As Prevention

Downtown Eastside

published: August, 19, 2012 Written by // Guest Authors - Revolving Door Categories // As Prevention , Current Affairs, Health, Treatment, Revolving Door, Guest Authors

A video report. The epi-centre of HIV in Vancouver, B.C is also a centre for innovation in diagnosis, treatment and provision of a range of other social services.

Downtown Eastside

PositiveLite.com editor Bob Leahy says:  HIV work, it seems to me, is difficult without really knowing the neighbourhoods you serve, their social mores, their challenges, their success stories.  Same goes for our ability to discuss the work of others; it really helps to know and understand the environment. We in Eastern Canada often speak of Vancouver’s downtown Eastside without really knowing it well.  Here’s a piece which will help change that just a little. From the Treatment as Pr

Where new HIV infections come from.

published: August, 17, 2012 Written by // Guest Authors - Revolving Door Categories // As Prevention , Research, Sexual Health, Health, International , Treatment, Living with HIV, Revolving Door, Guest Authors

Newly infected individuals sustaining HIV epidemic in Geneva, says research reported by aidsmap

Where new HIV infections come from.

This article by Michael Carter first appeared in NAM/aidsmap.  Republished with permission.  Individuals with recent HIV infection are sustaining the epidemic, a Swiss study published in the online edition of AIDS suggests. The investigators believe that their results further support the use of antiretroviral therapy as prevention, but also show that its impact on the epidemic will be blunted because of the high number of transmissions which can be attributed to individuals who have been re

Truvada: Troubles Ahead?

published: August, 10, 2012 Categories // As Prevention , Health, Treatment, Opinion Pieces

Dave R writes...the use of Truvada as an HIV prevention tool, PrEP, has caused waves of excitement in many quarters but is it a case of premature exhilaration, leading to unwanted consequences!

Truvada: Troubles Ahead?

Sometimes a sort of HIV-related sixth sense kicks in and you get that feeling in your water that the latest advance regarding prevention and treatment just doesn’t ring true. Do you feel that occasionally? This story about Truvada, being used as a prevention tool, (PrEP) just gives me the chills. It’s as if they just haven’t taken into account the foibles of human nature when it comes to doing what you’re supposed to do. Let me start by disclaiming. I’m not a doctor but I have been

HIV in Canada in 2012 – a Report Card

published: July, 19, 2012 Written by // Bob Leahy - Publisher Categories // International AIDS Conference , As Prevention , Activism, Conferences, Sexual Health, Health, International , Legal, Treatment, Living with HIV, Opinion Pieces, Bob Leahy - Publisher

Worth crowing about – or cringe-worthy? On the eve of the much awaited International AIDS Conference in Washington, Bob Leahy files a personal report card on the state of our response to HIV in Canada in 2012.

HIV in Canada in 2012 – a Report Card

Since the last International AIDS Conference in Vienna in 2010, the landscape has changed significantly.  Two years ago, for instance, HPTN 052 was not even in our collective vocabulary.  Now it’s ubiquitous, and the issues it raised – the promise of a 96% reduction in transmission rates for those on treatment (although it’s not quite that simple) are a principal focus of AIDS 2012, as they should be. But where is Canada on this and other recent advances – and are we slipping from ou

Treatment Benefits For All?

published: June, 27, 2012 Written by // CATIE - HIV and Hep C Info Resource Categories // As Prevention , CATIE, Health, Treatment, Living with HIV, CATIE - HIV and Hep C Info Resource

CATIE’s James Wilton explores the use of HIV treatment to reduce the risk of HIV transmission. Do the personal and public health benefits coincide or clash?

Treatment Benefits For All?

This article by James Wilton first appeared in The Positive Side, a publication of CATIE. Une version française est disponible ici.   The journal Science named it the breakthrough of 2011 and Time magazine ranked it among its Top 10 medical breakthroughs of the year, so you may have heard of the term “treatment as prevention” by now. If not, we can fill you in. It has at its core the idea that HIV treatment can reduce the risk of HIV transmission, and it is set to mark a historic shif

Testing and Treatment as Prevention for Couples

published: June, 20, 2012 Written by // CATIE - HIV and Hep C Info Resource Categories // As Prevention , CATIE, Health, Treatment, Living with HIV, CATIE - HIV and Hep C Info Resource

CATIE: WHO guidelines encourage couples HIV testing and counselling and use of antiretroviral treatment for prevention.

