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Whatever happened to last year's breakout stars?
WASHINGTON (AP) — There’s a new push to make testing for the AIDS virus as common as cholesterol checks.
Americans ages 15 to 64 should get an HIV test at least once — not just people considered at high risk for the virus, an independent panel that sets screening guidelines proposed Monday.
The draft guidelines from the U.S. Preventive Services Task Force are the latest recommendations that aim to make HIV screening simply a routine part of a check-up, something a doctor can order with as little fuss as a cholesterol test or a mammogram. Since 2006, the Centers for Disease Control and Prevention also has pushed for widespread, routine HIV screening.
Yet not nearly enough people have heeded that call: Of the more than 1.1 million Americans living with HIV, nearly 1 in 5 — almost 240,000 people — don’t know it. Not only is their own health at risk without treatment, they could unwittingly be spreading the virus to others.
The updated guidelines will bring this long-simmering issue before doctors and their patients again — emphasizing that public health experts agree on how important it is to test even people who don’t think they’re at risk, because they could be.
“It allows you to say, ‘This is a recommended test that we believe everybody should have. We’re not singling you out in any way,’” said task force member Dr. Douglas Owens of Stanford University and the Veterans Affairs Palo Alto Health Care System.
And if finalized, the task force guidelines could extend the number of people eligible for an HIV screening without a copay in their doctor’s office, as part of free preventive care under the Obama administration’s health care law. Under the task force’s previous guidelines, only people at increased risk for HIV — which includes gay and bisexual men and injecting drug users — were eligible for that no-copay screening.
There are a number of ways to get tested. If you’re having blood drawn for other exams, the doctor can merely add HIV to the list, no extra pokes or swabs needed. Today’s rapid tests can cost less than $20 and require just rubbing a swab over the gums, with results ready in as little as 20 minutes. Last summer, the government approved a do-it-yourself at-home version that’s selling for about $40.
Free testing is available through various community programs around the country, including a CDC pilot program in drugstores in 24 cities and rural sites.
Monday’s proposal also recommends:
—Testing people older and younger than 15-64 if they are at increased risk of HIV infection,
—People at very high risk for HIV infection should be tested at least annually.
—It’s not clear how often to retest people at somewhat increased risk, but perhaps every three to five years.
—Women should be tested during each pregnancy, something the task force has long recommended.
The draft guidelines are open for public comment through Dec. 17.
Most of the 50,000 new HIV infections in the U.S. every year are among gay and bisexual men, followed by heterosexual black women.
“We are not doing as well in America with HIV testing as we would like,” Dr. Jonathan Mermin, CDC’s HIV prevention chief, said Monday.
The CDC recommends at least one routine test for everyone ages 13 to 64, starting two years younger than the task force recommended. That small difference aside, CDC data suggests fewer than half of adults under 65 have been tested.
“It can sometimes be awkward to ask your doctor for an HIV test,” Mermin said — the reason that making it routine during any health care encounter could help.
But even though nearly three-fourths of gay and bisexual men with undiagnosed HIV had visited some sort of health provider in the previous year, 48 percent weren’t tested for HIV, a recent CDC survey found. Emergency rooms are considered a good spot to catch the undiagnosed, after their illnesses and injuries have been treated, but Mermin said only about 2 percent of ER patients known to be at increased risk were tested while there.
Mermin calls that “a tragedy. It’s a missed opportunity.”
The star of “Beasts of the Southern Wild” charmed practically everyone at the Oscars, where she was the youngest best actress nominee ever; she went on to film a remake of “Annie” opposite Jamie Foxx and Cameron Diaz.
Carly Rae Jepsen
Jepsen, who had 2012’s song of the summer with “Call Me Maybe,” released the fifth and final single from her debut album in January 2013. She toured the U.S. in mid-2013 -- just as Daft Punk and Robin Thicke battled to succeed her as icons of the summer.
Honey Boo Boo
2012’s biggest reality star, the young pageant contestant Alana Thompson, had a quieter time this year, with a second season whose ratings were strong but whose buzz was a bit muted. America was, by now, accustomed to young Thompson, and outraged or scandalized reactions were reserved for other TLC programming, like “The Man With the 132-Pound Scrotum.”
Ocean missed out on the top Grammys for which he was nominated in early 2013; he bounced back quickly with featured appearances on albums by Kanye West, Jay Z and Beyoncé, and is at work on a new album. Things are looking up!
The “21 Jump Street” and “Magic Mike” star had a marginally less charmed 2013, with “White House Down” failing to connect with moviegoers and “Foxcatcher” delayed until next year. It may get worse before it gets better: His big 2014 sci-fi flick, “Jupiter Ascending,” looks … well, a little weird!
With their third album in 21 months hitting No. 1 immediately upon its fall 2013 release, the boy band that broke into America in 2012 would seem to be here to stay for a while. Still, they looked a bit nervous in their reaction shots during the Video Music Awards’ ‘N Sync reunion; maybe not this year, maybe not next, but eventually, the Justin of One Direction is going to break out. For now, though, things look good!
Lana Del Rey
The famously uncomfortable “Saturday Night Live” musical guest overcame endless mockery from 2012 to land her first top-10 hit in the summer of 2013 -- a remix of a year-old song, “Summertime Sadness.” As the co-writer of “Young and Beautiful,” the love theme from “The Great Gatsby,” Del Rey is such a front-runner for the best original song Oscar (last won by Adele) that there has been a direct-mail campaign to academy voters against her. The song was also played at the most romantic event of the year: Kanye West’s stadium marriage proposal to Kim Kardashian.
Wilson, who charmed fans of 2012’s “Pitch Perfect,” had a rockier 2013, with her sitcom “Super Fun Night” struggling creatively and in the ratings. Her next planned movies are both sequels, to “Kung Fu Panda” and -- hoping lightning will strike twice -- to “Pitch Perfect.”
Another 2012 music icon, Gotye won the record of the year trophy at the 2013 Grammys for “Somebody That I Used to Know.” He released no new singles in 2013, and has told the press he has been struggling to complete new material. Good luck, Gotye!
The golden boy of the 2012 Olympics, without feats of aquatic derring-do to distract the public this year, saw his always-tenuous persona completely shift from “amiable jock” into “utter dolt” with his E! reality series. Worst of all, the series was canceled.
In 2012, the young actress -- best known for her role in the indie “Winter’s Bone” and a supporting part in the “X-Men” franchise -- had marquee roles in the first “Hunger Games” film and in David O. Russell’s comedy “Silver Linings Playbook.” In 2013, she played to her strengths: After winning an Oscar, she starred in the second “Hunger Games” movie, on whose publicity tour she managed to charm everyone in America, and had another role in a David O. Russell comedy, “American Hustle,” for which she might just win ANOTHER Oscar. By 2014, she may end up running a major studio, or serving as president.
The breakout bikini model of 2012 made a repeat appearance on the cover of the Sports Illustrated swimsuit issue -- and got to do high-fashion spreads in Elle, Vogue and Vanity Fair. She was cast in a Cameron Diaz comedy, too. Some types of appeal are eternal!
E. L. James
The “50 Shades” novelist now gets to help share some input into a movie adaptation set for release in 2015. She probably never needs to work again! Isn’t that great? Isn’t that … just … great?
The “Gangnam Style” phenom performed at New Year’s 2013, but will spend New Year’s 2014 flipping channels to find his pistachio ad, his goofy antics having been outdone in the past year by “The Fox” singers Ylvis. Nothing meme can stay.
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