As Prevention

"Undetectable": safe or not?

published: August, 26, 2013 Categories // As Prevention , Health, Sexual Health, Treatment, Living with HIV, Opinion Pieces

Dave R says positive people on effective treatment with an undetectable viral load still don’t know for sure if they can or can’t pass on the virus to their partners, but UK developments suggest that official conclusions may already have been reached.

Recently, the idea that people on HIV medication who are also undetectable* might also be non-infectious to others has naturally got everybody in that situation very excited. There is, however, still no definitive proof, particularly for gay men, and although we’re assured that proof either way is being worked on, it’s going to be some time before that news emerges from behind the locked doors of the research labs. *where your viral load is measured at less than 40-50 copies of HIV in e

Where on the treatment cascade do new infections come from?

published: August, 10, 2013 Written by // Guest Authors - Revolving Door Categories // As Prevention , Gay Men, Newly Diagnosed, Health, Research, Sexual Health, Treatment, Revolving Door, Living with HIV, Guest Authors

People with HIV outside continuous care contribute disproportionately to viral load and infection potential, Canadian study finds, as reported in aidsmap.

Where on the treatment cascade do new infections come from?

This article by Gus Cairns first appeared on aidsmap.com here.  A study from Calgary in Canada has found that people who were in continuous care for a year, although representing nearly 80% of all people with diagnosed HIV, contributed less than 30% of the total viral load within the diagnosed HIV-positive community. It found that while people who were newly diagnosed accounted for 37.5% of the total viral load, the other 33% was accounted for by a mix of people arriving from other areas, r

Tackling the MSM epidemic

published: August, 03, 2013 Categories // Gay Men, As Prevention , Treatment Guidelines -including when to start, Health, Research, International , Sexual Health, Revolving Door, Treatment, Living with HIV, Guest Authors, Population Specific

Aidsmap reports strategies to detect and treat MSM with acute infection may be a powerful tool to control HIV epidemics. Immediate HIV treatment is associated with rapid falls in viral load and sustained behaviour change, research shows.

Tackling the MSM epidemic

This article by Roger Pebody first appeared on aidsmap.com here. The detection and control of acute (very recent) HIV infection may be a powerful HIV prevention measure in HIV epidemics in men who have sex with men (MSM), Eugène Kroon of the Thai Red Cross AIDS Research Center told a late breaker session at the 7th International AIDS Society Conference on HIV Pathogenesis, Treatment and Prevention in Kuala Lumpur this week. An HIV testing programme in Bangkok, Thailand, was able to identif

A new role for treatment as prevention?

published: July, 24, 2013 Written by // CATIE - HIV and Hep C Info Resource Categories // Hep B and C, As Prevention , Health, CATIE - HIV and Hep C Info Resource, Treatment

Not just for HIV. CATIE on limiting the spread of hepatitis C virus with treatment as prevention (TasP)

A new role for treatment as prevention?

This article previously appeared on the CATIE website here. Une version française est disponible ici.   The idea of Treatment as Prevention, or TasP, has been proposed and is being implemented in some regions as one tool to help control the spread of HIV. An initial part of TasP is offering HIV testing and counselling to help educate people about ways to protect themselves and others from HIV. After counselling, those who test positive can be referred to a healthcare provider so that opt

Does being on HIV treatment lead to more “risky" behaviour?

published: July, 21, 2013 Written by // Guest Authors - Revolving Door Categories // As Prevention , Health, International , Sexual Health, Treatment, Revolving Door, Living with HIV, Guest Authors, Sex and Sexuality

Aidsmap reports no increase in risk behaviour in people taking antiretroviral therapy, research shows

Does being on HIV treatment lead to more “risky

This article by Roger Pebody first appeared on aidsmap.com here.   One of the anxieties in relation to ‘treatment as prevention’ is that it may discourage people with HIV from using condoms and other prevention methods. However, a meta-analysis has found no increase in risk taking in people who are taking antiretroviral treatment, compared to other people with HIV. In fact, people on treatment had less unprotected sex and fewer sexually transmitted infections. The study by Joseph Doyle

Gay men involved in HIV: Their concerns and hopes about PrEP (Part two)

published: July, 10, 2013 Categories // As Prevention , Gay Men, Health, Sexual Health, Treatment, Opinion Pieces, Population Specific

In the second part of this series Marc-André LeBlanc asks what do gay men involved in HIV-related work think about PrEP? Can they ever imagine using PrEP? What is their greatest concern about PrEP? Their greatest hope?

