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Oral tenofovir-based PrEP works. Faster, smarter rollout must be a top priority.

Recent clinical trials have shown clearly that daily, oral pre-exposure prophylaxis (PrEP) using the antiretroviral drugs tenofovir and emtricitabine dramatically reduces the risk of HIV infection for men and women who take it as directed. While PrEP won’t be right for every individual at risk for HIV, untold numbers of men and women will benefit—if they can access this potentially life-saving option.

So far, PrEP’s implementation has been piecemeal and incomplete. TDF/FTC is approved for use as oral PrEP in a handful of countries but, for maximum impact, PrEP rollout needs a coherent, global strategy involving many real-world demonstration projects, other research and guidance from global health agencies. At the same time, research into new PrEP formulations—such as intermittent use of pills or quarterly injections—could help improve adherence and achieve PrEP’s full potential.

What We're Reading

Washington, DC is making PrEP a priority for the city’s black women who face a high risk of acquiring HIV. A newly funded campaign tailored for black women hopes to raise PrEP’s profile, persuade the skeptics and extend access.

December 29, 2016
The Washington Post

Findings from a large-scale pan-European survey show PrEP demand is encouragingly high but access is so low that significant numbers are obtaining PrEP informally, without the benefit of counseling and follow-up. Conducted by AIDES, Coalition PLUS and University of Amsterdam, Flash! Prep in Europe interviewed 16,000 people, in 10 languages, across 12 countries.

December 1, 2016
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