5 At a population level, when a person is fully engaged in care their risk of transmitting virus to others is also significantly decreased due to both decreased risk taking behaviors and decreased biological risk of transmission from being virally suppressed. 1– 4 Once engaged in care, those persons who are able to sustain engagement in care have higher rates of viral suppression. ![]() ![]() Patients who delay entry into care or miss visits within the first year of diagnosis have higher mortality. At an individual level, engagement and retention in care have been shown to improve immunological outcomes, decrease HIV-associated morbidity, and prolong survival. According to the HIV continuum of care, in order for HIV-infected persons to take full advantage of HIV care and treatment and achieve viral suppression, they must be engaged and retained in HIV care and receiving antiretroviral (ARV) therapy.
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