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People Living With HIV In Singapore

The alarm chimes to life. As the incessant ringing crescendos the clock face starts to flash an LED blue. Mr. J stretches a slim arm out from under the blankets and pushes down on the snooze button. It was 6:00am on another nice balmy morning in Singapore. Because it was approaching the year end it was a cool 24°C. Jumping out of bed, Mr. J prepares for his morning run on the Park Connector, a network of roads and paths linking the various parks and gardens in Singapore.
A quick shower follows his run and he slips into his shite cotton shirt and blue cotton pants, all ready for a 20 minutes ride on the MRT to Raffles Place and his office in the financial hub of Singapore. After a hard day’s work a 10 minute walk takes him to Fullerton One where he enjoys a well earned dinner and drinks with his friends while the sun sets behind the Marina Bay Sands integrated resort. Another most typical day for a typical Singaporean in Singapore. Except for one difference. Mr. J is one of the almost 7000 people living with HIV in Singapore. 
I set up our first clinic at Robertson Walk in 2005 and in 2008 was awarded the mandate to conduct anonymous HIV tests. Mr. J saw me in 2009. He was recently married. His wife had to spend a few days out of town and he saw no harm in engaging the services of a sex worker. He did not use a condom. As the positive line slowly materialized on the test strip, I turned to Mr. J and said “It looks like the test is positive.”
He screamed and he screamed. He could not stop screaming. He grabbed the pillow on my examination couch and screamed into that. Even in the state he was in, he was considerate enough not to scare the other patients in the waiting room. He finally picked up his phone and called his brother. Soon after, his mother and his brother arrived. They spoke and they cried. I told him it was going to be OK but I knew nothing I said was getting through. A few days later Mr. J came back to the clinic, this time with his wife. She tested negative. She had forgiven him and they were going to have a family together. He would be strong, he would take his medicines and he would live what I promised was a long healthy and meaningful life. 


Since 2008 our clinic at Robertson Walk has conducted more than thirty thousand anonymous HIV tests. We have given good news most of the time and bad news more often than we would like. We have diagnosed people from all walks of life, all orientations, all genders, all vocations and a huge variety of nationalities with HIV. It is a virus that does not discriminate. Some took the news with stoic calm, some crumbled mentally, emotionally and physically. We tell everyone the same thing: it is going to be OK. HIV is not a death sentence. HIV is a chronic disease. It is no different from diabetes. You just have to take a single pill a day. You just have to see the doctor a couple of times a year. It is not so bad. It is not so bad. It is not so bad. It is going to be OK. We have held hands, wiped tears and held people together as they mended. 
After the initial shock comes acceptance and the relatively mundane work of getting the virus under control. We walk with them every step of the way from their first blood tests to their first pills. We link them up with emotional support services, we counsel them on their medical finances and step by step, piece by piece their lives reassemble and are made whole again.


On the 1st of April 2015, Singapore lifted its travel ban on people living with HIV. We opened our arms to all in the region who wished for our brand of care. We started seeing people living with HIV come from Malaysia, Vietnam, Indonesia and many other countries in the region. We provided the best care we knew how and watched like a proud parent as their viral loads dropped and the CD4 counts rose. 
2 to 3 out of every 1000 people in Singapore is living with HIV. Did you walk past a thousand people today? On the bus, on the train, in the mall, at your office? Then you have walked past a few people living with HIV. They are no different from anyone else. In fact, I often tell my patients that the people living with HIV I know are frequently in much better shape. Perhaps they appreciate their health more. It is also a myth that once a person is diagnosed with HIV in Singapore the authorities will come flying in and inform his family and his employer and every time he goes past immigration the officers will look at their screens and give him a dirty knowing look.
None of these happens. In fact, laws in Singapore protect the anonymity of people living with HIV and punish people who share someone’s status unnecessarily. Another myth is that HIV treatment in Singapore is unaffordable costing thousands of dollars a month. There are now many schemes in place to make treatment extremely affordable. What still needs a lot of work is the stigma and discrimination. That is why almost every person living with HIV in Singapore keeps their status a secret. That is also why we salute Mr. Avin Tan who went public with his HIV status and now works tirelessly to help others.


