The Global Epidemic (Q Abdool Karim, Section Editor)

Current HIV/AIDS Reports

, Volume 10, Issue 2, pp 152-158

Antiretroviral Therapy for Prevention Is a Combination Strategy

  • Margaret L. McNairyAffiliated withICAP-Columbia University, Mailman School of Public HealthWeill-Cornell Medical College Email author 
  • , Myron CohenAffiliated withUniversity of North Carolina
  • , Wafaa M. El-SadrAffiliated withICAP-Columbia University, Mailman School of Public Health

Abstract

In the past several years, the debate of “treatment vs prevention” has shifted with the introduction of the concept of “treatment as prevention,” (TasP), stemming from a series of compelling observational, ecological, and modeling studies as well as HPTN 052, a randomized clinical trial, demonstrating that use of ART is associated with a decrease in HIV transmission. In addition to TasP being viewed as 1 intervention in a combination strategy for HIV Prevention, TasP is, in and of itself, a combination of multiple interventions that need to be implemented with high coverage in order to achieve its potential impact.

Keywords

HIV Antiretroviral therapy HIV prevention Treatment as prevention (TasP) Global epidemic Combination intervention