HIV This Week

Welcome to the 67th issue of HIV This Week ! In this issue, we cover nosocomial transmission (the first review in 15 years presents positive ideas for prevention; lessons from people who inject drugs along the Mexican-US border reveal it’s time to make plasma donation a civic duty rather than a money-maker) , post-exposure prophylaxis (a systematic review presents evidence on PEP for n on-occupational exposure; limited scenarios in Australia for cost-effective non-occupational PEP) , models of treatment and care (time for collaboration with practitioners of t raditional Indian medicine and homeopathy; Abidjan’s mother-to-child transmission-plus programme reaches out to male partners of pregnant women), surveillance (implementation ethics and unlinked anonymous surveillance ), dry sex (only 7% of women in Lusaka who use ‘dry sex’ traditional medicines do so before sex; vaginal practices, sexual pleasure, and fidelity in KwaZulu-Natal ), basic science (disconcerting news that HIV has been adapting to our protective immune responses at a population level; making drug-free remission the new goal of HIV therapeutics – the HIV Latency Collaboratory approach; genetic and epidemiological archaeology illuminates 15 th century Croatia and CCR5Delta32 selection pressure), religious beliefs and HIV (Christianity in Tanzania: stigma or social support for people living with HIV? ), risk compensation (young men in Kisumu, Kenya with risk compensation beliefs about antiretroviral therapy are more likely to be HIV-positive), paediatric treatment (kids reconstitute their immune systems on prolonged antiretroviral therapy but early starters do better), men who have sex with men (time for improved surveillance and gay bath HIV prevention programmes in China’s Jiangsu province ), epidemiology (Georgia knows its epidemic and can tailor a response), treatment: when to start (dealing with lead-time bias: the ACCORD study reports a 70% increase in mortality for those starting below 350 cells/microl ; a thorough review of the evidence suggests there is equipoise for the START trial that is just starting; why we should not have distinct criteria for starting antiretroviral treatment in people in whom we anticipate poor adherence), male circumcision and manhood (synergies from joining the worlds of m edical circumcision and traditional manhood initiation rituals in the Eastern Cape, South Africa ), and reproductive health and youth (why fertility intentions are important in HIV prevention programmes for youth in Mozambique; adolescent girls in rural Bangladesh seem to have been on another planet ).

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For full PDF access to this issue: HIV This Week Issue #67

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