Matthew Hodson Executive Director NAM aidsmap Data and communicating about treatment as prevention Awareness of UU across Europe Only one in 10 12 understand the meaning of undetectable ID: 797356
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Slide1
How U=U changes everything
Matthew HodsonExecutive Director, NAM / aidsmap
Data and communicating about treatment as prevention
Slide2Slide3Awareness of U=U across Europe
Only one in 10
(12%)
understand
the meaning of ‘
undetectable’Around half (53%) believe that it would still be possible to transmit HIV to others if the treatment was having the best effect possibleNearly half (47%) are aware that it is possible for women living with HIV who are undetectable to conceive HIV negative children
‘Is HIV Sorted?’ European survey
Gilead, 2018.
Slide4Slide5Early data on TaP
Slide6Early messaging about TaP
2001 Gay Men Fighting AIDS campaign included the following:
“If you are HIV positive, and have sex without a condom, there is less chance of passing on HIV if…
You have a low viral load”
October 2001
Slide7The ‘Swiss Statement’
People with HIV
are not
sexually infectious (“
ne
transmettent pas le VIH par voie sexuelle”), as long as the following conditions are met:The HIV-positive individual takes antiretroviral therapy consistently and as prescribed and is regularly followed by his/her doctor.Viral load is 'undetectable' and has been so for at least six months.The HIV-positive individual does not have any STIs
January 2008
Slide8Reported 96% reduction in risk.
“These are important results to give to a serodiscordant couple.”- Myron Cohen.(Standing ovation)
July 2011
HPTN 052 study reported at IAS
Slide9No transmissions occurred despite quite high levels of STIs.
"Our best estimate is it's zero."March 2014
PARTNER study (1
st
2 years ), CROI
Slide10“We can fairly safely say that the chance of transmission from a virally-suppressed HIV-positive person during heterosexual sex is negligible."
July 2016
More from PARTNER, AIDS 2016
Slide11“This is demolishing HIV stigma and encouraging people to start treatment and bring an end to the epidemic.”
U=U activismConsensus statement signed by IAS
July 2017
Opposites Attract, IAS 2017
Slide12“
We’re as confident now that undetectable gay men pose no risk of HIV transmission as we already were for heterosexuals. Zero transmissions mean zero risk.”July 2018
PARTNER 2, AIDS 2018
Slide13Reduction in HIV incidence
Slide14Slide15Slide16Don’t die of ignorance
Slide17Slide18Slide19Slide20Consensus statement on TaP:
People living with HIV on ART with an undetectable viral load in their blood have a negligible risk of sexual transmission of HIV. Depending on the drugs employed it may take as long as six months for the viral load to become undetectable.
Continued and reliable HIV suppression requires selection of appropriate agents and excellent adherence to treatment.
HIV viral suppression should be monitored to assure both personal health and public health benefits.
Slide21Slide22Slide23Slide24Slide25Slide26Slide27Slide28Slide29Slide30Sharing the news that U=U is fundamental to HIV prevention, HIV treatment and support for people living with HIV
Slide31Thank you
email: matthew@nam.org.uktwitter: @Matthew_Hodson