HEALTH OFFICIALS WARN OF NEW HIV THREAT FOUND IN KING COUNTY

Four men in King County have been diagnosed with a strain of HIV that
is extremely hard to treat, and health officials are concerned it
could spread further.

At least two types of HIV drugs don't work against the strain, and
another type has limited effectiveness, officials from Public Health
Seattle & King County said Thursday.

"It's conceivable there can be more infections, and the gay community
is at highest risk," said Dr. Bob Wood, the HIV/AIDS program director
for Public Health.

All the men were diagnosed with the strain as soon as they tested
positive for the virus -- unlike other HIV patients who develop drug
resistance over time, often from taking medications inconsistently,
Wood said. But there is no evidence the strain is rapidly spreading.

The four known cases were found over the course of more than a year.
These were the only such cases reported in the state.

Wood said all of the infected men are gay and have had multiple
partners, most anonymous. They also used methamphetamine, which tends
to increase sexual activity.

Public-health officials have found some of the patients' partners,
and so far none has the resistant strain. But many others have not
been found because the men had anonymous sexual encounters, Wood said.

No one yet knows how easily this particular strain may be transmitted
to others. There is no evidence it was spread to Seattle from another city.

Still, Wood said the cases should serve as an early warning because
"they show there is some ongoing transmission."

"We're very concerned about gay men becoming more complacent and not
using condoms," said Wood. Studies in Seattle and other cities have
verified that gay men in recent years have been engaging in more unsafe sex.

Physicians don't believe the new strain will cause the infected
patients to progress more rapidly to full-blown AIDS. But once they
do have AIDS, finding the right combination of drugs to control the
virus could be difficult.

"If it's not controlled at all, they do poorly," said Dr. Bob
Harrington, director of the Harborview Medical Center's Madison
Clinic, which treats HIV patients.

Harrington said treating patients who are resistant to several types
of drugs could cost more than twice the typical $15,000 a year that
it costs to treat other HIV patients.

About 350 to 400 new cases of HIV infection are reported in King
County each year. About 8,000 county residents are living with the
virus, including those with AIDS.

Public Health plans to distribute fliers in gay bars and bathhouses
warning of the new strain. And Wood said physicians are being asked
to test all newly diagnosed HIV patients for drug resistance and
report them to the health department.

Health officials urge gay men who have unprotected sex with multiple
partners, use methamphetamines or have another sexually transmitted
disease to get tested for HIV every three months.