Testing and Treatment as Prevention for Couples

This article by James Wilton first appeared on the CATIE website here.   Une version française est disponible ici.   In Canada, an estimated 83% of new HIV infections in 2008 occurred through sexual transmission, either among men who have sex with men (47%) or heterosexual men and women (36%). Among both groups a large number of these sexual HIV transmissions likely took place in the context of intimate relationships. However, HIV prevention efforts in Canada focus mostly on changing th

Belt AND Suspenders?

published: June, 12, 2012 Categories // As Prevention , Health, Treatment, Living with HIV, Sex and Sexuality

Treatment as prevention inevitably raises the issue of how much protection is enough. Ken Monteith says “there are governments in this country who would like the rule to be disclosure, undetectable viral load AND condom.”

Belt AND Suspenders?

In 2008, the Swiss Federal Commission for HIV/AIDS issued a statement, distilled from an extensive literature review and much discussion, that can be summarized as follows: "An HIV-infected person on antiretroviral therapy with completely suppressed viraemia (“effective ART”) is not sexually infectious, i.e. cannot transmit HIV through sexual contact." This, as long as the person continues to follow effective anti-retroviral therapy, regularly evaluated by a physician, has maintained a s

The New Frontier

published: June, 09, 2012 Written by // Guest Authors - Revolving Door Categories // As Prevention , Gay Men, Health, Treatment, Opinion Pieces, Population Specific , Sex and Sexuality , Revolving Door, Guest Authors

The case for new solutions. “HIV prevention, like most American entities, has failed to adopt tactics that are sustainable in the long term to keep people uninfected” says this PrEP user

The New Frontier

This article was first published in My PrEP Experience, formerly a project of Chicago’s LifeLube.  My PrEP Experience  is a site featuring real stories submitted by people who have chosen to use PrEP as one way to protect themselves from HIV. Republished with permission. by anon, San Franciso [name withheld for now] "Prevention, PrEP, the whole damn thing — it all boils down to the human impulse to have sex without condoms. Thirty years into an epidemic, that’s still hard to talk ab

Antiretroviral therapy may be stabilising HIV epidemic in Danish gay men

published: June, 08, 2012 Categories // As Prevention , Research, Health, Treatment, Revolving Door, Guest Authors

New Danish research, aidsdmap reports, suggests stabilising of the epidemic in that country is due to antiretroviral therapy rather than changes in sexual behaviour

Antiretroviral therapy may be stabilising HIV epidemic in Danish gay men

This article by Michael Carter originally published by NAM/www.aidsmap.com is republished with permission. The use of antiretroviral treatment appears to have stabilised the HIV epidemic in Danish gay men, even though rates of risky sex have increased, research published in the online edition of the Journal of Acquired Immune Deficiency Syndromes suggests. “While unsafe sex among MSM [men who have sex with men] has increased substantially and the number of HIV-positive MSM living in Denma

There is no vaccine for HIV

published: May, 24, 2012 Categories // As Prevention , Health, Treatment, Opinion Pieces

Christopher Banks on Prep: "We want to give this to people who have nothing wrong with them at all? To stop them acquiring a virus that is already completely preventable by sliding a bit of latex over the end of your penis . . .?"

There is no vaccine for HIV

This post originally appeared on Bipolar Bear, and was written by Christopher Banks. Christopher Banks is a filmmaker, journalist and musician with experience of bipolar disorder. He has co-edited New Zealand's most popular magazine for HIV positive people, Collective Thinking, worked for the New Zealand AIDS Foundation and the Access To Medicines Coalition, a lobby group calling for wider and increasing funding for antiretrovirals. He writes five times a week for his blog Bipolar Bear (www.b

The once-a-day HIV Prevention Pill.

published: May, 13, 2012 Written by // Guest Authors - Revolving Door Categories // As Prevention , Sexual Health, Health, Treatment, Revolving Door, Guest Authors

PreP gets one step closer to reality. Truvada appears safe for HIV prevention, FDA says and may be approved for people at risk.

