PrEP school - Page 2

Daily use of drug to prevent HIV infection greeted with controversy

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Daily use of drug to prevent HIV infection greeted with controversy
AP PHOTO BY JEFF CHIU

Medicating healthy people is not a popular approach, especially when those drugs cost $13,000 annually per patient (most insurance companies, as well as Medicare and Medicaid, cover PrEP). In comparison, the CDC estimates that the annual cost to treat someone who already has HIV is $23,000. If all of the 500,000 high-risk Americans who the CDC recommends use PrEP were to begin the therapy, the gross revenue for Gilead would be $6.5 billion — all for people who aren't even sick.

Despite the potential for astronomical profits, as of September 2013 only 2,319 unique individuals had been prescribed Truvada as PrEP, according to Gilead. Half of those patients are women, suggesting that gay men are not being aggressively targeted for PrEP. When PrEP users who are part of research studies are included, the total number of patients is still estimated to be under 10,000.

One reason for the slow start is a lack of awareness. Outside of big cities, there is less dialogue surrounding HIV and prevention techniques. And even in metropolitan areas, familiarity with Truvada is often limited to the HIV specialist doctors treating patients who already have HIV and wouldn't benefit from PrEP.

"We get a fair number of patients here who are rejected for PrEP from other physicians in the city," said Dr. John Nienow of One Medical Group in the Castro. "I haven't heard about widespread adoption in other offices, but I have heard of other physician groups not wanting to prescribe Truvada for PrEP."

When asked whether the recent CDC announcement endorsing PrEP would change that, Nienow was hopeful.

The CDC announcement "will educate and legitimize PrEP's use on a widespread basis," he said. "I think physicians might be uncomfortable prescribing it, and this will make them more comfortable."

Another reason PrEP has failed to gain traction is that Gilead has spent virtually no money on advertising its own drug. Well, sort of. It is true that Gilead has avoided advertising campaigns — drug companies that push their own drugs tend to stir up controversy — but many of the organizations that have come out publicly in favor of PrEP have received grants from Gilead. According to tax forms, Project Inform and the San Francisco AIDS Foundation, two prominent local nonprofits that support PrEP, have both received large donations from the pharmaceutical company.

One such grant was awarded to Project Inform, for the group to produce videos about PrEP targeted toward young gay men, particularly men of color, according to David Evans, director of research advocacy.

Was this donation a part of Gilead's marketing strategy? It's tough to say for sure; Gilead did not return Bay Guardian calls seeking comment.

Regardless of money, it is clear that a new approach is needed for combating HIV. New infections in the US have stubbornly hovered at around 50,000 incidences per year since the '90s, despite pushes for condom usage and education efforts.

"Yes, PrEP is working. It works when it's adhered to," Nienow said. "It's been extensively studied in populations at risk for HIV, and the conclusion was that it is dramatically successful. So much so that one expert even said that the debate about efficacy is now over."

 

FROM SELF-PROTECTION TO "SLUT"

It's true that the AIDS Healthcare Foundation is no billion dollar corporation such as Gilead. But with an operating budget this year of $904 million and a presence in 28 countries, AHF is still a force to be reckoned with.

Comments

My favorite part is the analogy
"It's very similar to women taking birth control; it reduces the unwanted consequences of condom-less sex"

Posted by TMickey on May. 28, 2014 @ 9:02 am

Hello.
I am Lisa Thomas from USA Florida.I want to make a testimony of what Dr OBAZE did for me. He cure me from HIV and heal my swollen legs and now i am heal and i am count among the healthy people in the society i am happy and please with.
If you are same and you need help of any problem please do contact Dr OBAZE for you to have a better life time.
EMAIL= obazespiritualspelltemple@hotmail.com
PHONE NUMBER=+2348157905793
WEB SITE=http://obazespiritualtemple.webs.com
REGARDS.
LISA THOMAS..

Posted by LISA THOMAS on Jul. 30, 2014 @ 9:46 pm

in an attempt to salvage its expiring patent for the medication by providing for another use - that's the back story here which no one wants to address. Its efficacy is not proven and its side effects severe. We as a community are better than this.

Posted by Guest on May. 30, 2014 @ 10:51 am

This is utter idiocy. These medications are potent, and toxic. Truvada is barely second-generation AZT, which was well known to cause countless health problems and even deaths in the 1980s. Watch the movie Dallas buyers club. Now people are going to be popping these things like candy? This is irresponsible and outrageous conduct on the part of health professionals. The ignorance backing this is incredible. They know these drugs are toxic. You only give them as a last resort, to prevent death from HIV. You don't give them to healthy people. We are going to start seeing countless health problems showing up in these individuals. Long term. Watch and see.

