2023-05-18 13:39:06
A 27% increase in the number of gay and bisexual men on antiretroviral therapy in Australia with an undetectable viral load led to a 66% reduction in HIV infections between 2010 and 2019, the site reports. Aidsmap. Further proof that Tasp (treatment as prevention) is a very effective and beneficial tool both individually and collectively (public health). Furthermore, the link between increasing the number of people receiving viral suppression and reducing HIV transmission was further strengthened following the introduction of Prep, such that in 2019, each increase in 1% prevalence of viral suppression corresponded to a 20% reduction in HIV incidence. “Our results suggest that, although effective on its own, treatment as prevention more effectively reduces HIV incidence when combined with the distribution of Prep,” said the authors of the study published on April 14 in The Lancet. Researchers analyzed data collected between January 2010 and December 2019 to assess the ten-year impact of increased coverage of antiretroviral therapy and Prep on HIV transmission in New York states. South Wales and Victoria, Australia. The longitudinal study (over time) examined changes in HIV status, access to treatment, viral suppression and use of Prep among 101,772 gay and bisexual men receiving health services in 69 HIV testing clinics in New South Wales and Victoria. Among HIV-negative men, the number of Prep users rose from 17% in 2016 (the year Prep was introduced) to 36% in 2019 (with 12,189 men on Prep). The analysis adjusted for sociodemographic characteristics and use of Prep, showed that each 1% increase in the prevalence of viral suppression below 200 copies/ml was associated with a 6% reduction in viral suppression. incidence of HIV. To put it simply, the more gay or bisexual men living with HIV had an undetectable viral load (the Australian threshold for an undetectable viral load being below 200 copies/ml) the more the incidence of HIV decreased in this group. Finally, the incidence of HIV was 70% lower in men who used Prep compared to those who did not. A study that demonstrates the interest of diversified prevention in terms of public health, especially in groups at high risk of HIV.
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#Tasp #Prep #magic #duo