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(Justin Sullivan: Getty Images)","credit":null,"description":"Bottles of antiretroviral drug Truvada are shown at Jack's Pharmacy on November 23, 2010 in San Anselmo, California.","imgSizes":{"thumbnail":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2012/05/TruvadaBottle_05102012_JustinSullivan_GettyImages-e1411097604408-400x276.jpg","width":400,"height":276,"mimeType":"image/jpeg"},"medium":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2012/05/TruvadaBottle_05102012_JustinSullivan_GettyImages-e1411097604408-800x551.jpg","width":800,"height":551,"mimeType":"image/jpeg"},"fd-lrg":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2012/05/TruvadaBottle_05102012_JustinSullivan_GettyImages-e1411097604408-1180x813.jpg","width":1180,"height":813,"mimeType":"image/jpeg"},"fd-med":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2012/05/TruvadaBottle_05102012_JustinSullivan_GettyImages-e1411097604408-768x529.jpg","width":768,"height":529,"mimeType":"image/jpeg"},"fd-sm":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2012/05/TruvadaBottle_05102012_JustinSullivan_GettyImages-e1411097604408-320x220.jpg","width":320,"height":220,"mimeType":"image/jpeg"},"post-thumbnail":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2012/05/TruvadaBottle_05102012_JustinSullivan_GettyImages-e1411097604408-672x372.jpg","width":672,"height":372,"mimeType":"image/jpeg"},"twentyfourteen-full-width":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2012/05/TruvadaBottle_05102012_JustinSullivan_GettyImages-e1411097604408-1038x576.jpg","width":1038,"height":576,"mimeType":"image/jpeg"},"guest-author-32":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2012/05/TruvadaBottle_05102012_JustinSullivan_GettyImages-e1411097604408-32x32.jpg","width":32,"height":32,"mimeType":"image/jpeg"},"guest-author-64":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2012/05/TruvadaBottle_05102012_JustinSullivan_GettyImages-e1411097604408-64x64.jpg","width":64,"height":64,"mimeType":"image/jpeg"},"guest-author-96":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2012/05/TruvadaBottle_05102012_JustinSullivan_GettyImages-e1411097604408-96x96.jpg","width":96,"height":96,"mimeType":"image/jpeg"},"guest-author-128":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2012/05/TruvadaBottle_05102012_JustinSullivan_GettyImages-e1411097604408-128x128.jpg","width":128,"height":128,"mimeType":"image/jpeg"},"detail":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2012/05/TruvadaBottle_05102012_JustinSullivan_GettyImages-e1411097604408-75x75.jpg","width":75,"height":75,"mimeType":"image/jpeg"},"kqedFullSize":{"file":"https://ww2.kqed.org/app/uploads/sites/27/2012/05/TruvadaBottle_05102012_JustinSullivan_GettyImages-e1411097604408.jpg","width":1401,"height":965}},"fetchFailed":false,"isLoading":false}},"audioPlayerReducer":{"postId":"stream_live"},"authorsReducer":{"byline_stateofhealth_152183":{"type":"authors","id":"byline_stateofhealth_152183","meta":{"override":true},"slug":"byline_stateofhealth_152183","name":"Mike Stobbe","isLoading":false},"byline_stateofhealth_55527":{"type":"authors","id":"byline_stateofhealth_55527","meta":{"override":true},"slug":"byline_stateofhealth_55527","name":"Anna Gorman, Kaiser Health News","isLoading":false},"lisaaliferis":{"type":"authors","id":"240","meta":{"index":"authors_1591205172","id":"240","found":true},"name":"Lisa Aliferis","firstName":"Lisa","lastName":"Aliferis","slug":"lisaaliferis","email":"laliferis@kqed.org","display_author_email":false,"staff_mastheads":[],"title":null,"bio":"Lisa Aliferis is the founding editor of KQED's \u003cem>State of Health\u003c/em> blog. Since 2011, she's been writing and editing stories for the site. Before taking up blogging, she toiled for many years (more than we can count) producing health stories for television, including\u003cem> Dateline NBC\u003c/em> and San Francisco's CBS affiliate, KPIX-TV. She also wrote up a \u003ca title=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\">handy guide to the Affordable Care Act\u003c/a>, especially for Californians. Her work has been honored for many awards. Most recently she was a finalist for \"Best Topical Reporting\" from the Online News Association. You can follow her on Twitter: \u003ca title=\"https://twitter.com/laliferis\" href=\"https://twitter.com/laliferis\">@laliferis\u003c/a>","avatar":"https://secure.gravatar.com/avatar/86c339d5cdcb0dcd2b6cf5d7c3f5886b?s=600&d=blank&r=g","twitter":"laliferis","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"news","roles":["subscriber"]},{"site":"futureofyou","roles":["subscriber"]},{"site":"stateofhealth","roles":["subscriber"]},{"site":"science","roles":["subscriber"]},{"site":"food","roles":["contributor"]}],"headData":{"title":"Lisa Aliferis | KQED","description":null,"ogImgSrc":"https://secure.gravatar.com/avatar/86c339d5cdcb0dcd2b6cf5d7c3f5886b?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/86c339d5cdcb0dcd2b6cf5d7c3f5886b?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/lisaaliferis"},"state-of-health":{"type":"authors","id":"8344","meta":{"index":"authors_1591205172","id":"8344","found":true},"name":"State of Health","firstName":"State of 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FM","link":"/"}},"stateofhealth_152183":{"type":"posts","id":"stateofhealth_152183","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"152183","score":null,"sort":[1456259097000]},"guestAuthors":[],"slug":"half-of-gay-black-men-will-get-hiv-cdc-analysis-shows","title":"Half of Gay Black Men Will Get HIV, CDC Analysis Shows","publishDate":1456259097,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>NEW YORK (AP) — About half of gay and bisexual black men will be diagnosed with the AIDS virus in their lifetime, according to the \u003ca href=\"http://www.cdc.gov/nchhstp/newsroom/docs/factsheets/lifetime-risk-hiv-dx-us.pdf\" target=\"_blank\">first-ever comprehensive national estimates\u003c/a> from the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>Overall, for the average American, the odds of an HIV infection is 1 in 99 and has been declining.\u003c/p>\n\u003cp>But the risk varies widely for different groups. For example, the projection is 1 in 2 for gay black men but fewer than 1 in 2,500 for heterosexual white men.\u003c/p>\n\u003cp>\"The differences are stark,\" said Dr. Jonathan Mermin of the CDC's National Center for HIV/AIDS. The CDC released the estimates at a Boston medical conference on Tuesday.\u003c/p>\n\u003cp>HIV, or human immunodeficiency virus, is spread mainly through sex and sharing needles for injecting drugs. In the U.S., infections have long been most common in men who have sex with men. Since AIDS was first identified more than 30 years ago, medicines have changed it from a death sentence to a chronic threat.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The report provides an unusually vivid picture of what's been happening with HIV infections. The estimates were calculated from HIV diagnosis and death figures from 2009 through 2013.\u003c/p>\n\u003cp>New HIV infections have been falling in the United States, to about 40,000 annually. A disproportionately large share — about 10,000 cases — has been in gay and bisexual black men. That number has been holding steady while infections in other groups have fallen.\u003c/p>\n\u003cp>The lifetime risk of HIV has also has been declining. Several years ago, the CDC put that estimate at less than 1 in 78 for all Americans. It fell about 20 percent, to 1 in 99, and dropped for both men and women. That suggests prevention efforts are paying off, Mermin said.\u003c/p>\n\u003cp>The earlier estimate was based on 33 states; the \u003ca href=\"http://www.cdc.gov/nchhstp/newsroom/docs/factsheets/lifetime-risk-hiv-dx-us.pdf\" target=\"_blank\">new report\u003c/a> covers all 50 states and the District of Columbia. That allowed the agency — for the first time — to calculate lifetime risk for specific groups, like gay black men, and for states.\u003c/p>\n\u003cp>Again, the overall risk that the average American will be diagnosed with HIV during his or her lifetime is 1 in 99.\u003c/p>\n\u003cp>Findings include:\u003c/p>\n\u003cul>\n\u003cli>Based on geography, the chances of being diagnosed with HIV is highest in Washington, D.C., and Southern states like Georgia, Florida, Louisiana and Maryland.\u003c/li>\n\u003cli>The risk is lowest in North Dakota. One in 670 residents of that state will be diagnosed with HIV, compared to about 1 in 50 in Maryland and Georgia.\u003c/li>\n\u003cli>In California, the overall risk is 1 in 102\u003c/li>\n\u003cli>Gay and bisexual men have the highest risk, but there are racial differences within that group. For gay white men it's about 1 in 11 — a significantly smaller proportion than the estimate for blacks and Hispanics.\u003c/li>\n\u003cli>Among heterosexuals, blacks are far more likely to be infected than other racial groups. For example, 1 in 49 black women compared to 1 in 1,083 white women.\u003c/li>\n\u003c/ul>\n\u003cp>“You see this community that is at far higher risk for HIV infection, but there almost seems to be a concerted effort not to talk about it,” Greg Millett, vice president and director of Public Policy at AmfAR, the Foundation for AIDS Research, told \u003ca href=\"http://www.bloomberg.com/news/articles/2016-02-23/gay-black-men-are-still-bearing-the-brunt-of-the-hiv-crisis\" target=\"_blank\">Bloomberg News\u003c/a>. He was not involved in the research, but did work at CDC until 2014.\u003c/p>\n\u003cp>In a \u003ca href=\"http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(12)60899-X/abstract\" target=\"_blank\">2012 analysis,\u003c/a> Millett found the disparity was not linked to gay black men engaging in riskier sex. As Bloomberg reports:\u003c/p>\n\u003cblockquote>\u003cp>Rather, he cites such structural barriers as access to health insurance that have made it harder for blacks to get HIV testing and treatment that can control the virus and reduce the risk of infecting a partner.\u003c/p>\u003c/blockquote>\n\u003cp>Marguerita Lightfoot, director of the UC San Francisco Center for AIDS Prevention called the numbers \"shocking.\"\u003c/p>\n\u003cp>[contextly_sidebar id=\"UwZFLWI6km758gDhJI39O7UhloU3at8y\"]She agreed that HIV testing is a first step toward reducing the risk of infected men spreading the virus to others. With treatments available today, the virus can be reduced to undetectable levels in the bloodstream, making it virtually impossible to infect others.\u003c/p>\n\u003cp>For those who are negative, a key strategy that has become available just in the last two years is \"PrEP\" -- pre-exposure prophylaxis -- a pill that can dramatically reduce the risk of acquiring the virus. \"The big thing we can be doing is making sure young, black men in particular get access to PrEP,\" Lightfoot said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The report is a \"wake up call,\" Lightfoot said. \"We know clearly who we need to be targeting. We just need to get to work.\"\u003c/p>\n\n","blocks":[],"excerpt":"It's the first comprehensive analysis that looks at all 50 states and rates by race and ethnicity.","status":"publish","parent":0,"modified":1456270200,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":20,"wordCount":765},"headData":{"title":"Half of Gay Black Men Will Get HIV, CDC Analysis Shows | KQED","description":"It's the first comprehensive analysis that looks at all 50 states and rates by race and ethnicity.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Half of Gay Black Men Will Get HIV, CDC Analysis Shows","datePublished":"2016-02-23T20:24:57.000Z","dateModified":"2016-02-23T23:30:00.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"152183 http://ww2.kqed.org/stateofhealth/?p=152183","disqusUrl":"https://ww2.kqed.org/stateofhealth/2016/02/23/half-of-gay-black-men-will-get-hiv-cdc-analysis-shows/","disqusTitle":"Half of Gay Black Men Will Get HIV, CDC Analysis Shows","nprByline":"Mike Stobbe","path":"/stateofhealth/152183/half-of-gay-black-men-will-get-hiv-cdc-analysis-shows","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>NEW YORK (AP) — About half of gay and bisexual black men will be diagnosed with the AIDS virus in their lifetime, according to the \u003ca href=\"http://www.cdc.gov/nchhstp/newsroom/docs/factsheets/lifetime-risk-hiv-dx-us.pdf\" target=\"_blank\">first-ever comprehensive national estimates\u003c/a> from the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>Overall, for the average American, the odds of an HIV infection is 1 in 99 and has been declining.\u003c/p>\n\u003cp>But the risk varies widely for different groups. For example, the projection is 1 in 2 for gay black men but fewer than 1 in 2,500 for heterosexual white men.\u003c/p>\n\u003cp>\"The differences are stark,\" said Dr. Jonathan Mermin of the CDC's National Center for HIV/AIDS. The CDC released the estimates at a Boston medical conference on Tuesday.\u003c/p>\n\u003cp>HIV, or human immunodeficiency virus, is spread mainly through sex and sharing needles for injecting drugs. In the U.S., infections have long been most common in men who have sex with men. Since AIDS was first identified more than 30 years ago, medicines have changed it from a death sentence to a chronic threat.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The report provides an unusually vivid picture of what's been happening with HIV infections. The estimates were calculated from HIV diagnosis and death figures from 2009 through 2013.\u003c/p>\n\u003cp>New HIV infections have been falling in the United States, to about 40,000 annually. A disproportionately large share — about 10,000 cases — has been in gay and bisexual black men. That number has been holding steady while infections in other groups have fallen.\u003c/p>\n\u003cp>The lifetime risk of HIV has also has been declining. Several years ago, the CDC put that estimate at less than 1 in 78 for all Americans. It fell about 20 percent, to 1 in 99, and dropped for both men and women. That suggests prevention efforts are paying off, Mermin said.