The theme of this year’s World AIDS Day is “Communities make the difference. Communities are the lifeblood of an effective AIDS response and an important pillar of support.” Because HIV/AIDS is not “their problem”, it is our problem. Less stigma means a lower barrier to testing which leads to earlier diagnosis and decreasing the risk to others. Less discrimination means more willingness to seek help and treatment which leads to earlier viral load control and less contagion. More support means people living with HIV staying on treatment and remaining physically, mentally and emotionally healthy and contributing to society.


READ: WORLD AIDS DAY PRESS STATEMENT

My Facebook just got updated. There’s a picture of Mr. J with his wife and 2 lovely twin daughters at the Singapore Barrage. They look like they are flying kites or at least trying to. His girls must be 6 years old by now. 6 years since I tested both of them to be negative for HIV. They look like a really happy family. A typical Singaporean family.
Speak to your doctor if you have any questions regarding HIV, Anonymous HIV Testing, HIV Screening and HIV Treatment & Management.


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What are the Common Misconceptions that People have about HIV?

There are multitude of misconceptions associated with HIV. These are some of the most common ones:
1) HIV is the same as AIDS. HIV (Human Immunodeficiency Virus) refers to the virus itself, whereas AIDS (Acquired Immunodeficiency Syndrome) refers to a spectrum of potentially life-threatening conditions that are caused by the virus.

Read: HIV, AIDS & Opportunistic Infection

2) HIV is a death sentenceThis may have been the case several decades ago, where without prompt and adequate treatment, the infection progresses and causes the immune system to weaken, leading to AIDS. However, thanks to advances in modern medicine, most HIV infected patients today may never develop AIDS. This is why it is imperative to be on treatment, ideally as soon as possible after a diagnosis of HIV is made. It is also important to undergo regular HIV screening.

READ: HIV Treatment & Management

3) HIV can be spread by kissing, sharing of food or close contact. It is extremely unlikely to contract HIV via these methods as HIV is not spread by saliva. However, if the person you are in contact with has mouth sores/ulcers, bleeding gums or open wounds then there is a possible risk. HIV is spread by 3 main routes: sexual contact, significant exposure to infected body fluids/tissues such as semen, blood, vaginal secretions or breast milk, and lastly, mother-to-child transmission.

READ: How Long Can HIV Survived Outside The Body


Is a person infected by HIV any different from that of an uninfected person?

With or without treatment, a person infected with HIV may not appear any different from that of an uninfected person.
HIV infection undergoes 3 stages. The first stage (Acute Stage) may present with flu-like symptoms, fever and a rash. The second stage may present with lymph node swelling, but most patients do not have any symptoms at all. The second stage (Clinical Latency) can last anywhere from a few years to over 20 years. Thus, many HIV infected patients, especially during this stage, may not even know that they have contracted HIV. Lastly, the third stage is the presentation of AIDS symptoms.
HIV infected patients should receive prompt long term treatment and undergo regular follow up blood tests in order to reduce the viral load in their bodies to low levels. This allows their immune system to continue to function well and minimizes the risk of progression to AIDS. By doing so, they can essentially live very normal lives not any different from that of an uninfected person.

What are some of the treatments that a patient will receive upon diagnosis of HIV infection?

Upon diagnosis of HIV infection, a patient will have to start taking a combination of long-term daily medications. These are antiviral medications that work to prevent the virus from replicating. The patient will then be required to return regularly for blood tests to monitor the levels of HIV and the immune system. The goal of treatment is to keep the levels of HIV low, and thus allow the immune system to continue to function well.

How does AIDS affect a person’s health? What do AIDS patients die of?

Without adequate treatment, up to 50% of HIV infected patients develop AIDS within 10 years. Elevated levels of HIV affect the patient’s immune system and prevent it from functioning properly, eventually leading to AIDS. This may result in the individual being more prone to infections. Patients may develop symptoms such as prolonged fever, tiredness, swollen lymph nodes, weight loss and night sweats. HIV Related Opportunistic infections such as tuberculosis, recurrent pneumonia and esophageal candidiasis,  may occur as well. AIDS patients could also develop various viral-induced cancers.
The leading causes of death worldwide in patients with AIDS are, as mentioned, opportunistic infections and cancer.

Recently it was reported that in London, an HIV patient who underwent a bone marrow transplant subsequently had undetectable HIV levels. Does this mean that he is fully cured of HIV?