Posted by Guest on May. 30, 2014 @ 7:42 pm

Taking advantage of people's weakness is the MO here. This is nothing short of deplorable! The promise that sex can be fun again?!?!? No more condoms, really?Dream on! Those days are never coming back. How is the LGBT community turning a blind eye to this? How do these people sleep at night? And comparing pregnancy to HIV infection, wth? What's wrong with this city?

Posted by Guest on Jun. 01, 2014 @ 3:05 pm

Some of these "guest" comments are awful. Look at the facts folks. To be on PrEP you need to be monitored by a doctor and tested every 3 months. That's great preventative care most gay men do not now receive. Men who take Truvada generally want and are trying to make sure they stay negative, a group that is much less likely to engage in 'reckless' behavior. We 'medicate' ourselves as a society to prevent viruses and infections all the time; have you ever gotten a flu shot? The dosage of a medication changes its side effects- the dosage for PrEP is much lower than what it is for HIV- Positive patients- think about it, taking one advil or taking 10 will dramatically change how it affects your body. Truvada in PrEP dosages doesn't have the same toxicity levels as with HIV- Treatment dosages. HIV 'anxiety' is a real psychological problem for many gay men. It's a fear that HIV is inevitable. Truvada, and PrEP can help with that fear and help many gay men enjoy life and sex again without the constant fear of an inevitability of infection.

Posted by Dana on Jun. 02, 2014 @ 1:26 pm

Dr. Ariba God will continue to bless you more abundantly, for the good works you are doing in peoples life, I will keep on writng and posting testimonies about you on the Internet, I’m Helen Tolbert, I was a HIV patient, I saw a blog on how Dr. Ariba cured someone, I contacted him and also got my healing, kindly email him now on dr.aribaspelltemple@outlook.com Or draribaspelltemple@gmail.com email me on tolberthelen@gmail.com

Posted by Guest on Jun. 03, 2014 @ 10:24 pm

DR Agbadi is the only Dr who could ever get my HIV-AIDS cured with his healing spell, i have tried almost everything but i could'nt find any solution on my disease, despite all these happening to me, i always spend alot to buy a HIV drugs from hospital and taking some several medications but no relieve, until one day i was just browsing on the internet when i come accross a great post of !Michelle! who truly said that she was been diagnose with HIV and was healed that very week through the help of these great powerful healing spell doctor, sometime i really wonder why people called him Papa agbadi, i never knew it was alll because of the great and perfect work that he has been doing that is causing all this. so i quickly contacted him, and he ask me some few questions and he said a thing i will never forget that anyone who contacted him is ! always getting his or her healing in just 6 hours after doing all he ask you, so i was amazed all the time i heard that from him, so i did all things only to see that at the very day which he said i will be healed, all the strenght that has left me before rush back and i becomes very strong and healthy, this disease almost kills my life all because of me, so i will to hospital to give the final test to the disease and the doctor said i am HIV negative, i am very amazed and happy about the healing Dr agbadi gave to me from the ancient part of africa, you can email him now for your own healing too at: dragbadilaguspelltemple@gmail. com thank you sir for healing me from HIV, i am Doris Carter. or visit his website at http://dr-agbadi-home-of-solution.webs.com/

Posted by Guest on Jun. 08, 2014 @ 1:42 pm

I am cieble jen from Uk, i navel believe that hiv cure is real on till i got in contact with Dr. dr abiola, my HIV stated eight years ago, i was even waiting for death because all my money went out for drug, which keep me till today, one day i saw in the interment that HIV cure is out i then email Dr abiola and he prepare the herb for me which i took, after taking it he told me to go to the hospital which i did, could you believe that i was confirm HIV negative after the test, and i went to another hospital and it was also negative. if you have this problem and you want to be free from it please contact this doctor with this email address deadly.diseases.cure@hotmail.com , he is the best HIV cure you will find in the whole world. thank you Dr abiola am free now

