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Norfolk HIV diagnosis rates improve

08 November 2018

In 2015-17 just 44 people (43%) of those diagnosed with HIV were classed as a late diagnosis.  Whilst back in 2012–14 as many as 82 people were diagnosed late (58% of everyone who tested positive).  According to figures released from Public Health England in September 2018, Norfolk now has the lowest prevalence of late diagnosis in the east of England.

Norfolk sexual health services are also delivering an exceptionally high number of HIV tests, with 84.5% of people taking the test when offered.  This is considerably higher than the national average of just 77%. In 2017 11,276 people were tested in the county.

These improvements have been achieved by Norfolk County Council’s Public Health team delivering masterclasses to healthcare professionals in Norfolk, including GPs, consultants, pharmacists, dentists, nurses and other stakeholders.  These highlighted the importance of testing and spotting the signs of HIV regardless of sexual orientation, race, ethnicity, gender and age. 

Recent national and regional data suggests that late HIV diagnosis is now becoming more prevalent in heterosexuals and in later age groups.  Awareness campaigns have been running throughout Norfolk for two years to highlight the risks of transmission of HIV, increase testing and choice of availability and education to clinicians to make a prompt diagnosis and referral for treatment.

Norfolk County Council’s Public Health team is still concerned about the prevalence of HIV in the county and are now taking part in a highly praised trial to offer PrEP** to high risk individuals which, in Australia, saw a 25% drop in new infections in one year.

Louise Smith, Director of Public Health at Norfolk County Council, said:  “We have been working tirelessly to deliver excellent HIV detection and treatment across Norfolk and this work is really paying off, as we are now performing significantly better than the national average in most areas.  Whilst we are still not content with the number of new HIV infections each year, we are optimistic that the PrEP trial will have a major impact on those figures over the next 12 months.”

National HIV Testing Week starts on Saturday 17 November.  For more information for getting tested for HIV and other STIs please visit or order your own test to be delivered to your home via iCaSH or

For more information on the PrEP trial visit

*Late diagnosis means that a person has tested positive for HIV after the virus has already started to damage their immune system.  If diagnosed when a CD4 count has dropped below 350 (or it reaches this point within three months of your diagnosis) this is considered a late diagnosis.

** PrEP (HIV pre-exposure prophylaxis) is a medicine for HIV negative people, is taken before sex, so it is pre-exposure.  Prophylaxis means to prevent infection – in this case HIV.  It can reduce the risk of acquiring HIV when taken as instructed.

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