PrEP school - Page 3

Daily use of drug to prevent HIV infection greeted with controversy

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Daily use of drug to prevent HIV infection greeted with controversy
AP PHOTO BY JEFF CHIU

Though the list of organizations that are loyal exclusively to condoms as a method of prevention is dwindling, AHF has been one of the most powerful and resolute allies of latex protection since the very beginning. Even before Truvada was approved by the FDA as PrEP in 2012, AHF campaigned to prevent it from happening. Even though AHF may be growing more and more isolated in its anti-PrEP stance, it is anything but ready to give way.

Though the efficacy rate for using PrEP is upwards of 90 percent reduction in risk, AHF and other critics consistently cite a drastically lower 40 percent reduction. The difference between these two figures lies in patient behavior: When Truvada is taken correctly, that is, every day without skipping doses, then it's been shown to reduce new HIV infections by over 90 percent. However, when research studies publish data they must include all participants, regardless of whether they took the dosage as instructed. Average out the effectiveness of the drug between participants who adhered religiously and those who didn't take it at all, and you arrive at about a 40 percent reduction in risk.

But as AHF points out, the outcome for the participants who did not follow instructions is an important reality that should not be overlooked.

"When you read these studies carefully, what they say is that research modeling can be whatever percent effective, but research modeling is not real-world applicable," said Ged Kenslea, AHF director of communications. "In every study participants were given incentives and paid to participate," yet still didn't adhere to instructions consistently.

"We can't even get people who already have HIV to take their pills as prescribed," Kenslea added.

Even amid legitimate concerns about health risks associated with improper use of PrEP or its inability to act as a safeguard against other STDs, much of the debate has become infused with anti-PrEP rhetoric rooted in stereotypical assumptions about the promiscuity of gay men. Patients who use it to protect themselves are reduced to "Truvada whores," men who live capriciously and are always on the lookout for their next fuck.

"The last couple of years that we've been prescribing [Truvada], there have been reports from patients who have received negative reactions from some people," said Nienow. "Some people, particularly online, regard it as a marker for whores and promiscuity, and others as a marker for self-protection. The stigma kind of ranges from, 'Great, you're protecting yourself,' to, 'Horrible, you're a slut.' My patients have seen all of those."

Just last month, AHF President Michael Weinstein referred to Truvada as a "party drug," setting off such a fury that a petition to remove him as head of the organization is now circulating around the Internet. It has amassed nearly 4,000 signatures.

AHF's policy of championing condoms above any other method is strange, considering that it cites poor adherence to Truvada as the drug's primary downfall. While the efficacy of the drug clearly drops when it is not taken correctly, AHF critics point out that condoms are not used consistently either, and having multiple methods of protection is better than one.

After viewing donations by Gilead to HIV/AIDS groups, the Bay Guardian requested a list of donors from the AHF as well, but the organization provided a 2012 tax form that did not include a donor list.

PrEP does have some efficacy, Kenslea said, and AHF clinicians are free to prescribe Truvada as a preventative drug.

"If an AHF physician feels that prescribing PrEP is appropriate, then we do not stop that," Kenslea said.

Comments

My favorite part is the analogy
"It's very similar to women taking birth control; it reduces the unwanted consequences of condom-less sex"

Posted by TMickey on May. 28, 2014 @ 9:02 am

in an attempt to salvage its expiring patent for the medication by providing for another use - that's the back story here which no one wants to address. Its efficacy is not proven and its side effects severe. We as a community are better than this.

Posted by Guest on May. 30, 2014 @ 10:51 am

This is utter idiocy. These medications are potent, and toxic. Truvada is barely second-generation AZT, which was well known to cause countless health problems and even deaths in the 1980s. Watch the movie Dallas buyers club. Now people are going to be popping these things like candy? This is irresponsible and outrageous conduct on the part of health professionals. The ignorance backing this is incredible. They know these drugs are toxic. You only give them as a last resort, to prevent death from HIV. You don't give them to healthy people. We are going to start seeing countless health problems showing up in these individuals. Long term. Watch and see.