Posted by cieble jen on Jun. 09, 2014 @ 3:51 am

I was been suffering hard ship from HIV/AIDS since 9yrs now, and i happen to have 2 kids for my husband, and now we cannot proceed to have another kids all because of my disease and now i have do all what a human like i and my husband can do just to get my disease healed, i have went to several places to seek for help not even one person could ever help, until i melt a comment on the daily news paper that was commented by Miss Marilyn about how this powerful traditional doctor help her get cured of the disease (HIV-AIDS) " my fellow beloved" i firstly taught having a help from a spiritual traditional healer was a wrong idea, but i think of these, will i continue to stress on these disease all day when i have someone to help me save my life?" so i gather all my faiths and put in all interest to contact him through his Email address at ugbakhuanspelltemple@gmail.com , so after i have mailed him of helping get my disease cured, i respond to me fast as possible that i should not be afraid, that he is a truthful and powerful doctor which i firstly claimed him to be. So after all set has been done, he promise me that i will be healed but on a condition that i provide him some items and obeyed all his oracle said. I did all by accepting his oracle fact and only to see that the following week Dr ugbakhuan mail me on my mail box that my work is successfully done with his powers, i was first shocked and later arise to be the happiest woman on earth after i have concluded my final test on the hospital by my doctor that i am now HIV- Negative. My papers for check are with me and now i am happy and glad for his miraculous help and power.With these i must to everyone who might seek for any help, either for HIV cure or much more to contact him now at these following email now,Email: ugbakhuanspelltemple@gmail.com " sir thank you so much for your immediate cure of my disease, i must say for curing my disease, i owe you in return. Thanks and be blessed sir.My name is Jane wembli His Email address is:ugbakhuanspelltemple@gmail.com or visit his website at;http://ugbakhuanspelltempl.webs.com you can as well call him through his phone number +2348148343053

Posted by jane wembli on Jun. 10, 2014 @ 10:37 am

I am ang Donald from Uk, I want to use this medium to testify of how i got cured from HIV . I contacted HIV from my husband, my husband died 2 years ago from this disease, my life was gradually coming to an end living with this deadly disease daily, i did all i could to get cured from this disease but all to no avail, until i saw a post on health forum about a spell caster who cure all kind of diseases cured. HIV when i contact he told me what to do ,and i thet it.3days he told me to go to the hospital which i did, could you believe that i was confirm HIV negative after the test, and i went to another hospital and it was also negative. if you have this problem and you want to be free from it please contact this doctor with this email address deadly.diseases.cure@hotmail.com , he is the best HIV cure you will find in the whole world. thank you Dr abiola am free now

Posted by ang donaid on Jun. 10, 2014 @ 9:41 pm

I want to say good about a spell caster that help to cure my hiv he is good at it I was having hiv for 4year and when I emailed him he help me and when I went to the hospital and check I was not have hiv again he is the best in the wold I love him if any have this kind of problem or you need any help form him you can email him today on this email; drolorispiritualtemple@gmail.com you are the best I love u and god bless, drolorispiritualtemple@gmail.com or call him on this +2349035304819

Posted by Guest on Jun. 12, 2014 @ 4:06 pm

I was been suffering hard ship from HIV/AIDS since 9yrs now, and i happen to have 2 kids for my husband, and now we cannot proceed to have another kids all because of my disease and now i have do all what a human like i and my husband can do just to get my disease healed, i have went to several places to seek for help not even one person could ever help, until i melt a comment on the daily news paper that was commented by Miss Marilyn about how this powerful traditional doctor help her get cured of the disease (HIV-AIDS) " my fellow beloved" i firstly taught having a help from a spiritual traditional healer was a wrong idea, but i think of these, will i continue to stress on these disease all day when i have someone to help me save my life?" so i gather all my faiths and put in all interest to contact him through his Email address at ugbakhuanspelltemple@gmail.com , so after i have mailed him of helping get my disease cured, i respond to me fast as possible that i should not be afraid, that he is a truthful and powerful doctor which i firstly claimed him to be. So after all set has been done, he promise me that i will be healed but on a condition that i provide him some items and obeyed all his oracle said. I did all by accepting his oracle fact and only to see that the following week Dr ugbakhuan mail me on my mail box that my work is successfully done with his powers, i was first shocked and later arise to be the happiest woman on earth after i have concluded my final test on the hospital by my doctor that i am now HIV- Negative. My papers for check are with me and now i am happy and glad for his miraculous help and power.With these i must to everyone who might seek for any help, either for HIV cure or much more to contact him now at these following email now,Email: ugbakhuanspelltemple@gmail.com " sir thank you so much for your immediate cure of my disease, i must say for curing my disease, i owe you in return. Thanks and be blessed sir.My name is Jane wembli His Email address is:ugbakhuanspelltemple@gmail.com or visit his website at;http://ugbakhuanspelltempl.webs.com you can as well call him through his phone number +2348148343053

