Home
Meetings & Publications
Quality Assurance
Program Description
Procedures

       WELCOME TO New Jersey HIV        

The ASTHO Vision Awards recognize outstanding state and territorial health department programs and initiatives that use a creative approach to address public health needs or problems.

NJ HIV and the NEW JERSEY DEPARTMENT OF HEALTH - DIVISION OF HIV, STD & TB SERVICES IS THE PROUD RECIPIENT OF THE:

  • 2006 - ASTHO VISION AWARD - FOR OUR 'RAPID HIV TEST' PROGRAM
  • 2013 - ASTHO VISION AWARD - FOR OUR 'PATIENT NAVIGATOR' PROGRAM

 

WHAT IS RAPID HIV TESTING?

 

A rapid test for  HIV is a screening test that produces results in anywhere from 1 to 30 minutes. Unlike conventional HIV testing, rapid HIV testing is simpler, but has about equal sensitivity and specificity in detecting the presence of antibodies to the human immunodeficiency virus type I or II. Recently, a new more sensitive rapid test (Alere Determine Combo) has been approved by the FDA that responds to both HIV antibodies and p24Ag one of the early markers of HIV infection. New Jersey is transitioning to this more sensitive rapid test. It is currently available in about half of our DHSTS sites.

 

In New Jersey, state clinical laboratory licensure is required to conduct rapid HIV testing.

 

 

WHAT IS RAPID-RAPID HIV TESTING? (A RAPID TESTING ALGORITHM (RTA))

 

Rapid HIV testing employs a simple to use testing device  to screen  an individual for infection with HIV. Beginning in 1989,  additional confirmatory test, either a Western blot, an immunofluorescence assay (IFA) or a nucleic amplification test  have been required to diagnose an individual as infected with HIV.

 

In March 2010, CDC and the Association of Public Health Laboratories (APHL) proposed validation of new algorithms for supplemental testing after a reactive HIV screening test. One of the new algorithms made use of a second, different manufacturer's rapid HIV test to verify the results of the initial screen. NJ HIV provided important data used by CDC to validate these new Rapid Testing Algorithms (RTA).

 

In November, 2011,  Irene Hall, Ph.D. announced that new HIV Testing Algorithms including 'Rapid-Rapid' met the current HIV Case Definition and provided instructions for recording a case diagnosed using these new algorithms. An individual identified by two positive rapid tests is described as considered a Presumptive Positive.
 

WHAT ARE THE NEW CLSI GUIDELINES ?

 

Guidelines consistent with  CDC lab and point-of-care based HIV testing algorithms were published in  2011 by the Clinical and Laboratory Standards Institute (CLSI document: M53-A, ISBN 1-56238-758-8). 

 

In November, 2011, the Director of Incidence and Case Surveillance at CDC revised surveillance definitions to align them with these new testing algorithms. 

 

At present, 39 sites in New Jersey utilize a second, different, rapid HIV test to verify the initial rapid HIV screening result in a single screening visit.  An individual who is positive on both rapid HIV tests has less than a .5%  probability (1:200) of not being infected.

 

At many Counseling and Testing Sites in New Jersey two positive, but different rapid HIV tests are sufficient to link an individual immediately into the healthcare system so that they can  meet with a healthcare provider and begin formulating a plan to address their infection.

NJ RAPID HIVTESTING SITES

Sites With 4th Generation Rapid HIV Testing Available

 

AS OF JULY 15, 2015:

 

  - STILL 2nd Gen rapid HIV screening (Clearview STATPAK)
  -
4th Gen Mobile Van (DETERMINE HIV-1/2 Ag/Ab ComboCOMBO)
  -
4th Gen Rapid Sites ( DETERMINE HIV-1/2 Ag/Ab ComboCOMBO)

 

 

The NJHIV TRAINING SET: 

 

HIV Training Alere Determine JULY 2015.pdf

 

This presentation is large (>5 mb), covers all elements of a comprehensive Rapid HIV Quality Assurance  program and may be problematic when using older computers or on networks with limited bandwidth.

 

PERFORMING A FINGERSTICK: 

Courtesy of: Trinity Biotech

 

Collecting a Fingerstick Specimen

 

The Determine HIV-1/2 Ag/Ab Combo rapid test uses a 50 µl fingerstick blood sample collected in a pipette similar to that used by  in their Trinity - Syphilis Health Check procedure. Please click on the link if you'd like to review the process.

 

Once you have obtained the specimen, align the tip of the Capillary Tube containing the blood sample with the Sample Pad (marked by the arrow symbol) and gently squeeze the bulb avoiding air bubbles. Wait until all the blood is transferred from the Capillary Tube to the Sample Pad.
Caution: Do not lift the Capillary Tube from the Sample Pad before all the blood has been
transferred – a bubble may form which will prevent the complete transfer of sample.

 

Wait for one minute, then apply one drop of Chase Buffer to the Sample Pad.

HIV COST AND REIMBURSEMENT

HRET, the Hospital, Research and Education Trust  has developed a free online toolkit for cost and reimbursement issues surrounding HIV testing and screening that is available at www.hret.org/hiv-cost. The package includes a downloadable calculator to assist hospitals, clinics and physicians in understanding the cost of HIV testing programs and maximizing reimbursement. The resource was developed in partnership with
the Centers for Disease Control and Prevention.

A coding guide for ROUTINE HEALTHCARE HIV Testing is available at: Coding-Guide-AAHIVM-AMA.pdf

Please remember that charging for HIV tests provided to a facility by the Division of HIV/AIDS IS NOT permitted!

