Treatment

Sharing responsibility for your treatment: you know it makes sense

published: February, 14, 2013 Categories // General Health, Health, Treatment, Living with HIV, Opinion Pieces

Dave R writes...many people take their daily HIV and other medications as prescribed plus vitamins and supplements in the belief that they’ve got it all covered. However, how much do we really understand about what goes into our system?

Sharing responsibility for your treatment: you know it makes sense

‘Knowledge is power only if man knows what facts not to bother with.’ Robert Staughton Lynd How much interest do you take in what you’re swallowing every day? Okay, wrong article: stop sniggering at the back of the class! No seriously, do we know exactly what’s in the medications and supplements that we take and do we know what they do to our body and exactly how they affect our health? Of course we don’t and nobody reasonably expects you to. However, we do tend to bury our heads,

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

Len Tooley on PrEP — Part One

published: February, 13, 2013 Written by // John McCullagh - Publisher emeritus Categories // Activism, Gay Men, As Prevention , Features and Interviews, Mental Health, Health, Sexual Health, Treatment, Population Specific , Sex and Sexuality , John McCullagh

Len Tooley is an HIV-negative gay guy on pre-exposure prophylaxis who works in Toronto as a gay men’s health promoter, HIV educator, tester and counsellor. In the first of three interviews about being on PrEP, he discusses his decision to go on it.

Len Tooley on PrEP — Part One

In July 2012, the U.S. Food and Drug Administration (FDA) approved the use of Truvada (a fixed dose combination in one tablet of emtricitabine and tenofovir) to reduce the risk of HIV infection in uninfected individuals who are at high risk of HIV infection and who may engage in sexual activity with HIV-infected partners. This use of an anti-HIV drug to prevent infection is known as pre-exposure prophylaxis (PrEP).  PrEP is considered by most observers to be a major breakthrough in

Treatment as prevention: Bob Leahy in conversation with James Wilton

published: February, 12, 2013 Written by // Bob Leahy - Publisher Categories // As Prevention , CATIE, Features and Interviews, Health, CATIE - HIV and Hep C Info Resource, Treatment, Living with HIV, Bob Leahy - Publisher

Treatment AS prevention or treatment AND prevention? Whatever the term we like to use, Bob Leahy asks the tough questions to CATIE’s James Wilton about what we know on whether it will work here – and if it’s good news for people living with HIV.

Treatment as prevention: Bob Leahy in conversation with James Wilton

Bob Leahy:  Thanks for talking to us. James, we're hearing a lot about treatment as prevention lately, particularly since HPTN052 and then the 2012 International AIDS Conference in Washington.  But for those who haven’t been following, can you give a quick outline of the science behind treatment as prevention and why it holds promise at the population level? James Wilton: We can think of treatment as prevention in two ways: as a prevention strategy for individuals and as a public health s

High infection rates in men who have previously used PEP

published: February, 10, 2013 Written by // Guest Authors - Revolving Door Categories // As Prevention , Health, Treatment, Revolving Door, Guest Authors

Aidsmap report suggests those using post-exposure prophylaxis (PEP) may be better off on Pre-Exposure Prophylaxis (PrEP)

High infection rates in men who have previously used PEP

This article fIrst appeared on aidsmap.com here.  A study from Amsterdam found that gay men who had used post-exposure prophylaxis (PEP) in the past were four times more likely than non-users to subsequently become infected with HIV. PEP failure does not appear to be the cause of their HIV infection, but rather ongoing risk behaviour following a course of PEP. Self-reported adherence to the PEP regimen was high, at 94%. The investigators compared HIV infection rates between 2000 and 2009 i

Your Mother Liked It Bareback

published: February, 06, 2013 Written by // Mark S. King - My Fabulous Disease Categories // Gay Men, As Prevention , Health, Sexual Health, Treatment, Living with HIV, Opinion Pieces, Population Specific , Sex and Sexuality , Mark S. King

Condomless sex for gay men is the topic. Mark S King with one of the most provocative and relevant pieces on the reality of what (some) gay men think, as opposed to what they are told, in a very long time.