Posted by Guest on May. 30, 2014 @ 7:42 pm

Taking advantage of people's weakness is the MO here. This is nothing short of deplorable! The promise that sex can be fun again?!?!? No more condoms, really?Dream on! Those days are never coming back. How is the LGBT community turning a blind eye to this? How do these people sleep at night? And comparing pregnancy to HIV infection, wth? What's wrong with this city?

Posted by Guest on Jun. 01, 2014 @ 3:05 pm

Some of these "guest" comments are awful. Look at the facts folks. To be on PrEP you need to be monitored by a doctor and tested every 3 months. That's great preventative care most gay men do not now receive. Men who take Truvada generally want and are trying to make sure they stay negative, a group that is much less likely to engage in 'reckless' behavior. We 'medicate' ourselves as a society to prevent viruses and infections all the time; have you ever gotten a flu shot? The dosage of a medication changes its side effects- the dosage for PrEP is much lower than what it is for HIV- Positive patients- think about it, taking one advil or taking 10 will dramatically change how it affects your body. Truvada in PrEP dosages doesn't have the same toxicity levels as with HIV- Treatment dosages. HIV 'anxiety' is a real psychological problem for many gay men. It's a fear that HIV is inevitable. Truvada, and PrEP can help with that fear and help many gay men enjoy life and sex again without the constant fear of an inevitability of infection.

Posted by Dana on Jun. 02, 2014 @ 1:26 pm

Dr. Ariba God will continue to bless you more abundantly, for the good works you are doing in peoples life, I will keep on writng and posting testimonies about you on the Internet, I’m Helen Tolbert, I was a HIV patient, I saw a blog on how Dr. Ariba cured someone, I contacted him and also got my healing, kindly email him now on dr.aribaspelltemple@outlook.com Or draribaspelltemple@gmail.com email me on tolberthelen@gmail.com

Posted by Guest on Jun. 03, 2014 @ 10:24 pm

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Posted by Guest on Jun. 08, 2014 @ 1:42 pm

I am cieble jen from Uk, i navel believe that hiv cure is real on till i got in contact with Dr. dr abiola, my HIV stated eight years ago, i was even waiting for death because all my money went out for drug, which keep me till today, one day i saw in the interment that HIV cure is out i then email Dr abiola and he prepare the herb for me which i took, after taking it he told me to go to the hospital which i did, could you believe that i was confirm HIV negative after the test, and i went to another hospital and it was also negative. if you have this problem and you want to be free from it please contact this doctor with this email address deadly.diseases.cure@hotmail.com , he is the best HIV cure you will find in the whole world. thank you Dr abiola am free now

Posted by cieble jen on Jun. 09, 2014 @ 3:51 am

I was been suffering hard ship from HIV/AIDS since 9yrs now, and i happen to have 2 kids for my husband, and now we cannot proceed to have another kids all because of my disease and now i have do all what a human like i and my husband can do just to get my disease healed, i have went to several places to seek for help not even one person could ever help, until i melt a comment on the daily news paper that was commented by Miss Marilyn about how this powerful traditional doctor help her get cured of the disease (HIV-AIDS) " my fellow beloved" i firstly taught having a help from a spiritual traditional healer was a wrong idea, but i think of these, will i continue to stress on these disease all day when i have someone to help me save my life?" so i gather all my faiths and put in all interest to contact him through his Email address at ugbakhuanspelltemple@gmail.com , so after i have mailed him of helping get my disease cured, i respond to me fast as possible that i should not be afraid, that he is a truthful and powerful doctor which i firstly claimed him to be. So after all set has been done, he promise me that i will be healed but on a condition that i provide him some items and obeyed all his oracle said. I did all by accepting his oracle fact and only to see that the following week Dr ugbakhuan mail me on my mail box that my work is successfully done with his powers, i was first shocked and later arise to be the happiest woman on earth after i have concluded my final test on the hospital by my doctor that i am now HIV- Negative. My papers for check are with me and now i am happy and glad for his miraculous help and power.With these i must to everyone who might seek for any help, either for HIV cure or much more to contact him now at these following email now,Email: ugbakhuanspelltemple@gmail.com " sir thank you so much for your immediate cure of my disease, i must say for curing my disease, i owe you in return. Thanks and be blessed sir.My name is Jane wembli His Email address is:ugbakhuanspelltemple@gmail.com or visit his website at;http://ugbakhuanspelltempl.webs.com you can as well call him through his phone number +2348148343053

