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ASHM Report Back
Clinical posts from members and guests of the Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM) from various international medical and scientific conferences on HIV, AIDS, viral hepatitis, and sexual health.
PrEP in the USA: learning by doing
Australia is leading the world in PrEP roll out, the numbers on PrEP are amazing.
40-50,000 new infections per year in US, disproportionately in MSM and blacks.
2012 the story begins.
25% of MSM aged 15-59 are PrEP indicated, that’s 1.5 million people.
25% of new infections are in whites, yet 75% of those on PrEP are white.
With 40% coverage and 60% adherence, we estimate one third of infections could be avoided.
It is important to bridge gaps between PEP and PrEP as it is common to acquire HIV meantime.
“The case for PrEP, or how I stopped worrying about and started loving HIV-positive guys”.
No evidence to indicate lower PrEP efficacy in the presence of STIs.
Those with the most STIs are the ones most likely to benefit from PrEP.
We can think of new ways for STI prevention.
“We did not come here to fear the future, we came to shape it.”
Novel delivery methods - people are getting PrEP from all sorts of places
Individuals who are younger with normal renal function have very low rates of renal compromise to the point where it doesn’t require monitoring.