Posted by jane wembli on Jun. 14, 2014 @ 1:13 pm

Hello" thankgod for the wonderful healing spell power which Dr olori render to my life which oracle support, i was been diagnosed with HIV-AIDS over 7years now which has lead me to unployment and loosing my relationship with my fiance after he heard that i am suffering from the VIRUS, i tried begging him to allow me stays with him, but he still insist on letting me out of his home, until a friend of mine on facebook from SOUTH AFRICA told me more about Dr olori the great healer, that he is going to help restore and healed my diseased with his powerful healing spell, she send me of Dr olori email address and i quickly contacted him, and he replied to after 30mins of my message that my disease is a little and minor disease, that he will solved the disease immediately only if i can accept all he requested from, i told him yes, because truly i know that " HIV-AIDS IS A WICKED AND DEADLY DISEASE I EVER KNOWS ". so i did all he want from me and suprisingly on friday last week DR olori called me that my problems is solvesd that i should hurry up to the hospital for a checkup, which i truly really did, i comfirm from my doctor that i am now HIV-NEGATIVE AND NOT LONG +, I jump up and was crying heavily because truly the disease drive alot of things away from my life, my friends, my cousin, my fiance and relatives, but now since i was comfirm NEGATIVE- my lost friends and fiance has been back to me begging for forgiveness, i have forgiven them and now we are now best of friend. again i will say to Dr olori that he is blessed and may the almighty God which i serve raise him and his family to the higher level in life. Thank and god bless. Please email DR olori for healing and solution now at = drolorispiritualtemple@gmail.com
FROM U.S.A

Posted by jane wembli on Jun. 14, 2014 @ 9:28 pm

MY HIV DISEASE WAS CURED BY PROPHET OLORi FROM AFRICA, WITH HIS HERBAL HEALING SPELL/ (drolorispiritualtemple@gmail.com ).
DR Olori is the only Dr who could ever get my HIV-AIDS cured with his healing spell, I have tried almost everything but I could'nt find any solution on my disease, despite all these happening to me, I always spend a lot to buy a HIV drugs from hospital and taking some several medications but no relieve, until one day I was just browsing on the internet when I come across a great post of! Michelle! who truly said that she was been diagnose with HIV and was healed that very week through the help of these great powerful healing spell doctor, sometime I really wonder why people called him Papa olori, I never knew it was all because of the great and perfect work that he has been doing that is causing all this. so I quickly contacted him, and he ask me some few questions and he said a thing I will never forget that anyone who contacted him is! always getting his or her healing in just 6 hours after doing all he ask you, so I was amazed all the time I heard that from him, so I did all things only to see that at the very day which he said I will be healed, all the strength that has left me before rush back and I becomes very strong and healthy, this disease almost kills my life all because of me, so I will to hospital to give the final test to the disease and the doctor said I am HIV negative, I am very amazed and happy about the healing Dr Olori gave to me from the ancient part of Africa, you can email him now for your own healing too at: (EMAIL HIM ON: drolorispiritualtemple@gmail.com

Posted by Guest on Jun. 18, 2014 @ 9:23 am

I am ang Donald from Uk, I want to use this medium to testify of how i got cured from HIV . I contacted HIV from my husband, my husband died 2 years ago from this disease, my life was gradually coming to an end living with this deadly disease daily, i did all i could to get cured from this disease but all to no avail, until i saw a post on health forum about a spell caster who cure all kind of diseases cured. HIV when i contact he told me what to do ,and i thet it.3days he told me to go to the hospital which i did, could you believe that i was confirm HIV negative after the test, and i went to another hospital and it was also negative. if you have this problem and you want to be free from it please contact this doctor with this email address deadly.diseases.cure@hotmail.com , he is the best HIV cure you will find in the whole world. thank you Dr abiola am free now

Posted by ang donald on Jun. 20, 2014 @ 11:44 pm

i was having sexual problem and genital herpes, no body want to near me or have sex with me because of my genital herpes... one night i browse through the internet and read alot of testimonie about a great spell caster that have healed all disease. i contacted him about my genital herpes and semen leakage, and the spell catser told me to stop eating meat since i,m going to use his ADURON SPIRITUAL HEALING HERBAL REMEDY DRUGS. a week later after taking ADURON SPIRITUAL HEALING DRUGS i was cure totally and my semen leakage stop instantly, i,m so happy for my life now, thanks to dr shant tami the spell caster. call this spell caster to cure your sickness is genuine spell caster +2348115435381 or is email address hivcurecenter@gmail.com

Posted by Victoria Glen on Jul. 22, 2014 @ 9:47 pm

Hello, My name daniel raso, i want to give praise to Dr abiola who helped me to cure my HIV/AID disease, please help me to give thanks to him, he is a great man who God send from heaven to save people’s life, this man also save the life of my people who have HIV/AID, please thank this man for me, also if you have any type of problem you can also contact him to help you out on it, he is a powerful man, contact him at deadly.diseases.cure@hotmail.com