This is the 2nd ever reported case of an HIV patient being “cured” of HIV. In 2007, a patient in Berlin was also reported to have been cleared of the virus. Both of these cases have similarities: both HIV infected patients concurrently suffered from cancer (Berlin patient had Acute Myeloid Leukaemia; London patient had Hodgkin’s Lymphoma) and both patients received bone marrow transplant by donors who carried the rare CCR5 genetic mutation.
CCR5 is a protein on the surface of white blood cells that is involved in the immune system. It is one of the co-receptors that HIV uses to enter target immunological cells. This means that via CCR5, HIV is able to gain a mode of entry into a person’s immune system. People with CCR5 genetic mutation have resistance to HIV infection because the virus is unable to enter into their immune system like it usually does.
In the case of the London patient, subsequent blood tests have shown that the virus cannot be detected. However, this does not necessarily mean that he has been fully “cured” – the virus may simply be in a dormant, or “sleeping” state.
While the outcome was favourable in the two examples stated above, this form of treatment is not a viable large-scale strategy because bone marrow transplants carry significant risks and are extremely costly. However, it is undeniable that these two cases are landmark moments in the war against HIV as scientists continue to hunt for a cure. The hope is that by conducting more research on the editing of the CCR5 gene, we will one day be able to develop a safe, cost-effective and easy solution.

READ: HIV CCR5 Mutation & CCR5 Testing

Do you think that mankind can eradicate HIV eventually? Before this happens, what kind of support can we give to HIV infected patients?

I believe that with continued advances in medical research, there is hope of a cure for HIV in the future. However, this is a long and slow process that may require many years or decades. Until then, the best option is to ensure that the public are able to gain access to undergo HIV screening even if the risk is not high, and that HIV infected patients are able to receive prompt and long term treatment.
From the initial shock and disbelief of receiving a diagnosis of HIV; having to accept the reality of the situation; to having to live with HIV daily, these are just a few examples of the tremendous challenges that HIV patients face in their lives, and for many patients these have a detrimental impact on their psychosocial well-being.
There is still a terrible stigma today surrounding HIV, and it remains very much a taboo subject that most people are afraid to speak about or face up to. Nevertheless, we can offer many forms of support for HIV patients. For starters, government and healthcare organisations need to continue in their best efforts to increase awareness and educate the public about HIV and its misconceptions. If you have a family member or loved one who lives with HIV, the best kind of support would be your understanding, care and acceptance.
Lastly, if you are a person living with HIV, do not despair. Seek the appropriate treatment that you require, and turn to your family and friends for moral support.
Take Care!
Tags: hiv screening singapore, hiv test


Other Interesting Reads:

  1. HIV Elite Controllers And Long-Term Non-Progressors
  2. Do I Have HIV Rash? Or Are They Other STD-Related Rashes?
  3. What are the Causes of Abnormal Penile Discharge?
  4. An Overview of STD – From an STD Doctor
  5. What You Need To Know about HPV, Cervical Cancer, Pap Smear & HPV Vaccination
  6. Anonymous HIV Testing – What You Need to Know
  7. Low HIV Risk Doesn’t Mean No HIV Risk
  8. What is HPV Vaccination (Gardasil 9)
  9. 10 Causes of abnormal Vaginal Lumps and Bumps
  10. An Overview of Gonorrhoea
  11. What is the Treatment for Cold Sores? What causes Cold Sores?
  12. Genital Warts: The Cauliflower-Like Lumps on the Genitals
  13. Syphilis Symptoms (Painless STD Sores & STD Rashes)
  14. HIV Pro-Viral DNA Test


How Do I Get Tested For An Anonymous HIV Test In Singapore

These 3 letters H, I, and V put together, or commonly known as the Human Immunodeficiency Virus, sets alarm bells ringing in most people’s minds. Often, the anxiety and concern that goes through one’s mind can often be allayed through a simple consult with our doctors to assess your risk and or a test to decide what to do next.
Still concerned? Read on to find out more and take the next step to schedule a consultation and Anonymous HIV Testing in Singapore with our doctors.

How is it Even Possible to Get HIV Tested Anonymously?

Yes it is that simple with our “3 step test” guide
Step 1:

  • Walk into our clinic at Robertson Walk.
  • Let our staff know you are here for the “AHT”.

