COVID-19 & PLHIV

While everyone is at risk of contracting COVID-19, the consequences of infection are more severe for some vulnerable groups. This includes PLHIV who are:

• Aged over 60 years old
• Living with a detectable viral load or not on HIV treatment
• Diabetic
• Smokers
• Living with a comorbidity such as heart or lung issues

If you are living with HIV, have an undetectable viral load, and CD4 count above 200 - you are at no greater risk of poorer health outcomes due to COVID-19. That being said, you should still exercise the basic strategies for preventing COVID-19.

There is ZERO evidence to support the idea that HIV drugs can prevent or treat COVID-19.

Being on antiviral medication for HIV has not been shown to provide protection from COVID-19, and this applies to treatments for hepatitis C as well.

There is no evidence that your viral load will be affected if you get COVID-19.

If you have a sustained undetectable viral load (UVL), then it may be similar to when you get the flu vaccination. This can cause a small increase in your viral load that will return to undetectable in a short period of time. Therefore, it is logical to assume that if you were to get COVID-19, that there might be a small and short timed increase in your viral load.

For people who do have a small but detectable viral load, or have a generally high viral load, it again makes logical sense to suggest that COVID-19 may increase your viral load further, however the degree of increase is not yet known.

Anyone who is HIV positive should continue to take their medication as prescribed regardless of whether they are diagnosed with COVID-19 or not.

If you are living with HIV and are diagnosed with COVID-19, discuss your viral load testing with your doctor once you recover from COVID-19.

There are currently no shortages of HIV treatment medications.

Some pharmacies may have limits on how much you can fill at a time. This is to discourage stockpiling and ensures a sufficient supply for everyone. Discuss with your pharmacist about having them hold on to your repeats, and collecting them later - or having them delivered if possible.

If you have other conditions besides HIV, you should ensure you have a good supply of all of your medications over the months ahead. Be mindful of when your current medications run out and when it is time to order more.

The rollout of the COVID-19 vaccine in Australia is currently underway. You can find more information on our COVID-19 Vaccinations page.

Are you eligible?

Everyone aged 12 and over is eligible for COVID-19 vaccinations.

If you have any concerns regarding the vaccination, contact your doctor or visit: https://www.health.gov.au/initiatives-and-programs/covid-19-vaccines

If you have an underlying health condition, you may want to check your eligibility here: Vaccines Eligibility Checker (healthdirect.gov.au)

Do I need a booster shot?

Recently, ATAGI (Australian Technical Advisory Group on Immunisation) and the WHO made recommendations about booster shots for people who are immunocompromised. This includes some people living with HIV.

The current recommendation is that people living with HIV who have a CD4 count below 250, or those not on treatment should receive a booster dose. Thorne Harbour recommends that if you fall into those categories to seek out a third vaccination (of the recommended type) if that is appropriate for you.

The guidelines currently recommend people with HIV with CD4 counts above 250 do not require a third dose.

Anyone with CD4 counts close to 250 who have concerns may wish to speak to their doctor or HIV care specialist to discuss if a booster is right for them.

If you are diagnosed with COVID-19 you should be in self-isolation and not having physical contact with others.

Self isolation means staying at home for 14 days. This is to stop the possible spread of COVID-19 to other people. This means you:

• Do not leave your home unless it is an emergency
• Do not go to public places such as work or shopping centres
• Do not let visitors in – only people who live with you should be in your home.

If you live alone, you may need to ask others who are not in isolation to get food and necessities for you. If needed, Thorne Harbour can help, contact the Positive Living Centre on (03) 9863 0444