As Prevention

The community speaks on Treatment as Prevention

published: March, 02, 2014 Written by // Bob Leahy - Publisher Categories // Activism, As Prevention , Research, Health, Sexual Health, International , Treatment, Living with HIV, Opinion Pieces, Bob Leahy - Publisher

This important statement on the use of antiretroviral therapy to reduce the rate of transmission for people with HIV has come from aidsmap and the European AIDs Treatment Group. They are seeking your support. PositiveLite.com has signed on. Will you?

The community speaks on Treatment as Prevention

"This isn't a simple thing, which is why it took a year to get together (and is still not perfect). It came out of a conviction that disagreement within the communities (both of PLHA, and of medics/researchers/programmers) about how to use of Treatment as Prevention was harmful, and we needed some basic principles most people could sign up to that, without being bland, would be balanced, and have at their base one axiom: the right to patient choice, freedom, dignity and agency. Gus Cairns, ai

Does it work? A summary of the current evidence on the efficacy of treatment as prevention

published: March, 02, 2014 Written by // Bob Leahy - Publisher Categories // Activism, As Prevention , Research, Health, International , Sexual Health, Treatment, Living with HIV, Bob Leahy - Publisher

How much do we know? This is an article designed to inform the debate on Treatment as Prevention. Read it in conjunction with “The community speaks on Treatment as Prevention.”

Does it work? A summary of the current evidence on the efficacy of treatment as prevention

From aidsmap.com/Europen AIDS Treatment Group. This article looks at the evidence for the biological and cohort‐level efficacy of treatment as prevention: it does not look at the effectiveness of different ways of using ART as part of a co‐ordinated HIV prevention strategy.  Transmission via vaginal sex. A number of observational studies had already established that transmission of HIV from people on suppressive ART appeared to be a rare event.In 2011, the HPTN052 study looked at HIV

How infectious are you with an undetectable viral load?

published: March, 01, 2014 Written by // Guest Authors - Revolving Door Categories // As Prevention , Research, Health, Revolving Door, Treatment, Guest Authors, Opinion Pieces

From TheBody.com, two experts debate “Should HIV-serodiscordant couples always take preventive measures?

How infectious are you with an undetectable viral load?

This article by Myles Helfand previously appeared in TheBodyPRO.com here. You're in a long-term, committed, monogamous relationship with a loving partner. You are not HIV infected, but your partner is. However, your partner is on stable antiretroviral therapy and has had a fully suppressed HIV viral load for several months.  Should the two of you still take measures (condoms, pre-exposure prophylaxis [PrEP], etc.) to reduce the risk of HIV transmission? Or is unprotected sex "safe enough"?

CBC radio asks the question: Is PrEP a game changer in the fight against HIV?

published: February, 21, 2014 Written by // John McCullagh - Publisher emeritus Categories // As Prevention , Gay Men, Features and Interviews, Health, Sexual Health, Treatment, Population Specific , Sex and Sexuality , John McCullagh

Is PrEP a game changer in the fight against HIV? To find out, CBC radio interviews a Canadian physician & researcher and a Toronto guy on PrEP.

CBC radio asks the question: Is PrEP a game changer in the fight against HIV?

Earlier this month, dailyxtra.com, the online version of Xtra!, Canada’s national gay and lesbian newspaper, posted a four part video series on PrEP, while the printed version of the paper had as it’s cover story Canadians already on PrEP while drug sits in regulatory limbo. We reposted the videos on our site. The links to those videos are in the Related Articles section below.  Yesterday, CBC radio’s flagship current affairs program The Current  did their own feature on PrEP, with a

Four days of PrEP Part Four

published: February, 14, 2014 Written by // Guest Authors - Revolving Door Categories // Dating, Gay Men, As Prevention , Health, Sexual Health, Revolving Door, Lifestyle, Treatment, Guest Authors, Opinion Pieces, Population Specific

Why aren't gay men taking the HIV prevention drug? The final episode of Xtra’s four-part video series on PrEP

Four days of PrEP Part Four

For Daily Xtra’s full story by Marcus McCann go here. Despite promising early study results, gay men aren't rushing to take the HIV prevention drug, Pre-Exposure Prophylaxis (PrEP). In the final installment of Daily Xtra's 4-part video series we look at what is behind the slow uptake for a drug that some say could rid the world of HIV/AIDS.

