Canada: An HIV Strategy Invites Addicts In
March 14, 2011
By engaging high-risk populations and using antiretroviral therapy to suppress viral loads, thus inhibiting onward transmissions, health officials in Vancouver and British Columbia have helped curb HIV infection rates.
The number of provincial residents receiving HIV treatment jumped more than six-fold between 1996 and 2009. Now an estimated 80 percent of those infected, or 5,413 patients, receive treatment. The province's test-and-treat policy has helped drive annual new infections down by 52 percent, even as both HIV testing rates and annual syphilis cases increased.
Similar results have been seen in San Francisco and Taiwan. In the United States, a three-year federal study of the test-and-treat model is being conducted in several locations, including the Bronx and District of Columbia.
"I went to the ministries of finance and health and told them: The best-kept secret in this field is that treatment is prevention," said Dr. Julio S.G. Montaner, director of the British Columbia Center for Excellence in HIV/AIDS. For $50 million (US $51 million) spent on providing antiretroviral treatment, 400 infections down the line are averted, saving $300 million (US $308 million), he said.
The 800 injections that take place at Insite each day represent about 5 percent of injections citywide, officials estimate. A lawsuit to determine whether Insite can continue operating goes to Canada's Supreme Court in May.
New York Times
02.08.2011; Donald G. McNeil Jr.
This article was provided by CDC National Prevention Information Network. It is a part of the publication CDC HIV/Hepatitis/STD/TB Prevention News Update.
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