Step 2:

  • Private consultation with the doctor.
  • The doctor will proceed with the “3 Step Test”.

Step 3:

  • After 20 minutes your results will be ready.
  • Reviewing of your HIV test result with our doctor.

Who Should Get HIV Tested?

If you have a concern for HIV transmission or even a sexual health concern, we advise you to see us get your queries addressed.
Where appropriate, we will support you with the HIV test.

How Is HIV Testing Done? I am Scared of Needles

A small finger prick is done, it will be slightly uncomfortable, and a few drops of blood are collected. No needles are involved.

How Long Do I Have to Wait for the HIV Test Results?

The results take 20 mins to be ready and your doctor will discuss the results with you

How Much Does the Anonymous HIV Test cost?

Rapid Fingerprick HIV (3rdGen Test) – (90 days after exposure)
$53.60 (after GST)
Rapid Fingerprick HIV Combo Test (4thGeneration) – (28 days after exposure)
$160.60 (after GST)
All results take 20 mins. Consultation charge is between $20 – $30.

Anonymous HIV Testing in Singapore is only available in our Robertson Walk Branch.

Upholding Patient Confidentiality is our utmost priority. Therefore reports will NOT be snail mailed by post. Results can be communicated via phone or email.
During the private consultation, you can speak to our doctors about all of your HIV-related concerns. The doctor will then recommend the correct HIV Test or STD test.
Our registered doctors will administer the HIV and STD tests, which are approved by the Health Sciences Authority (HSA)


Other Reads:

  1. Low HIV Risk Doesn’t Mean No HIV Risk
  2. Do I Have HIV Rash? Or Are They Other STD-Related Rashes?
  3. What are the Causes of Abnormal Penile Discharge?
  4. HIV PrEP for Travel – How You Need to Know
  5. An Overview on STD from an STD Doctor
  6. Why Do I Have AbnormalVaginal Discharge
  7. How Late Can a Period Be (Delayed Menstrual Cycle)
  8. Everything You Need to Know about Herpes Simplex Virus
  9. How Do I Treat Oral Herpes (Cold Sores)
  10. Syphilis Symptoms – Painless Sore & Ulcers
  11. HIV Symptoms – What You Need to Know
  12. 10 Common HIV related Opportunistic Infections

An overview of STD's from an STD Doctor

Sexually transmitted infections or diseases (STI’s/STD’s) are infections which are commonly spread through sexual contact, including vaginal, anal, and oral sex.

Some can even be spread just through direct skin-to-skin contact!

No one really talks about it, but sexually transmitted infections are very common, especially among young people – or rather, anyone who is sexually active is at risk!

Common Sexually Transmitted Diseases (STDs)

Chlamydia, Gonorrhea, Herpes Simplex Virus (HSV) and Human Papilloma Virus (HPV) are some of the most common STI’s we encounter in the clinic.
Syphilis and HIV are less commonly seen, but of course, pose a risk of serious and even potentially life-threatening complications if left undiagnosed or untreated.

Here are just some of the signs and symptoms that may appear if you have a sexually transmitted infection:

Chlamydia and Gonorrhea

Did you know that up to 8% of sexually active females between the age of 16-40 will be carrying a chlamydia infection at any one time, and most will not have any symptoms at all!

Herpes Simplex Virus (HSV)

  • Fever and flu-like symptoms before the outbreak
  • Tingling, itching, or burning sensation where the blisters would appear
  • Swollen lymph nodes
  • Cold Sores
  • Crops of painful blisters/ulcers – these can vary in appearance and severity, and can be transmitted to any site of the body depending on exposure (e.g. mouth, hands, buttocks, eyes!)

It is estimated that 1 in 5 people in the US have genital herpes!

There is no way to fully eradicate the herpes virus once it has been contracted – it usually causes recurrent outbreaks of blisters, and can be transmitted even without visible ulcers.

Human Papilloma Virus (HPV)

  • Certain types of HPV can cause genital warts – may appear as a small bump, or cluster of bumps, flat lesions, or ‘cauliflower-like’ protrusions with a small stem; sometimes these may be itchy or bleed if scratched
  • Most types of HPV are actually asymptomatic (no signs or symptoms), but can instead increase the risk of oral and genital cancers – these can be detected on screening (especially recommended for women > 30 years old, to be done together with a pap smear)

The newest HPV vaccine is now available, and will protect against 9 strains of the virus!

