As Prevention

Talking treatment as prevention with Julio Montaner

published: April, 29, 2013 Written by // Bob Leahy - Publisher Categories // As Prevention , Research, Features and Interviews, Sexual Health, Health, Treatment, Living with HIV, Bob Leahy - Publisher

Bob Leahy sits down and asks the hard questions with treatment as prevention’s foremost proponent, Dr. Julio Montaner, head of the British Columbia Centre for Excellence in HIV/AIDS, while in Vancouver last week.

Talking treatment as prevention with Julio Montaner

Bob Leahy: Thank you for talking to PositiveLite.com, Julio.  The last time we talked was in January 2012 I think.  How have things shifted on the treatment as prevention scene in the last fifteen months.  Are you starting to feel optimistic in terms of what you’d like to see? Dr. Montaner: Well as you know I have been feeling quite strongly for quite a number of years now that treatment as prevention truly offers an opportunity to fully realize the potential of antiretroviral therapy,

PrEP doesn't lead to increases in risky sex among gay men

published: April, 28, 2013 Written by // Guest Authors - Revolving Door Categories // As Prevention , Gay Men, Research, Sexual Health, Health, International , Revolving Door, Treatment, Guest Authors, Population Specific

Aidsmap.com reports taking HIV pre-exposure prophylaxis (PrEP) does not lead to increased levels of sexual risk behaviour among gay men, investigators from the United States say.

PrEP doesn't lead to increases in risky sex among gay men

This article by Michael Carter first appeared on aidsmap.com here.   Aidsmap.com reports taking HIV pre-exposure prophylaxis (PrEP) does not lead to increased levels of sexual risk behaviour among gay men, investigators from the United States say. Taking HIV pre-exposure prophylaxis (PrEP) does not lead to increased levels of sexual risk behaviour among gay men, investigators from the United States report in the online edition of the Journal of Acquired Immune Deficiency Syndromes. Numbers

Top ten

published: April, 27, 2013 Categories // Social Media, Arts and Entertainment, As Prevention , Health, Treatment, Living with HIV, Bob Leahy - Publisher

From PrEP to porn. Bob Leahy looks at PositiveLite.com’s ten most popular posts in the last six months. How many of these did you miss?

Top ten

Most websites have, pardon the expression, a back end which can analyze traffic and PositiveLite.com is no exception. So it's easy for us too see what collectively you like to read. That latter point is endlessly fascinating – at least to us – and is the subject of today’s post.  Your top ten most popular posts, based on traffic in the last six months, are a mix of the serious and the not so serious, the old and the new. I think you’ll be entertained by revisiting all ten of

Modelling suggests treatment by itself won’t reduce HIV prevalence

published: April, 26, 2013 Written by // Guest Authors - Revolving Door Categories // As Prevention , Gay Men, Research, Sexual Health, Health, International , Revolving Door, Treatment, Guest Authors, Population Specific

Aidsmap.com reports increasing testing frequency and changes in sexual risk behaviour after HIV diagnosis may have greater impact on new infections in US gay men.

Modelling suggests treatment by itself won’t reduce HIV prevalence

This article by Gus Cairns first appeared on aidsmap.com here.  Increasing HIV testing frequency, and giving everyone antiretroviral therapy (ART), would not in themselves reduce HIV prevalence in US gay men, a mathematical model suggests. These measures would produce, in the model’s baseline scenario, a 34% reduction in the cumulative number of new infections and a 19% reduction in cumulative deaths by the year 2023. This would lead to the annual number of new HIV infections in gay men a

PrEP HIM for better sex?

published: April, 25, 2013 Categories // As Prevention , Gay Men, Sexual Health, Health, Treatment, Population Specific

Robert Birch talks to Jody Jollimore of B.C.’s Health Initiative for Men, whose position on Pre- Exposure prophylaxis remains “cautiously optimistic.”

PrEP HIM for better sex?

Conscious choices make for better sex. Discussing our options is vital if we’re going to break the statistical stalemate of HIV infections for gay men. Is another bio-medical approach advancing the interests of gay men? While options are necessary, few of us in this country have access to one of the latest: PrEP. It seems many local health authorities have barely begun to dive into the mix. If we are going to get anywhere on this we need to shake it up. More conversations are needed. 

