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Author Topic: (NIH) Discuss Undetectable Equals Untransmittable  (Read 214 times)

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Offline JimDublin

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(NIH) Discuss Undetectable Equals Untransmittable
« on: January 10, 2019, 02:14:14 pm »
Not really news but thought I'd add it.

POZ.com full write up:
https://www.poz.com/article/science-clear-hiv-undetectable-equals-untransmittable

In short;

Quote
National Institutes of Health (NIH) officials discuss scientific evidence and principles underlying the U=U concept.

In the new commentary, NIAID Director Anthony S. Fauci, MD, and colleagues summarize results from large clinical trials and cohort studies validating U=U. The landmark NIH-funded HPTN 052 clinical trial showed that no linked HIV transmissions occurred among HIV serodifferent heterosexual couples when the partner living with HIV had a durably suppressed viral load. Subsequently, the PARTNER and Opposites Attract studies confirmed these findings and extended them to male-male couples.

Validation of the HIV treatment as prevention strategy and acceptance of the U=U concept as scientifically sound have numerous behavioral, social and legal implications, the NIAID officials note. U=U can help control the HIV pandemic by preventing HIV transmission, and it can reduce the stigma that many people with HIV face.

The success of U=U as an HIV prevention method depends on achieving and maintaining an undetectable viral load by taking ART daily as prescribed. Numerous factors, including lack of access to quality health care, can make ART adherence difficult. To enhance the overall success of U=U, the authors emphasize the importance of implementing programs that help patients remain in care and address the barriers to daily therapy.
HIV 101 - Everything you need to know
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Transmission and Risks:
HIV Transmission and Risks
Read more about Testing here:
HIV Testing
Read about Treatment-as-Prevention (TasP) here:
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You can read about HIV prevention here:
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Offline Jmarksto

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Re: (NIH) Discuss Undetectable Equals Untransmittable
« Reply #1 on: January 10, 2019, 07:27:02 pm »
Thanks Jim, I saw this today and was going to post it too.  I think the real news here is that the US National Institute of Health (NIH) issued a news release from the Journal of the American Medical Association (JAMA) that U=U. 


These two organizations are very conservative in what they publish -- and the U=U message (not "undetectable reduces transmission by 95%..."), combined with the recommendation to focus on getting and keeping people undetectable, should as the article says have "numerous behavioral, legal, and social implications".  There are lots of very educated people that wield significant power that still don't believe U=U, and this is the gold standard for that message.


Cheers
03/15/12 Negative
06/15/12 Positive
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08/06/12 CD4 816/38%   VL 49,300
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