Study shows Truvada disrupts HIV transmission for high-risk patients
By Shelly Foster Dec 07, 2015A study by the UK Medical Research Council found that Truvada reduced the risk of new HIV infections by 86%. "When we do that in combination with others who are leading research, we will eventually end HIV".
A spokeswoman for the federal Health Department said the aim to eliminate new HIV infections was "ambitious and aspirational" and "designed to provide focus towards strong action".
"We're certainly all on the pathway to PrEP becoming a normalised part of HIV prevention and what the Government today is doing is we are fast-tracking a group of specially trained doctors' ability to prescribe it while those processes take place", she said.
The plan calls for identifying people who are positive and undiagnosed, keeping people in care so they remain healthy and prevent further transmission - and facilitating access to PrEP for those at high risk. Yet, less than 22,000 were taking it as of past year, according to one estimate.
She said, "It is unaffordable in Africa where there is still an HIV epidemic".
The proportion of gay and bisexual men who had unprotected anal sex rose between 2005 and 2011, Frieden and some CDC colleagues wrote in an article on the state of HIV infections in the US. When sexual intercourse happened more often, participants were told to take one pill per day and then the two post-exposure pills.
While all but 4 percent of those presently on PrEP said they were not out to their doctor, 21 percent of those not on PrEP but interested in taking it said not being out to their doctor contributed to the lack of a conversation. Here are the facts about this breakthrough drug. The study findings were published in the November 27 Morbidity and Mortality Weekly Report. Plus, Gilead has programs that assist people who don't have insurance or who have insurance co-pay expenses.
In terms of adherence, 90 percent of those on PrEP said they had taken all seven doses over the past week. It does however seem that people forget that other STIs are not protected against and I wonder if we will see a rise in demand for treatment for these.
Results showed that participants in both groups took an average of 15 pills per month; 14 of the 201 people in the placebo (no medication) group acquired HIV, compared to two infections in the Truvada group of 199 people.
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"People are telling us they are more relaxed when they have sex", said Molina. "We are not against PrEP. We are against [using] it on a mass basis as a public health strategy".
This contentious debate is playing out as the nation is still struggling to stop the spread of HIV. An HIV-positive person should not be on Truvada, because taking the drug can lead to resistance.
PrEP medication can be purchased privately at a cost of $1000 a month, and some people are buying generic versions of Truvada online at a cost of about $100 a month.
Originally developed as a drug to treat patients already infected with the disease, it has not been used as a preventative measure in the UK before. New York, for example, is spending $3 million with the goal of helping make the drug available to 1,000 people at high risk of contracting the virus.
"It's important to remember though that PrEP will be just one of the many prevention tools at our disposal and I also remind you that people at risk of HIV need to test regularly for HIV and STIs and int eh next five years, NSW will continue to strengthen and foster innovation in our efforts in HIV prevention, testing and treatment". "But for some other people, it's not good for them continuously because they won't be able to adhere to that kind of regimen".
Parallels have been drawn with the film Dallas Buyers Club, which told the story of a scheme where unapproved HIV drugs were smuggled into the United States in the 1980s to be sold to people with the virus.
The Food and Drug Administration approved Truvada in 2004 for treating HIV infections. Two years later, the CDC issued guidelines recommending it for those at high risk of HIV.
Since April of previous year, 700 people have enrolled. But the Peach State is not spending taxpayer money to expand access to the drug, citing budget constraints. "So she has elected to use PrEP so they can get pregnant together and start a family, but at the same time minimize her risk of contracting HIV".
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