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Author Topic: Treatment as Prevention gaining momentum - at last  (Read 902 times)

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Offline jkinatl2

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Treatment as Prevention gaining momentum - at last
« on: May 17, 2013, 05:55:51 PM »
I have, for months now - hell maybe a year, been advocting this. Early treatment and TAP (which go hand in hand.) Nice to know even the jaded "old guard" has started to come around.

http://www.thebody.com/content/71196/changing-my-mind-on-treatment-as-prevention.html?ap=1100

Quote
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 did.

Why? In the last decade, our knowledge of disease progression has changed as has how much we know about the impact of antiretroviral treatment (ART) on our ability to transmit the virus. But treatments have changed too, and so has my own willingness to look at both sides of the argument, to weigh them against each other and to make informed choices which recognize, above all, a shifting environment.

As well, the realist in me tells me that when it comes to HIV prevention, the status quo isn't working. I respect those who work in the prevention community. But, to be blunt, those who continue to play with the same old tricks -- plugging condom use when we know the limits to their efficacy in real life situations, trying to effect behavioral change with the odd stray missile thrown at the social determinants of health -- are playing in the wrong sandbox. Let's not fool ourselves. None of these things will stop the epidemic. We need new tools.

Enter my new friend, treatment as prevention.


Read the whole thing. It's worth it - especially to those of us in Prevention. I long ago grew tired of tossing condoms and implicit moral judgment at young (and not so young) people thinking that surely our efforts will overthrow hundreds of thousands of years' of evolution.

"Many people, especially in the gay community, turn to oral sex as a safer alternative in the age of AIDS. And with HIV rates rising, people need to remember that oral sex is safer sex. It's a reasonable alternative."

-Kimberly Page-Shafer, PhD, MPH

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Online Jeff G

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Re: Treatment as Prevention gaining momentum - at last
« Reply #1 on: May 17, 2013, 06:34:30 PM »
Thanks , that is a must read . It takes little to convince me that treatment as prevention is relevant . I have been a fan of early treatment having lived with the virus and knowing what damage it can do to your body when you carry a viral load , you don't have to be bedridden for that damage to occur , so the prevention aspect of treatment is not something hard to sell to me . 

 


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