Posted by daniel raso on Jul. 23, 2014 @ 10:29 pm

Hello, i am Marian Hawkins from Uk,
All these post about spell casters are scammers and fake trying to collect money all in the name of HIV cure and when you contact them, they will be asking for your name, pictures, country, phone number and when you have given them all the information, they will be asking for money. I was once diagnosed as an HIV AIDS patience and i spent a lot of money going from one spell caster to another but they all scam and take my money away until i came in contact with this powerful one Dr. Ovia who helped me to cure my HIV AIDS by doing a healing spell and in 24 hours, as he said i went to hospital for test and according to the test done by the Medical doctor Frank it stated that i was cured.
So viewers be wise and beware of fake spell caster, they are all over the internet. I will drop you the email of this powerful spell caster just in case you wish to contact him for help. droviasolutioncenter@gmail.com or droviasolutioncenter@yahoo.com or you can call him through his mobile number +2347067610698

Posted by Marian Hawkins on Jul. 25, 2014 @ 6:31 am

Goodday
My name is Kate Morrison from united states, i am here to thank DR OVIA the powerful spell caster that rescue me from HIV AIDS. I was diagnosed of this disease in the year 2012, and because of this, i was very unhappy with my life, and i went into research on how i can get cured, i contacted alot of spell casters and none of them could help me rather thay scammed me and took away my money without helping me. All this period of my life, i was sad and unhappy so one day as i was in the internet a decided to sign in a friend guestbook, only for me to see was a testimony of a lady on how she was helped by DR OVIA, so i was confused to contact him at the moment because i didn't want to be scammed again but after one week, i decided to contact him, so when i contacted him, he assure me that he will help me and i told him that many spell casters has also told me this but they all scammed me, he told me not to worry that he is going to help me, So i believe in him because all i wanted was to be cured, so he prepared a healing spell for me and told me to wait fot just 24 hours, after 24 hours, i went to the hospital for test and to me happines the test stated that i was cured from the disease.. This gladens my heart and everybody in the hospital was surprised even the Medical Doctor, So viewers DR OVIA is a God Gifted man and can help you to cure all types of sickness like HIV AIDS, CANCER, PILE, Kidney problem, Syphilis and lot's more. You can contact him through his email on (droviasolutioncenter@gmail.com or droviasolutioncenter@yahoo.com) or you call him +2347067610698. For more details you can reach me on my ID katemorrison22@hotmail.com

Posted by Kate Morrison on Jul. 29, 2014 @ 1:48 pm

Hello,
I was diagnosed of this HIV deadly disease a friend of mine introduce Dr. OZIEGBE, to me and I actually did contact him after he has prepare what he said he will do he sent it to me and I used it according to his prescription after one week I went to the hospital to check my status again because I was feeling differently from the way I used when I was tested positive to my greatest surprise the status was HIV negative the there was surprise and I have to tell the whole world about this If you are having any problem I recommend Dr. OZIEGBE for you. You can contact him with his email address: DROZIEGBESPELLHOMECURE@HOTMAIL.COM or call his phone number which is +2348156769001 for direct contact ,
thanks and God Bless..

Posted by Carolina Gaviria on Jul. 29, 2014 @ 10:05 pm

Hello.
I am Lisa Thomas from USA Florida.I want to make a testimony of what Dr OBAZE did for me. He cure me from HIV and heal my swollen legs and now i am heal and i am count among the healthy people in the society i am happy and please with.
If you are same and you need help of any problem please do contact Dr OBAZE for you to have a better life time.
EMAIL= obazespiritualspelltemple@hotmail.com
PHONE NUMBER=+2348157905793
WEB SITE=http://obazespiritualtemple.webs.com
REGARDS.
LISA THOMAS..,

Posted by LISA THOMAS on Jul. 30, 2014 @ 9:47 pm

Hello.
I am Lisa Thomas from USA Florida.I want to make a testimony of what Dr OBAZE did for me. He cure me from HIV and heal my swollen legs and now i am heal and i am count among the healthy people in the society i am happy and please with.
If you are same and you need help of any problem please do contact Dr OBAZE for you to have a better life time.
EMAIL= obazespiritualspelltemple@hotmail.com
PHONE NUMBER=+2348157905793
WEB SITE=http://obazespiritualtemple.webs.com
REGARDS.
LISA THOMAS..

Posted by LISA THOMAS on Jul. 30, 2014 @ 10:07 pm

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