Thousands might not know they carry the HIV virus

Up to 4,500 people in B.C. are carrying the HIV virus unaware – and spreading it, health officials believe.

“Of all people who have HIV, probably about a quarter don’t know it,” says Dr. Reka Gustafson, a medical health officer for the Vancouver Coastal Health region. “One of the main reasons for that is we don’t test for HIV as much as we should. There are very few screening tests that have such a great potential for benefit, both for the individual and for their community.

“We haven’t really incorporated HIV testing into the medical care that people are already receiving. We’re missing too many opportunities to recommend tests to people. It isn’t that people are avoiding HIV testing. It just doesn’t cross their mind.”

Official estimates of the number of unwitting HIV carriers range from 2,500 to 4,500. More than half of new HIV infections in B.C. are transmitted by people who don’t know they carry the virus, Gustafson says.

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During the Canada Post strike announced September 25, 2025, the following measures will be undertaken to minimize service disruption to BC-CfE clients and providers.

  • The BC-CfE Laboratory has transitioned to private courier for delivery of outgoing reports and documents. Results required urgently can be faxed upon request. (Lab Contact Information: Phone 604-806-8775; FAX 604-806-9463)
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  • St. Paul’s Hospital Ambulatory Pharmacy has transitioned to private courier for delivery of medications. We recommend requesting medication at least 2 weeks in advance in case of delivery delays, particularly to rural/remote parts of BC. (Contact Information: Phone 1-800-547-3622; FAX 604-806-8675)

During the Canada Post strike, we recommend that documents be faxed or couriered to our sites, versus utilization of regular mail service

The BC-CfE Laboratory is streamlining reporting processes for certain tests in order to simplify distribution and record-keeping, and to ensure completeness of results. Beginning September 2, 2025, results for the ‘Resistance Analysis of HIV-1 Protease and Reverse Transcriptase’ (Protease-RT) and ‘HIV-1 Integrase Resistance Genotype’ tests will be combined into a single ‘HIV-1 Resistance Genotype Report’.
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