Infectiousness and treatment as prevention

Infectiousness and treatment as prevention features

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  Treatment as prevention: Experts in the UK agree it works

  Roger Pebody summarises the statement released in January that should now guide how our doctors talk to us about treatment as prevention. ...

  From:  HIV treatment update

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  "How are we going to have a baby? I’m positive and you’re not"

  Joanna Moss of the African Health Policy Network (AHPN) looks at conception and fertility guidelines and services for people living with HIV in the UK. ...

  From:  HIV treatment update

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  Changing the way HIV prevention is delivered – a roadmap

  In the last few years there has been a wealth of dramatic data on the efficacy of new HIV prevention methods, including male circumcision, pre-exposure prophylaxis and...

  From:  News

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  Treatment is prevention!

  Results from a trial showing that antiretroviral treatment prevents HIV from being passed onto uninfected partners received a standing ovation today at the Sixth International...

  From:  HIV & AIDS treatment in practice

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  Where next for HIV prevention?

  Gus Cairns finds that UK HIV prevention campaigners and researchers are all in agreement that something has to change. They’re not so certain about where we go...

  From:  HIV treatment update

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  Treatment is prevention: now, how do we make it work?

  A large international study using antiretroviral drugs (ARVs) as a prevention method has closed four years early because it has found that giving ARVs to HIV-positive people...

  From:  HIV treatment update

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  Treatment as prevention works!

  A large randomised study of treatment as prevention has closed more than three years early after interim analysis of the data showed that antiretroviral treatment reduced the...

  From:  HIV & AIDS treatment in practice

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  What do treatment as prevention study results mean for treatment?

  The findings of HPTN 052, the randomised study that recently demonstrated that providing early antiretroviral therapy (ART) to HIV positive individuals reduced transmission of the virus to their...

  From:  HIV & AIDS treatment in practice

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  Safer sex in the treatment era

  There is mounting evidence that reducing viral load through HIV treatment may be one of the most effective ways of stopping onward transmission of HIV. But how...

  From:  HIV treatment update

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  Do HIV drugs really mean you aren’t infectious?

  Gus Cairns looks at new research on this controversial subject. ...

  From:  HIV treatment update

Infectiousness and treatment as prevention in your own words

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  Bored and horny

  It’s Sunday afternoon and it’s raining. I’m bored and horny. However, I’ve got £20 left over from the night before and this will be enough...

  From: In your own words

Infectiousness and treatment as prevention news from aidsmap

• People more likely to keep HIV clinic appointments if they believe their care providers know them as a person

  People who believe their care providers know them as a person are more likely to keep their HIV clinic appointments, research conducted in the United States and published in the online edition of the Journal of Acquired Immune Deficiency Syndromes ...

  13 May 2013 | Michael Carter

• Herpes viruses associated with shedding of HIV in the semen of gay men taking suppressive antiretroviral therapy

  Low level HIV replication in semen persists in almost 10% of gay men taking antiretroviral therapy, investigators from the United States report in the online edition of Clinical Infectious Diseases. A low-level viral load in the blood and shedding ...

  09 May 2013 | Michael Carter

• A majority of HIV-positive gay men in Dutch survey take their viral load into consideration if having unprotected sex

  About 40% of men who answered a community survey for HIV-positive gay men in the Netherlands said they took their viral load into consideration in deciding whether or not use condoms. This represents about two-thirds of those who actually ...

  29 April 2013 | Gus Cairns

• Treating everyone diagnosed would not end HIV in US gay men, Los Angeles-based model finds

  Increasing HIV testing frequency, and giving everyone antiretroviral therapy (ART), would not in themselves reduce HIV prevalence in US gay men, a mathematical model suggests. These measures would produce, in the model’s baseline scenario, a 34% reduction in the cumulative ...

  11 April 2013 | Gus Cairns

• Viral load in genital secretions differs between men and women undergoing HIV therapy

  The female genital tract appears to be a 'reservoir' for ongoing HIV replication, even during effective antiretroviral therapy, an international team of investigators report in Clinical Infectious Diseases. “The female genital tract may serve as a reservoir of ...

  11 April 2013 | Michael Carter

• Disagreements about agreements – many gay couples lack clarity on sex outside their relationship

  The majority of American gay men in relationships say they establish a ‘sexual agreement’ with their partner, both to minimise HIV risks and to maintain the quality of their relationship, according to research published online ahead of print by ...

  05 April 2013 | Roger Pebody

• Are we underestimating the proportion of virally-suppressed patients in the US?

