HIV drug resistance surveillance in countries scaling up pre-exposure prophylaxis

HIV drug resistance surveillance in countries scaling up pre-exposure prophylaxis PDF Author:
Publisher: World Health Organization
ISBN: 9240009817
Category : Medical
Languages : en
Pages : 36

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HIV drug resistance surveillance in countries scaling up pre-exposure prophylaxis

HIV drug resistance surveillance in countries scaling up pre-exposure prophylaxis PDF Author:
Publisher: World Health Organization
ISBN: 9240009817
Category : Medical
Languages : en
Pages : 36

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Book Description


HIV DRUG RESISTANCE SURVEILLANCE IN COUNTRIES SCALING UP PRE-EXPOSURE PROPHYLAXIS.

HIV DRUG RESISTANCE SURVEILLANCE IN COUNTRIES SCALING UP PRE-EXPOSURE PROPHYLAXIS. PDF Author:
Publisher:
ISBN:
Category :
Languages : en
Pages : 0

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HIV DRUG RESISTANCE SURVEILLANCE IN COUNTRIES SCALING UP PRE-EXPOSURE PROPHYLAXIS.

HIV DRUG RESISTANCE SURVEILLANCE IN COUNTRIES SCALING UP PRE-EXPOSURE PROPHYLAXIS. PDF Author: World Health Organization
Publisher:
ISBN:
Category :
Languages : en
Pages : 0

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HIV drug resistance

HIV drug resistance PDF Author: World Health Organization
Publisher: World Health Organization
ISBN: 9240086315
Category : Medical
Languages : en
Pages : 46

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Book Description
This brief report summarizes recent information on HIV drug resistance (HIVDR) in the era of integrase-strand transfer inhibitors (INSTI) for HIV prevention and treatment. In this report, WHO documents high levels of HIV viral load suppression (>90%) in populations receiving dolutegravir (DTG)-containing antiretroviral therapy (ART). However, recent observational data reveal that HIVDR to DTG is emerging at levels exceeding those observed in clinical trials. Few countries have reported people not achieving viral suppression while receiving DTG-containing ART. However, amongst the surveys reported, levels of DTG resistance ranged from 3.9% to 8.6%, with levels as high as 19.6% observed among highly treatment-experienced people who transitioned to a DTG-containing ART while having high HIV viral loads. Levels of observed DTG resistance in real world populations receiving ART appear to be higher than anticipated from clinical trials. WHO recommends that countries routinely implement standardised surveillance of HIVDR to follow the prevalence and patterns of resistance among people not achieving suppressed viral load. The use of long acting cabotegravir (CAB-LA) for pre-exposure prophylaxis (PrEP) greatly reduces the risk of acquiring HIV. However, INSTI resistance has been observed in some cases with recent CAB-LA exposure, and delayed detection and confirmation of HIV infection can increase the risk of selection of INSTI drug resistance–associated mutations. Despite the possible risk, the roll-out of CAB-LA for PrEP should not be hindered. Scale-up of PrEP should be accompanied by standardized surveillance of drug resistance among people testing positive for HIV while receiving PrEP.

Remaking HIV Prevention in the 21st Century

Remaking HIV Prevention in the 21st Century PDF Author: Sarah Bernays
Publisher: Springer Nature
ISBN: 303069819X
Category : Social Science
Languages : en
Pages : 305

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Book Description
This edited collection brings together the social dimensions of three key aspects of recent biomedical advance in HIV research: Treatment as Prevention (TasP), new technologies such as Pre-Exposure Prophylaxis (PrEP), and the Undetectable equals Untransmittable (U=U) movement. The growth of new forms of biomedical HIV prevention has created hope for the future, signalling the possibility of a world without AIDS. In this context, the volume discusses the profound social, political and ethical dilemmas raised by such advances, which are to do with readiness, access, equity and availability. It examines how HIV prevention has been, and is, re-framed in policy, practice and research, and asks: How best can new biomedical technologies be made available in a profoundly unequal world? What new understandings of responsibility and risk will emerge as HIV becomes a more manageable condition? What new forms of blame will emerge in a context where the technologies to prevent HIV exist, but are not always used? How best can we balance public health’s concern for adherence and compliance with the rights of individuals to decide on what is best for themselves and others? Few of these questions have thus far received serious consideration in the academic literature. The editors, all leaders in the social aspects of HIV, have brought together an innovative and international collection of essays by top thinkers and practitioners in the field of HIV. This book is an important resource for academics and professionals interested in HIV research. Chapters "Anticipating Policy, Orienting Services, Celebrating Provision: Reflecting on Scotland’s PrEP Journey", "How the science of HIV treatment-as-prevention restructured PEPFAR’s strategy: The case for scaling up ART in ‘epidemic control’ countries", "Stigma and confidentiality indiscretions: Intersecting obstacles to the delivery of Pre-Exposure Prophylaxis to adolescent girls and young women in east Zimbabwe" and "The drive to take an HIV test in rural Uganda: a risk to prevention for young people?" are available open access under a Creative Commons Attribution 4.0 International License via link.springer.com.