The US FDA has also recently extended the recommended coverage to males and females from ages 9 to 45 years old.

Syphilis

Known as ‘The Great Pretender’ as symptoms can mimic other conditions, and can vary greatly between individuals and depending on the stage of infection

  • Primary stage: usually presents with a solitary ulcer known as a chancre at site of initial infection, which is often painless and can be easily missed; may have associated swelling of lymph nodes as well
  • Secondary stage: can happen weeks after primary chancre has appeared and even healed, and presents with skin rashes and/or lesions over mucous membranes – the STD rash can occur on any part of the body, but typically also appears with reddish-brown spots over the palms and soles of feet
  • Tertiary stage: can occur many years (even decades) after infection was first acquired, and can affect multiple organ systems including the brain, nerves, heart, eyes, blood vessels, bones and joints

Learn More about Syphilis Symptoms (Painless Sore & Rashes) 

Frequently Asked Questions (FAQs)

When should I see a doctor?

If you have any worrying symptoms or exposure risk, see a doctor immediately. However, it is important to remember that many people may not have any noticeable symptoms for any of these infections, or that symptoms may take a long time to develop (weeks to months), thereby increasing the risk of complications and also the risk of transmission to others. As such, it is recommended to perform regular STI screening at least once or twice a year for anyone who is sexually active even if there are no obvious symptoms. STD Testing may be done more frequently if there has been any potentially risky exposure. Risky exposures would include sex with someone who has had multiple sex partners, sex with commercial sex workers (CSW), or unprotected sex with a person of unknown status.

What is the ‘window period’ for testing?

The window period refers to the time period following exposure where it may be still too early to detect infection with full accuracy. Different infections will have different window periods for detection. For bacterial infections such as chlamydia and gonorrhoea, this period is fairly short, and most cases can be accurately detected 1-2 weeks post-exposure. However, for blood tests (e.g. HIV, syphilis) we usually recommend at least one-month post-exposure for accurate results. For concerns on specific infections, it is best to speak to the doctor who can advise you most clearly in person.

What will happen when I see the doctor?

Screening is a simple procedure and will include a thorough consultation with a doctor, physical examination if necessary, and either blood and/or urine or swab tests. You will need to find a doctor you can be comfortable speaking with about your risk and symptoms, as it will guide us to determine the most appropriate tests for you.

How soon can I get my results?

Most tests that we send to the lab will have a turnaround time of 3-5 working days. We also have Rapid STD Testing available in all our clinics for the “Big Four”: HIV and syphilis (results in 20 minutes), and chlamydia and gonorrhoea (next day results).
Earlier diagnosis means earlier and more effective treatment, reducing the risk of late-stage complications and also minimizing the risk of further transmission. 

Learn More: What are the symptoms of HIV and AIDS?

Will my medical information be revealed to anyone else?

Your medical information is strictly private and confidential, and will not be shared with any other individual or organization. Only HIV infection is notifiable by law in Singapore – this means that if you did a lab-based HIV test and it came back positive for HIV, this result would have to be notified to the Ministry of Health.

However, our Robertson Walk Branch has been mandated to perform rapid HIV testing anonymously – this means that no matter the result, it will not be notified to the Ministry of Health. The Robertson Walk clinic is the only DTAP branch that can do HIV testing anonymously.

Can these infections be cured?

Many of these infections are treatable and can be fully cured/eradicated. Certain infections require longer courses of treatment and/or clearance testing to ensure they are cleared.
However, there are a few infections which can be treated with medications but may not be fully curable, such as herpes, hepatitis B, and HIV. Your doctor will advise you in more detail should your tests show any abnormal results. (see HIV Treatment)

If you or your partner are experiencing any possible signs or symptoms of infection, or have had any potential risk exposures, please see a doctor today.

Take Care. Be Safe!


