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TravelGuides – ‘Gamechanger’: HIV transmission dropped 90% for men taking PrEP, Australian study finds | Aids and HIV

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TravelGuides – ‘Gamechanger’: HIV transmission dropped 90% for men taking PrEP, Australian study finds | Aids and HIV

Nearly 10,000 homosexual and bisexual men in New South Wales who took the HIV prevention drug PrEP as a part of a 3-12 months trial had a transmission price 90% decrease than in any other case anticipated, a brand new study has discovered.

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A analysis study undertaken by the Kirby Institute between 2016 and 2019 adopted 9,709 men who had been initially taking the drug for free and then transitioned to paying $40 a month when PrEP was subsidised on the Pharmaceutical Benefits Scheme from 2018.

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HIV transmission among the many group over the course of the study was about 30 in whole – or a price of two in 1,000 members every year.

The Kirby Institute’s Prof Andrew Grulich, who led the study, stated that transmission was about 90% decrease than researchers would have anticipated to see if the men had not been taking PrEP.

“It really was shown in the study that it really did continue to work extremely well. This is a group, historically, we would have expected to have [transmission] rates of about 20 in 1,000 so this is about 90% lower than we would have expected without PrEP. So really, really amazingly effective intervention at the population level.”

Grulich stated the men who had been identified with HIV throughout the course of the study weren’t taking their PrEP tablet every day as suggested on the time of transmission.

“We didn’t see any cases of failure of daily PrEP.”

Tony Nhan, a 30-year-old from Erskineville who participated in a NSW PrEP trial.
‘Taking PrEP was empowering for me to know that I am taking responsibility for my own health, regardless of the other person’s standing,’ says Tony Nhan who participated within the NSW PrEP trial.

Tony Nhan, a 30-12 months-previous from Erskineville who participated within the trial, stated transferring on to PrEP eliminated his worry of condoms breaking and decreased the stigma related to getting examined.

“We need to reduce stigma by making testing a normal part of everyday life and not shaming others,” he stated. “Taking PrEP was empowering for me to know that I am taking responsibility for my own health, regardless of the other person’s status.”

HIV transmission charges amongst homosexual and bisexual men in NSW have declined 40% since PrEP was launched and 70% within the homosexual suburbs of Sydney.

“That’s pretty extraordinary. So that 70% gives us a sense of what the potential of PrEP is and [the need] get it out more broadly,” he stated. “It really is a gamechanger that enables us to dare to dream for the elimination of HIV.”

Grulich stated the main focus now ought to be on regional areas, folks underneath the age of 25, and those that stopped taking PrEP who had been extra in danger.

A complete of 206 folks in NSW had been identified with HIV in 2020. Earlier this 12 months, the state authorities introduced a plan to get rid of HIV by 2025.

Part of the proposal consists of making PrEP extra obtainable and trialling new applied sciences equivalent to injectable PrEP.

Nationally, the Australian Federation of Aids Organisations has stated it would take $53m a 12 months of funding to get rid of HIV throughout Australia by 2025. The federation has proposed making PrEP obtainable over-the-counter at pharmacies and obtainable to all who would profit on the PBS-subsidised price, no matter their visa standing.

On-demand PrEP use as an alternative of the every day model, the place men who’ve intercourse with men take two tablets at the very least two hours earlier than intercourse, and then one every day for two days after, was one other technique to drive up uptake, Grulich stated.

“Nobody’s going to get hurt with a short course of PrEP like that – provided they take it correctly it will protect them.”

Nhan stated after the trial there was initially friction getting PrEP from his GP as a result of they weren’t knowledgeable concerning the remedy. He stated it could be simpler if there have been extra choices to acquire PrEP.

“Potentially this could include self-sexual health screening or at-home testing or it could mean maybe we could get our result via text or email instead of visiting the GP after a test.”

TravelGuides – ‘Gamechanger’: HIV transmission dropped 90% for men taking PrEP, Australian study finds | Aids and HIV

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