Four days of PrEP. Part Two

published: February, 12, 2014 Written by // Guest Authors - Revolving Door Categories // Dating, Gay Men, As Prevention , Health, Sexual Health, Revolving Door, Lifestyle, Treatment, Guest Authors, Opinion Pieces, Population Specific

A condom-free future? Part Two of Xtra’s four-part video series on PrEP

Four days of PrEP. Part Two

For Daily Xtra’s full story by Marcus McCann go here.  In the second part of Daily Xtra's four-part series on Pre-Exposure Prophylaxis (PrEP) we look at the failure of condoms in stopping the spread of HIV. Can PrEP fill the gap or will it lead to more problems? We speak with HIV/AIDS prevention workers and world-renowned researcher Dr. Robert Grant.    

Four days of PrEP. Part One

published: February, 11, 2014 Written by // Guest Authors - Revolving Door Categories // As Prevention , Gay Men, Health, Sexual Health, Revolving Door, Treatment, Guest Authors, Opinion Pieces, Population Specific

Can a pill a day keep HIV away? Part One of Xtra’s four-part video series on PrEP

Four days of PrEP. Part One

For Daily Xtra’s full story by Marcus McCann go here. In part one of Daily Xtra's four part series on PrEP (Pre-Exposure Prophylaxis) we find out how these drugs can help prevent the transmission of HIV and what this might mean in the fight against HIV/AIDS. We speak with HIV/AIDS prevention workers, researcher Dr. Robert Grant and porn star Michael Lucas.

Staying connected?

published: February, 08, 2014 Written by // Guest Authors - Revolving Door Categories // As Prevention , Health, Research, Revolving Door, Treatment, Living with HIV, Guest Authors

Significant attrition at each step of the HIV care 'cascade' in British Columbia: only 35% of HIV-positive people in British Columbia have an undetectable viral load, aidsmap report

Staying connected?

This article by Michael Carter first appeared in aidsmap.com here.  Patients are being lost at each stage of the HIV care ‘cascade’ in British Columbia, Canada. Investigators from the STOP HIV/AIDS Study group examined data from 1996 to 2011 and estimated the proportion of people engaged with HIV care at each stage of the care continuum, from diagnosis through to viral suppression. Their findings, published in The Lancet Infectious Diseases, show that engagement with care improved steadi

The sound and fury of the PrEP debate (and the facts to win it)

published: February, 03, 2014 Written by // Mark S. King - My Fabulous Disease Categories // As Prevention , Health, International , Sexual Health, Treatment, Opinion Pieces, Mark S. King

Mark S King in a powerful piece which tears apart the objections to PrEP and says why its potentially a more powerful prevention tool than condoms ever were

The sound and fury of the PrEP debate (and the facts to win it)

“We don’t know the side effects of this drug. It’s too expensive. Insurance won’t cover it. It hasn’t been studied enough. It will encourage slutty behavior. And why the hell don’t people just use condoms?”   – Objections raised to the oral contraceptive progesterone (“The Pill”), approved by the FDA 54 years ago. When the drug Truvada achieved FDA approval in July of 2012 as a medication to prevent HIV infection among people who are negative (a strategy known as pre-e

How treatment as prevention is impacting people newly diagnosed with HIV

published: January, 26, 2014 Written by // Guest Authors - Revolving Door Categories // As Prevention , Gay Men, Newly Diagnosed, Health, International , Treatment, Revolving Door, Living with HIV, Guest Authors, Population Specific

San Francisco program pushes immediate HIV treatment, reports the San Francisco Chronicle’s SFGate

How treatment as prevention is impacting people newly diagnosed with HIV

The full article by Erin Allday previously appeared on SFGate here.   A San Francisco program to get people newly diagnosed with HIV infection immediately into treatment - as in, taking antiretroviral drugs the same day they test positive - hadn't even officially begun when Dr. Hiroyu Hatano got her first patient in July.  The patient had been tested at a city clinic and same-day results revealed he had an acute infection, likely acquired within the past few weeks. Most worrisome was that

There Is a daily pill that prevents HIV. Gay men should take it.

published: January, 12, 2014 Written by // Guest Authors - Revolving Door Categories // Gay Men, As Prevention , Health, Revolving Door, Treatment, Guest Authors, Opinion Pieces, Population Specific

PrEP news. Why haven’t negative gay men been interested in using PrEP? This article blames AIDS activists

There Is a daily pill that prevents HIV. Gay men should take it.

