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Focus on building the capacity of health departments to:
• Implement and manage HIV/AIDS prevention programs
• Assess policy and develop programs
• Implement the four strategies of CDC's Advancing HIV Prevention    initiative
• Expand and enhance activities that eliminate racial and ethnic disparities
• Strengthen HIV/AIDS programs that work with youth

Program Highlights
NASTAD Press Release Regarding CDC's Revised HIV Incidence Estimates
NASTAD issued a press release on August 2, 2008 in reaction to the release of the Centers for Disease Control and Prevention's (CDC) revised HIV incidence estimates. Using new technologies to estimate HIV incidence, CDC now estimates that 56,300 new infections occurred in the U.S. in 2006, a number significantly higher than the previous estimate of 40,000 - a less precise count that had remained static for over a decade.  The original release is published in the August 6, 2008 edition of the Journal of the American Medical Association (JAMA).  NASTAD's Prevention Policy Agenda and background document Prevention Blueprint (see links below) provide concrete recommendations for addressing the HIV epidemic in the U.S.  In addition, NASTAD's Executive Director, Julie Scofield, co-authored an op-ed in the Baltimore Sun with Dr. David Holtgrave, calling on renewed efforts in the fight against HIV/AIDS in the United States.

 
Update on Implementation of HIV Rapid Testing in Health Department Supported HIV Prevention Programs
This report and its companion Executive Summary highlight the results of NASTAD's updated health department survey expanding on a previous 2006 survey of rapid HIV testing.  The report examines issues associated with adoption of rapid HIV tests from various manufacturers, performance of rapid HIV tests and use of multi-test algorithms.

 
HPLS Presentations and Plenaries
Sessions from the 2008 HPLSl held June 5-7, 2008 in Detroit, MI. included a presentation on the NASTAD Prevention Blueprint by Dave Kern. A policy plenary featured a presentation of the NASTAD Blueprint by Georgia's Kim Dobson, as well as remarks on the Caucus for Evidence Based Prevention from from SIECUS Vice President Bill Smith and Ed Tepporn from the Asian and Pacific Islander American Health Forum. NAPWA Executive Director Frank Oldham Jr. moderated. CDC convened the closing plenary with Kevin Fenton sharing his vision for program integration across the National Center for HIV/AIDS, Hepatitis, TB and STD Prevention, Acting Division of HIV/AIDS Prevention (DHAP) Director Rich Wolitski talked about CDC's work to addres gay men/MSM, Maria Alvarez discussed CDC's Latino-focused activities, and Janet Cleveland reviewed progress in CDC's Heightened National Response to the epidemic among African Americans (links to CDC presentations forthcoming).

 
A New Blueprint for the Future: Ending the Epidemic Through the Power of Prevention -- November 2007
On November 29, 2007, NASTAD released A New Blueprint for the Nation: Ending the Epidemic Through the Power of Prevention, along with a companion policy agenda. 
The Blueprint provides guideline for state and territorial health departments for ensuring they have the financial, political and programmatic resources necessary and in place to meaningfully scale up domestic HIV prevention efforts for the future.


 
NASTAD Prevention Policy Agenda -- November 2007
On November 29, 2007, NASTAD introduced a Prevention Policy Agenda to accompany its newly-released Blueprint, which includes recommendations for federal funding increases and expansion of core HIV/AIDS programs and services at the state and local levels.

 
HIV Testing in Emergency Departments: A Primer on Issues and Strategies for Health Departments -- September 2007
Continuing efforts to make important information and tools available to support HIV testing, NASTAD created this important tool for health departments and emergency departments (ED) as they work together to implement HIV testing in EDs. The primer conveys the importance of collaborative relationships between health departments and EDs as they work to put into practice CDC's 2006 Revised Recommendations for HIV Testing of Adults, Adolescents, and Pregnant Women in Health-Care Settings.  The document also examines the role of health departments in supporting implementation of HIV testing in EDs, reviews considerations for implementation and addresses critical issues and concerns for implementing HIV testing.  In addition, the report highlights health department and ED collaborations within jurisdictions that participated in a January 2007 NASTAD consultation on HIV testing in emergency departments.

 
Report on the Survey to Assess the Impact of Withdrawal of the HIV Oral Fluid Assay -- August 2007
Continuing efforts to make available important information and tools to support HIV testing, NASTAD has released a Report on the Survey to Assess the Impact of Withdrawal of the HIV Oral Fluid Assay.  This report assesses the impact of the discontinuation of bioMérieux production of their HIV-1 serum and oral fluid Vironostika enzyme immunoassay (EIA) platforms in 2007.  The report highlights health department plans for oral fluid HIV testing in light of the withdrawal of these products and the potential impact on HIV testing programs.  NASTAD will use the findings to identify key areas for education and technical assistance across health departments and to identify important areas of advocacy with federal partners and the diagnostic manufacturers.

 
2007 Report on Findings from an Assessment of Health Department Efforts to Implement HIV Screening in Health Care Settings
NASTAD conducted this assessment to gain a better understanding of HIV testing programs at the state and local level. The report, released June 26, 2007, provides an in-depth analysis of the current legal and regulatory environments for HIV testing within states, current state and local health department efforts to support HIV screening in health care settings, and future state and local health department plans for implementation and/or expansion of HIV screening in health care settings.  The report also examines the influence of the CDC's Revised Recommendations for HIV Testing of Adults, Adolescents and Pregnant Women in Health Care Settings on health department efforts to implement HIV screening.

 
Evidence-Based Interventions: Issues and Priorities for Health Departments -- April 2006
This issue brief explains the importance of EBIs in the prevention portfolio.  It includes recommendations towards the goal of a long-term national plan in support of EBIs. It also includes profiles from several states that describe the implementation, adaptation and tailoring, training, and monitoring and quality assurance processes for EBIs in those states. 

 
2006 Rapid HIV Test Assessment Report
NASTAD has long supported rapid HIV testing technology and was among those organizations instrumental in  advocacy to obtain Food and Drug Administration (FDA) approval of rapid testing technology along with the Clinical Laboratory Improvement Amendments (CLIA) waiver that allowed their use without regulatory oversight, particularly in non-clinical settings. With the approval of this technology, health departments have implemented rapid testing in high-risk and other settings, resources permitting. Shortage of resources continues to further constrain implementation of rapid testing technology, in spite of the effectiveness and successes associated with it. In May 2006, as means to help guide policy and future HIV testing programs in the U.S., NASTAD conducted a survey of state and directly funded health departments.

 
NASTAD Press Release on CDC's Revised HIV Incidence Estimates
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Testing Algorithm Webinar
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Update on Implementation of HIV Rapid Testing in Health Department Supported HIV Prevention Programs
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June 26, 2008 Letter to Dr. Kevin Fenton on Internet Guidelines
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April 10, 2008 HIV and Hepatitis Prevention Webinar
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