Mapping Pathways is a multi-national project to develop and nurture a research-driven, community-led global understanding of the emerging evidence base around the adoption of antiretroviral-based prevention strategies to end the HIV/AIDS epidemic. The evidence base is more than results from clinical trials - it must include stakeholder and community perspectives as well.

18 November 2011

Treatment as Prevention: How and When?

via Science Speaks, by Meredith Mazzotta

In the sixth in a series of debates hosted by the World Bank and the U.S Agency for International Development highlighting emerging issues in today’s HIV response, physician-scientists debated how best to transform the exciting results from the HIV Prevention Trials Network (HPTN) 052 study, which demonstrated that those with HIV infection who received immediate treatment with antiretroviral therapy (ART) were 96 percent less likely to transmit HIV to their uninfected sexual partners than those whose treatment was delayed.

The panelists were tasked with debating not only how to apply treatment as prevention (TasP) quickly, and how to add it to the combination prevention tool kit effectively, but more so whether or not it makes sense to have countries spend a majority of what is likely to be a flat or declining HIV prevention budget on TasP. Each panelist was assigned a pro or con stance.

Arguing “for,” Sten Vermund, MD, PhD, said that if there were a vast pool from which to spend, there would be no debate. The evidence is overwhelming of the efficacy of ART as prevention, and a lack of scientific evidence in other prevention areas. He also said that priority must be given to reaching those folks with a CD4 count less than 350.

Read the rest.

[Content that is linked from other sources is for informational purposes and should not construe a Mapping Pathways position.]

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