Viral Control and HIV Transmission at the Population Level

In British Columbia, Canada, expanded antiretroviral use and decreased HIV levels in the population correlated with lower incidence of HIV infection.

One of the tenets driving enthusiasm for more-aggressive HIV testing and prompt treatment of individuals with newly identified infection is the belief that this strategy will decrease HIV transmission. To explore this concept at the population level, researchers analyzed the possible association among expanded antiretroviral therapy (ART) coverage, community viral load, and new HIV diagnoses in British Columbia, Canada, where ART is available without charge to all HIV-infected residents.

From 1996 through 2009, the number of persons receiving ART increased from 837 to 5413, while the number of new HIV diagnoses per year fell from 702 to 338. During the same period, rates of syphilis, gonorrhea, and chlamydia all increased. The overall correl…

Reviewing Author

Keith Henry, MD

Disclosures

Consultant/Advisory BoardViiV Advisory Board

Editorial BoardsJAIDS: Journal of Acquired Immune Deficiency Syndromes

Keith Henry, MD

Disclosures

Consultant/Advisory BoardViiV Advisory Board

Editorial BoardsJAIDS: Journal of Acquired Immune Deficiency Syndromes

Viral Control and HIV Transmission at the Population Level

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Reviewing Author