\u003c/p>\n\u003cp>The earlier estimate was based on 33 states; the \u003ca href=\"http://www.cdc.gov/nchhstp/newsroom/docs/factsheets/lifetime-risk-hiv-dx-us.pdf\" target=\"_blank\">new report\u003c/a> covers all 50 states and the District of Columbia. That allowed the agency — for the first time — to calculate lifetime risk for specific groups, like gay black men, and for states.\u003c/p>\n\u003cp>Again, the overall risk that the average American will be diagnosed with HIV during his or her lifetime is 1 in 99.\u003c/p>\n\u003cp>Findings include:\u003c/p>\n\u003cul>\n\u003cli>Based on geography, the chances of being diagnosed with HIV is highest in Washington, D.C., and Southern states like Georgia, Florida, Louisiana and Maryland.\u003c/li>\n\u003cli>The risk is lowest in North Dakota. One in 670 residents of that state will be diagnosed with HIV, compared to about 1 in 50 in Maryland and Georgia.\u003c/li>\n\u003cli>In California, the overall risk is 1 in 102\u003c/li>\n\u003cli>Gay and bisexual men have the highest risk, but there are racial differences within that group. For gay white men it's about 1 in 11 — a significantly smaller proportion than the estimate for blacks and Hispanics.\u003c/li>\n\u003cli>Among heterosexuals, blacks are far more likely to be infected than other racial groups. For example, 1 in 49 black women compared to 1 in 1,083 white women.\u003c/li>\n\u003c/ul>\n\u003cp>“You see this community that is at far higher risk for HIV infection, but there almost seems to be a concerted effort not to talk about it,” Greg Millett, vice president and director of Public Policy at AmfAR, the Foundation for AIDS Research, told \u003ca href=\"http://www.bloomberg.com/news/articles/2016-02-23/gay-black-men-are-still-bearing-the-brunt-of-the-hiv-crisis\" target=\"_blank\">Bloomberg News\u003c/a>. He was not involved in the research, but did work at CDC until 2014.\u003c/p>\n\u003cp>In a \u003ca href=\"http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(12)60899-X/abstract\" target=\"_blank\">2012 analysis,\u003c/a> Millett found the disparity was not linked to gay black men engaging in riskier sex. As Bloomberg reports:\u003c/p>\n\u003cblockquote>\u003cp>Rather, he cites such structural barriers as access to health insurance that have made it harder for blacks to get HIV testing and treatment that can control the virus and reduce the risk of infecting a partner.\u003c/p>\u003c/blockquote>\n\u003cp>Marguerita Lightfoot, director of the UC San Francisco Center for AIDS Prevention called the numbers \"shocking.\"\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>She agreed that HIV testing is a first step toward reducing the risk of infected men spreading the virus to others. With treatments available today, the virus can be reduced to undetectable levels in the bloodstream, making it virtually impossible to infect others.\u003c/p>\n\u003cp>For those who are negative, a key strategy that has become available just in the last two years is \"PrEP\" -- pre-exposure prophylaxis -- a pill that can dramatically reduce the risk of acquiring the virus. \"The big thing we can be doing is making sure young, black men in particular get access to PrEP,\" Lightfoot said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The report is a \"wake up call,\" Lightfoot said. \"We know clearly who we need to be targeting. We just need to get to work.\"\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/152183/half-of-gay-black-men-will-get-hiv-cdc-analysis-shows","authors":["byline_stateofhealth_152183"],"categories":["stateofhealth_11"],"tags":["stateofhealth_249","stateofhealth_313","stateofhealth_2519","stateofhealth_320"],"featImg":"stateofhealth_152208","label":"stateofhealth"},"stateofhealth_71914":{"type":"posts","id":"stateofhealth_71914","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"71914","score":null,"sort":[1441259919000]},"guestAuthors":[],"slug":"no-new-infections-in-hundreds-taking-pill-to-prevent-hiv","title":"No New Infections in Hundreds Taking Pill to Prevent HIV","publishDate":1441259919,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>Among hundreds of HIV-negative people using pre-exposure prophylaxis, known as PrEP, there were no new HIV infections over a two-and-a-half-year period, according to \u003ca href=\"http://cid.oxfordjournals.org/content/early/2015/09/01/cid.civ778.abstract\" target=\"_blank\">an analysis \u003c/a>by researchers at Kaiser San Francisco published Wednesday.\u003c/p>\n\u003cp>In the study, researchers at Kaiser San Francisco followed 657 of its patients who were referred for PrEP and then followed the regimen. In an interview, lead author Dr. Jonathan Volk, an infectious disease specialist with Kaiser called the results \"incredibly exciting.\"\u003c/p>\n\u003cp>\"I was optimistic, but this is even more ... reassuring than I had expected initially,\" he said. \"It really reinforces how well this medication can work to help reduce risk for HIV for patients who are using it daily.\"\u003c/p>\n\u003cp>In the study, published in Clinical Infectious Diseases, almost all the participants -- 99 percent -- were men who have sex with men.\u003c/p>\n\u003cp>In 2012, the FDA \u003ca href=\"http://ww2.kqed.org/news/2012/07/16/fda-approves-truvada-as-first-medication-to-reduce-hiv-risk-in-healthy-people\" target=\"_blank\">approved the drug Truvada\u003c/a> to help people who are HIV-negative to avoid becoming infected. While studies showed it to be highly effective, some advocates were concerned that use of the drug would lead to unsafe behavior -- and HIV infection.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[contextly_sidebar id=\"Z3PBxmIAbFpdzMPl82A4D1i3wxvUuOkG\"]Yet in 2014, the U.S. Public Health Service published guidelines for PrEP and in July, President Obama \u003ca href=\"https://www.whitehouse.gov/the-press-office/2015/07/30/fact-sheet-national-hivaids-strategy-updated-2020\" target=\"_blank\">signed an executive order\u003c/a> updating the National HIV/AIDS Strategy to include full access to PrEP for those who want it.\u003c/p>\n\u003cp>Volk said the Kaiser study is significant in part because of the success during real-world application. Researchers tracked condom use and sexually transmitted infections and found that 41 percent of participants reported a decrease in their use of condoms, and half were diagnosed with a sexually transmitted disease in the first year after starting PrEP.\u003c/p>\n\u003cp>\"The fact that we've seen as many sexually transmitted infections as we have and not seen any new HIV infections really reinforces that this medication seems to work very well, even in a high-risk setting,\" Volk said.\u003c/p>\n\u003cp>\u003cstrong>\"Remarkable Study\"\u003c/strong>\u003c/p>\n\u003cp>Dr. Susan Buchbinder is director of the HIV Research Section for the San Francisco Department of Public Health and was not involved with the analysis.\u003c/p>\n\u003cp>\"It's a remarkable study,\" she said. \"It's critically important. This really demonstrates that in a ... very busy clinical setting, the systems can be developed to adequately and accurately screen people for PrEP, put them on PrEP, and follow them over time.\"\u003c/p>\n\u003cp>Paul Marcelin started PrEP in July, 2013 as part of a separate one-year study. When that wrapped up, Marcelin, 40, who lives in Alameda but is a Kaiser San Francisco patient, continued on PrEP with Kaiser.\u003c/p>\n\u003cp>\"It's been wonderful to receive this care from my regular provider,\" he said in an interview.\u003c/p>\n\u003cp>Marcelin's boyfriend of one year is HIV positive. Fifteen years ago, Marcelin said he dated another man who was HIV positive. \"It was a barrier in our sex life and in our intimacy,\" he said. \"It's amazing to think that today I've met a new person, an amazing person, and we don't have any fear. We have a completely natural sex life.\"\u003c/p>\n\u003cp>Marcelin says he's experienced no side effects from taking Truvada. It is recommended that anyone on Truvada is tested for HIV and other sexually transmitted infections every three months. Patients are also monitored for drug side effects, especially changes in kidney function.\u003c/p>\n\u003cp>\u003cstrong>Stigma Remains\u003c/strong>\u003c/p>\n\u003cp>Despite the success of PrEP as a preventive, stigma remains. People who take PrEP are sometimes viewed as promiscuous, Marcelin told me. \"People say, 'Why are you not just using condoms?' ... Sometimes people say, 'You must be slut.' So there's negative stigma.\"\u003c/p>\n\u003cp>Another barrier may be cost -- $15,000 annually or $1,250 per month. Insurance does cover at least some of the cost, but how much is dependent on the type of insurance an individual has. Gilead, which makes Truvada, will reimburse patients up to $300 per month. Marcelin's cost sharing after his Kaiser plan is $35 per month, and he says Gilead reimburses that.\u003c/p>\n\u003cp>[contextly_sidebar id=\"TYpef1eMvxU4HPsSLQDHrpynDtuBeiCQ\"]Buchbinder helps direct an ambitious campaign to eliminate new HIV infections in San Francisco called \u003ca href=\"http://www.gettingtozerosf.org\" target=\"_blank\">Getting to Zero\u003c/a>. For years, new infections have been declining. Between 2006 and 2014, new infections in men who have sex with men fell from 357 to 221, nearly a 40 percent decline. The decline in new infections by race/ethnicity are also significant. Again, new HIV infections declined as follows, from 2006 to 2014:\u003c/p>\n\u003cul>\n\u003cli>Whites: 278 to 136\u003c/li>\n\u003cli>African American: 75 to 33\u003c/li>\n\u003cli>Latino: 113 to 82\u003c/li>\n\u003c/ul>\n\u003cp>PrEP is a strong component of the campaign, but it's \"really the culmination of many, many different things that the city has been doing in particular over the last five years,\" Buchbinder said. \u003cstrong>\u003cem> \u003c/em>\u003c/strong>\u003c/p>\n\u003cp>Kaiser is continuing to monitor its patients on PrEP. Demand for PrEP is growing. Volk said that at the time the analysis was submitted, there were the 600-plus patients, today it's closer to 900.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"What is exciting for me as a clinician,\" Volk said \"is now I have many different tools I can use to help prevent HIV, and PrEP is one of them. PrEP is probably not right for all my patients ... but it is for many of them.\"\u003c/p>\n\n","blocks":[],"excerpt":"Despite a decline in use of condoms, there were no new HIV infections among the 650 people in the San Francisco study. ","status":"publish","parent":0,"modified":1441296949,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":24,"wordCount":872},"headData":{"title":"No New Infections in Hundreds Taking Pill to Prevent HIV | KQED","description":"Despite a decline in use of condoms, there were no new HIV infections among the 650 people in the San Francisco study. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"No New Infections in Hundreds Taking Pill to Prevent HIV","datePublished":"2015-09-03T05:58:39.000Z","dateModified":"2015-09-03T16:15:49.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"71914 http://ww2.kqed.org/stateofhealth/?p=71914","disqusUrl":"https://ww2.kqed.org/stateofhealth/2015/09/02/no-new-infections-in-hundreds-taking-pill-to-prevent-hiv/","disqusTitle":"No New Infections in Hundreds Taking Pill to Prevent HIV","path":"/stateofhealth/71914/no-new-infections-in-hundreds-taking-pill-to-prevent-hiv","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Among hundreds of HIV-negative people using pre-exposure prophylaxis, known as PrEP, there were no new HIV infections over a two-and-a-half-year period, according to \u003ca href=\"http://cid.oxfordjournals.org/content/early/2015/09/01/cid.civ778.abstract\" target=\"_blank\">an analysis \u003c/a>by researchers at Kaiser San Francisco published Wednesday.\u003c/p>\n\u003cp>In the study, researchers at Kaiser San Francisco followed 657 of its patients who were referred for PrEP and then followed the regimen. In an interview, lead author Dr. Jonathan Volk, an infectious disease specialist with Kaiser called the results \"incredibly exciting.\"\u003c/p>\n\u003cp>\"I was optimistic, but this is even more ... reassuring than I had expected initially,\" he said. \"It really reinforces how well this medication can work to help reduce risk for HIV for patients who are using it daily.\"\u003c/p>\n\u003cp>In the study, published in Clinical Infectious Diseases, almost all the participants -- 99 percent -- were men who have sex with men.\u003c/p>\n\u003cp>In 2012, the FDA \u003ca href=\"http://ww2.kqed.org/news/2012/07/16/fda-approves-truvada-as-first-medication-to-reduce-hiv-risk-in-healthy-people\" target=\"_blank\">approved the drug Truvada\u003c/a> to help people who are HIV-negative to avoid becoming infected. While studies showed it to be highly effective, some advocates were concerned that use of the drug would lead to unsafe behavior -- and HIV infection.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>Yet in 2014, the U.S. Public Health Service published guidelines for PrEP and in July, President Obama \u003ca href=\"https://www.whitehouse.gov/the-press-office/2015/07/30/fact-sheet-national-hivaids-strategy-updated-2020\" target=\"_blank\">signed an executive order\u003c/a> updating the National HIV/AIDS Strategy to include full access to PrEP for those who want it.\u003c/p>\n\u003cp>Volk said the Kaiser study is significant in part because of the success during real-world application. Researchers tracked condom use and sexually transmitted infections and found that 41 percent of participants reported a decrease in their use of condoms, and half were diagnosed with a sexually transmitted disease in the first year after starting PrEP.\u003c/p>\n\u003cp>\"The fact that we've seen as many sexually transmitted infections as we have and not seen any new HIV infections really reinforces that this medication seems to work very well, even in a high-risk setting,\" Volk said.