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Could One Little Pill End A City's AIDS catastrophe On online dating sites, Matthew Sachs analyzes himself as a 5 foot 8, 130 pound grad person who likes hiking, execution art and community service. He says he's looking at meeting a broad range of guys, From jocks to geeks, And hints that oh, moreover he's "On prep, Those four letters stand for a daily medical regimen in which healthy individuals take a blue oval pill to lessen their risk of becoming infected with HIV. the treatment, acknowledged as pre exposure prophylaxis, has grown into so common in the Bay Area's gay community that it's frequently mentioned in social media profiles from Facebook to Scruff. Since the first finding research was published in the New England Journal of Medicine in 2010, The once a day dose of Truvada has consistently been shown to reduce the risk of HIV infection up to 90 percent. The results of comes with a study, that has been published in September, Were even more helping: Not one of the 600 people using drug became infected over two years. up to 10,000 San Franciscans could easily be on PrEP, in one city official's estimate. the procedure has been transformative here, Not just in medical terms but in how it has changed the character of dating, Love and relationships between triggered HIV positive and people who find themselvesn't. And it has prompted some AIDS experts to consider in which would have been unfathomable during the dark days of the 1980s: Could the nation's onetime epicenter of HIV/AIDS be the place where the epidemic that has so haunted Americans begins to come to an end? Anthony S. Fauci, Director of the national Institute of Allergy and Infectious Diseases, belongs to the believers. dui lawyer las vegas "Very reasonable, he was quoted saying, That San Francisco might see new HIV infections cease in decades. But the rest of the country will be tougher, he explained. "We have all the scientifically proven tools to end the epidemic, Fauci pointed out. "We now need to get people in politics, chunks of money providers down to individual community members on board to use them right and use them aggressively, san fran physician Stephanie Cohen, Who is part of a city team focusing on HIV, Said local management have set this goal: No new wax, No AIDS having to do with deaths and no HIV associated with stigma by 2020. "Things want very positive, She cited. Of projected 1.2 million Americans who may benefit from PrEP, 25,000 which will 60,000 men and women are on it, while using Centers for Disease Control and Prevention. around 2015, The agency launched a campaign to target individuals who are at substantial or high risk and get them on the medication. The remedy has been underwhelming. Fears of the drug's possible consequences are hampering such efforts, As is the stigma to be a "Truvada whore" related HIV or risky behaviors, Public health administrators say. there can be the lingering worries, Expressed most vocally by Michael Weinstein of the la based AIDS Healthcare Foundation, That PrEP could jepardize. The internationally known activist said that he is troubled that some artists are using it as a "birthday party drug, Not taking it regularly or buying it on the black market as a way to justify not using condoms which makes the spread of other sexually transmitted diseases more likely. "There are mixed messages in the manner this is being promoted, Weinstein wanted to say. "It's an unhealthy game. HIV is a killer STD we didn't be informed on 40 years ago. What's looming coming if we continue down this road, San Francisco is definitely a leader in the AIDS epidemic. Randy Shilts's 1987 top pick "And this guitar rock band Played On" Described the city's fear and grief as the virus erupted, boasting hundreds and then thousands of lives. And as new drugs turned HIV from a death phrase into a chronic disease, s. fransisco has been out front in trying different approaches afrointroduction login site to counter transmission. Two common, City boss Scott Wiener "came out of the PrEP closet, As local media indicated, By announcing he was on the prescriptions. His fellow supervisors vowed to figure out a way to make San Francisco the first place in the country where anyone who wants the therapy can have access to it for little or no charge. That vision is moving nearer to reality. On a recent morning in the Castro section, The line outside the community health center called Strut was 30 people long even though it wouldn't open for another half hour. Inside was one of the country's first clinics dedicated to PrEP. Strut's goal is to assess a person's qualifications for Truvada, Run all the data that is medical tests, Explain how the drug is taken and the possible outcomes, And discover a method to minimize the $13,000 a year retail cost all within 90 calling. The state's state medicaid programs program covers PrEP, As do most insurance coverage. The drug's maker, Gilead Sciences, Offers a generous discount card which enables you to offset co pays. pioneered by Steve Gibson and Pierre C Crouch, Both longtime HIV/AIDS health supporters, The clinic opened just over a year ago with a grant from the silicon valley AIDS Foundation and aims to overcome many of the barriers that have caused efforts elsewhere to falter. It already has joined more than 700 men, a long 18 to 71, All by testimonials. Gibson, The clinic's director of reproductive health, Explained that when Truvada was first approved by the fda in 2012, The medical community thought it was something that would be prescribed by a primary care doctor and that would cause stampedes at drug stores. But it turned out that many physicians didn't feel comfortable giving healthy individuals the heavy duty drug a combination of emtricitabine and tenofovir, Which are widely used to treat AIDS. Many doctors also were reluctant accomplish the explicit sexual discussion typically required. Strut's program involves a team of four nurse practitioners working with four benefits navigators who are skilled in making sure the clientele technically not patients since they're not sick get the drug free or as close to free as possible. Clients run the gamut: Men with HIV optimistic people partners; Men curious about a relationship with someone who is infected; Men seeking to their wellness who want to be as proactive as possible. A 29 year old named Jil had come in that Monday morning because of peer pressure. His boyfriend and other friends are on the treatment, he explained, And they had persuaded him to start it not only for his own health but also for that of the community. "before you start, When it first arrived on the scene, i guess it's time weird to be on it, believed Jil, Who sought that his last name be withheld. "Now I think it's odd if someone says they aren't on PrEP or don't plan to be, intended for Crouch, The movie director of nursing, in the western world other staffers at Strut, The most striking change is how the city is evolving because of PrEP with so many HIV negative men who are on the regimen and so many HIV positive men in treatment that keeps their virus levels too low to pose a risk to others. "There was always an unspoken rule that there were two tribes: HIV advantageous and HIV negative, And only many people would cross those lines, he said. "Now we are seeing HIV status becoming unimportant, The city's efforts have not been without challenges. lumber is often HIV team's work, Cohen said experts have hard to sign up transgender women, IV drug users and heterosexual homeowners who are at risk. A few insurers have asked people to sign waivers saying they pledge to use condoms during intercourse. brings about Gibson bristle. "child, It's inconsistent, he said. remain to, san francisco keeps making progress. Sachs was an early on adopter of PrEP, beginning the pill at 27. Even two years back, People often hid the fact these people were on the regimen, he was quoted saying. Now there's growing ease in writing on it openly. He said he has received a lot of online inquiries from strangers about his PrEP status and that nearly three quarters of those wanted more information about the drug. He tells them that major benefits for him has been psychological. Before using the, the specter of HIV was always on his mind. An uncle died a difficult death from AIDS related ramifications, And his family worried that the same thing would happen to him. "previously I was on PrEP, I was afraid, Sachs shown. now, He feels more free to meet people and have honest and open chats about HIV. It's the same change that he says is taking place during the entire city. san francisco is "to be free of the stigma and fear, he said. "We still have a long way to go of all time truly eliminated, But it's been amazing seeing the alteration over the past few years. |
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