CATIE Forum 2013

published: April, 18, 2013 Categories // CATIE, Conferences, As Prevention , CATIE - HIV and Hep C Info Resource, Health, Treatment, Living with HIV

CATIE’s Executive Director Laurie Edmiston invites you to the CATIE Forum: New Science, New Directions in HIV & HCV

CATIE Forum 2013

This article originally appeared on the cATIE website here. Une version française est disponible ici. We stand at a pivotal point in our response to HIV and HCV. Recent research has enhanced our understanding of the science of prevention, transmission, testing, treatment, care and support –  science that opens up new, innovative avenues for program development and the integration of service delivery. In partnership with various HIV and HCV agencies, CATIE presents a national, bilingual

What’s hot in HIV research

published: April, 09, 2013 Written by // Guest Authors - Revolving Door Categories // As Prevention , Research, Sexual Health, Health, Revolving Door, Treatment, Guest Authors

The Pacific AIDS Network’s Andrea Langlois reviews What’s Hot: The HIV Treatment Cascade

What’s hot in HIV research

This article first appeared on the website of Pacific AIDS Network here.  Republished with permisision of the author. Folllow PAN on twitter at @PAN_CBR I didn’t attend AIDS 2012 in Washington last July, but I do remember that when others came back they were all abuzz about the concept of the treatment cascade as possibly the next “big thing” in the way that we conceptualize HIV prevention and treatment. Now, many months later, and numerous references to the treatment cascade in meeti

Aging, HIV and the possible effect of nukes

published: April, 08, 2013 Written by // Kinder, gentler, more understanding. Categories // Aging, As Prevention , CATIE, Treatment Guidelines -including when to start, Newly Diagnosed, CATIE - HIV and Hep C Info Resource, Health, Treatment, Living with HIV, Population Specific

How safe are HIV drugs and when to start treatment? CATIE’s Sean Hosein reviews the impact of nukes (nucleoside reverse transcriptase inhibitor) on our bodies, including whether they contribute to premature aging – and how.. . .

Aging, HIV and the possible effect of nukes

This article by Sean Hosein first appeared on the CATIE website here   Une version française est disponible ici.  In high-income countries such as Canada, Australia and the U.S. and in regions such as Western Europe, huge advances have been made in the treatment of HIV disease. Researchers increasingly expect that a young person who is diagnosed today and who initiates potent combination anti-HIV therapy (commonly called ART or HAART) and who has minimal co-existing health conditions sho

Undetectable blood viral load and HIV transmission risk: results of a systematic review

published: April, 01, 2013 Written by // CATIE - HIV and Hep C Info Resource Categories // As Prevention , CATIE, Research, Sexual Health, CATIE - HIV and Hep C Info Resource, Health, Treatment, Living with HIV

CATIE; “Our findings suggest minimal risk of sexual HIV transmission for heterosexual serodiscordant couples when the HIV-positive partner has full viral suppression on ART, with caveats . . “

Undetectable blood viral load and HIV transmission risk: results of a systematic review

This article by James Wilton originally appeared on the CATIE http://www.catie.ca/en/home  website here.  Une version française est disponible ici. The sexual transmission of HIV occurs after an exposure to fluids that contain HIV, such as semen and fluids from the vagina and rectum. Research shows that a higher amount of HIV (viral load) in these fluids increases the risk of HIV transmission and that a lower viral load decreases the risk.1 Treatment, viral load and HIV transmission T

How PrEPared are we for PrEP?

published: March, 27, 2013 Categories // As Prevention , Health, Treatment, Opinion Pieces

Amy C. Willis hopes that is PrEP becomes more effective and accessible for anyone who wants it, but that critical conversations about PrEP expand and continue in order to challenge the various uncertainties and barriers which currently engulf it.

PrEP – or Pre-Exposure Prophylaxis – as an HIV prevention tool has been a hot topic within HIV circles for months, particularly since May 2012 when the Food and Drug Administration (FDA) recommended for approval the use of Truvada to seronegative people at high risk of contracting HIV. On July 16th, 2012, the FDA took historic steps in approving Truvada as the first pill used to help prevent transmission of HIV.  Truvada was approved for PrEP usage based on the findings of the PrEP Initi

Grappling with the HIV treatment cascade

published: March, 16, 2013 Written by // Guest Authors - Revolving Door Categories // As Prevention , Research, Health, International , Revolving Door, Treatment, Guest Authors, Opinion Pieces

It’s important to know how well we are reaching people with HIV, in particular how many are currently virally suppressed. But aidsmap.com asks, are we underestimating the proportion of virally-suppressed patients?