\u003c/p>\n\u003cp>\u003cstrong>\"Remarkable Study\"\u003c/strong>\u003c/p>\n\u003cp>Dr. Susan Buchbinder is director of the HIV Research Section for the San Francisco Department of Public Health and was not involved with the analysis.\u003c/p>\n\u003cp>\"It's a remarkable study,\" she said. \"It's critically important. This really demonstrates that in a ... very busy clinical setting, the systems can be developed to adequately and accurately screen people for PrEP, put them on PrEP, and follow them over time.\"\u003c/p>\n\u003cp>Paul Marcelin started PrEP in July, 2013 as part of a separate one-year study. When that wrapped up, Marcelin, 40, who lives in Alameda but is a Kaiser San Francisco patient, continued on PrEP with Kaiser.\u003c/p>\n\u003cp>\"It's been wonderful to receive this care from my regular provider,\" he said in an interview.\u003c/p>\n\u003cp>Marcelin's boyfriend of one year is HIV positive. Fifteen years ago, Marcelin said he dated another man who was HIV positive. \"It was a barrier in our sex life and in our intimacy,\" he said. \"It's amazing to think that today I've met a new person, an amazing person, and we don't have any fear. We have a completely natural sex life.\"\u003c/p>\n\u003cp>Marcelin says he's experienced no side effects from taking Truvada. It is recommended that anyone on Truvada is tested for HIV and other sexually transmitted infections every three months. Patients are also monitored for drug side effects, especially changes in kidney function.\u003c/p>\n\u003cp>\u003cstrong>Stigma Remains\u003c/strong>\u003c/p>\n\u003cp>Despite the success of PrEP as a preventive, stigma remains. People who take PrEP are sometimes viewed as promiscuous, Marcelin told me. \"People say, 'Why are you not just using condoms?' ... Sometimes people say, 'You must be slut.' So there's negative stigma.\"\u003c/p>\n\u003cp>Another barrier may be cost -- $15,000 annually or $1,250 per month. Insurance does cover at least some of the cost, but how much is dependent on the type of insurance an individual has. Gilead, which makes Truvada, will reimburse patients up to $300 per month. Marcelin's cost sharing after his Kaiser plan is $35 per month, and he says Gilead reimburses that.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>Buchbinder helps direct an ambitious campaign to eliminate new HIV infections in San Francisco called \u003ca href=\"http://www.gettingtozerosf.org\" target=\"_blank\">Getting to Zero\u003c/a>. For years, new infections have been declining. Between 2006 and 2014, new infections in men who have sex with men fell from 357 to 221, nearly a 40 percent decline. The decline in new infections by race/ethnicity are also significant. Again, new HIV infections declined as follows, from 2006 to 2014:\u003c/p>\n\u003cul>\n\u003cli>Whites: 278 to 136\u003c/li>\n\u003cli>African American: 75 to 33\u003c/li>\n\u003cli>Latino: 113 to 82\u003c/li>\n\u003c/ul>\n\u003cp>PrEP is a strong component of the campaign, but it's \"really the culmination of many, many different things that the city has been doing in particular over the last five years,\" Buchbinder said. \u003cstrong>\u003cem> \u003c/em>\u003c/strong>\u003c/p>\n\u003cp>Kaiser is continuing to monitor its patients on PrEP. Demand for PrEP is growing. Volk said that at the time the analysis was submitted, there were the 600-plus patients, today it's closer to 900.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"What is exciting for me as a clinician,\" Volk said \"is now I have many different tools I can use to help prevent HIV, and PrEP is one of them. PrEP is probably not right for all my patients ... but it is for many of them.\"\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/71914/no-new-infections-in-hundreds-taking-pill-to-prevent-hiv","authors":["240"],"categories":["stateofhealth_11","stateofhealth_13"],"tags":["stateofhealth_64","stateofhealth_461","stateofhealth_320"],"featImg":"stateofhealth_72049","label":"stateofhealth"},"stateofhealth_55527":{"type":"posts","id":"stateofhealth_55527","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"55527","score":null,"sort":[1438491348000]},"guestAuthors":[],"slug":"why-latinos-arent-taking-the-anti-hiv-pill-and-why-they-should-consider-it","title":"Why Latinos Aren't Taking the Anti-HIV Pill -- and Why They Should Consider It","publishDate":1438491348,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>LOS ANGELES – Late on a Friday night at The New Jalisco Bar downtown, a drag show featuring dancers dressed in sequined leotards and feathered headdresses had drawn a crowd -- most of them gay Latino men.\u003c/p>\n\u003cp>Inside the bar and out, three health workers chatted with customers, casually asking questions: Do you know about the HIV prevention pill? Would you consider taking it? A few men said they had never heard of it. Others simply said it wasn’t for them.\u003c/p>\n\u003cp>“It hasn’t really hit the Latino community yet,” Jesse Hinostroza, an HIV prevention specialist with AltaMed health clinics, said while sitting at a table with a bowl of condoms and a stack of bilingual pamphlets about the pill. “They aren’t educated about it.”\u003c/p>\n\u003cp>In California, New York, Texas and elsewhere, health workers are trying to get more high-risk Latino men to use the drug, Truvada. The medication, which is used for “Pre-Exposure Prophylaxis” or PrEP, was approved by the FDA in 2012 for HIV prevention and has been shown to be more than 90 percent effective when used correctly. But health workers are encountering barriers among many Latinos.\u003c/p>\n\u003cp>Among them are a lack of knowledge about the drug and the stigma attached to sleeping with men or perceived promiscuity. Many Latinos also have concerns about costs and side effects.\u003c/p>\n\u003cfigure id=\"attachment_55529\" class=\"wp-caption aligncenter\" style=\"max-width: 1318px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.40.15-PM.png\">\u003cimg class=\"size-full wp-image-55529\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.40.15-PM.png\" alt=\"AltaMed health clinics are conducting HIV prevention outreach at several Latino gay bars in the Los Angeles area. Latinos make up about 21 percent of new infections nationally, according to the U.S. Centers for Disease Control and Prevention. \" width=\"1318\" height=\"878\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.40.15-PM.png 1318w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.40.15-PM-400x266.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.40.15-PM-800x533.png 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.40.15-PM-1180x786.png 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.40.15-PM-960x640.png 960w\" sizes=\"(max-width: 1318px) 100vw, 1318px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">AltaMed health clinics are conducting HIV prevention outreach at several Latino gay bars in the Los Angeles area. Latinos make up about 21 percent of new infections nationally, according to the U.S. Centers for Disease Control and Prevention. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Even for people who have heard about it, that makes them reluctant to use or hesitant to even inquire about it,” said Phillip Schnarrs, assistant professor of health promotion at the University of Texas at San Antonio and research director for the Austin PrEP Access Project.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Schnarrs, who is conducting a study with gay and bisexual Latino men in Texas, said 58 percent of those surveyed see themselves as good candidates for PrEP, compared to 82 percent of non-Hispanic whites, according to preliminary data.\u003c/p>\n\u003cp>In an ongoing study of 20 Latino gay couples in New York City, 37 of the 40 people had never heard about PrEP when interviewed last year, said Omar Martinez, assistant professor of social work at the Temple University College of Public Health.\u003c/p>\n\u003cp>Martinez said doctors and health workers need to focus on reaching young minority men at highest risk of getting HIV and transmitting it to others, including those who don’t regularly use condoms. “We need to do something,” he said. “And PrEP may be the solution.”\u003c/p>\n\u003cp>Latinos are disproportionately affected by HIV. They make up about 21 percent of new infections nationally, though they represented about 17 percent of the population, according to the U.S. Centers for Disease Control and Prevention. Latinos are also more likely than non-Hispanic whites and blacks to get diagnosed later in the course of their illness, raising the risks to their health and the likelihood of transmission to others.\u003c/p>\n\u003cfigure id=\"attachment_55530\" class=\"wp-caption aligncenter\" style=\"max-width: 1334px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.41.51-PM.png\">\u003cimg class=\"size-full wp-image-55530\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.41.51-PM.png\" alt=\"In Los Angeles, health workers are trying to get more high-risk Latino men to use the drug, Truvada. AltaMed Health Services offered free HIV tests at The New Jalisco Bar in downtown LA.\" width=\"1334\" height=\"596\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.41.51-PM.png 1334w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.41.51-PM-400x179.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.41.51-PM-800x357.png 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.41.51-PM-1180x527.png 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.41.51-PM-960x429.png 960w\" sizes=\"(max-width: 1334px) 100vw, 1334px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">In Los Angeles, health workers are trying to get more high-risk Latino men to use the drug, Truvada. AltaMed Health Services offered free HIV tests at The New Jalisco Bar in downtown LA. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At the same time, Latinos are less likely than non-Hispanic whites to be insured or have a regular doctor, although the Affordable Care Act has helped reduce that gap.\u003c/p>\n\u003cp>Truvada can cost up to $1,300 a month. Most insurance companies and Medicaid programs are covering at least part of that, and many local governments are also covering the pill for uninsured residents. But the high sticker price can dampen interest among patients.\u003c/p>\n\u003cp>Truvada, which blocks the virus from spreading in the body, is helping to significantly reduce new infections, said Robert Grant, a professor at UC San Francisco School of Medicine who leads research on PrEP’s effectiveness.\u003c/p>\n\u003cp>But the pill does not protect against other sexually transmitted diseases, requires daily use and can cause side effects in some patients, including kidney problems.\u003c/p>\n\u003cp>“It is a very valuable option, but it is only one option,” Grant said. “Condoms are still very important part of a sexual health strategy.”\u003c/p>\n\u003cp>As customers at the New Jalisco Bar danced to traditional Mexican music beneath a disco ball and rainbow lights, Jaime Cardenas conducted HIV tests in a mobile unit parked in front. Anyone who tested on the spot received a free drink coupon, courtesy of AltaMed and the bar.\u003c/p>\n\u003cp>One of the first to agree was Erik Quezada, a counselor at a Los Angeles high school.\u003c/p>\n\u003cp>Cardenas drew a few drops of blood from Erik Quezada’s finger for the rapid test. Within minutes, Cardenas gave him the good news: He didn’t have HIV. Cardenas quickly followed up with information about the HIV prevention pill.\u003c/p>\n\u003cp>“One way you can prevent yourself from acquiring HIV is by taking PrEP,” Cardenas said, offering to take down Quezada’s number so the clinic could call him later.\u003c/p>\n\u003cp>Quezada, 35, responded that he had heard it was like the birth control pill for gay people. He agreed to be contacted but quickly added, “I don’t know I would ever sign up for it.”\u003c/p>\n\u003cfigure id=\"attachment_55531\" class=\"wp-caption aligncenter\" style=\"max-width: 1328px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.04-PM.png\">\u003cimg class=\"size-full wp-image-55531\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.04-PM.png\" alt=\"Erik Quezada, 35, says he has heard Truvada is like the birth-control pill for gay people. Quezada, a counselor at a Los Angeles high school, says he’s not sure he would sign up for it. \" width=\"1328\" height=\"880\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.04-PM.png 1328w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.04-PM-400x265.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.04-PM-800x530.png 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.04-PM-1180x782.png 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.04-PM-960x636.png 960w\" sizes=\"(max-width: 1328px) 100vw, 1328px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Erik Quezada, 35, says he has heard Truvada is like the birth-control pill for gay people. Quezada, a counselor at a Los Angeles high school, says he’s not sure he would sign up for it. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Others were even less interested. Jose Arriola, 25, a self-described “diva,” said he didn’t want to take any medication. “It’s better to use condoms,” he said, sitting by his boyfriend at the bar.\u003c/p>\n\u003cp>A short video produced by AltaMed played between acts. The video featured different Latino men getting dressed: a cowboy for a night out, a day laborer for work, a buff young man for the gym. Each took the HIV-prevention pill as part of their routine. At the end of each segment, one word popped up on the screen: listo, or ready.\u003c/p>\n\u003cp>“We are really trying to project the message that taking PrEP can be a normal part of your everyday life,” said Dr. Scott Kim, medical director of HIV Services for AltaMed, which runs more than 40 health clinics in Southern California.\u003c/p>\n\u003cp>That, he hopes, will reduce stigma. Kim said health workers need to be more creative in places like East Los Angeles, where many gay and bisexual Latinos are still in the closet and aren’t getting information through traditional health-care sources. Talking about PrEP at a doctor’s office may not be as effective as doing so on social media, by text message or in a bar, he said. “There are a lot of social obstacles and challenges we have to negotiate here because it’s harder to be out,” Kim said.