Report on the global action plan on HIV drug resistance 2017–2021

Report on the global action plan on HIV drug resistance 2017–2021 PDF Author: World Health Organization
Publisher: World Health Organization
ISBN: 9240071083
Category : Medical
Languages : en
Pages : 40

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Book Description


Disease Control Priorities, Third Edition (Volume 6)

Disease Control Priorities, Third Edition (Volume 6) PDF Author: King K. Holmes
Publisher: World Bank Publications
ISBN: 1464805253
Category : Medical
Languages : en
Pages : 506

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Book Description
Infectious diseases are the leading cause of death globally, particularly among children and young adults. The spread of new pathogens and the threat of antimicrobial resistance pose particular challenges in combating these diseases. Major Infectious Diseases identifies feasible, cost-effective packages of interventions and strategies across delivery platforms to prevent and treat HIV/AIDS, other sexually transmitted infections, tuberculosis, malaria, adult febrile illness, viral hepatitis, and neglected tropical diseases. The volume emphasizes the need to effectively address emerging antimicrobial resistance, strengthen health systems, and increase access to care. The attainable goals are to reduce incidence, develop innovative approaches, and optimize existing tools in resource-constrained settings.

Implementation of the World Health Organization's Strategy for HIV Drug Resistance Prevention and Assessment in Countries Scaling Up Antiretroviral Treatment

Implementation of the World Health Organization's Strategy for HIV Drug Resistance Prevention and Assessment in Countries Scaling Up Antiretroviral Treatment PDF Author:
Publisher:
ISBN:
Category :
Languages : en
Pages : 121

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Antiretroviral Treatment in Sub-Saharan Africa

Antiretroviral Treatment in Sub-Saharan Africa PDF Author: Tizazu Fetene
Publisher: African Books Collective
ISBN: 9994455788
Category : AIDS (Disease)
Languages : en
Pages : 230

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Book Description
The introduction of antiretroviral therapy (ART) in middle and low income countries is arguably one of the most meaningful outcomes recorded in the fight against HIV and AIDS. A record number of some 6.2 million people living with HIV and AIDS are reported to be benefiting from the treatment, which is reported to have risen by 19 per cent between 2010 and 2011 and as a result of this, the region has also enjoyed a significant decline in AIDS mortality. This volume is the outcome of the call for abstracts put out by OSSREA in 2011 for senior researchers, social scientists and practitioners to write scientific articles on issues surrounding ARVs. The volume contains eight chapters organized into four sections: ART and quality of life; Adherence to ART; Traditional medicine and ART; and Sexual behaviour of ART attendants. The chapters are contributed by Academics and researchers from three different African countries: four from Ethiopia, two from Uganda and two from Zimbabwe.

Consolidated Guidelines on the Use of Antiretroviral Drugs for Treating and Preventing HIV Infection

Consolidated Guidelines on the Use of Antiretroviral Drugs for Treating and Preventing HIV Infection PDF Author: World Health Organization
Publisher:
ISBN: 9789241549684
Category : AIDS (Disease)
Languages : en
Pages : 429

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Book Description
These guidelines provide guidance on the diagnosis of human immunodeficiency virus (HIV) infection, the use of antiretroviral (ARV) drugs for treating and preventing HIV infection and the care of people living with HIV. They are structured along the continuum of HIV testing, prevention, treatment and care. This edition updates the 2013 consolidated guidelines on the use of antiretroviral drugs following an extensive review of evidence and consultations in mid-2015, shared at the end of 2015, and now published in full in 2016. It is being published in a changing global context for HIV and for health more broadly.