Other Interesting Reads:

  1. What You Need To Know about HPV, Cervical Cancer, Pap Smear & HPV Vaccination
  2. World AIDS Day (2018) #KnowYourStatus – By Dr Tan Kok Kuan
  3. Weak Erection? Erectile Dysfunction? How to Improve Erection with Pills
  4. Do I Have HIV Rash? Or Are They Other STD-Related Rashes?
  5. What are the Causes of Abnormal Penile Discharge?
  6. 4 Things You Need to Know About Penile Health
  7. Sexual Health Advice For Travellers 
  8. Mycoplasma Genitalium Testing & Treatment
  9. What are the Symptoms of HIV Infection and AIDS?
  10. Things You Need to Know about Travelling & HIV PrEP
  11. 11 Causes of Dyspareunia (Pain During Intercourse)
  12. What is HPV Vaccination (Gardasil 9)
  13. 10 Causes of abnormal Vaginal Lumps and Bumps
  14. An Overview of Gonorrhoea
  15. What is the Treatment for Cold Sores? What causes Cold Sores?
  16. Herpes: Everything You Need to Know!


We provide a discreet, comfortable and private environment for you to discuss your STD/HIV related medical matters.

Sexual Health Advice for Traveller

Passport, Phone, Plane tickets and….. PrEP!

Planning your next trip – for business or pleasure, or both? Apart from the usual, do you make plans for your own sexual health?

What? Why?
Whether you’re straight, gay, lesbian, bisexual, transgender or just curious and questioning, lots of people have casual sex when they travel, so you’re not alone.
However, lots of research and experience show that the risk of developing a sexually transmitted infection (STI) – like HIV, syphilis or others – is increased when you travel. 1
This could be due to increased risk-taking behaviour when we travel abroad. The reasons may include increased freedom, alcohol and drug use, loneliness, peer pressure or a general sexual lifestyle when you’re abroad.2
Of course, there are those who travel abroad specifically for sex, in what some call “Sex Tourism”, which is the intention of travel overseas to purchase sex. This usually involves travelling to neighbouring countries to purchase sex from commercial sex workers.
Whatever your reasons for travel, if you’re unprepared for sex you may be putting yourself at risk and participate in behaviours that you wouldn’t consider at home.3
 

So how? Top tips for your Sexual Health Risk Reduction  (T.R.A.V.E.L)

T for Testing & treatment of STIs

  • Please get tested prior to travel as blisters, ulcers, bumps provide an entry point for STIs into the body. Having an STI increases the risk of HIV transmission by 10 fold!
  • Periodic STD Screening & Anonymous HIV Testing can keep your status in check
  • Don’t assume your partner is STD-free because s/he doesn’t mention it and, STDs are often asymptomatic. Talk openly with him or her about your STD and HIV status and date of the last testing3

R for Rubbers & Lube

  • Unprotected (without a condom) sex with a new/casual partner carries a risk of contracting STIs or blood-borne viruses.
  • Stock up on condoms and lube, keep them in a cool place, practice using them and get confident in talking about using them before you go.

A for Alcohol & Drug Use

  • Be careful when having sex after alcohol use. With alcohol or other drugs, one is more likely to take risks: not using a condom, having sex with someone you normally wouldn’t have sex with. We encourage condoms to be used for all forms of sexual activity especially with new/casual partners.

*Note: We do not support illicit drug use and urge our readers to abide by the host country’s drug laws. Singapore has strict anti-drug laws. Any citizen or permanent resident found to have abused controlled drugs overseas will be treated as if he or she had abused drugs in Singapore. Furthermore,  possession, consumption, manufacturing, import, export, or trafficking of controlled drugs in any amount are illegal.

V for Vaccinations

  • Discuss with our DTAP team the risk of infections, STIs and Blood Borne Viruses and any vaccines that are available (plan ahead as some vaccinations may take up to 6 months for full immunity). The vaccines that we recommend are the HPV (human papillomavirus) vaccine, also known as Gardasil 9, Hepatitis A and Hepatitis B vaccination.

E for Education

  • Empower yourself with information where sex may be available, at your travel destination.4
  • Ensure you are vaccinated against Hepatitis B, carry and use kite-marked condoms, consider taking oral HIV PrEP (Pre-exposure Prophylaxis) prior.

L for Living and travelling with HIV

 
Get tested after you return and last but not least, consider PrEP before you travel!  Learn more about Travelling with HIV PrEP (Pre-Exposure Prophylaxis)

Safe Trip and Have Fun!
This article was written by Dr Tan & Partners, in collaboration with Oogachaga.