\u003c/p>\n\u003cp>AltaMed’s efforts are being paid for by Gilead, the pharmaceutical company that makes Truvada. The goal of its $80,000 grant is to help 100 high-risk gay Latino men throughout Los Angeles County get prescriptions for PrEP. The grant pays for the outreach but does not cover the cost of the medication.\u003c/p>\n\u003cp>Since the project began late last month, about half a dozen patients have received prescriptions. Hinostroza of AltaMed said there is more interest and more knowledge in gay-friendly Hollywood and West Hollywood. “But for East Los Angeles, where we are, it’s a struggle,” she said.\u003c/p>\n\u003cp>Louis Arevalo, 27, is a college student and AltaMed patient who lives in Los Angeles. He said he decided to go on the medication last month after getting scared when a condom broke. He said he uses condoms regularly and gets HIV-tested every three months, but the medication is “an extra layer of protection.”\u003c/p>\n\u003cp>“I’m not as anxious anymore,” he said.\u003c/p>\n\u003cp>But Arevalo said he understands the stigma that might prevent others from taking the drug. For years, he said, he has hidden his boyfriends from his mother, an immigrant from El Salvador. Arevalo said her church pastor repeatedly has said that homosexuality is a sin. “It’s just part of the culture, and it’s the religion,” he said.\u003c/p>\n\u003cfigure id=\"attachment_55532\" class=\"wp-caption aligncenter\" style=\"max-width: 1324px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.17-PM.png\">\u003cimg class=\"size-full wp-image-55532\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.17-PM.png\" alt=\"Louis Arevalo, 27, says he decided to go on the medication last month after getting scared when a condom broke. The college student from Los Angeles says he uses the pill as an extra layer of protection. \" width=\"1324\" height=\"878\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.17-PM.png 1324w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.17-PM-400x265.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.17-PM-800x531.png 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.17-PM-1180x783.png 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.17-PM-960x637.png 960w\" sizes=\"(max-width: 1324px) 100vw, 1324px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Louis Arevalo, 27, says he decided to go on the medication last month after getting scared when a condom broke. The college student from Los Angeles says he uses the pill as an extra layer of protection. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>AltaMed’s efforts are just one part of a larger effort to get the word out about Truvada. The nonprofit Latino Commission on AIDS, based in New York, also recently started a campaign in five cities —- Long Beach, Calif.; New York City; Chicago; Miami; and San Juan, Puerto Rico.\u003c/p>\n\u003cp>Gustavo Morales, the commission’s director of access to care services, said now is the time to educate people about PrEP -— lest too many people form negative opinions about it and health workers become “like salmon swimming against the current.”\u003c/p>\n\u003cp>Morales said patients aren’t the only ones who need more information. When he decided to go on PrEP late last year, he went to two different doctors who didn’t know about Truvada. A third asked him why he wanted to poison himself. Finally, he got a prescription from an HIV specialist.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“I was definitely disappointed,” said Morales. “There is a lot of work that still has to be done.”\u003c/p>\n\n","blocks":[],"excerpt":"Truvada for HIV prevention is more than 90 percent effective, but health workers face lack of knowledge and stigma attached to sleeping with men as barriers among Latinos.","status":"publish","parent":0,"modified":1445452258,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":35,"wordCount":1648},"headData":{"title":"Why Latinos Aren't Taking the Anti-HIV Pill -- and Why They Should Consider It | KQED","description":"Truvada for HIV prevention is more than 90 percent effective, but health workers face lack of knowledge and stigma attached to sleeping with men as barriers among Latinos.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Why Latinos Aren't Taking the Anti-HIV Pill -- and Why They Should Consider It","datePublished":"2015-08-02T04:55:48.000Z","dateModified":"2015-10-21T18:30:58.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"55527 http://ww2.kqed.org/stateofhealth/?p=55527","disqusUrl":"https://ww2.kqed.org/stateofhealth/2015/08/01/why-latinos-arent-taking-the-anti-hiv-pill-and-why-they-should-consider-it/","disqusTitle":"Why Latinos Aren't Taking the Anti-HIV Pill -- and Why They Should Consider It","nprByline":"Anna Gorman, Kaiser Health News","path":"/stateofhealth/55527/why-latinos-arent-taking-the-anti-hiv-pill-and-why-they-should-consider-it","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>LOS ANGELES – Late on a Friday night at The New Jalisco Bar downtown, a drag show featuring dancers dressed in sequined leotards and feathered headdresses had drawn a crowd -- most of them gay Latino men.\u003c/p>\n\u003cp>Inside the bar and out, three health workers chatted with customers, casually asking questions: Do you know about the HIV prevention pill? Would you consider taking it? A few men said they had never heard of it. Others simply said it wasn’t for them.\u003c/p>\n\u003cp>“It hasn’t really hit the Latino community yet,” Jesse Hinostroza, an HIV prevention specialist with AltaMed health clinics, said while sitting at a table with a bowl of condoms and a stack of bilingual pamphlets about the pill. “They aren’t educated about it.”\u003c/p>\n\u003cp>In California, New York, Texas and elsewhere, health workers are trying to get more high-risk Latino men to use the drug, Truvada. The medication, which is used for “Pre-Exposure Prophylaxis” or PrEP, was approved by the FDA in 2012 for HIV prevention and has been shown to be more than 90 percent effective when used correctly. But health workers are encountering barriers among many Latinos.\u003c/p>\n\u003cp>Among them are a lack of knowledge about the drug and the stigma attached to sleeping with men or perceived promiscuity. Many Latinos also have concerns about costs and side effects.\u003c/p>\n\u003cfigure id=\"attachment_55529\" class=\"wp-caption aligncenter\" style=\"max-width: 1318px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.40.15-PM.png\">\u003cimg class=\"size-full wp-image-55529\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.40.15-PM.png\" alt=\"AltaMed health clinics are conducting HIV prevention outreach at several Latino gay bars in the Los Angeles area. Latinos make up about 21 percent of new infections nationally, according to the U.S. Centers for Disease Control and Prevention. \" width=\"1318\" height=\"878\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.40.15-PM.png 1318w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.40.15-PM-400x266.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.40.15-PM-800x533.png 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.40.15-PM-1180x786.png 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.40.15-PM-960x640.png 960w\" sizes=\"(max-width: 1318px) 100vw, 1318px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">AltaMed health clinics are conducting HIV prevention outreach at several Latino gay bars in the Los Angeles area. Latinos make up about 21 percent of new infections nationally, according to the U.S. Centers for Disease Control and Prevention. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Even for people who have heard about it, that makes them reluctant to use or hesitant to even inquire about it,” said Phillip Schnarrs, assistant professor of health promotion at the University of Texas at San Antonio and research director for the Austin PrEP Access Project.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Schnarrs, who is conducting a study with gay and bisexual Latino men in Texas, said 58 percent of those surveyed see themselves as good candidates for PrEP, compared to 82 percent of non-Hispanic whites, according to preliminary data.\u003c/p>\n\u003cp>In an ongoing study of 20 Latino gay couples in New York City, 37 of the 40 people had never heard about PrEP when interviewed last year, said Omar Martinez, assistant professor of social work at the Temple University College of Public Health.\u003c/p>\n\u003cp>Martinez said doctors and health workers need to focus on reaching young minority men at highest risk of getting HIV and transmitting it to others, including those who don’t regularly use condoms. “We need to do something,” he said. “And PrEP may be the solution.”\u003c/p>\n\u003cp>Latinos are disproportionately affected by HIV. They make up about 21 percent of new infections nationally, though they represented about 17 percent of the population, according to the U.S. Centers for Disease Control and Prevention. Latinos are also more likely than non-Hispanic whites and blacks to get diagnosed later in the course of their illness, raising the risks to their health and the likelihood of transmission to others.\u003c/p>\n\u003cfigure id=\"attachment_55530\" class=\"wp-caption aligncenter\" style=\"max-width: 1334px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.41.51-PM.png\">\u003cimg class=\"size-full wp-image-55530\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.41.51-PM.png\" alt=\"In Los Angeles, health workers are trying to get more high-risk Latino men to use the drug, Truvada. AltaMed Health Services offered free HIV tests at The New Jalisco Bar in downtown LA.\" width=\"1334\" height=\"596\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.41.51-PM.png 1334w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.41.51-PM-400x179.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.41.51-PM-800x357.png 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.41.51-PM-1180x527.png 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.41.51-PM-960x429.png 960w\" sizes=\"(max-width: 1334px) 100vw, 1334px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">In Los Angeles, health workers are trying to get more high-risk Latino men to use the drug, Truvada. AltaMed Health Services offered free HIV tests at The New Jalisco Bar in downtown LA. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At the same time, Latinos are less likely than non-Hispanic whites to be insured or have a regular doctor, although the Affordable Care Act has helped reduce that gap.\u003c/p>\n\u003cp>Truvada can cost up to $1,300 a month. Most insurance companies and Medicaid programs are covering at least part of that, and many local governments are also covering the pill for uninsured residents. But the high sticker price can dampen interest among patients.\u003c/p>\n\u003cp>Truvada, which blocks the virus from spreading in the body, is helping to significantly reduce new infections, said Robert Grant, a professor at UC San Francisco School of Medicine who leads research on PrEP’s effectiveness.\u003c/p>\n\u003cp>But the pill does not protect against other sexually transmitted diseases, requires daily use and can cause side effects in some patients, including kidney problems.\u003c/p>\n\u003cp>“It is a very valuable option, but it is only one option,” Grant said. “Condoms are still very important part of a sexual health strategy.”\u003c/p>\n\u003cp>As customers at the New Jalisco Bar danced to traditional Mexican music beneath a disco ball and rainbow lights, Jaime Cardenas conducted HIV tests in a mobile unit parked in front. Anyone who tested on the spot received a free drink coupon, courtesy of AltaMed and the bar.\u003c/p>\n\u003cp>One of the first to agree was Erik Quezada, a counselor at a Los Angeles high school.\u003c/p>\n\u003cp>Cardenas drew a few drops of blood from Erik Quezada’s finger for the rapid test. Within minutes, Cardenas gave him the good news: He didn’t have HIV. Cardenas quickly followed up with information about the HIV prevention pill.\u003c/p>\n\u003cp>“One way you can prevent yourself from acquiring HIV is by taking PrEP,” Cardenas said, offering to take down Quezada’s number so the clinic could call him later.\u003c/p>\n\u003cp>Quezada, 35, responded that he had heard it was like the birth control pill for gay people. He agreed to be contacted but quickly added, “I don’t know I would ever sign up for it.”\u003c/p>\n\u003cfigure id=\"attachment_55531\" class=\"wp-caption aligncenter\" style=\"max-width: 1328px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.04-PM.png\">\u003cimg class=\"size-full wp-image-55531\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.04-PM.png\" alt=\"Erik Quezada, 35, says he has heard Truvada is like the birth-control pill for gay people. Quezada, a counselor at a Los Angeles high school, says he’s not sure he would sign up for it. \" width=\"1328\" height=\"880\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.04-PM.png 1328w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.04-PM-400x265.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.04-PM-800x530.png 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.04-PM-1180x782.png 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.04-PM-960x636.png 960w\" sizes=\"(max-width: 1328px) 100vw, 1328px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Erik Quezada, 35, says he has heard Truvada is like the birth-control pill for gay people. Quezada, a counselor at a Los Angeles high school, says he’s not sure he would sign up for it. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Others were even less interested. Jose Arriola, 25, a self-described “diva,” said he didn’t want to take any medication. “It’s better to use condoms,” he said, sitting by his boyfriend at the bar.