 


 

 

NJHIV  POWERPOINT (PDF) PRESENTATIONS

Last Updated: June 11, 2015

RECENT MEETINGS:

A complete list of PowerPoint Presentations from (2003-4 to our most recent meetings) are also available. Click on MEETINGS PUBLICATIONS in the side bar menu and select from the comprehensive list.

2015

NJ HIV COORDINATOR MEETINGS:

PRESENTATIONS:

DHSTS:

Steven Saunders - Linkage to Care update CTR Coordinator Mtg May 7 2015.PDF

Aye Maung Maung - 2014 Positive Client Data.PDF

          Iris Chittams - Case Surveillance - Coord Meeting Update.PDF

          Rekha Damaraju - EvalWeb Update- 2015 CTR meeting.PDF

          Fred Vasapolli - National HIV Testing Day 2015.PDF

          RUTGERS UNIVERSITY - NJ HIV RAPID TESTING SUPPORT:

          EGMartin JCorbo - Annual HIV Corrdinators 2015.PDF

Many internet browsers utilize stored, historic copies of frequently accessed web pages to reduce the waiting time during loading of the browser. Please REFRESH or RELOAD your screen to download the latest NJ HIV information!  The refresh button is usually located at the very top right or left of your current browser image.


CDC’s Approach to High-Impact HIV Prevention in the Era of Expanding Prevention Options

A PRESENTATION BY

David W. Purcell, JD, PhD

Deputy Director for Behavioral and Social Science
Division  of HIV/AIDS Prevention
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
Centers for Disease Control and Prevention
Atlanta, GA

23rd Annual Illinois State HIV/STD Conference
October 29, 2014


 

NJ HIV UPDATES

Last Updated: June 10, 2015

Rapid HIV procedures, forms and policies are freely available for your use.  We invite you to review, copy, print and use our latest procedures, forms and policies! 


FREQUENTLY CALLED NUMBERS:

          Frequently Called Numbers 05.06.15.pdf 


CURRENT PROCEDURE MANUAL   

** 2015 POLICY & PROCEDURE MANUAL - SIGNED - *:

  CURRENT PROCEDURE MANUAL
Complete Signed (2015) Procedure Manual

(Large/Color 4.8 Mb) CAREFUL - EMAIL ATTACHMENTS WILL NOT WORK

 NJ RAPID HIV PROGRAM MANUAL2015-Complete Manual-PDF.pdf
Current EvalWeb Template (June 2015) EvaluationWeb HIV Test Template Current VersionwithoutSymbols.pdf

Individual chapters from the manual are also available for download separately. Please click on PROCEDURES in the side bar menu (to your left) and select from the table contents.

FORMS

All current, 'in use', DHSTS forms are available below:

  ONE DAY EVENT FORMS:
One Day Testing Event Protocol One_Day_Testing_Event-June2015.pdf
One Day Results Form

One day event result form final 5-28-15.xls

  HIV CONSENT FORMS:
Consent Form: ENGLISH Consent Determine Combo Rapid Test HIV withDHSTSApproval English.pdf
Consent Form: SPANISH

Consent Determine Combo Rapid Test HIV withDHSTSApproval-Spanish.pdf

  RTA MONTHLY TRACKING FORM:
RTA Tracking v5 - Word.docx Rapid-Rapid Monthly Tracking Form Version 5
RTA Tracking v5 SAMPLE

Rapid-Rapid Monthly Tracking Form Version 5 SAMPLE

  NATIONAL TESTING DAY FORMS:
National Testing Day  (NTD)Form 2015 National HIV Testing Day Form
NTD Evaluation Form

2015 NHTD Evaluation Form.docx

.

 

 


Robert Wood Johnson Medical School
Pathology and Laboratory Medicine
NJ HIV Clinical Laboratory

Faculty


- NJ HIV -
 
Faculty Member Education Academic Titles
 

Eugene G. Martin, Ph.D.
Principal Investigator - GRANT- DHSTS Program
DIRECTOR -
NJ HIV
 

New York Medical College, 1981

Professor of Pathology & Laboratory Medicine
Rutgers University - Robert Wood Johnson Medical School

 

Gratian Salaru, M.D.
Principal Investigator- MOA - DAS Program
CO-DIRECTOR - NJ HIV

(BLD) - DAS sites

University of Medicine and Pharmacy, Timisoara, Romania,1995 Associate  Professor of  Pathology & Laboratory Medicine
Rutgers University - Robert Wood Johnson Medical School
Parisa Javidian, M.D.

 (BLD)- DHAS sites
George Washington University, 1989 Associate  Professor of  Pathology & Laboratory Medicine
Rutgers University - Robert Wood Johnson Medical School
Lauri Godell, M.D.
 
UMDNJ - Rutgers Medical School

Associate  Professor of  Pathology & Laboratory Medicine
R
utgers University - Robert Wood Johnson Medical School

jULIE cornett, M.D. UMDNJ - Robert Wood Johnson Medical School, 2005 Clinical assistant Professor OF medicine
 division OF infectious DISEASES - department OF medicine

Clinical assistant Professor pathology & Laboratory Medicine   
 division of clinical pathology - department of Pathology & Laboratory Medicine

Rutgers University - Robert Wood Johnson Medical School
 

Contact Information

General Inquiries can be directed to the Administrative Offices listed below. The office hours are 8:30 am - 4:30 pm, Monday-Friday.

Telephone
732-743-3630