Posted by jane wembli on Jun. 10, 2014 @ 10:37 am

I am ang Donald from Uk, I want to use this medium to testify of how i got cured from HIV . I contacted HIV from my husband, my husband died 2 years ago from this disease, my life was gradually coming to an end living with this deadly disease daily, i did all i could to get cured from this disease but all to no avail, until i saw a post on health forum about a spell caster who cure all kind of diseases cured. HIV when i contact he told me what to do ,and i thet it.3days he told me to go to the hospital which i did, could you believe that i was confirm HIV negative after the test, and i went to another hospital and it was also negative. if you have this problem and you want to be free from it please contact this doctor with this email address deadly.diseases.cure@hotmail.com , he is the best HIV cure you will find in the whole world. thank you Dr abiola am free now

Posted by ang donaid on Jun. 10, 2014 @ 9:41 pm

I want to say good about a spell caster that help to cure my hiv he is good at it I was having hiv for 4year and when I emailed him he help me and when I went to the hospital and check I was not have hiv again he is the best in the wold I love him if any have this kind of problem or you need any help form him you can email him today on this email; drolorispiritualtemple@gmail.com you are the best I love u and god bless, drolorispiritualtemple@gmail.com or call him on this +2349035304819

Posted by Guest on Jun. 12, 2014 @ 4:06 pm

I was been suffering hard ship from HIV/AIDS since 9yrs now, and i happen to have 2 kids for my husband, and now we cannot proceed to have another kids all because of my disease and now i have do all what a human like i and my husband can do just to get my disease healed, i have went to several places to seek for help not even one person could ever help, until i melt a comment on the daily news paper that was commented by Miss Marilyn about how this powerful traditional doctor help her get cured of the disease (HIV-AIDS) " my fellow beloved" i firstly taught having a help from a spiritual traditional healer was a wrong idea, but i think of these, will i continue to stress on these disease all day when i have someone to help me save my life?" so i gather all my faiths and put in all interest to contact him through his Email address at ugbakhuanspelltemple@gmail.com , so after i have mailed him of helping get my disease cured, i respond to me fast as possible that i should not be afraid, that he is a truthful and powerful doctor which i firstly claimed him to be. So after all set has been done, he promise me that i will be healed but on a condition that i provide him some items and obeyed all his oracle said. I did all by accepting his oracle fact and only to see that the following week Dr ugbakhuan mail me on my mail box that my work is successfully done with his powers, i was first shocked and later arise to be the happiest woman on earth after i have concluded my final test on the hospital by my doctor that i am now HIV- Negative. My papers for check are with me and now i am happy and glad for his miraculous help and power.With these i must to everyone who might seek for any help, either for HIV cure or much more to contact him now at these following email now,Email: ugbakhuanspelltemple@gmail.com " sir thank you so much for your immediate cure of my disease, i must say for curing my disease, i owe you in return. Thanks and be blessed sir.My name is Jane wembli His Email address is:ugbakhuanspelltemple@gmail.com or visit his website at;http://ugbakhuanspelltempl.webs.com you can as well call him through his phone number +2348148343053