\u003c/p>\n\u003cp>A short video produced by AltaMed played between acts. The video featured different Latino men getting dressed: a cowboy for a night out, a day laborer for work, a buff young man for the gym. Each took the HIV-prevention pill as part of their routine. At the end of each segment, one word popped up on the screen: listo, or ready.\u003c/p>\n\u003cp>“We are really trying to project the message that taking PrEP can be a normal part of your everyday life,” said Dr. Scott Kim, medical director of HIV Services for AltaMed, which runs more than 40 health clinics in Southern California.\u003c/p>\n\u003cp>That, he hopes, will reduce stigma. Kim said health workers need to be more creative in places like East Los Angeles, where many gay and bisexual Latinos are still in the closet and aren’t getting information through traditional health-care sources. Talking about PrEP at a doctor’s office may not be as effective as doing so on social media, by text message or in a bar, he said. “There are a lot of social obstacles and challenges we have to negotiate here because it’s harder to be out,” Kim said.\u003c/p>\n\u003cp>AltaMed’s efforts are being paid for by Gilead, the pharmaceutical company that makes Truvada. The goal of its $80,000 grant is to help 100 high-risk gay Latino men throughout Los Angeles County get prescriptions for PrEP. The grant pays for the outreach but does not cover the cost of the medication.\u003c/p>\n\u003cp>Since the project began late last month, about half a dozen patients have received prescriptions. Hinostroza of AltaMed said there is more interest and more knowledge in gay-friendly Hollywood and West Hollywood. “But for East Los Angeles, where we are, it’s a struggle,” she said.\u003c/p>\n\u003cp>Louis Arevalo, 27, is a college student and AltaMed patient who lives in Los Angeles. He said he decided to go on the medication last month after getting scared when a condom broke. He said he uses condoms regularly and gets HIV-tested every three months, but the medication is “an extra layer of protection.”\u003c/p>\n\u003cp>“I’m not as anxious anymore,” he said.\u003c/p>\n\u003cp>But Arevalo said he understands the stigma that might prevent others from taking the drug. For years, he said, he has hidden his boyfriends from his mother, an immigrant from El Salvador. Arevalo said her church pastor repeatedly has said that homosexuality is a sin. “It’s just part of the culture, and it’s the religion,” he said.\u003c/p>\n\u003cfigure id=\"attachment_55532\" class=\"wp-caption aligncenter\" style=\"max-width: 1324px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.17-PM.png\">\u003cimg class=\"size-full wp-image-55532\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.17-PM.png\" alt=\"Louis Arevalo, 27, says he decided to go on the medication last month after getting scared when a condom broke. The college student from Los Angeles says he uses the pill as an extra layer of protection. \" width=\"1324\" height=\"878\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.17-PM.png 1324w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.17-PM-400x265.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.17-PM-800x531.png 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.17-PM-1180x783.png 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.17-PM-960x637.png 960w\" sizes=\"(max-width: 1324px) 100vw, 1324px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Louis Arevalo, 27, says he decided to go on the medication last month after getting scared when a condom broke. The college student from Los Angeles says he uses the pill as an extra layer of protection. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>AltaMed’s efforts are just one part of a larger effort to get the word out about Truvada. The nonprofit Latino Commission on AIDS, based in New York, also recently started a campaign in five cities —- Long Beach, Calif.; New York City; Chicago; Miami; and San Juan, Puerto Rico.\u003c/p>\n\u003cp>Gustavo Morales, the commission’s director of access to care services, said now is the time to educate people about PrEP -— lest too many people form negative opinions about it and health workers become “like salmon swimming against the current.”\u003c/p>\n\u003cp>Morales said patients aren’t the only ones who need more information. When he decided to go on PrEP late last year, he went to two different doctors who didn’t know about Truvada. A third asked him why he wanted to poison himself. Finally, he got a prescription from an HIV specialist.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“I was definitely disappointed,” said Morales. “There is a lot of work that still has to be done.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/55527/why-latinos-arent-taking-the-anti-hiv-pill-and-why-they-should-consider-it","authors":["byline_stateofhealth_55527"],"categories":["stateofhealth_11","stateofhealth_13"],"tags":["stateofhealth_64","stateofhealth_320"],"featImg":"stateofhealth_55528","label":"stateofhealth"},"stateofhealth_24448":{"type":"posts","id":"stateofhealth_24448","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"24448","score":null,"sort":[1426265888000]},"guestAuthors":[],"slug":"will-the-hiv-prevention-pill-protect-teens-or-encourage-risky-behavior","title":"Will the HIV-Prevention Pill Protect Teens or Encourage Risky Behavior?","publishDate":1426265888,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_7357\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/TruvadaBottle_05102012_JustinSullivan_GettyImages-e1426265162534.jpg\">\u003cimg class=\"size-large wp-image-7357\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/TruvadaBottle_05102012_JustinSullivan_GettyImages-620x427.jpg\" alt=\"(Justin Sullivan: Getty Images)\" width=\"620\" height=\"427\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Justin Sullivan: Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Rafael Johns\u003c/strong>, \u003ca title=\"http://www.npr.org/blogs/health/2015/03/11/392362374/would-a-pill-to-protect-teens-from-hiv-make-them-feel-invincible\" href=\"http://www.npr.org/blogs/health/2015/03/11/392362374/would-a-pill-to-protect-teens-from-hiv-make-them-feel-invincible\" target=\"_blank\">Youth Radio via NPR\u003c/a>\u003c/p>\n\u003cp>Leon Richardson is 18 years old and tall, charismatic and thoughtful about his sexual health.\u003c/p>\n\u003cp>He understands that as a young, gay black man, he is in the demographic with the \u003ca href=\"http://www.cdc.gov/hiv/risk/age/youth/index.html\" target=\"_blank\">highest rate of HIV infections\u003c/a> in the country. But when Richardson learned that he could be part of an HIV prevention pill research study for young people, he was skeptical.\u003c/p>\n\u003cp>\"I was scared. I had to really think about it, 'What is this drug going to do to me?' \" he says.\u003c/p>\n\u003cp>The regimen, called pre-exposure prophylaxis, or PrEP, can reduce the risk of HIV infection by more than 85 percent when a pill called Truvada is taken daily. In a first, the Food and Drug Administration \u003ca href=\"http://www.npr.org/blogs/health/2012/07/16/156850747/fda-approves-first-drug-to-prevent-hiv-infection\" target=\"_blank\">approved Truvada for prevention of the infection\u003c/a> in 2012. Truvada had been used previously to treat HIV infection.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But the Centers for Disease Control and Prevention recommends caution when prescribing PrEP to adolescents. CDC is waiting for final results from the trials being conducted on young people in cities across the country.\u003c/p>\n\u003cp>Initially, Richardson's mom stoked his concerns. \"She was saying the medical industry tried to sterilize some people; they were trying to do it again,\" he remembers. But he found encouragement from another family member: his grandfather, who is HIV-positive.\u003c/p>\n\u003cp>\"We had a long discussion about this drug and what the side effects\u003cstrong> \u003c/strong>could be, and he overall supported me totally,\" Richardson says. \"And it was kinda like, why not? Let me just try it.\"\u003c/p>\n\u003cp>Now, Richardson is part of \u003ca title=\"CRUSH\" href=\"http://www.crush510.org/\" target=\"_blank\">CRUSH\u003c/a>, an HIV-prevention project in Oakland. CRUSH offers PrEP to participants.\u003c/p>\n\u003cp>Daniel Zeh is part of a PrEP study being conducted by the \u003ca title=\"Adolescent Trials Network\" href=\"https://www.atnonline.org/public/default.asp\" target=\"_blank\">Adolescent Trials Network\u003c/a> with young people between the ages of 15 and 22, based at John H. Stroger Jr. Hospital in Chicago. He was 17 when he started taking the pill as part of a daily regimen that was sometimes hard to explain, he says.\u003c/p>\n\u003cp>\"I guess it was kind of weird during high school, popping it before lunch, trying to make sure nobody sees,\" Zeh chuckles. \"People are like, 'What are you taking?' 'Nothing, you know, just a sugar pill.' \"\u003c/p>\n\u003cp>Zeh first heard about the Stroger Hospital study on Facebook. Outreach coordinators also turned to gay hook-up apps, like Grindr and Jack'd, to recruit possible subjects. It's a clever strategy, even if it's awkward to run into a researcher when you're looking for a date.\u003c/p>\n\u003cp>Psychologist Sybil Hosek, the lead researcher for the study, funded by the National Institutes of Health, offered to pay participants $50 per visit to the clinic. When enough guys said yes, she got to work.\u003c/p>\n\u003cp>\"What we wanted to do was design a study where they could try to take this pill every day,\" Hosek explains. \"And see whether, one, they were interested in taking it; two, if it was hard for them to take it; and three, how it impacted their sexual behavior.\" For instance, would being on the pill encourage more risky sexual activity?\u003c/p>\n\u003cp>Inside a conference room at the hospital, a group of the guys in the study share stories about what it's like to be on PrEP. Dexter Canty is also enrolled in the Chicago PrEP study, and says people have a lot of misunderstandings about the pill and individuals who take it. They're often asked, \"Are you HIV positive?\" But, in fact, they're taking the drug to \u003cem>prevent\u003c/em> getting infected.\u003c/p>\n\u003cp>Canty compares the reactions he's experienced to people's perceptions when he goes to the drugstore to buy condoms or when a woman goes to Planned Parenthood and gets birth control. \"You're automatically looked at as being promiscuous instead of safe,\" he says.\u003c/p>\n\u003cp>The idea is that PrEP would be used in combination with condoms. But \u003ca href=\"http://www.npr.org/blogs/health/2014/07/19/332708119/as-new-york-embraces-hiv-preventing-pill-some-voice-doubts\" target=\"_blank\">critics worry\u003c/a> that the pill will make users feel invincible, increasing the likelihood that they won't use condoms or follow through on taking the pill every day. And when you miss doses, the pill becomes less effective.\u003c/p>\n\u003cp>Andrew Weinstein, president of the Los Angeles-based AIDS Healthcare Foundation, is against PrEP use, especially by young people. \"Young people have unstable lives. They're sleeping on someone's couch. They're out for the weekend,\" he says. \"That's not to stigmatize them, it's just the nature of youth. It's a carefree time. Expecting people to take a pill every day is not realistic,\" says Weinstein.\u003c/p>\n\u003cp>It's enticing to imagine a magic pill that could bring about the end of AIDS. But a recent study of young adults taking PrEP shows that they take it, at best, \u003ca href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3656981/\" target=\"_blank\">60 percent of the time\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story was produced by \u003ca href=\"https://youthradio.org/news/desk/outloud/\" target=\"_blank\">outLoud\u003c/a>\u003c/em>\u003cem>, a project of \u003ca href=\"http://www.youthradio.org/\" target=\"_blank\">Youth Radio\u003c/a>.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"Oakland program is part of national study looking at Truvada to protect at-risk teens.","status":"publish","parent":0,"modified":1426616338,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":22,"wordCount":817},"headData":{"title":"Will the HIV-Prevention Pill Protect Teens or Encourage Risky Behavior? | KQED","description":"Oakland program is part of national study looking at Truvada to protect at-risk teens.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Will the HIV-Prevention Pill Protect Teens or Encourage Risky Behavior?","datePublished":"2015-03-13T16:58:08.000Z","dateModified":"2015-03-17T18:18:58.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"24448 http://blogs.kqed.org/stateofhealth/?p=24448","disqusUrl":"https://ww2.kqed.org/stateofhealth/2015/03/13/will-the-hiv-prevention-pill-protect-teens-or-encourage-risky-behavior/","disqusTitle":"Will the HIV-Prevention Pill Protect Teens or Encourage Risky Behavior?","path":"/stateofhealth/24448/will-the-hiv-prevention-pill-protect-teens-or-encourage-risky-behavior","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_7357\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/TruvadaBottle_05102012_JustinSullivan_GettyImages-e1426265162534.jpg\">\u003cimg class=\"size-large wp-image-7357\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/TruvadaBottle_05102012_JustinSullivan_GettyImages-620x427.jpg\" alt=\"(Justin Sullivan: Getty Images)\" width=\"620\" height=\"427\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Justin Sullivan: Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Rafael Johns\u003c/strong>, \u003ca title=\"http://www.npr.org/blogs/health/2015/03/11/392362374/would-a-pill-to-protect-teens-from-hiv-make-them-feel-invincible\" href=\"http://www.npr.org/blogs/health/2015/03/11/392362374/would-a-pill-to-protect-teens-from-hiv-make-them-feel-invincible\" target=\"_blank\">Youth Radio via NPR\u003c/a>\u003c/p>\n\u003cp>Leon Richardson is 18 years old and tall, charismatic and thoughtful about his sexual health.