{"id":1940,"date":"2012-02-20T11:06:21","date_gmt":"2012-02-20T16:06:21","guid":{"rendered":"http:\/\/www.patheos.com\/blogs\/unequallyyoked\/?p=1940"},"modified":"2012-12-04T14:50:16","modified_gmt":"2012-12-04T19:50:16","slug":"good-news-and-bad-news-on-hivaids","status":"publish","type":"post","link":"https:\/\/www.patheos.com\/blogs\/unequallyyoked\/2012\/02\/good-news-and-bad-news-on-hivaids.html","title":{"rendered":"Good News and Bad News on HIV\/AIDS"},"content":{"rendered":"<!DOCTYPE html PUBLIC \"-\/\/W3C\/\/DTD HTML 4.0 Transitional\/\/EN\" \"http:\/\/www.w3.org\/TR\/REC-html40\/loose.dtd\">\n<html><head><meta http-equiv=\"content-type\" content=\"text\/html; charset=utf-8\"><meta http-equiv=\"content-type\" content=\"text\/html; charset=utf-8\"><\/head><body><p>My time at <a href=\"http:\/\/www.aaas.org\/meetings\/\" class=\" decorated-link\" target=\"_blank\" rel=\"nofollow\">AAAS<\/a> has come to an end, and today, I just want to feature one session. \u00a0(The post on the\u00a0<a href=\"http:\/\/www.aaas.org\/spp\/dser\/\" class=\" decorated-link\" target=\"_blank\" rel=\"nofollow\">Dialogue\u00a0on Science Ethics and Religion panel<\/a> will be up later this week).<\/p>\n<figure style=\"width: 493px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/en.wikipedia.org\/wiki\/NAMES_Project_AIDS_Memorial_Quilt\" class=\" decorated-link\" target=\"_blank\" rel=\"nofollow\"><img loading=\"lazy\" decoding=\"async\" title=\"AIDS Quilt\" src=\"https:\/\/4.bp.blogspot.com\/-NoaPBKnU5Aw\/TexK2Mu5TuI\/AAAAAAAAE1A\/V0JEDWLbK58\/s1600\/AIDS%2BQuilt%2Bon%2BMall.jpg\" alt=\"\" width=\"493\" height=\"335\"><\/a><figcaption class=\"wp-caption-text\">The AIDS Quilt in DC<\/figcaption><\/figure>\n<p><strong><a href=\"http:\/\/aaas.confex.com\/aaas\/2012\/webprogram\/Session5225.html\" class=\" decorated-link\" target=\"_blank\" rel=\"nofollow\">Julio Montaner: Toward the Control of HIV and AIDS: Comprehensive Treatment as Prevention<\/a><\/strong><\/p>\n<p>We think of the mark of success for a new medical treatment as scoring a significant result when all the data are in. That\u2019s pretty good, but there\u2019s an even better prize: having your study called off part-way through because your new treatment is <em>so good<\/em> that it would be <em>immoral<\/em> to keep people in the control group.<\/p>\n<p>That\u2019s what\u2019s happened in almost every study of using antiretroviral drug therapy to lower the chance of HIV transmission. According to these studies, here are some ways you will almost certainly not contract HIV if the HIV+ person you\u2019re exposed to is using highly active antiretroviral therapy (HAART):<\/p>\n<ol>\n<li>Having unprotected sex<\/li>\n<li>Sharing needles<\/li>\n<li>Being born<\/li>\n<\/ol>\n<p>We have all the <em>medical<\/em> tools we need for eradication now. Unfortunately, as you might remember from discussion of contraception (99% effective when used correctly, but, <a href=\"http:\/\/www.guttmacher.org\/pubs\/fb_contr_use.html\" class=\" decorated-link\" target=\"_blank\" rel=\"nofollow\">with typical use it fails 8.7% of the time<\/a>) the problem is compliance and logistics.<\/p>\n<p>British Columbia has made ART available for free to every HIV+ person in the province. \u00a0This intervention got them to an estimated 60% coverage of all eligible infected people. \u00a0In the US, which doesn\u2019t make this kind of commitment, we\u2019re only at around 30% coverage.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter\" title=\"A Week's worth of antiretrovirals\" src=\"https:\/\/media.nj.com\/ledgerupdates_impact\/photo\/dolores-harrison-hivjpg-e04204c09f55a61e_large.jpg\" alt=\"\" width=\"432\" height=\"287\"><\/p>\n<p>This is why I like the coercive power of the government to be linked to healthcare. People in the early stages of HIV\/AIDS are asymptomatic, so they need to be screened. Even once they\u2019re identified, they may not want to pay for treatment, since, subjectively, they don\u2019t feel sick. \u00a0You need a major actor to change the incentives. \u00a0In developing countries, you can add in all the problems of outreach, education, and follow-up (which also exist in the developed world when you consider transient or illegal populations).<\/p>\n<p>I asked the speaker where he recommended donating, since this is one of the biggest opportunities to over the next decade to make medical research pay enormous dividends. He recommended the <a href=\"http:\/\/www.theglobalfund.org\/en\/\" class=\" decorated-link\" target=\"_blank\" rel=\"nofollow\">Global Fund to Fight AIDS, TB, and Malaria<\/a>. But he cautioned that no private charity will ever be able to build up an entire parallel health care network to solve this problem. It needs the government to universalize it.<\/p>\n<\/body><\/html>\n","protected":false},"excerpt":{"rendered":"<p>My time at AAAS has come to an end, and today, I just want to feature one session. \u00a0(The post on the\u00a0Dialogue\u00a0on Science Ethics and Religion panel will be up later this week). Julio Montaner: Toward the Control of HIV and AIDS: Comprehensive Treatment as Prevention We think of the mark of success for a [&hellip;]<\/p>\n","protected":false},"author":127,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[76,75,21,79],"class_list":["post-1940","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-aaas","tag-conferences","tag-healthmedicine","tag-paternalism"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Good News and Bad News on HIV\/AIDS<\/title>\n<meta name=\"description\" content=\"My time at AAAS has come to an end, and today, I just want to feature one session. \u00a0(The post on the\u00a0Dialogue\u00a0on Science Ethics and Religion panel will be\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, 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