Posted by jane wembli on Jun. 14, 2014 @ 1:13 pm

Hello" thankgod for the wonderful healing spell power which Dr olori render to my life which oracle support, i was been diagnosed with HIV-AIDS over 7years now which has lead me to unployment and loosing my relationship with my fiance after he heard that i am suffering from the VIRUS, i tried begging him to allow me stays with him, but he still insist on letting me out of his home, until a friend of mine on facebook from SOUTH AFRICA told me more about Dr olori the great healer, that he is going to help restore and healed my diseased with his powerful healing spell, she send me of Dr olori email address and i quickly contacted him, and he replied to after 30mins of my message that my disease is a little and minor disease, that he will solved the disease immediately only if i can accept all he requested from, i told him yes, because truly i know that " HIV-AIDS IS A WICKED AND DEADLY DISEASE I EVER KNOWS ". so i did all he want from me and suprisingly on friday last week DR olori called me that my problems is solvesd that i should hurry up to the hospital for a checkup, which i truly really did, i comfirm from my doctor that i am now HIV-NEGATIVE AND NOT LONG +, I jump up and was crying heavily because truly the disease drive alot of things away from my life, my friends, my cousin, my fiance and relatives, but now since i was comfirm NEGATIVE- my lost friends and fiance has been back to me begging for forgiveness, i have forgiven them and now we are now best of friend. again i will say to Dr olori that he is blessed and may the almighty God which i serve raise him and his family to the higher level in life. Thank and god bless. Please email DR olori for healing and solution now at = drolorispiritualtemple@gmail.com
FROM U.S.A

Posted by jane wembli on Jun. 14, 2014 @ 9:28 pm

MY HIV DISEASE WAS CURED BY PROPHET OLORi FROM AFRICA, WITH HIS HERBAL HEALING SPELL/ (drolorispiritualtemple@gmail.com ).
DR Olori is the only Dr who could ever get my HIV-AIDS cured with his healing spell, I have tried almost everything but I could'nt find any solution on my disease, despite all these happening to me, I always spend a lot to buy a HIV drugs from hospital and taking some several medications but no relieve, until one day I was just browsing on the internet when I come across a great post of! Michelle! who truly said that she was been diagnose with HIV and was healed that very week through the help of these great powerful healing spell doctor, sometime I really wonder why people called him Papa olori, I never knew it was all because of the great and perfect work that he has been doing that is causing all this. so I quickly contacted him, and he ask me some few questions and he said a thing I will never forget that anyone who contacted him is! always getting his or her healing in just 6 hours after doing all he ask you, so I was amazed all the time I heard that from him, so I did all things only to see that at the very day which he said I will be healed, all the strength that has left me before rush back and I becomes very strong and healthy, this disease almost kills my life all because of me, so I will to hospital to give the final test to the disease and the doctor said I am HIV negative, I am very amazed and happy about the healing Dr Olori gave to me from the ancient part of Africa, you can email him now for your own healing too at: (EMAIL HIM ON: drolorispiritualtemple@gmail.com

Posted by Guest on Jun. 18, 2014 @ 9:23 am

I am ang Donald from Uk, I want to use this medium to testify of how i got cured from HIV . I contacted HIV from my husband, my husband died 2 years ago from this disease, my life was gradually coming to an end living with this deadly disease daily, i did all i could to get cured from this disease but all to no avail, until i saw a post on health forum about a spell caster who cure all kind of diseases cured. HIV when i contact he told me what to do ,and i thet it.3days he told me to go to the hospital which i did, could you believe that i was confirm HIV negative after the test, and i went to another hospital and it was also negative. if you have this problem and you want to be free from it please contact this doctor with this email address deadly.diseases.cure@hotmail.com , he is the best HIV cure you will find in the whole world. thank you Dr abiola am free now

Posted by ang donald on Jun. 20, 2014 @ 11:44 pm

i was having sexual problem and genital herpes, no body want to near me or have sex with me because of my genital herpes... one night i browse through the internet and read alot of testimonie about a great spell caster that have healed all disease. i contacted him about my genital herpes and semen leakage, and the spell catser told me to stop eating meat since i,m going to use his ADURON SPIRITUAL HEALING HERBAL REMEDY DRUGS. a week later after taking ADURON SPIRITUAL HEALING DRUGS i was cure totally and my semen leakage stop instantly, i,m so happy for my life now, thanks to dr shant tami the spell caster. call this spell caster to cure your sickness is genuine spell caster +2348115435381 or is email address hivcurecenter@gmail.com

Posted by Victoria Glen on Jul. 22, 2014 @ 9:47 pm

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