Table 1

 Details of cases with HIV*

Case 1Case 2Case 3Case 4Case 5
*See case reports.
SexFFFFF
Age4632373133
EthnicityWhiteBlack AfricanBlack AfricanBlack AfricanBlack African
Place of original HIV diagnosisCongoKenyaUgandaUKCameroon
Time from original HIV diagnosis to presentation for HIV testing14 years6 years5 months15 months15 months
Route of HIV acquisitionHeterosexual sexHeterosexual sexHeterosexual sexHeterosexual sexHeterosexual sex
CD4 count at first presentation (×106/l)354 (32%)130(7%)258(25%)227 (12%)294 (20%)
Viral load at first presentation (copies/ml)198990 607<50424<50
MCV at initial presentation (fl)11878.3101.996.9
Exposure to antiretroviral therapy• Multiple ARV exposure since 1989 outside UK • On failing regimen• DDI • AZT+3TC • Last exposure 3 years ago• Ran out of and discontinued d4T/3TC/EFV shortly after baseline bloods• AZT monotherapy between initial and subsequent diagnosis• DdI/d4T/HU May 00–Feb 01 • Trizivir Jul 02–Apr 03
Number of consultations before disclosure54693
Time to disclosure8 weeks8 weeks6 weeks16 months4 months
Reason for non-disclosureBelieved that treatment would be deniedConcerned about disclosure to current partner of 3 yearsConcerned about impact of knowledge of diagnosis on asylum applicationUnknownThought she was being treated for malaria by husband