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PrEP and the moralization of calamity

Americans have developed a cultural relationship to risk. We like to tell ourselves that we deserve the calamities that befall us.

Published
20 November 2014
From
Medium
Do HIV-Negative Gay Men Need Condoms if They're on PrEP? Here's What I Tell My Patients

Those of you who have read my blog know that I am on pre-exposure prophylaxis (PrEP) to reduce my risk for HIV infection. And more and more of my patients are also beginning to take Truvada (a pill combining the antiretroviral drugs tenofovir and emtricitabine) as PrEP to prevent HIV infection. And all of my patients are asking me what my recommendations are for condom use in light of the data on PrEP.

Published
17 November 2014
From
TheBody.com
Robert Bolan, MD: We Need to be Better PrEPared

By now, many of you may have seen the headlines or read news about what sounds like encouraging results, announced in late October, about two clinical trials of PrEP (pre-exposure prophylaxis) in gay and bisexual men. It's important, however, to not make assumptions based on the preliminary findings about the PROUD and IPERGAY studies.

Published
17 November 2014
From
Huffington Post
AIDS Group Wages Lonely Fight Against Pill to Prevent HIV

Michael Weinstein of the AIDS Healthcare Foundation shows up in lots of news articles about Truvada in part because he runs a large H.I.V.-care organization, and in part because he gives colorful quotes. But he also shows up because he and the foundation stand more or less alone within the world of H.I.V.-prevention groups in their skepticism about PrEP.

Published
17 November 2014
From
New York Times
Pre-Exposure Prophylaxis: Not the Latest Fad but a Drive for Change

In a recent BMJ Blog Dr Rupert Whitaker cast a critical eye on Pre-Exposure Prophylaxis (PrEP) for the prevention of HIV infection, questioning its role as a public health intervention. The piece is challenging and although it rightly emphasises the need for a carefully planned implementation, it contains a number of factual inaccuracies and conceptual misunderstandings that need to be addressed. PROUD pilot study interim analysis finds pre-exposure prophylaxis (PrEP) is highly protective against HIV Pre-Exposure Prophylaxis: The Great Confusion WHO recommends PrEP for MSM: Time for the UK to take note and act?

Published
14 November 2014
From
Incidence 0
As strategies to prevent HIV and unintended pregnancies evolve, concepts of “multi-purpose technologies” raise a familiar question . . .

What do women want? While two trials test vaginal rings to fight HIV, market research highlights respondents’ interests in different options.

Published
14 November 2014
From
Science Speaks
The Case for PrEP, or How I Learned to Stop Worrying and Love HIV-Positive Guys

Taking Truvada changed my life. No, really.

Published
12 November 2014
From
The Stranger
"On Demand" PrEP Reduces Risk of HIV Among Gay Men -- But What About Women?

On the heels of news that gay men had very high levels of protection from HIV infection through intermittent pre-exposure prophylaxis (PrEP) timed around sexual activity, a mathematical model predicts that most women would need to stick with a daily dose of Truvada (tenofovir/emtricitabine) to prevent HIV infection from vaginal sex.

Published
12 November 2014
From
The Body Pro
Time for the UK to get ready for PrEP

The results of the PROUD study will renew calls for the intervention to be made available in the UK. Further study is needed to confirm the wider acceptability of PrEP to the highest risk individuals and how it affects risk behaviour, but the UK health authorities should begin now to look into how best to deploy this intervention. The numbers show that a new approach to curbing the HIV epidemic in the UK's MSM is needed, the approach exists, and should be made available as soon as possible.

Published
10 November 2014
From
The Lancet HIV
Rupert Whitaker: A pill for risky sex—another step on the road to a pill for bad housing

The primary problem with PrEP is that, firstly, just as with HIV medications and condoms, it would not necessarily be delivered as part of adequate services in the clinic and, secondly, we don’t always use them properly, sometimes for very good reasons. In real life, physicians won’t always be compliant with guidelines that require PrEP to be prescribed as part of even a minimal programme of behavioural health, and this will increase the risk of problems that are already well evidenced with both PrEP and HIV treatment, such as non-adherence and disengagement from services.

Published
08 November 2014
From
BMJ Group Blogs
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