Nearly half of all new cases of HIV in the North East were diagnosed late or very late in 2011.
Sean Murphy from the charity Body Positive North East said early detection rates are low because people are afraid to go for tests - but if the virus is caught early, they have nothing to fear.
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The Trust that runs hospitals in Newcastle has been named best performing for 5 years in a row.
There's a change on the way.
Tyrone Quinn has been jailed for six years and nine months for killing 17-year-old James Docherty