If you are undetectable, with a CD4 count over 200 (the last time it was checked), and otherwise healthy, there is currently no evidence to suggest that there is an increased risk of infection, or increased severity of illness from COVID-19. According to BHIVA, the first case series of people with COVID-19 who are HIV positive have been published. So far there is no evidence for a higher COVID-19 infection rate or different disease course in people living with HIV than in HIV-negative people (published April 30th).

If you are not on treatment, have a CD4 under 200, or you have a detectable viral load, you will be at a higher risk of serious illness from COVID-19 – therefore you should be practicing physical distancing. Physical distancing is often called social distancing – you can get more advice here. 

People with other health conditions, such as heart, liver or kidney disease or a respiratory disease such as asthma, have a higher risk of more serious outcomes from COVID-19. Use physical distancing to reduce the chance of getting the virus, and minimise the risk of passing it on to other. The NHS considers you at high risk from COVID-19 if you:

  • have had an organ transplant
  • are having certain types of cancer treatment
  • have blood or bone marrow cancer, such as leukaemia
  • have a severe lung condition, such as cystic fibrosis or severe asthma
  • have a condition that makes you much more likely to get infections
  • are taking medicine that weakens your immune system
  • are pregnant and have a serious heart condition

If you are over 70, you should follow guidance on physical distancing too, to reduce the risk of you getting COVID-19. Physical distancing is also known as social distancing, and you can find out more about that by clicking here. 

If your CD4 count is under 50, or you've had an opportunistic infection within the last 6 months - you should take the government advice on shielding. For more on shielding, you can click here.