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CHECK Berlin #3

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ENGLISH a diagnosis. So

ENGLISH a diagnosis. So they don‘t know about the infection. About 1000 people are positive and don‘t do therapy. And there are another 600 people for whom the therapy does not work. These three groups are at high risk of developing AIDS and related diseases. Some of these are extremely rare diseases. Just one example: Out of a total of 15,000 HIV-infected people in Berlin, every year around eight of patients suffered from a disease that is still not really understood: Castleman‘s disease. This is a separate type of tumor that occurs in the chest cavity, the abdomen, the peritoneum and the superficial lymph nodes. There is little scientific literature on this and this is where our experience comes in. We have successfully treated so many patients with it over the years that we have become one of the largest centers in this field. Each and every one of these diseases is very rare, but all in all, Berlin-wide and worldwide, it is still a lot. That‘s why it is so important to reach the Fast Track City * goals of 90-90-90. What precautions can patients take to ensure that the disease doesn‘t become so severe in the first place? We are now talking about infectious diseases that do not necessarily have to do with HIV, but can occur in all people and are triggered by bacteria. The bacteria take over when something else in the body no longer works well. For example, when you are hospitalized for a heart attack. Or after drinking too much and your liver is broken. Or if the lungs have been destroyed from too much smoking or damaged by a virus like Corona. Then the bacteria come and spread throughout the body. This is not always the case, but mostly. You can protect yourself by living healthy. Or through vaccinations, which help avoid that certain bacteria and viruses attack the body in the first place. I am thinking of pneumococci and vaccinations against pneumonia. Or HPV, which is too late after a certain age. It is important that young people in particular get vaccinated. But in Germany we have a very poor vaccination discipline, also because many people think that this is all nonsense. Interview: Torsten Schwick DR. MED. UWE NAUMANN Facharzt für Allgemeinmedizin / in BAG mit KEVIN UMMARD-BERGER Facharzt für Allgemeinmedizin DR. MED. NINA WINKLER Fachärztin für Innere Medizin / angest. WWW.UBN-PRAXIS.DE UBN / PRAXIS Infektiologie / Hepatologie Suchtmedizin PrE P! Königin-Elisabeth-Str. 7 14059 Berlin – Charlottenburg t 030 / 767 333 70 f 030 / 767 333 749 Praxis an der Kulturbrauerei Dr. Ivanka Krznaric & Dr. Henning Kolarikal Allgemeinmedizin, Infektiologie und Innere Medizin *Fast Track Cities In order to ensure that no one will contract AIDS by 2030, the United Nations wants to achieve the 90-90-90 goals by 2020. That means: 90 percent of all people with HIV should be diagnosed accordingly. 90 percent of people diagnosed with HIV are said to be on life-saving antiretroviral therapy. And 90 percent of people on HIV therapy are said to have a viral load below the detection limit to prevent HIV from being transmitted through sex. 38 CHECK | AUSGABE 3 CHECK | AUSGABE 3 39

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