This article by Mark Joseph Stern first appeared in its entirety on The Slate here.  Last Monday, the New York Times ran an excellent piece exploring the curious controversy over Truvada, a daily pill that provides almost absolute protection against HIV infection. By far the most effective PreEP (that is, pre-exposure prophylaxis), Truvada has virtually no side effects and, if taken daily, it is more than 99 percent effective at preventing HIV—and it’s covered by most insurance companies

2014: the year we make progress

published: January, 08, 2014 Categories // As Prevention , Health, Research, International , Treatment, Opinion Pieces

The intrepid Marc-André LeBlanc with three HIV-related things he doesn’t want to see anymore in 2014, and three things he desperately wants to happen in 2014 on the national scene

2014: the year we make progress

Even those of us who were busy with last minute shopping were very pleasantly surprised at the early Christmas gift that came to us on December 20. The Supreme Court of Canada struck down key provisions of the Criminal code that made sex work more dangerous and made it more difficult for sex workers to reduce their risk of HIV and other STIs. Congratulations to the sex workers and their allies who made this possible!  It made me hopeful that we would start 2014 on the right foot. In that spi

A resisted pill to prevent HIV

published: January, 05, 2014 Written by // Guest Authors - Revolving Door Categories // Gay Men, As Prevention , Health, Revolving Door, Treatment, Guest Authors, Media, Opinion Pieces, Population Specific

This article by The New York Times’ David Tuller looks at why the uptake of PrEP by U.S. gay men is not as widespread as might be expected – or hoped for

A resisted pill to prevent HIV

This article originally appeared in full in a recent edition of The New York Times here.  SAN FRANCISCO — Over a cup of tea at a downtown Starbucks, Michael Rubio recalled how four friends became H.I.V. positive through unprotected sex, all within a year. The news shocked Mr. Rubio, a 28-year-old gay man, into trying a controversial new form of H.I.V. prevention: a daily pill that studies show is highly effective in protecting people from infection. “With my inner circle so affected in

Top 10 HIV and Hep C research news from 2013

published: January, 04, 2014 Written by // CATIE - HIV and Hep C Info Resource Categories // As Prevention , CATIE, Health, Research, CATIE - HIV and Hep C Info Resource, Treatment, Living with HIV, Opinion Pieces

CATIE asks what were the most notable HIV and hepatitis C research stories from 2013? They’ve listed the top 10 stories from CATIE News below

Top 10 HIV and Hep C research news from 2013

This article previously appeared on the CATIE website here. Une version française est disponible ici. 1. New evidence-based approaches to HIV and hepatitis C From national guidelines for HIV testing to best practice recommendations for harm reduction programs, 2013 was a good year for evidence-based approaches to HIV and hepatitis C. The Public Health Agency of Canada’s new HIV testing guide included recommendations to promote HIV testing during routine medical care. Quebec’s Ministr

The treatment cascade explained – and why it’s an important thing to know about

published: December, 17, 2013 Written by // Bob Leahy - Publisher Categories // As Prevention , Health, International , Treatment, Bob Leahy - Publisher

Bob Leahy with a quick assist for those still struggling with the concept of this year’s newest and already most well worn phrase, the :HIV treatment cascade.

The treatment cascade explained – and why it’s an important thing  to know about

Treatment Cascade 101 If 2013 was the year that treatment as prevention finally came of age,  if not universally accepted (mores’ the pity, we say), the buzz-phrase of year was undoubtedly “treatment cascade”. To be honest we don’t know who coined it or visualized it as the now familiar series of downward-leading steps. Be that as it may, there’s no denying that it’s a handy-dandy way of illustrating where we are now collectively in the testing to treatment continuum and, by exte

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