Grappling with the HIV treatment cascade

This article by Gus Cairns previously appeared on aidsmap.com here.  PositiveLite.com says why this article is important. This article is particularly important for those of us following the notion of treatment as prevention and in particular the concept of the “HIV treatment cascade” that CATIE’s James Wilton described here. An important part of watching the treatment cascade at work is the need to follow – even encourage – the passage of people with HIV through the continuum whic

Changing my mind on treatment as prevention

published: March, 11, 2013 Written by // Bob Leahy - Publisher Categories // Activism, As Prevention , Research, Health, Sexual Health, Treatment, Living with HIV, Opinion Pieces, Bob Leahy - Publisher

Editor Bob Leahy used to be a strong opponent of treatment as prevention and all it stood for. But times change and there has been a sea change in his view. Now he’s a treatment as prevention supporter. Find out what it was that changed his mind.

Changing my mind on treatment as prevention

One hundred and eighty degree turns happen in a variety of ways. Sometimes we seize the steering wheel of our lives and in one fell swoop travel along an opposite path.  Other times, we take the turn slowly, one degree at a time, gradually realizing the path we are on leads nowhere and we need to go off in radically new directions. That’s been the case with my realizing that most of my once fervently held objections to treatment as prevention, in 2013, make much less sense than they once di

The HIV treatment cascade – patching the leaks to improve HIV prevention

published: March, 07, 2013 Written by // CATIE - HIV and Hep C Info Resource Categories // As Prevention , CATIE, Treatment Guidelines -including when to start, Newly Diagnosed, Research, Sexual Health, CATIE - HIV and Hep C Info Resource, Health, Treatment, Living with HIV, Population Specific

CATIE on the concept of a treatment cascade that's a way to identify gaps in the testing-care-treatment continuum, which are preventing people from realizing the treatment and prevention benefits of antiretroviral therapy.

The HIV treatment cascade – patching the leaks to improve HIV prevention

This article by CATIE’s James Wilton and Logan Broeckaert first appeared on the CATIE  website here. Une version française est disponible ici. We have known for years that antiretroviral therapy can significantly improve the health outcomes of people living with HIV. More recently, research has revealed the important role that antiretroviral therapy plays in preventing the transmission of the virus. As HIV treatment and prevention have converged, attention has turned to how well we are e

PrEP wars: debating pre-exposure prophylaxis in the gay community

published: March, 03, 2013 Written by // Guest Authors - Revolving Door Categories // As Prevention , Gay Men, Sexual Health, Health, Revolving Door, International , Treatment, Guest Authors, Opinion Pieces, Population Specific

From aidsmap.com. Pre-exposure prophylaxis (PrEP) was approved in the US in July, following trials showing its efficacy in preventing sexual transmission of HIV. But it remains a controversial addition to the HIV prevention options available to gay men

PrEP wars: debating pre-exposure prophylaxis in the gay community

This article by Gus Cairns first appeared on aidsmap.com here.   Last World AIDS Day, 1 December 2012, Online Buddies (OLB) Inc. (the company behind Manhunt.net, one of the most popular gay online dating sites in the US, and its affiliated health education site Manhunt Cares) sent out a bulk email to its members informing them of its World AIDS Day campaign to increase awareness of pre-exposure prophylaxis – PrEP. PrEP means HIV-negative people taking antiretroviral (ARV) drugs to stop t

AIDS is over (if you want it) or how i learned to stop worrying and love the BB

published: March, 02, 2013 Categories // As Prevention , Research, Health, International , Treatment, Living with HIV, Opinion Pieces

Josh Kruger responds to new evidence that confirms that adhering to antiretroviral therapy reduces the risk of transmission to negligible (zero?) levels in heterosexual couples.

PositiveLite.com, Canada’s most comprehensive HIV/AIDS related website, reports that a study of hundreds of sero-discordant couples, that is those with one HIV- and one HIV+ partner, resulted in a startling conclusion:  when adhering to antiretroviral therapy, the HIV+ posed no risk whatsoever of transmitting HIV to their negative partners.  In fact, the study “did not find a single example of transmission from a partner who was on antiretroviral therapy” out of 254 sexually active mix

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