  Several presentations at the recent 20th Conference on Retroviruses and Opportunistic Infections in Atlanta suggest that previous estimates of the proportion of people with HIV in the USA who are on antiretroviral therapy (ART) and with an undetectable viral ...

  15 March 2013 | Gus Cairns

• Variations in genital shedding of HIV during menstrual cycle large enough to impact on risk of sexual transmission

  Genital shedding of HIV varies considerably during the menstrual cycle, investigators report in the online edition of the Journal of Infectious Diseases. The difference between peak and nadir shedding was approximately 0.74 log10, which the investigators believe would translate into a ...

  25 February 2013 | Michael Carter

• 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 ...

  18 February 2013 | Gus Cairns

• Was higher viral load responsible for the African HIV epidemic?

  Researchers from Cornell University in New York have found that the average HIV viral load of people not taking antiretroviral medication (ART) in Africa, and especially in southern and eastern Africa, is higher than the viral loads of untreated ...

  12 February 2013 | Gus Cairns

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Infectiousness and treatment as prevention news selected from other sources

• HIV organisations silent on safe-sex discord

  Both the NZ AIDS Foundation and Body Positive are remaining tight-lipped regarding the cover story of the most recent issue of HIV NZ which questions the NZAF's safe-sex promotion strategy.

  16 May 2013 | Gay NZ

• Terrence Higgins Trust unveils It Starts With Me HIV campaign video

  Terrence Higgins Trust (THT) has released a short video clip outlining the science behind It It Starts With Me, HIV Prevention England’s new campaign for gay and bisexual men. The clip shows how a combination of testing, treatment and condoms would lead to a significant reduction in HIV transmissions within the gay community.

  15 May 2013 | PinkNews.co.uk

• It Starts with Me

  We are at the start of a new era in stopping the spread of HIV. We know that the combination of regular testing, HIV treatment and condom use is the key to success. But tests, treatment and condoms are just tools – it is down to all of us as individuals to make it happen. It is what you do everyday that really makes a difference. You can stop HIV harming you and the ones you care about.

  15 May 2013 | Terrence Higgins Trust

• Swazis in new HIV treatment trials

  Swaziland, with the world’s highest incidence of HIV, is embarking on pilot projects to offer treatment to all people who are HIV-positive, irrespective of their CD4 count. The studies will investigate if the use of ‘treatment for prevention’ could reduce new HIV infections among Swa-zis. The new approach is called ‘Treat All.’

  13 May 2013 | Times of Swaziland

• Cambodia on track to eliminate HIV transmission by 2020

  The World Health Organisation says Cambodia is on track to become one of the few countries in the world to successfully reverse its HIV epidemic and may eliminate new infections by 2020. The Southeast Asian nation has reduced its HIV prevalence rate from a 1998 peak of 1.7 percent among people aged 15-49 to 0.7 percent in 2012 across the whole population

  13 May 2013 | Radio Australia

• AIDS Healthcare Foundation Applauds WHO Decision to Initiate HIV Treatment Earlier

  World Health Organization (WHO) announced this week at Treatment as Prevention conference in Vancouver, Canada, that it will raise treatment initiation guidelines for HIV-positive individuals from a CD4 count of less than 350 to a count of less than 500.

  25 April 2013 | Wall Street Journal

• Optimism as Prevention: THT launches new campaign that “can halt HIV within a generation”

  The optimism of the campaign is appealing, though somewhat naive. It may hopefully help destigmatising HIV, testing and treatment. Its emphasis on personal responsibility is welcome but will not always appeal to those most vulnerable, and ultimately, taking control over the epidemic will need more than just test, treat and use condoms.

  25 April 2013 | Incidence 0

• HIV spread in England 'can be halted within generation'

  The spread of HIV in England can be stopped within a generation, according to a new prevention campaign launched by the Department of Health.

  24 April 2013 | BBC News

• San Francisco: A New Phase in the HIV Epidemic Among MSM

  In San Francisco, HIV incidence did not increase between 2004 and 2011 among men who have sex with men, despite ongoing risk behavior.

  16 April 2013 | Journal Watch

• 'Test-And-Treat' Would Slow HIV Spread, Improve Health Outcomes, but Raise Drug Resistance

  Wide HIV testing and early treatment woul lower HIV transmission, AIDS and death rates, but double the rate of multidrug resistance (MDR) to antiretrovirals.

  26 March 2013 | AIDSMeds

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