EACS2023: 957 HIV infection and linkage to care in migrants settling in Northern France: data from associations providing initial health and social care services A. Diarra , L. Bocket , F. Ajana , A. Meybeck , M. Tetard , M. Degrendel , O. Robineau , E.K. Alidjinou Hôpital Gustave Dron, Department of Infectious Diseases, Tourcoing, France, CHU Lille, Virology Laboratory ULR 3610, Lille, France, Médecin Solidarité Lille, Lille, France, Hôpital Gustave Dron, Department of Statistics, Tourcoing, France General data Abstract category: Access and delivery of care Abstract body Purpose: Migrants accounted for a significant proportion of HIV patients in Europe. Non-governmental organizations (NGOs) facilitate access to initial health and social care for migrants. Screening for HIV and other infectious diseases is routinely offered to people attending NGOs. We aimed to describe the prevalence of HIV in migrants attending one of the main NGOs in northern France, and the care pathway of HIV-positive individuals. Method: We conducted a retrospective study including all migrants screened for HIV in an NGO in Lille, Northern France, from January 2013 to December 2022. The prevalence of HIV was assessed. Epidemiological immuno-virological features, entry, and maintenance into HIV care were described in HIV-positive individuals. Results: A total of 6996 patients were screened for HIV. A confirmed positive result was found in 116 individuals (1.6%). The median age was 32.5 years. They were mainly female (n = 63, 54%). The patients originated mainly from Sub-Saharan Africa (84%) and were mostly infected with HIV-1 (99%). 54 people were aware of their HIV infection whereas the diagnosis was new for 46 out of 100 patients. The median HIV-1 viral load and CD4 cell count were 4.3 log copies/mL and 337 cells/mm respectively. HIV-1 genotyping was performed in 78 patients and found a majority of non-B subtypes (93.6%). Drug resistance mutations, especially in the retro-transcriptase region, were more common in patients with known HIV infection ( p = 0.0004). Ninety-three (80%) individuals entered into HIV care. Protease inhibitors (47%) and integrase strand transfer inhibitors (44%) were mostly prescribed. Seventy people (75%) achieved viral suppression at their last visit. Conclusions: HIV testing in migrants is efficient, leading to a high rate of HIV-positive results. Promoting direct access to care may impact the epidemic in European countries, by driving into care rapidly people with both ancient and new diagnoses. General conditions 1. I confirm that I previewed this abstract and that all information is correct. I accept that the content of this abstract cannot be modified or corrected after the submission deadline and I am aware that it will be published exactly as submitted.: Yes 2. I confirm that the submission of the abstract constitutes my consent to publication (e.g. conference website, programmes, other promotions, etc.). : Yes 3. I herewith confirm that the contact details saved in this system are those of the corresponding author, who will be notified about the status of the abstract. The corresponding author is responsible for informing the other authors about the status of the abstract.: Yes 4. I agree that all data provided may be used (saved, stored, processed, transmitted and deleted) in compliance with the privacy policy to provide the services described.: Yes 1 2 3 1 1 4 1 2 1 2 3 4 3 56 19TH EUROPEAN AIDS CONFERENCE | WARSAW 2023
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