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Low HIV testing rates among people with a sexually transmissible infection diagnosis in remote Aboriginal communities

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The known  Sexually transmissible infection (STI) guidelines recommend full STI screening, including testing for HIV and syphilis, for people diagnosed with any STI.

The new  Analysis of clinical data for 2010–2014 from 65 remote Aboriginal communities indicated that about one-third of people with positive test results for chlamydia, gonorrhoea or trichomoniasis were tested for HIV within 30 days of the STI test, as were about one-half of those tested for syphilis.

The implications  Adhering to HIV and syphilis screening recommendations is clearly an area for improvement in the delivery of sexual health services to remote communities.

A significant challenge in Aboriginal and Torres Strait Islander health is averting a major outbreak of human immunodeficiency virus infection (HIV) as has occurred in indigenous populations in other countries.1,2 Although the number of HIV diagnoses among Aboriginal people has been relatively stable over the past 20 years, there are now early warning signs of an increase. The number of cases is small, but standardised population rates of HIV diagnoses in Indigenous and non-Indigenous Australians have diverged over the past 5 years: the population rate is now almost…