Your Mother Liked It Bareback

Whenever a new study of gay men is released showing that we are having bareback sex, the arbiters of sexual conduct among us clutch their pearls and decry this shameful, shocking, murderous behavior. So you can just imagine runaway pearls showering the floor when a recent survey showed that nearly half the users of the gay phone app Grindr engage in unprotected sex.  I really wish that people would put down their smelling salts and try to understand the reasons why. Instead, every time some

Six-monthly CD4 cell monitoring 'unnecessary' for people doing well on HIV therapy

published: February, 05, 2013 Written by // Guest Authors - Revolving Door Categories // Research, Health, International , Treatment, Revolving Door, Living with HIV, Guest Authors, Opinion Pieces

How often do you see your doctor for CD4 blood work? This important study reported on the UK’s aidsmap.com suggests that some changes may be in order

Six-monthly CD4 cell monitoring 'unnecessary' for people doing well on HIV therapy

This story by Michael Carter was first published on aidsmap.com here. CD4 cell count monitoring more than once a year is unnecessary for people doing well on HIV therapy, investigators from the United States report in the online edition of Clinical Infectious Diseases. They found that there was a 99% probability over five years that people whose viral load was suppressed and who had a CD4 cell count above 300 cells/mm3 would maintain a CD4 level adequate to protect them from opportunistic inf

Treating my facial wasting with Artefill

published: February, 04, 2013 Written by // Mark S. King - My Fabulous Disease Categories // Health, Treatment, Living with HIV, Mark S. King

Ouch! Mark S King goes under the needle on video to demonstrate how a product called Artefil is used to treat lipoatrophy or facial wasting.

Treating my facial wasting with Artefill

For several years now, I’ve made the occasional pilgrimage to Vero Beach, Florida, to be treated by Dr. Gerald Pierone for facial wasting, or lipoatrophy. And for all of these years, we have battled The Look: the sunken cheeks and sagging face of someone who has been on HIV medications for a long time. In my latest video blog below, you’re going to see our progress, step by step.  It was all well and good to be front-and-centre as an HIV-positive man during the first years of the AIDS cr

Undetectable viral load is as effective as condoms

published: February, 01, 2013 Written by // Guest Authors - Revolving Door Categories // As Prevention , Health, International , Revolving Door, Treatment, Living with HIV, Guest Authors

Aidsmap reports UK experts announce successful treatment is "as effective as consistent condom use" in reducing HIV transmission

Undetectable viral load is as effective as condoms

(PositiveLite.com Editor's Note: I can’t underestimate the significance of this announcement. The UK doctors are saying, with some important cautions, EXACTLY what we published here over two years ago in Mark S King's conversation with Sean Strub "Five thIngs They Are Not Telling You about HIV". The implications of this announcement for all people living with HIV, for public health and for the  Canadian prevention community are significant. ) Aidsmap reports UK experts announce successful

Mirror, mirror . .

published: January, 28, 2013 Written by // Michael Yoder Categories // Health, Treatment, Living with HIV, Michael Yoder

Michael Yoder with a powerful post on the impact of lipoatrophy, aka facial wasting, on one’s psyche.

Mirror, mirror . .