Gay men involved in HIV: Their concerns and hopes about PrEP (Part two)

In my previous article, I focussed on whether gay men involved in HIV could ever imagine using PrEP. In this article, I focus on their concerns and hopes for PrEP. This article presents gay men’s opinions about PrEP. It does not claim to present facts about PrEP. As such, factual errors might be included in the opinions expressed, so check out the resources listed at the end of the article for more information about PrEP.  I approached HIV-positive and HIV-negative gay men involved in HIV-

When to start treatment

published: July, 07, 2013 Categories // As Prevention , Treatment Guidelines -including when to start, Health, International , Revolving Door, Treatment, Living with HIV, Guest Authors

World Health Organization issues new recommendations calling for earlier ARV initiation. Threshold for starting treatment raised to CD4 count of 500, earlier for some, to reduce new infections and help people with HIV to live longer, healthier lives.

When to start treatment

This article by Lesley Odendal was first published on aidsmap.com here. New HIV treatment guidelines by the World Health Organization (WHO) launched June 30 at the 7th International AIDS Society conference on HIV Pathogenesis, Treatment and Prevention (IAS 2013) in Kuala Lumpur, recommend offering antiretroviral therapy to all HIV-positive people at CD4 counts below 500 cells/mm3. According to the WHO, initiation of antiretroviral therapy at a CD4 count below 500 could avert an additional 3

Can gay men involved in HIV work ever imagine using PrEP? (Part one)

published: July, 03, 2013 Categories // As Prevention , Gay Men, Health, Sexual Health, Treatment, Opinion Pieces, Population Specific

Marc-André LeBlanc finds out from 30 gay men engaged in HIV-related work their thoughts about the prospect of using Pre-exposure prophylaxsis (PrEP.) and what are their greatest hopes and fears around its use.

Can gay men involved in HIV work ever imagine using PrEP?  (Part one)

In this article, I focus on whether gay men involved in HIV could ever imagine using PrEP. In my next article, I will focus on their concerns and hopes for PrEP. This article presents gay men’s opinions about PrEP. It does not claim to present facts about PrEP. As such, factual errors might be included in the opinions expressed, so check out the resources listed at the end of the article for more information about PrEP. What do gay men involved in HIV-related work think about PrEP? Can they

Why disclosure and condoms have no utility in modern HIV prevention

published: July, 02, 2013 Categories // As Prevention , Gay Men, Health, Sexual Health, Treatment, Living with HIV, Opinion Pieces, Population Specific

Josh Kruger says condom-based HIV prevention just isn’t working for gay men anymore and says the future lies in treatment and prevention.

Despite traditional prevention efforts, HIV infections in the gay male population are rising dramatically. According to the CDC, new HIV infections increased in the MSM population by 12% from 2008 to 2010 with young men under 25 experiencing a dramatic 22% increase in rate of infection. Basically, this means that young gay men are no longer affected by decades-old HIV prevention efforts, particularly condom-based campaigns. Tiresome narratives of the sexiness of condoms, a fantasy akin to the

Beast of burden

published: July, 01, 2013 Written by // Michael Yoder Categories // As Prevention , Health, Treatment, Living with HIV, Opinion Pieces, Michael Yoder

Michael Yoder asks is treatment as prevention the latest thing, a flash in the pan, which targets people living with HIV rather than stupidity?

