HIV cases, deaths fall to new low in SF

  • Posted by a hidden member.
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    Jul 16, 2015 11:20 PM GMT
    "Experts agree that the decline in new infections is due to a combination of factors including widespread testing, early antiretroviral treatment, and possibly pre-exposure prophylaxis – although PrEP is probably too recent to have had a substantial effect yet."

    Buchbinder reported that the number of new HIV diagnoses in San Francisco fell by 18.5 percent, from 371 in 2013 to 302 in 2014 – the lowest number since the start of the epidemic.

    As recently confirmed by the START trial, prompt treatment significantly lowers the risk of illness and death for people with HIV. In addition, HIV-positive people on treatment with an undetectable viral load have a near-zero risk of passing the virus on to others.

    San Francisco leads the way in getting people living with HIV into care. Among people newly diagnosed with HIV in 2012, 89 percent were linked to care, most of these were prescribed antiretroviral therapy, and 68 percent achieved viral suppression. Under the RAPID ART program, people diagnosed with HIV at San Francisco General Hospital are offered treatment on the spot, and the city aims to expand this initiative to other providers.


    http://www.ebar.com/news/article.php?sec=news&article=70753

    This is what I've been advocating for the last 2 years or more.

    Meanwhile in ART Deco's back yard:

    "In 2013, there were 347 and in 2014, there were 445.

    Hillsborough isn’t the only county to suffer an increase in the amount of recorded HIV infections. Between 2012 and 2014, there have been 2,599 new cases of HIV in Broward County and 3,892 in Miami-Dade County."

    http://www.usforacle.com/news/view.php/867652/HIV-infection-rate-on-the-rise-in-Hillsb

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    Jul 17, 2015 6:54 AM GMT
    Finally, some good news but the guys at Magnet infer that other std's are thru the roof in SF. There was hope that syphilis was going to be eradicated in the late '90's and now the incidence of new cases is being called an explosion in the 20 year old Latin and black male population. 250% increase in the young black / Latino demographic.

    https://www.cdph.ca.gov/data/statistics/Documents/STD-Data-LHJ-SanFrancisco.pdf
  • madsexy

    Posts: 4843

    Jul 17, 2015 3:34 PM GMT
    Alpha13 saidFinally, some good news but the guys at Magnet infer that other std's are thru the roof in SF. There was hope that syphilis was going to be eradicated in the late '90's and now the incidence of new cases is being called an explosion in the 20 year old Latin and black male population. 250% increase in the young black / Latino demographic.

    https://www.cdph.ca.gov/data/statistics/Documents/STD-Data-LHJ-SanFrancisco.pdf

    Yeah the other-STD rate is being reported to skyrocket with much speculation that lower condom use (because of PrEP and better HIV drugs) is the cause. I can only say that there I go but for God's Grace - a recovering slut who never had a single STD. icon_wink.gif
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    Jul 17, 2015 7:26 PM GMT
    madsexy said
    Alpha13 saidFinally, some good news but the guys at Magnet infer that other std's are thru the roof in SF. There was hope that syphilis was going to be eradicated in the late '90's and now the incidence of new cases is being called an explosion in the 20 year old Latin and black male population. 250% increase in the young black / Latino demographic.

    https://www.cdph.ca.gov/data/statistics/Documents/STD-Data-LHJ-SanFrancisco.pdf

    Yeah the other-STD rate is being reported to skyrocket with much speculation that lower condom use (because of PrEP and better HIV drugs) is the cause. I can only say that there I go but for God's Grace - a recovering slut who never had a single STD. icon_wink.gif



    So far they won't make the speculation. Surveying Scruff it would seem to be the case since a majority of young guys that advertise that they are in Prep want BB sex but the incidence is with black and Hispanic that are that lowest users of Prep. I guess it's just more fucking because of hook up sites and the promotion of sex by gay health organization ( sneering at abstinence campaigns)
  • Posted by a hidden member.
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    Jul 17, 2015 7:48 PM GMT
    Alpha13 said
    madsexy said
    Alpha13 saidFinally, some good news but the guys at Magnet infer that other std's are thru the roof in SF. There was hope that syphilis was going to be eradicated in the late '90's and now the incidence of new cases is being called an explosion in the 20 year old Latin and black male population. 250% increase in the young black / Latino demographic.

    https://www.cdph.ca.gov/data/statistics/Documents/STD-Data-LHJ-SanFrancisco.pdf

    Yeah the other-STD rate is being reported to skyrocket with much speculation that lower condom use (because of PrEP and better HIV drugs) is the cause. I can only say that there I go but for God's Grace - a recovering slut who never had a single STD. icon_wink.gif



    So far they won't make the speculation. Surveying Scruff it would seem to be the case since a majority of young guys that advertise that they are in Prep want BB sex but the incidence is with black and Hispanic that are that lowest users of Prep. I guess it's just more fucking because of hook up sites and the promotion of sex by gay health organization ( sneering at abstinence campaigns)


    Abstinence? Has that worked for anyone?
  • Joeyphx444

    Posts: 2382

    Jul 17, 2015 11:13 PM GMT
    Unfortunately some men think this means they can bareback more icon_rolleyes.gif
  • roadbikeRob

    Posts: 14360

    Jul 18, 2015 1:39 PM GMT
    Joeyphx444 saidUnfortunately some men think this means they can bareback more icon_rolleyes.gif
    Barebacking is stupid and potentially dangerous. When are some of these guys going to learnicon_mad.gificon_question.gif
  • Posted by a hidden member.
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    Jul 18, 2015 9:34 PM GMT
    People are using condoms less, with or without the protection of PrEP/TasP.