“Inner beauty is important: but not nearly as important as outer beauty.”  Ellen Degeneres, Cosmetic Commercial I recently had a Facebook discussion with a man who has started dating a positive guy. Brave in some ways, given the way we are generally shunned by those who are not poz, but he had issues. The man he’s getting to know has lipoatrophy, facial wasting from meds. He wasn’t sure about introducing his friend to his family, concerned about their reaction.  I was one of the m

Remaining in HIV care: Improvements in North America but much still needs to be done

published: January, 18, 2013 Written by // CATIE - HIV and Hep C Info Resource Categories // CATIE, Research, Health, CATIE - HIV and Hep C Info Resource, Treatment, Living with HIV

CATIE explores the need for HIV-positive people to receive regular care once they are diagnosed – and how we are doing in that regard

Remaining in HIV care: Improvements in North America but much still needs to be done

This article by CATIE’s Sean Hosein first appeared on the CATIE website here. Une version française est disponible ici. Potent combination anti-HIV therapy (commonly called ART or HAART) has greatly reduced deaths from AIDS-related infections in Canada and other high-income countries. The improvements in health brought about by ART are likely to lead to several decades of increased survival for a young HIV-positive person who starts therapy today and who remains engaged in his/her care a

Cruising on drug money

published: January, 17, 2013 Written by // Bob Leahy - Publisher Categories // Health, Treatment, Living with HIV, Bob Leahy - Publisher

Bob Leahy is away on vacation. Before he left, he recounted the tale of how years of taking expensive HIV drugs, some of them paid for out of his pocket, finally paid off with a Caribbean cruise

Cruising on drug money

By the time you read this post, I will be far, far away, on vacation. How I got there involves a convoluted tale about HIV drugs and how some of us pay for them – so bear with me. A well-meaning AIDS Bureau official once told me nobody has to pay for their HIV drugs in the Province of Ontario. He was, of course, quite wrong. He seemed shocked when I told him I had been subsidizing mine to the tune of over $400 a month for years, representing the shortfall my private insurance failed to c

The Private War That Killed Spencer Cox

published: January, 08, 2013 Written by // Mark S. King - My Fabulous Disease Categories // Activism, Gay Men, Health, International , Lifestyle, Treatment, Living with HIV, Population Specific , Mark S. King

Mark S King on the death of a leading American activist from “AIDS related causes”, a story which weaves activism, mental health, crystal meth addiction and finally treatment failure in to one compelling – and important – tale of our times

The Private War That Killed Spencer Cox

“My most courageous self, the best man that I’ll ever be, lived more than two decades ago during the first years of a horrific plague… I miss the man I was forced to become.”  – “Once, When We Were Heroes,” 2007 AIDS did not kill Spencer Cox in the first, bloodiest battles of the 1980’s. It spared him that. The reprieve allowed Spencer’s brilliance as co-founder of the Treatment Action Group (TAG) to forge new FDA guidelines for drug approval and help make effective HIV m

The Legacy Project

published: January, 07, 2013 Written by // CATIE - HIV and Hep C Info Resource Categories // Activism, General Health, Health, CATIE - HIV and Hep C Info Resource, Treatment, Living with HIV

Building Support through a Mentoring Network: Committee for Accessible AIDS Treatment (CAAT)’s Legacy Project Connects PHAs to Build Capacity and Community

The Legacy Project

This article first appeared on the CATIE website here. Une version française est disponible ici.  Many AIDS service organizations (ASOs) in Canada are committed to the greater and more meaningful involvement of people living with HIV (GIPA and MIPA) and the empowerment of people living with HIV. One manifestation of this commitment is the proliferation of “capacity building” and “leadership” programs for people living with HIV. While such programs play a critical role in building

Moving research on new “biomedical” HIV prevention technologies into practice

published: December, 28, 2012 Written by // Guest Authors - Revolving Door Categories // As Prevention , CATIE, Health, Sexual Health, Revolving Door, Treatment, Guest Authors, Opinion Pieces

Guest writer CATIE’s James Wilton explores the challenges and opportunities in moving research around new HIV prevention technologies like treatment as prevention into practice

Moving research on new “biomedical” HIV prevention technologies into practice

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  Moving research on new “biomedical” HIV prevention technologies into practice By James Wilton Recent research findings have improved our understanding of HIV transmission and prevention and could change the landscape of our response to the HIV epidemic. In the past few years, several new HIV prevention approaches, such as post-exposure

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