of the test to decide if it’s right for them.
Some key facts to know:
1. The test is only a reliable indicator of your HIV status three months ago. That’s because it takes up to that long for your body to develop antibodies to the virus that the test detects. So if you want to test in response to a potential exposure incident from last week or even last month, this test—nor one given in the doctor’s office, for that matter—can give you that reassurance.
If you are concerned about a specific incident, experts recommend you get tested right away to learn your baseline status, and then again six weeks later.
2. A negative result isn’t a 100 percent guarantee of being HIV-free. The OraQuick home test has a false negative rate of one in 12, which means that one in 12 people who are infected with HIV will get a negative result when they take it. Testing too close to the potential exposure increases these chances. On the other hand, the false positive rate is extremely low (about one in 5,000).
If you test positive, it’s important to see a doctor immediately for further testing to confirm the diagnosis and also to learn the staging of disease so you can get the right treatment ASAP.
3. The test costs $40 and isn’t covered by insurance. There are cheaper ways to learn your status, including through free clinics or through your health care provider, if you have insurance.
Other concerns about the home test involve making sure patients who test positive get immediate emotional and medical treatment; since it’s completely anonymous, there’s no way to ensure people take these crucial next steps. OraQuick does have an anonymous 24-7-365 toll-free phone line with live assistance and comprehensive referral services to help address these issues

.
Photo Credit: OraSure Technologies, Inc.

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