References

  1. Vivancos R, Abubakar I, Hunter PR. Foreign travel, casual sex, and sexually transmitted infections: systematic review and meta-analysis. International Journal of Infectious Diseases. 2010;14(10):e842–51.
  2. Svensson P.,et al. A meta-analysis and systematic literature review of factors associated with sexual risk-taking during international travel. Travel Medicine and Infectious Disease. 2018; Jul – Aug;24:65-88
  3. https://wwwnc.cdc.gov/travel/page/std
  4. https://www.fitfortravel.nhs.uk/advice/general-travel-health-advice/sexual-health-risks
  5. Riddell Jt, Amico KR, Mayer KH. HIV Preexposure Prophylaxis: A Review. Jama. 2018;319(12):1261-8.
  6. WHO Guidelines Approved by the Guidelines Review Committee. Guideline on When to Start Antiretroviral Therapy and on Pre-Exposure Prophylaxis for HIV. Geneva: World Health Organization Copyright (c) World Health Organization 2015.; 2015.
  7. Elsesser SA, Oldenburg CE, Biello KB, Mimiaga MJ, Safren SA, Egan JE, et al. Seasons of Risk: Anticipated Behavior on Vacation and Interest in Episodic Antiretroviral Pre-exposure Prophylaxis (PrEP) Among a Large National Sample of U.S. Men Who have Sex with Men (MSM). AIDS and behavior. 2016;20(7):1400-7.
  8. Brett-Major DM, Scott PT, Crowell TA, Polyak CS, Modjarrad K, Robb ML, et al. Are you PEPped and PrEPped for travel? Risk mitigation of HIV infection for travelers. Tropical diseases, travel medicine and vaccines. 2016;2:25
  9. Hampel B, Reinacher M, Fehr JS, HIV pre-exposure prophylaxis (PrEP): Is it time to rethink HIV prevention in travelers?, Travel Medicine and Infectious Disease (2018), doi: 10.1016/j.tmaid.2018.06.008
  10. https://www.iwantprepnow.co.uk/how-to-take-prep/

Top 10 Anonymous HIV Testing (AHT) Clinics in Singapore

10 Anonymous HIV Testing (AHT) Clinics in Singapore
Anonymous HIV testing (“AHT”) offers a level of privacy and confidentiality as your personal particulars are not required. Rapid HIV test kits are used in anonymous HIV testing. The results of rapid HIV tests can be available within 20 minutes.
In Singapore Anonymous HIV testing is only offered at the following ten AHT clinics:

No.AHT Clinic Name Address and Opening Hours
1Dr Tan & Partners (DTAP) @ Robertson
 
11 Unity Street, Robertson Walk #02-07 Singapore 237995
Mon to Fri: 8am to 9pm
Sat and Sun: 9am to 2pm
Public Holidays: Closed
Website: https://www.dtapclinic.com
2Action for Aids
 
31 Kelantan Lane #01-16 Singapore 200031
Tues and Wed: 6.30pm to 8.15pm
Sat: 1.30pm to 3.15pm
Public Holidays and eve of Public Holidays: Closed
Website: www.afa.org.sg
 
3Anteh Dispensary
 
1 Lorong 22 Geylang #01-02 Singapore 398664
Mon to Fri: 9am to 12noon, 2pm to 5pm, 7pm to 11pm
Sat: 9am to 12noon, 1pm to 6pm, 7pm to 11pm
Sun and Public Holiday: 1pm to 6pm, 7pm to 11pm
Website: https://anteh-dispensary-pte-ltd.business.site
4Doctor Jay Medical Centre115 Killiney Road Singapore 239553
Mon to Fri: 9.30am to 4pm, 6pm to 8.30pm
Sat: 9.30am to 12noon
Sun: 6.30pm to 8.30pm | Public Holidays: Closed
Website: http://www.drjay.clinic/
5Dr Soh Family ClinicBlk 966 Jurong West Street 93 #01-221 Singapore 640966
Mon and Tue: 8.30am to 1pm, 2pm to 4.30pm, 7pm to 9pm
Wed to Sun and Public Holidays: Closed
Website: NA
6M Lam Clinic739 Geylang Road Singapore 389649
Mon to Fri: 9am to 12.30pm, 2pm to 5.30pm
Sat: 9am to 12.30pm
Sun and Public Holidays: Closed
 