The once-a-day HIV Prevention Pill.

From The Associated Press via CTV News  WASHINGTON —  U.S. drug regulators on Tuesday affirmed landmark study results showing that a popular HIV-fighting pill can also help healthy people avoid contracting the virus that causes AIDS in the first place. While the pill appears safe and effective for prevention, scientists stressed that it only works when taken on a daily basis. The Food and Drug Administration will hold a meeting Thursday to discuss whether Truvada should be approved for p

Prevention and its discontents

published: March, 22, 2012 Written by // Michael Bouldin Categories // As Prevention , Gay Men, Health, Treatment, Living with HIV, Opinion Pieces, Population Specific , Sex and Sexuality , Michael Bouldin

Michael Boudin says “walking a red light can get you killed; it can also get you to a job interview on time.”

Prevention and its discontents

In November of 2010, The New York Times wrote, under the headline ‘An AIDS Advance, Hiding in the Open’, about what at first and even second glance appeared to be a major step forward in HIV prevention: Pre-Exposure Prophylaxis, or PrEP. In the war against AIDS, a new weapon has emerged. It wasn’t a secret weapon. It was a well-established treatment pill that has only now been shown to be effective as a prevention pill too. Which raises a question: What took so long? Last week, a cl

Understanding Risk: A Conversation

published: March, 20, 2012 Written by // Bob Leahy - Publisher Categories // As Prevention , Features and Interviews, Research, Sexual Health, Health, Treatment, Living with HIV, Opinion Pieces, Sex and Sexuality , Bob Leahy - Publisher

Editor Bob Leahy interviews CATIE’s James Wilton about the tricky topic of communicating risk in the age of undetectable viral load

Understanding Risk: A Conversation

Bob Leahy: James, you gave a presentation at the Gay Men’s Sexual Health Summit in Toronto last week on Understanding and Communicating Risk: Viral Load and HIV Transmission. That’s a topic that fascinates us here, and one we’ve been following on PositiveLite.com for some time. Clearly it’s important for people living with HIV to have the best possible understanding of this too.  With this in mind, thank you for agreeing to talk to PositiveLite.com and helping us understand more. I g

Not All Redemption Songs

published: March, 18, 2012 Written by // Guest Authors - Revolving Door Categories // Activism, As Prevention , Gay Men, Features and Interviews, Sexual Health, Health, Treatment, Living with HIV, Opinion Pieces, Population Specific , Sex and Sexuality , Revolving Door, Guest Authors

Activists Alex McClelland and Mikiki talk sex, irresponsibility and accountability.

Not All Redemption Songs

As part of the ongoing AIDS ACTION NOW! POSTER/virus project, which will continue with a new series of posters in 2012, Alex McClelland of AIDS ACTION NOW! and Mikiki, the artist (in collaboration with Scott Donald) behind the provocative:  “I Party, I Bareback, I’m Positive, I’m Responsible”  poster, sat down to chat about the HIV community’s response to the project, and examined together what being ‘responsible’ really means for people living with HIV 30 years into the epide

HIV prevention in Canada – a consumer's report card

published: January, 12, 2012 Written by // Bob Leahy - Publisher Categories // As Prevention , Health, Sexual Health, Treatment, Opinion Pieces, Sex and Sexuality , Bob Leahy - Publisher

There is a mixed bag of HIV prevention techniques being used across Canada, some clearly better than others. Bob Leahy with an opinionated look at what’s working and what’s not – and what to do about it.

HIV prevention in Canada – a consumer's report card

Today, I wanted to talk about HIV prevention in Canada, in all its infinite varieties  – how we do it and where, with a very personal view of what works and what doesn’t. As you've probably heard, Science magazine named HIV "treatment as prevention" the number one scientific breakthrough of the year. Time magazine named treatment as prevention its number three medical breakthrough of the year. Big news! For those who haven’t kept track of research, the Science citation referr

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