\u003c/p>\n\u003cp>He understands that as a young, gay black man, he is in the demographic with the \u003ca href=\"http://www.cdc.gov/hiv/risk/age/youth/index.html\" target=\"_blank\">highest rate of HIV infections\u003c/a> in the country. But when Richardson learned that he could be part of an HIV prevention pill research study for young people, he was skeptical.\u003c/p>\n\u003cp>\"I was scared. I had to really think about it, 'What is this drug going to do to me?' \" he says.\u003c/p>\n\u003cp>The regimen, called pre-exposure prophylaxis, or PrEP, can reduce the risk of HIV infection by more than 85 percent when a pill called Truvada is taken daily. In a first, the Food and Drug Administration \u003ca href=\"http://www.npr.org/blogs/health/2012/07/16/156850747/fda-approves-first-drug-to-prevent-hiv-infection\" target=\"_blank\">approved Truvada for prevention of the infection\u003c/a> in 2012. Truvada had been used previously to treat HIV infection.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But the Centers for Disease Control and Prevention recommends caution when prescribing PrEP to adolescents. CDC is waiting for final results from the trials being conducted on young people in cities across the country.\u003c/p>\n\u003cp>Initially, Richardson's mom stoked his concerns. \"She was saying the medical industry tried to sterilize some people; they were trying to do it again,\" he remembers. But he found encouragement from another family member: his grandfather, who is HIV-positive.\u003c/p>\n\u003cp>\"We had a long discussion about this drug and what the side effects\u003cstrong> \u003c/strong>could be, and he overall supported me totally,\" Richardson says. \"And it was kinda like, why not? Let me just try it.\"\u003c/p>\n\u003cp>Now, Richardson is part of \u003ca title=\"CRUSH\" href=\"http://www.crush510.org/\" target=\"_blank\">CRUSH\u003c/a>, an HIV-prevention project in Oakland. CRUSH offers PrEP to participants.\u003c/p>\n\u003cp>Daniel Zeh is part of a PrEP study being conducted by the \u003ca title=\"Adolescent Trials Network\" href=\"https://www.atnonline.org/public/default.asp\" target=\"_blank\">Adolescent Trials Network\u003c/a> with young people between the ages of 15 and 22, based at John H. Stroger Jr. Hospital in Chicago. He was 17 when he started taking the pill as part of a daily regimen that was sometimes hard to explain, he says.\u003c/p>\n\u003cp>\"I guess it was kind of weird during high school, popping it before lunch, trying to make sure nobody sees,\" Zeh chuckles. \"People are like, 'What are you taking?' 'Nothing, you know, just a sugar pill.' \"\u003c/p>\n\u003cp>Zeh first heard about the Stroger Hospital study on Facebook. Outreach coordinators also turned to gay hook-up apps, like Grindr and Jack'd, to recruit possible subjects. It's a clever strategy, even if it's awkward to run into a researcher when you're looking for a date.\u003c/p>\n\u003cp>Psychologist Sybil Hosek, the lead researcher for the study, funded by the National Institutes of Health, offered to pay participants $50 per visit to the clinic. When enough guys said yes, she got to work.\u003c/p>\n\u003cp>\"What we wanted to do was design a study where they could try to take this pill every day,\" Hosek explains. \"And see whether, one, they were interested in taking it; two, if it was hard for them to take it; and three, how it impacted their sexual behavior.\" For instance, would being on the pill encourage more risky sexual activity?\u003c/p>\n\u003cp>Inside a conference room at the hospital, a group of the guys in the study share stories about what it's like to be on PrEP. Dexter Canty is also enrolled in the Chicago PrEP study, and says people have a lot of misunderstandings about the pill and individuals who take it. They're often asked, \"Are you HIV positive?\" But, in fact, they're taking the drug to \u003cem>prevent\u003c/em> getting infected.\u003c/p>\n\u003cp>Canty compares the reactions he's experienced to people's perceptions when he goes to the drugstore to buy condoms or when a woman goes to Planned Parenthood and gets birth control. \"You're automatically looked at as being promiscuous instead of safe,\" he says.\u003c/p>\n\u003cp>The idea is that PrEP would be used in combination with condoms. But \u003ca href=\"http://www.npr.org/blogs/health/2014/07/19/332708119/as-new-york-embraces-hiv-preventing-pill-some-voice-doubts\" target=\"_blank\">critics worry\u003c/a> that the pill will make users feel invincible, increasing the likelihood that they won't use condoms or follow through on taking the pill every day. And when you miss doses, the pill becomes less effective.\u003c/p>\n\u003cp>Andrew Weinstein, president of the Los Angeles-based AIDS Healthcare Foundation, is against PrEP use, especially by young people. \"Young people have unstable lives. They're sleeping on someone's couch. They're out for the weekend,\" he says. \"That's not to stigmatize them, it's just the nature of youth. It's a carefree time. Expecting people to take a pill every day is not realistic,\" says Weinstein.\u003c/p>\n\u003cp>It's enticing to imagine a magic pill that could bring about the end of AIDS. But a recent study of young adults taking PrEP shows that they take it, at best, \u003ca href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3656981/\" target=\"_blank\">60 percent of the time\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story was produced by \u003ca href=\"https://youthradio.org/news/desk/outloud/\" target=\"_blank\">outLoud\u003c/a>\u003c/em>\u003cem>, a project of \u003ca href=\"http://www.youthradio.org/\" target=\"_blank\">Youth Radio\u003c/a>.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/24448/will-the-hiv-prevention-pill-protect-teens-or-encourage-risky-behavior","authors":["8344"],"categories":["stateofhealth_11","stateofhealth_13"],"tags":["stateofhealth_64","stateofhealth_461","stateofhealth_320"],"featImg":"stateofhealth_7357","label":"stateofhealth"},"stateofhealth_21575":{"type":"posts","id":"stateofhealth_21575","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"21575","score":null,"sort":[1410998538000]},"guestAuthors":[],"slug":"san-francisco-supervisor-announces-hes-taking-aids-preventive-drug-prep-truvada","title":"S.F. Supervisor Wiener Announces He's Taking HIV Preventive Drug","publishDate":1410998538,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_21582\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/09/photo-e1410998460649.jpg\">\u003cimg class=\"size-large wp-image-21582\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/09/photo-640x480.jpg\" alt=\"San Francisco Supervisor Scott Wiener (left) says he started taking a drug to prevent HIV infection earlier this year. (Lisa Aliferis/KQED)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">San Francisco Supervisor Scott Wiener (left) says he started taking a drug to prevent HIV infection earlier this year. (Lisa Aliferis/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>San Francisco Supervisor Scott Wiener publicly announced Wednesday afternoon that he is taking Truvada, an FDA-approved drug that dramatically reduces the risk of HIV infection. He appears to be the first public official to make such an announcement.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"My hope is that by disclosing my PrEP use… I can get more people thinking about PrEP as a possibility.\" \u003c/aside>\n\u003cp>Wiener said he began taking the medication earlier this year. This preventive approach is also referred to as pre-exposure prophylaxis or PrEP.\u003c/p>\n\u003cp>\"I am using PrEP as a personal health choice that I made in consultation with my physician,\" he said in an interview at his office at City Hall. \"My hope is that by disclosing my PrEP use publicly that I can help move the conversation forward and get more people thinking about PrEP as a possibility, and encouraging people to consult with their medical provider.\"\u003c/p>\n\u003cp>Truvada combines two different drugs into a single pill that, when taken daily, can reduce the risk of HIV infection by more than 90 percent. It was approved by the FDA in 2012, and was developed by the Foster City company Gilead. Both the \u003ca title=\"Pre-Exposure Prophylaxis\" href=\"http://www.cdc.gov/hiv/pdf/PrEP_fact_sheet_final.pdf\" target=\"_blank\">Centers for Disease Control\u003c/a> and the \u003ca title=\"WHO Consolidated Guidelines\" href=\"http://www.who.int/hiv/pub/guidelines/keypopulations/en/\" target=\"_blank\">World Health Organization\u003c/a> recommend its use by people who are at high risk of HIV infection. Still, it is the subject of debate, especially within the gay community.\u003c!--more-->\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/168221334\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height='166' iframe=\"true\" /]\u003c/p>\n\u003cp>Wiener, 44, was first elected to the Board of Supervisors in 2011 representing the Castro district. He says he started coming out as a gay man in 1990, at what he called the height of the AIDS epidemic.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"Coming out in that environment was challenging and stressful,\" he said. \"Immediately associating sex with illness and death was very stressful and many, many people, I think, had that same experience.\" He spoke of friends who have started using PrEP recently who \"have told me that their general anxiety level around intimacy has gone down significantly.\"\u003c/p>\n\u003cp>Wiener said that only a few people knew that he was taking PrEP. James Loduca, vice president of philanthropy for the San Francisco AIDS Foundation, called Wiener's disclosure \"incredibly courageous.\"\u003c/p>\n\u003cp>\"We need more people like Supervisor Wiener,\" Loduca said. \"In my own personal network, many of my HIV-negative gay male friends are on PrEP. None of them talk about it publicly, and that is a reflection of the enormous stigma and shame that we still have around sex, around a desire to have intimacy. … It's an important watershed moment for our community that someone so visible steps forward and says 'PrEP is helping me.'\"\u003c/p>\n\u003cp>Wiener spoke openly of people availing themselves of all options to prevent acquiring the virus, including the use of condoms and being tested regularly. If someone becomes infected with HIV, identifying the infection sooner yields more immediate treatment, which can lead to improved long-term health outcomes.\u003c/p>\n\u003cp>\u003cspan style=\"color: #111111\">When taken to prevent HIV infection, Truvada\u003c/span>\u003ca style=\"color: #4774cc\" title=\"Truvada\" href=\"http://start.truvada.com/\" target=\"_blank\"> carries a risk of side effects\u003c/a>\u003cspan style=\"color: #111111\"> that include headache, abdominal pain and weight loss. Potentially serious side effects include kidney problems, liver damage and a buildup of lactic acid in the blood. Not everyone is affected. Wiener says he is not suffering from any side effects of the treatment.\u003c/span>\u003c/p>\n\u003cp>\u003cstrong>Move to Subsidize PrEP Treatment\u003c/strong>\u003c/p>\n\u003cp>Wiener's announcement comes on the eve of a rally to be held Thursday, coordinated by San Francisco Supervisor David Campos. Campos is calling for San Francisco to make PrEP available to San Franciscans regardless of income. New York Gov. Andrew Cuomo has made a\u003ca title=\"End AIDS in New York State\" href=\"https://www.governor.ny.gov/press/06292014-end-aids-epidemic\" target=\"_blank\"> similar proposal\u003c/a> for his state.\u003c/p>\n\u003cp>Despite a massive public health campaign to fight the spread of HIV, nationally there have been 50,000 new HIV infections every year for the last 20 years. \"PrEP is the first new tool in our fight to protect ourselves from HIV since the epidemic began,\" Campos said in a release.\u003c/p>\n\u003cp>Wiener backs the effort. \"In order for PrEP to be successful, we have to do three things,\" he said. \"We need to raise awareness about it, make sure people know about it. … We need to secondly remove the stigma around it, so people are able to talk about it, are able to consider it, and finally, we need to expand access.\"\u003c/p>\n\u003cp>But that kind of community-wide campaign is exactly the wrong idea, some advocates say.\u003c/p>\n\u003cp>\"To deploy (PrEP) as a community-wide preventive is a public health disaster in the making,\" said Ged Kenslea, spokesman for AIDS Healthcare Foundation, a global advocacy group. He stressed the organization is not opposed to the use of PrEP on a case-by-case basis.\u003c/p>\n\u003cp>\"The crucial problem is adherence to the medication,\" he said. He also pointed out that condoms are not only effective against protecting against HIV infection, but also against other sexually transmitted diseases \"for which PrEP does nothing.\" Kenslea said that he's worried that people \"seem to be throwing condoms out the window.\"\u003c/p>\n\u003cp>Dr. Robert Grant with the UCSF Gladstone Institute \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/21091279\" target=\"_blank\">led the research \u003c/a>that ultimately showed Truvada's effectiveness as a preventive agent against HIV and has followed it since.\u003c/p>\n\u003cp>He said that there's \u003ca title=\"No Link Between Truvada and High Risk Sexual Behavior\" href=\"http://www.ucsf.edu/news/2013/12/110831/no-link-between-hiv-prevention-pill-truvada-and-increased-sexual-risk-behavior\" target=\"_blank\">no link \u003c/a>between PrEP and increasing high-risk sexual behavior. He also supports efforts to make PrEP available more widely and compared having a variety of tools to fight HIV with having a variety of methods of birth control available.\u003c/p>\n\u003cp>\"Just like contraception,\" he said. \"We're happy to have people using different methods. Same way with HIV. We have to have lots of different methods for people to use, so people can find one that's attractive to them.\"\u003c/p>\n\u003cp>Grant said that in his research \"we have not seen anyone become infected who has taken PrEP daily or nearly daily.