As Prevention

CATIE Forum 2013

published: April, 18, 2013 Categories // As Prevention , Conferences, CATIE, Health, CATIE - HIV and Hep C Info Resource, 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, Health, Sexual 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, Newly Diagnosed, Treatment Guidelines -including when to start, Health, CATIE - HIV and Hep C Info Resource, 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, Health, Sexual Health, CATIE - HIV and Hep C Info Resource, 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 , Health, Research, 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, Health, Research, CATIE - HIV and Hep C Info Resource, Sexual 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, Health, International , Sexual Health, Revolving Door, 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 , Health, Research, 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

Len Tooley on PrEP — Part Three

published: February, 27, 2013 Written by // John McCullagh - Publisher emeritus Categories // Activism, Gay Men, As Prevention , Mental Health, Features and Interviews, Health, Sexual Health, Treatment, Population Specific , Sex and Sexuality , John McCullagh

Len Tooley is an HIV-negative gay guy who is on pre-exposure prophylaxis. In this third of three interviews with PositiveLite.com, he responds to critics of negative guys who think PrEP is right for them.

Len Tooley on PrEP — Part Three

Len Tooley is a relatively young, HIV-negative gay guy who works in downtown Toronto as a gay men’s health promoter and an HIV educator, tester and counsellor. As a way of helping him stay HIV-negative, his family doctor prescribed him Truvada as pre-exposure prophylaxis (PrEP).  In the first part of his interview with me, which we published two weeks ago, Len talked about what motivated him to go on PrEP. Last week he discussed the conversations he had with his family doctor about PrE

Couples study in Uganda finds no HIV infections from partners on antiretroviral therapy

published: February, 23, 2013 Written by // Guest Authors - Revolving Door Categories // As Prevention , Research, Health, International , Revolving Door, Treatment, Guest Authors

Research as important as the Swiss Study and HPTN 052? Aidsmap.com reports on new evidence that treatment as prevention works exceedingly well, at least in heterosexual couples.

Couples study in Uganda finds no HIV infections from partners on antiretroviral therapy

A longitudinal cohort study of heterosexual couples in Uganda has found more evidence of the efficacy of antiretroviral therapy (ART) in curbing HIV infection within the community.  The study found 119 new HIV infections in 2334 couples over the course of the study, and 62 infections among the 254 couples that were initially or who became HIV serodiscordant. But it did not find a single example of transmission from a partner who was on antiretroviral therapy. It also found that the rate of

HIV increase in gay men caused by fall in condom use

published: February, 21, 2013 Categories // As Prevention , Gay Men, Research, Health, Sexual Health, International , Treatment, Living with HIV, Opinion Pieces, Population Specific

New writer, Scottish HIV expert Roy Kilpatrick says "the increase of HIV in gay men is caused by a fall in condom use. In the words of the Chief Scientist of the Springfield Institute , “DOH!”"

In a study published last week-end, the Health Protection Agency sets out their analysis of a well-documented epidemic.  Read it in full on Plos One or more briefly in the BBC news report. It answers a question many of us have been asking, “Why do HIV infections continue to rise in the face of high coverage of ART treatments and with a tripling of HIV testing?”  The study compares two periods of time, 1990-1997, and 1998-2010.  HIV infections rose by 50%. During the same period, condom

Len Tooley on PrEP — Part Two

published: February, 20, 2013 Written by // John McCullagh - Publisher emeritus Categories // Activism, Gay Men, As Prevention , Mental Health, Features and Interviews, Health, Sexual Health, Treatment, Population Specific , Sex and Sexuality , John McCullagh

Len Tooley, an HIV-negative guy on pre-exposure prophylaxis, works as a gay men’s health promoter, HIV educator, tester and counsellor. In this second of three interviews, he talks about conversations with his doctor about PrEP and about being on it.

Len Tooley on PrEP — Part Two

Len Tooley is a 31-year old, sexually active, HIV-negative gay guy who lives in downtown Toronto, where he works as a gay men's health promoter, HIV educator, tester and counsellor. As a way of helping him stay HIV-negative, his family doctor has prescribed him Truvada as a pre-exposure prophylaxis (PrEP).  In the first part of his interview with me, which we published last week, Len and I talked about what motivated his decision to go on PrEP. This week, he discusses the conversations h

Treatment on diagnosis may be needed, say researchers

published: February, 14, 2013 Written by // Guest Authors - Revolving Door Categories // As Prevention , Gay Men, Treatment Guidelines -including when to start, Research, Health, International , Treatment, Revolving Door, Living with HIV, Guest Authors, Population Specific

Aidsmap.com reports HIV incidence in gay men unchanged in England and Wales, despite more testing

Treatment on diagnosis may be needed, say researchers

This article by Gus Cairns first appeared on aidsmap.com here.   A paper in The Lancet Infectious Diseases by scientists from the UK’s Medical Research Council and the Health Protection Agency (HPA) has calculated that the number of gay men in England and Wales who become infected with HIV each year remained unchanged between 2001 and 2010. This is despite a considerable increase in testing and, they estimate, a 40% reduction in the proportion of gay men with HIV who are undiagnosed. The

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