7Doctors Clinic & Surgery
 
305 Woodlands St 31, #01-91, Singapore 730305
Mon to Fri: 8.30am to 12pm, 2pm to 4.30pm, 6.30pm to 8.30pm
Sat/Sun: 8.30am to 12pm | Public Holidays: Closed
Website: https://www.doctorsclinicandsurgery.net/
8Kensington Family Clinic14D Kensington Park Road, Serangoon Garden Estate, Singapore 557265
Mon to Sun: 8am to 3pm, 6pm to 10pm
Public Holidays: Closed
Website: www.kensingtonfamilyclinic.com
9Q&M Medical & Aesthetic Clinic (Tampines Central)10 Tampines Central 1, #04-18/19, Tampines One, Singapore 529536
Mon to Fri: 9am to 1pm, 2pm to 9pm
Sat and Sun: 9am to 1pm
Public Holidays: Closed
Website: http://www.qandmmedical.com.sg
10Tanjong Pagar Medical Clinic1 Tanjong Pagar Plaza, #01-06 Singapore 082001
Mon, Wed and Fri: 9am to 6pm
Tues and Thur: 9am to 9pm
Sat and Sun: 9am to 2pm | Public Holidays: Closed
Website: www.tanjongpagarclinic.com/

 
For individuals who suspect that they are at risk or not sure if they show symptoms of HIV, please make a visit to any of the nearest 10 Anonymous HIV Testing clinics in Singapore to be tested by the doctors today.

Anonymous HIV Testing + Emotional Support + Community Outreach

Getting an HIV test can be a scary affair for most people in the community.
Besides the stigma that is associated with HIV & AIDS, there is also the anxiety that comes along with knowing your HIV-status. This is definitely overwhelming for many of us.
Not forgetting the 20 minutes agonising wait for your HIV test result that seems forever.
Dr. Tan & Partners & Oogachaga have teamed up to provide Anonymous HIV testing & emotional support for the community in a discreet and confidential environment in our Robertson branch every first Friday evening of the month.

Dr. Tan & Partners  @Robertson is a Minister of Health of Singapore approved HIV test site for Anonymous HIV Testing.

Oogachaga is a community-based, non-profit, professional organisation working with lesbian, gay, bisexual, transgender, questioning and queer (LGBTQ+) individuals, couples and families in Singapore since 1999

Anonymous HIV Testing

Anonymous HIV testing is for local or foreign individuals who would like to get their HIV test done, but prefer not be identified.
Hence, we do not collect your NRIC or passport numbers, address or contact numbers during registration.
Both negative and positive HIV result is kept anonymous and confidential.
If you suspect that you have any HIV signs & symptoms or have questions in regards to HIV window periods, you can chat with our open – friendly doctors on all STD/HIV related medical concerns.
All HIV tests are administered by our doctors in our STD clinic.

Emotional Support

While waiting to see our doctor, or after the doctor has administered the Anonymous HIV test, you (or your partner) may request to talk in private with the professional counsellor from Oogachaga for free. No additional charges will be added to your medical bill.
The counsellor can offer you guidance on other non-medical issues related to your sexual health concerns or other personal problems. Oogachaga has been working with (LGBTQ+) individuals, couples and families in Singapore since 1999.
Sometimes, it helps to be able to chat with someone to take your mind off the HIV test.

How to go about it?

Step 1: Reception

Let our friendly staffs know you need an “AHT test”.  No appointment required.

Step 2: See a Doctor

A doctor will have a private consultation with you & administer the HIV test.

Step 2-A: Chat with Counsellor

Instead of waiting alone, you can choose to speak to the counsellor, who is LGBTQ-friendly before or after you see our doctors.

You can ask the counsellor questions about HIV/ STIs, or have a chat about coming out, relationships, sexuality, safer sex…..

(The session will be kept confidential, even from the doctor, if you wish)

Step 3: HIV Test Result & Review

After 20 mins, your HIV test result will be ready & the doctor will review the result with you.

When is it available?

If you wish to speak to the counsellor please visit us Every first Friday evening (6 pm – 9 pm) of the month at out Robertson Branch
Anonymous HIV Testing is available daily from 8 am – 9 pm on weekdays and 9 am to 2 pm on weekends at our Robertson branch.
There are no additional medical charges for speaking to the counsellor from Oogachaga. The medical bill only includes your HIV test and doctor consultations.
No appointment is required.

X.O.X.O
Dr Jonathon Ti


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