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Planning for the Future
Feb 23, 2016

Dear Dr. Young,

Could you give us a bried calendar of activities, we older than 45 yo hiv-ers should follow? For instance, how often should be get a colonoscopy, flu shots, pneumococcal vaccine boosters, dexa-scans, cognitive tests, and so forth? I would truly appreciate your input, since there seems to be a lot of confusion out there. Be well and thanks as usual, John

Response from Dr. Young

Hello and thanks for your salient post.

People living with HIV who test, engage in care and adherent to treatment can have normal and high quality life expectancy, indeed, the goal should be healthy aging with HIV but there are shoals to be mindful of- and exactly the type of preventative medicine recommendations that you ask about.

The HIVMA has compiled a comprehensive list of recommended health interventions and screenings published a few years ago. In brief, screening colonoscopy should be done in all people over 50, flu shots are recommended annually, pneumococcal vaccine updates should be done roughly every 5 years (and the new Prevnar 13 vaccine is recommended as part of this). Bone density scan recommendations are somewhat incomplete IMHO, and I think that nearly everyone living with HIV should have one, and repeated at a time interval that depends on risk factors and the initial findings. There's no specific recommendation for cognitive screening, but it's not a bad idea to minimally have baseline assessments.

Hope that's helpful John and feel free to write back anytime. BY


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