Beast of burden

“In the long run, we shape our lives, and we shape ourselves. The process never ends until we die. And the choices we make are ultimately our own responsibility.”  Eleanor Roosevelt  “Two things are infinite: the universe and human stupidity; and I'm not certain about the former.” Albert Einstein  To begin it, I want to be really clear that I’m not an expert in treatments for HIV or in treatment as prevention. These are just my own thoughts about the concept of treatment as pr

From treatment cascade to treatment two-step

published: June, 20, 2013 Categories // As Prevention , Treatment Guidelines -including when to start, Health, Treatment, Living with HIV, Opinion Pieces

Ken Monteith comments on the testing and treatment continuum,the currently hot Treatment Cascade - and likes some, but not all, of what he hears.

From treatment cascade to treatment two-step

By now, you may have heard a lot about the HIV Treatment Cascade. If you haven’t, and you want to read about it from a source other than me, you can consult a couple of excellent articles right here on PositiveLite.com: one by aidsmap.com's Gus Cairns and another by CATIE's James Wilton and Logan Broeckaert. My own interpretation of the ideal outcome, the goal for which to shoot, is somewhat different.  1 Starting point: HIV-infected individuals  The whole thing starts with

On continuing or discontinuing HIV treatment

published: June, 17, 2013 Categories // African, Caribbean and Black, As Prevention , Health, Treatment, Opinion Pieces, Population Specific

Josh Kruger on the decisions we face about whether to take HIV meds – and why he’s questioning his own choices.

For the better part of a year, I have been writing advocating for those living with HIV to immediately get on medication. After all, in 2013, antiretroviral treatment means little more than taking one pill once a day that, by and large, gives the consumer little to no side effects. And, by taking that pill, he ensures that he suffers none of the silent symptoms of untreated HIV infection, including low-grade inflammation and potential nesting of HIV in his brain or spine leading to AIDS-relate

Catching it early

published: June, 15, 2013 Written by // Guest Authors - Revolving Door Categories // As Prevention , Health, Sexual Health, Revolving Door, Treatment, Guest Authors

“Can very early HIV treatment "cure" some people of their Infection?” asks The Body.com

Catching it early

This article By Myles Helfand first appeared on TheBody.com here.   Once you're diagnosed with HIV, you're HIV positive for life. ... Right? For about as long as we've been aware that HIV exists, that has been the reality. But in just the last few months, we've seen new signs that it may be possible -- really, truly possible -- to defang HIV in a person who's living with the virus. There's a big "but," however: For this to work, the person may need to be diagnosed -- and then start takin

This PrEP-ed life

published: May, 25, 2013 Written by // Guest Authors - Revolving Door Categories // As Prevention , Gay Men, Features and Interviews, Health, International , Revolving Door, Treatment, Guest Authors, Population Specific

From TheBody.com comes an interview with PrEP-er Damon Jacobs on sex and dating in a new era of HIV prevention

This PrEP-ed life

This article by Mathew Rodriguez first appeared on TheBody.com here.   As a licensed therapist working with people living with HIV, Damon Jacobs heard about pre-exposure prophylaxis (PrEP) as an HIV prevention strategy. When he found himself newly single after being out of the dating game for almost a decade, he re-entered a dating pool that was not at all condom-friendly. To deal with this, and to finally come to terms with his distaste for condoms, Damon began taking PrEP in July

Another voice for treatment as prevention

published: May, 20, 2013 Written by // Bob Leahy - Publisher Categories // As Prevention , Health, International , Treatment, Opinion Pieces

South Africa’s Brian Williams says there is no other way to end the epidemic.

Another voice for treatment as prevention

At last month’s International Treatment and Prevention Workshop  in Vancouver which I wrote about here, Dr. Brian Williams from South Africa particularly impressed. Williams is a distinguished researcher and advocate for  people living with HIV, and currently heads the South African Centre for Epidemiological Modelling and Analysis (SACEMA)/ Says Williams in the interview you can watch below “treatment as prevention is absolutely essential if we are to have any hope of getting an AIDS-

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