\"\u003c/p>\n\u003cp>\u003cem>Wiener published an essay in the \u003ca title=\"Coming out of the PrEP Closet\" href=\"http://www.huffingtonpost.com/scott-wiener/coming-out-of-the-prep-closet_b_5832370.html\" target=\"_blank\">Huffington Post \u003c/a>Wednesday about his decision to use Truvada.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>UPDATE: The headline in an earlier version of this story inaccurately described the medication as an \"AIDS preventive.\" The drug protects against acquiring HIV, the virus that causes AIDS. KQED regrets the error.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"The drug, Truvada, can reduce risk of HIV infection by more than 90 percent. ","status":"publish","parent":0,"modified":1456269618,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":26,"wordCount":1064},"headData":{"title":"S.F. Supervisor Wiener Announces He's Taking HIV Preventive Drug | KQED","description":"The drug, Truvada, can reduce risk of HIV infection by more than 90 percent. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"S.F. Supervisor Wiener Announces He's Taking HIV Preventive Drug","datePublished":"2014-09-18T00:02:18.000Z","dateModified":"2016-02-23T23:20:18.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"21575 http://blogs.kqed.org/stateofhealth/?p=21575","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/09/17/san-francisco-supervisor-announces-hes-taking-aids-preventive-drug-prep-truvada/","disqusTitle":"S.F. Supervisor Wiener Announces He's Taking HIV Preventive Drug","path":"/stateofhealth/21575/san-francisco-supervisor-announces-hes-taking-aids-preventive-drug-prep-truvada","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_21582\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/09/photo-e1410998460649.jpg\">\u003cimg class=\"size-large wp-image-21582\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/09/photo-640x480.jpg\" alt=\"San Francisco Supervisor Scott Wiener (left) says he started taking a drug to prevent HIV infection earlier this year. (Lisa Aliferis/KQED)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">San Francisco Supervisor Scott Wiener (left) says he started taking a drug to prevent HIV infection earlier this year. (Lisa Aliferis/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>San Francisco Supervisor Scott Wiener publicly announced Wednesday afternoon that he is taking Truvada, an FDA-approved drug that dramatically reduces the risk of HIV infection. He appears to be the first public official to make such an announcement.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"My hope is that by disclosing my PrEP use… I can get more people thinking about PrEP as a possibility.\" \u003c/aside>\n\u003cp>Wiener said he began taking the medication earlier this year. This preventive approach is also referred to as pre-exposure prophylaxis or PrEP.\u003c/p>\n\u003cp>\"I am using PrEP as a personal health choice that I made in consultation with my physician,\" he said in an interview at his office at City Hall. \"My hope is that by disclosing my PrEP use publicly that I can help move the conversation forward and get more people thinking about PrEP as a possibility, and encouraging people to consult with their medical provider.\"\u003c/p>\n\u003cp>Truvada combines two different drugs into a single pill that, when taken daily, can reduce the risk of HIV infection by more than 90 percent. It was approved by the FDA in 2012, and was developed by the Foster City company Gilead. Both the \u003ca title=\"Pre-Exposure Prophylaxis\" href=\"http://www.cdc.gov/hiv/pdf/PrEP_fact_sheet_final.pdf\" target=\"_blank\">Centers for Disease Control\u003c/a> and the \u003ca title=\"WHO Consolidated Guidelines\" href=\"http://www.who.int/hiv/pub/guidelines/keypopulations/en/\" target=\"_blank\">World Health Organization\u003c/a> recommend its use by people who are at high risk of HIV infection. Still, it is the subject of debate, especially within the gay community.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/168221334&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/168221334'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Wiener, 44, was first elected to the Board of Supervisors in 2011 representing the Castro district. He says he started coming out as a gay man in 1990, at what he called the height of the AIDS epidemic.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Coming out in that environment was challenging and stressful,\" he said. \"Immediately associating sex with illness and death was very stressful and many, many people, I think, had that same experience.\" He spoke of friends who have started using PrEP recently who \"have told me that their general anxiety level around intimacy has gone down significantly.\"\u003c/p>\n\u003cp>Wiener said that only a few people knew that he was taking PrEP. James Loduca, vice president of philanthropy for the San Francisco AIDS Foundation, called Wiener's disclosure \"incredibly courageous.\"\u003c/p>\n\u003cp>\"We need more people like Supervisor Wiener,\" Loduca said. \"In my own personal network, many of my HIV-negative gay male friends are on PrEP. None of them talk about it publicly, and that is a reflection of the enormous stigma and shame that we still have around sex, around a desire to have intimacy. … It's an important watershed moment for our community that someone so visible steps forward and says 'PrEP is helping me.'\"\u003c/p>\n\u003cp>Wiener spoke openly of people availing themselves of all options to prevent acquiring the virus, including the use of condoms and being tested regularly. If someone becomes infected with HIV, identifying the infection sooner yields more immediate treatment, which can lead to improved long-term health outcomes.\u003c/p>\n\u003cp>\u003cspan style=\"color: #111111\">When taken to prevent HIV infection, Truvada\u003c/span>\u003ca style=\"color: #4774cc\" title=\"Truvada\" href=\"http://start.truvada.com/\" target=\"_blank\"> carries a risk of side effects\u003c/a>\u003cspan style=\"color: #111111\"> that include headache, abdominal pain and weight loss. Potentially serious side effects include kidney problems, liver damage and a buildup of lactic acid in the blood. Not everyone is affected. Wiener says he is not suffering from any side effects of the treatment.\u003c/span>\u003c/p>\n\u003cp>\u003cstrong>Move to Subsidize PrEP Treatment\u003c/strong>\u003c/p>\n\u003cp>Wiener's announcement comes on the eve of a rally to be held Thursday, coordinated by San Francisco Supervisor David Campos. Campos is calling for San Francisco to make PrEP available to San Franciscans regardless of income. New York Gov. Andrew Cuomo has made a\u003ca title=\"End AIDS in New York State\" href=\"https://www.governor.ny.gov/press/06292014-end-aids-epidemic\" target=\"_blank\"> similar proposal\u003c/a> for his state.\u003c/p>\n\u003cp>Despite a massive public health campaign to fight the spread of HIV, nationally there have been 50,000 new HIV infections every year for the last 20 years. \"PrEP is the first new tool in our fight to protect ourselves from HIV since the epidemic began,\" Campos said in a release.\u003c/p>\n\u003cp>Wiener backs the effort. \"In order for PrEP to be successful, we have to do three things,\" he said. \"We need to raise awareness about it, make sure people know about it. … We need to secondly remove the stigma around it, so people are able to talk about it, are able to consider it, and finally, we need to expand access.\"\u003c/p>\n\u003cp>But that kind of community-wide campaign is exactly the wrong idea, some advocates say.\u003c/p>\n\u003cp>\"To deploy (PrEP) as a community-wide preventive is a public health disaster in the making,\" said Ged Kenslea, spokesman for AIDS Healthcare Foundation, a global advocacy group. He stressed the organization is not opposed to the use of PrEP on a case-by-case basis.\u003c/p>\n\u003cp>\"The crucial problem is adherence to the medication,\" he said. He also pointed out that condoms are not only effective against protecting against HIV infection, but also against other sexually transmitted diseases \"for which PrEP does nothing.\" Kenslea said that he's worried that people \"seem to be throwing condoms out the window.\"\u003c/p>\n\u003cp>Dr. Robert Grant with the UCSF Gladstone Institute \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/21091279\" target=\"_blank\">led the research \u003c/a>that ultimately showed Truvada's effectiveness as a preventive agent against HIV and has followed it since.\u003c/p>\n\u003cp>He said that there's \u003ca title=\"No Link Between Truvada and High Risk Sexual Behavior\" href=\"http://www.ucsf.edu/news/2013/12/110831/no-link-between-hiv-prevention-pill-truvada-and-increased-sexual-risk-behavior\" target=\"_blank\">no link \u003c/a>between PrEP and increasing high-risk sexual behavior. He also supports efforts to make PrEP available more widely and compared having a variety of tools to fight HIV with having a variety of methods of birth control available.\u003c/p>\n\u003cp>\"Just like contraception,\" he said. \"We're happy to have people using different methods. Same way with HIV. We have to have lots of different methods for people to use, so people can find one that's attractive to them.\"\u003c/p>\n\u003cp>Grant said that in his research \"we have not seen anyone become infected who has taken PrEP daily or nearly daily.\"\u003c/p>\n\u003cp>\u003cem>Wiener published an essay in the \u003ca title=\"Coming out of the PrEP Closet\" href=\"http://www.huffingtonpost.com/scott-wiener/coming-out-of-the-prep-closet_b_5832370.html\" target=\"_blank\">Huffington Post \u003c/a>Wednesday about his decision to use Truvada.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>UPDATE: The headline in an earlier version of this story inaccurately described the medication as an \"AIDS preventive.\" The drug protects against acquiring HIV, the virus that causes AIDS. KQED regrets the error.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/21575/san-francisco-supervisor-announces-hes-taking-aids-preventive-drug-prep-truvada","authors":["240"],"categories":["stateofhealth_11","stateofhealth_12","stateofhealth_14"],"tags":["stateofhealth_65","stateofhealth_64","stateofhealth_320"],"featImg":"stateofhealth_21582","label":"stateofhealth"},"stateofhealth_7353":{"type":"posts","id":"stateofhealth_7353","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"7353","score":null,"sort":[1342461211000]},"guestAuthors":[],"slug":"fda-approves-first-drug-to-help-prevent-hiv-infection","title":"FDA Approves First Drug to Help Prevent HIV Infection","publishDate":1342461211,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_7357\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/TruvadaBottle_05102012_JustinSullivan_GettyImages.jpg\">\u003cimg class=\"size-medium wp-image-7357\" title=\"(Justin Sullivan: Getty Images)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/TruvadaBottle_05102012_JustinSullivan_GettyImages-300x206.jpg\" alt=\"(Justin Sullivan: Getty Images)\" width=\"300\" height=\"206\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Justin Sullivan: Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>The Food and Drug Administration has approved Truvada, the first drug shown to reduce the risk of HIV infection in people who are at high risk of acquiring HIV, the virus that causes AIDS.\u003c/p>\n\u003cp>Truvada was already approved as a medication for treatment of people already infected with HIV.\u003c/p>\n\u003cp>Truvada is to be taken twice a day in what is known as pre-exposure prophylaxis, or PrEP.\u003c/p>\n\u003cp>From the FDA's \u003ca title=\"http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm312210.htm\" href=\"http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm312210.htm\" target=\"_blank\">press release\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>As part of PrEP, HIV-uninfected individuals who are at high risk will take Truvada daily to lower their chances of becoming infected with HIV should they be exposed to the virus. A PrEP indication means Truvada is approved for use as part of a comprehensive HIV prevention strategy that includes other prevention methods, such as safe sex practices, risk reduction counseling, and regular HIV testing.\u003c!--more-->\u003c/p>\n\u003cp>\"Today’s approval marks an important milestone in our fight against HIV,\" said FDA Commissioner Margaret A. Hamburg, M.D. \"Every year, about 50,000 U.S. adults and adolescents are diagnosed with HIV infection, despite the availability of prevention methods and strategies to educate, test, and care for people living with the disease. New treatments as well as prevention methods are needed to fight the HIV epidemic in this country.\"\u003c/p>\u003c/blockquote>\n\u003cp>Two large studies (both randomized, double-blind, placebo-controlled) showed Truvada's efficacy in reducing the risk of HIV infection in uninfected individuals. In one trial, 2,499 HIV-negative men and transgender women who have sex with men and engage in high risk behavior for HIV infection, results showed Truvada reduced the risk of HIV infection by 42 percent.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In a study of 4,758 heterosexual couples where one partner was HIV-positive and the other was not, Truvada reduced the non-infected partner's risk of becoming infected by 75 percent.\u003c/p>\n\u003cp>Last summer, KQED’s News Fix editor Jon Brooks interviewed \u003ca title=\"http://hivinsite.ucsf.edu/InSite?page=ab-01-01-02\" href=\"http://hivinsite.ucsf.edu/InSite?page=ab-01-01-02\" target=\"_blank\">Dr. Paul Volberding\u003c/a>, co-director of the Center for AIDS Research at the University of California, San Francisco, about the research into Truvada up to that time. Volberding said results showed “the kind of effect we might expect from a very good vaccine.” They also discussed what populations might consider using Truvada as a prophylactic and whether giving healthy people a preventative drug might induce them to engage in riskier sexual activity.\u003c/p>\n\u003cp>\u003ca title=\"http://ww2.kqed.org/news/2011/07/15/interview-new-studies-show-anti-hiv-drug-prevents-transmission/\" href=\"http://ww2.kqed.org/news/2011/07/15/interview-new-studies-show-anti-hiv-drug-prevents-transmission/\" target=\"_blank\">You can read or listen to the interview here.\u003c/a>\u003c/p>\n\u003cdiv>\u003c/div>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n","blocks":[],"excerpt":"The Food and Drug Administration has approved Truvada, the first drug shown to reduce the risk of HIV infection in people who are at high risk of acquiring HIV, the virus that causes AIDS.\r\n\r\nTruvada was already approved as a medication for treatment of people already infected with HIV.\r\n\r\nTruvada is to be taken twice a day in what is known as pre-exposure prophylaxis, or PrEP.","status":"publish","parent":0,"modified":1342461212,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":12,"wordCount":406},"headData":{"title":"FDA Approves First Drug to Help Prevent HIV Infection | KQED","description":"The Food and Drug Administration has approved Truvada, the first drug shown to reduce the risk of HIV infection in people who are at high risk of acquiring HIV, the virus that causes AIDS.\r\n\r\nTruvada was already approved as a medication for treatment of people already infected with HIV.\r\n\r\nTruvada is to be taken twice a day in what is known as pre-exposure prophylaxis, or PrEP.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"FDA Approves First Drug to Help Prevent HIV Infection","datePublished":"2012-07-16T17:53:31.000Z","dateModified":"2012-07-16T17:53:32.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"7353 http://blogs.kqed.org/stateofhealth/?p=7353","disqusUrl":"https://ww2.kqed.org/stateofhealth/2012/07/16/fda-approves-first-drug-to-help-prevent-hiv-infection/","disqusTitle":"FDA Approves First Drug to Help Prevent HIV Infection","path":"/stateofhealth/7353/fda-approves-first-drug-to-help-prevent-hiv-infection","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_7357\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/TruvadaBottle_05102012_JustinSullivan_GettyImages.jpg\">\u003cimg class=\"size-medium wp-image-7357\" title=\"(Justin Sullivan: Getty Images)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/07/TruvadaBottle_05102012_JustinSullivan_GettyImages-300x206.jpg\" alt=\"(Justin Sullivan: Getty Images)\" width=\"300\" height=\"206\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Justin Sullivan: Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>The Food and Drug Administration has approved Truvada, the first drug shown to reduce the risk of HIV infection in people who are at high risk of acquiring HIV, the virus that causes AIDS.\u003c/p>\n\u003cp>Truvada was already approved as a medication for treatment of people already infected with HIV.\u003c/p>\n\u003cp>Truvada is to be taken twice a day in what is known as pre-exposure prophylaxis, or PrEP.\u003c/p>\n\u003cp>From the FDA's \u003ca title=\"http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm312210.htm\" href=\"http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm312210.htm\" target=\"_blank\">press release\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>As part of PrEP, HIV-uninfected individuals who are at high risk will take Truvada daily to lower their chances of becoming infected with HIV should they be exposed to the virus. A PrEP indication means Truvada is approved for use as part of a comprehensive HIV prevention strategy that includes other prevention methods, such as safe sex practices, risk reduction counseling, and regular HIV testing.\u003c!--more-->\u003c/p>\n\u003cp>\"Today’s approval marks an important milestone in our fight against HIV,\" said FDA Commissioner Margaret A. Hamburg, M.D. \"Every year, about 50,000 U.S. adults and adolescents are diagnosed with HIV infection, despite the availability of prevention methods and strategies to educate, test, and care for people living with the disease. New treatments as well as prevention methods are needed to fight the HIV epidemic in this country.\"\u003c/p>\u003c/blockquote>\n\u003cp>Two large studies (both randomized, double-blind, placebo-controlled) showed Truvada's efficacy in reducing the risk of HIV infection in uninfected individuals. In one trial, 2,499 HIV-negative men and transgender women who have sex with men and engage in high risk behavior for HIV infection, results showed Truvada reduced the risk of HIV infection by 42 percent.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In a study of 4,758 heterosexual couples where one partner was HIV-positive and the other was not, Truvada reduced the non-infected partner's risk of becoming infected by 75 percent.\u003c/p>\n\u003cp>Last summer, KQED’s News Fix editor Jon Brooks interviewed \u003ca title=\"http://hivinsite.ucsf.edu/InSite?page=ab-01-01-02\" href=\"http://hivinsite.ucsf.edu/InSite?page=ab-01-01-02\" target=\"_blank\">Dr. Paul Volberding\u003c/a>, co-director of the Center for AIDS Research at the University of California, San Francisco, about the research into Truvada up to that time. Volberding said results showed “the kind of effect we might expect from a very good vaccine.” They also discussed what populations might consider using Truvada as a prophylactic and whether giving healthy people a preventative drug might induce them to engage in riskier sexual activity.\u003c/p>\n\u003cp>\u003ca title=\"http://ww2.kqed.org/news/2011/07/15/interview-new-studies-show-anti-hiv-drug-prevents-transmission/\" href=\"http://ww2.kqed.org/news/2011/07/15/interview-new-studies-show-anti-hiv-drug-prevents-transmission/\" target=\"_blank\">You can read or listen to the interview here.\u003c/a>\u003c/p>\n\u003cdiv>\u003c/div>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/7353/fda-approves-first-drug-to-help-prevent-hiv-infection","authors":["240"],"categories":["stateofhealth_12","stateofhealth_14"],"tags":["stateofhealth_313","stateofhealth_320"],"featImg":"stateofhealth_7357","label":"stateofhealth"},"stateofhealth_5761":{"type":"posts","id":"stateofhealth_5761","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"5761","score":null,"sort":[1336694849000]},"guestAuthors":[],"slug":"fda-panel-approves-first-drug-to-prevent-hiv-infection","title":"FDA Panel Approves First Drug to Prevent HIV Infection","publishDate":1336694849,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_5765\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/TruvadaBottle_05102012_JustinSullivan_GettyImages.jpg\">\u003cimg class=\"size-medium wp-image-5765\" title=\"The FDA panel approved Truvada, an antiretroviral drug for use by healthy people to prevent HIV infection. (Justin Sullivan: Getty Images)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/TruvadaBottle_05102012_JustinSullivan_GettyImages-300x206.jpg\" alt=\"The FDA panel approved Truvada, an antiretroviral drug for use by healthy people to prevent HIV infection. (Justin Sullivan: Getty Images)\" width=\"300\" height=\"206\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The FDA panel approved Truvada, an antiretroviral drug for use by healthy people to prevent HIV infection. (Justin Sullivan: Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>From AP:\u003c/p>\n\u003cblockquote>\u003cp>A panel of federal health advisers has endorsed the first drug shown to prevent HIV infection in healthy people, clearing the way for a potentially landmark approval in the 30-year-old effort against the virus that causes AIDS.\u003c/p>\n\u003cp>In a series of votes, the Food and Drug Administration advisory panel recommended approval of the daily pill Truvada for healthy people who are at high risk of contracting HIV, including gay and bisexual men and heterosexual couples with one HIV-infected person. The FDA is not required to follow the panel's advice, though it usually does. A final decision is expected by June 15.\u003c/p>\n\u003cp>Drugmaker Gilead Sciences Inc., of Foster City, already markets Truvada as a treatment for people who are infected with HIV.\u003c/p>\u003c/blockquote>\n\u003cp>\u003c!--more-->Last July, KQED's News Fix editor Jon Brooks interviewed \u003ca title=\"http://hivinsite.ucsf.edu/InSite?page=ab-01-01-02\" href=\"http://hivinsite.ucsf.edu/InSite?page=ab-01-01-02\" target=\"_blank\">Dr. Paul Volberding\u003c/a>, co-director of the Center for AIDS Research at the University of California, San Francisco, about the research into Truvada up to that time. Volberding said results showed \"the kind of effect we might expect from a very good vaccine.\" They also discussed what populations might consider using Truvada as a prophylactic and whether giving healthy people a preventative drug might induce them to engage in riskier sexual activity.\u003c/p>\n\u003cp>\u003ca title=\"http://ww2.kqed.org/news/2011/07/15/interview-new-studies-show-anti-hiv-drug-prevents-transmission/\" href=\"http://ww2.kqed.org/news/2011/07/15/interview-new-studies-show-anti-hiv-drug-prevents-transmission/\" target=\"_blank\">You can read or listen to the interview here.\u003c/a>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n","blocks":[],"excerpt":"A panel of federal health advisers has endorsed the first drug shown to prevent HIV infection in healthy people, clearing the way for a potentially landmark approval in the 30-year-old effort against the virus that causes AIDS.","status":"publish","parent":0,"modified":1342213566,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":8,"wordCount":241},"headData":{"title":"FDA Panel Approves First Drug to Prevent HIV Infection | KQED","description":"A panel of federal health advisers has endorsed the first drug shown to prevent HIV infection in healthy people, clearing the way for a potentially landmark approval in the 30-year-old effort against the virus that causes AIDS.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"FDA Panel Approves First Drug to Prevent HIV Infection","datePublished":"2012-05-11T00:07:29.000Z","dateModified":"2012-07-13T21:06:06.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"5761 http://blogs.kqed.org/stateofhealth/?p=5761","disqusUrl":"https://ww2.kqed.org/stateofhealth/2012/05/10/fda-panel-approves-first-drug-to-prevent-hiv-infection/","disqusTitle":"FDA Panel Approves First Drug to Prevent HIV Infection","path":"/stateofhealth/5761/fda-panel-approves-first-drug-to-prevent-hiv-infection","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_5765\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/TruvadaBottle_05102012_JustinSullivan_GettyImages.jpg\">\u003cimg class=\"size-medium wp-image-5765\" title=\"The FDA panel approved Truvada, an antiretroviral drug for use by healthy people to prevent HIV infection. (Justin Sullivan: Getty Images)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/TruvadaBottle_05102012_JustinSullivan_GettyImages-300x206.jpg\" alt=\"The FDA panel approved Truvada, an antiretroviral drug for use by healthy people to prevent HIV infection. (Justin Sullivan: Getty Images)\" width=\"300\" height=\"206\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The FDA panel approved Truvada, an antiretroviral drug for use by healthy people to prevent HIV infection. (Justin Sullivan: Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>From AP:\u003c/p>\n\u003cblockquote>\u003cp>A panel of federal health advisers has endorsed the first drug shown to prevent HIV infection in healthy people, clearing the way for a potentially landmark approval in the 30-year-old effort against the virus that causes AIDS.\u003c/p>\n\u003cp>In a series of votes, the Food and Drug Administration advisory panel recommended approval of the daily pill Truvada for healthy people who are at high risk of contracting HIV, including gay and bisexual men and heterosexual couples with one HIV-infected person. The FDA is not required to follow the panel's advice, though it usually does. A final decision is expected by June 15.\u003c/p>\n\u003cp>Drugmaker Gilead Sciences Inc., of Foster City, already markets Truvada as a treatment for people who are infected with HIV.\u003c/p>\u003c/blockquote>\n\u003cp>\u003c!--more-->Last July, KQED's News Fix editor Jon Brooks interviewed \u003ca title=\"http://hivinsite.ucsf.edu/InSite?page=ab-01-01-02\" href=\"http://hivinsite.ucsf.edu/InSite?page=ab-01-01-02\" target=\"_blank\">Dr. Paul Volberding\u003c/a>, co-director of the Center for AIDS Research at the University of California, San Francisco, about the research into Truvada up to that time. Volberding said results showed \"the kind of effect we might expect from a very good vaccine.\" They also discussed what populations might consider using Truvada as a prophylactic and whether giving healthy people a preventative drug might induce them to engage in riskier sexual activity.\u003c/p>\n\u003cp>\u003ca title=\"http://ww2.kqed.org/news/2011/07/15/interview-new-studies-show-anti-hiv-drug-prevents-transmission/\" href=\"http://ww2.kqed.org/news/2011/07/15/interview-new-studies-show-anti-hiv-drug-prevents-transmission/\" target=\"_blank\">You can read or listen to the interview here.\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/5761/fda-panel-approves-first-drug-to-prevent-hiv-infection","authors":["240"],"categories":["stateofhealth_12","stateofhealth_14"],"tags":["stateofhealth_313","stateofhealth_320"],"featImg":"stateofhealth_5765","label":"stateofhealth"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. 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Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />","airtime":"SUN 9pm-10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg","meta":{"site":"radio","source":"npr"},"link":"/radio/program/code-switch-life-kit","subscribe":{"apple":"https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy","spotify":"https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV","rss":"https://feeds.npr.org/510312/podcast.xml"}},"commonwealth-club":{"id":"commonwealth-club","title":"Commonwealth Club of California Podcast","info":"The Commonwealth Club of California is the nation's oldest and largest public affairs forum. 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