    The point is: there are less and less people getting HIV.

    PrEP and TasP require 3-4 lab and doctor visits a year. While PrEP is recommended for men at high risk (those already not using condoms) their incidence of other STDs should be less if checked frequently. Most other MSM get checked for STDs yearly or not until symptoms appear.

    PrEP does not increase risk factors.
    " Prior to the FDA approval of PrEP, potential users were surveyed and reported that they believed taking PrEP could decrease their use of condoms [(28–30)]. But risk compensation after PrEP implementation has been examined in several trials and to date has not been associated with increased sexual risk behavior or sexually transmitted infections in the majority of these studies [(3–5, 7, 31–34)]. In the iPrEx trial, in which subjects receive blinded medication or placebo, there was no change in reported sexual practices from baseline through followup and no difference in overall syphilis incidence in the perceived treatment group [(34)]. Qualitative findings from the iPrEx open-label extension parallel these results, with participants reporting no significant changes in their sexual practices [(35)]."

    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4308722/


    Blaming PrEP and TasP for the increase in STDs doesn't make sense. Condom use is down across the board.

    From the CDC
    "The rate of P&S syphilis was highest among men 20–29 years, increasing 11.7% (from 24.8 to 27.7 cases) among men 20–24 years and 14.8% (from 24.4 to 28.0 cases) among men 25–29 years during 2012–2013 (Figures 36 and 38, Table 35). This marks the sixth consecutive year (2008–2013) that the rate of P&S syphilis among men has been highest among men aged 20–29 years (Table 35). During 2008–2013, the rate has increased among men aged 20–24 years by 60.1% (from 17.3 to 27.7 cases) and among men aged 25–29 years by 65.7% (from 16.9 to 28.0 cases). These data indicate a shift since 2006, when the rate was highest in men aged 35–39 years."
    http://www.cdc.gov/std/stats13/syphilis.htm


    "Laudato doubts that PrEP is the main culprit behind declining condom use since the New York neighborhoods where syphilis seems to be rising the most are low-income areas, where the drug is not commonplace.


    That said, scientists are exploring the possibility that the use of PrEP drugs could actually be helping reduce the transmission of STIs like syphilis. Research published in the journal PLOS ONE found "no evidence of risk compensation that would offset the benefits of PrEP" among patients in a PrEP study. It also found lower rates of syphilis."

    http://www.citylab.com/politics/2015/04/syphilis-is-surging-and-us-public-health-officials-arent-sure-why/390579/

    So I'll go out on a limb and make my assessment.
    1) Syphilis is highest among young MSM
    2) HIV is highest among young MSM
    3) Young gay men are less likely to be on ART or PrEP
    4) Young MSM are less likely to be tested
    5) Serosorting among HIV POZ may increase STDs.



  • Posted by a hidden member.
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    Sep 21, 2015 11:32 AM GMT
    timmm55 saidPeople are using condoms less, with or without the protection of PrEP/TasP.

    The point is: there are less and less people getting HIV.

    PrEP and TasP require 3-4 lab and doctor visits a year. While PrEP is recommended for men at high risk (those already not using condoms) their incidence of other STDs should be less if checked frequently. Most other MSM get checked for STDs yearly or not until symptoms appear.

    PrEP does not increase risk factors.
    " Prior to the FDA approval of PrEP, potential users were surveyed and reported that they believed taking PrEP could decrease their use of condoms [(28–30)]. But risk compensation after PrEP implementation has been examined in several trials and to date has not been associated with increased sexual risk behavior or sexually transmitted infections in the majority of these studies [(3–5, 7, 31–34)]. In the iPrEx trial, in which subjects receive blinded medication or placebo, there was no change in reported sexual practices from baseline through followup and no difference in overall syphilis incidence in the perceived treatment group [(34)]. Qualitative findings from the iPrEx open-label extension parallel these results, with participants reporting no significant changes in their sexual practices [(35)]."

    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4308722/

    Are you seriously going to continue this denial of risk dispensation increases especially when you advocate strongly in favour of BB sex. I blame people who are the messenger, manipulate the message of TASP and this is the result. Risk dispensation is real, either believe Timm55 and his chronies or see the reality. If the dangers are recognised and addressed, TASP will be successful but as it stands there are dangers we all need to acknowledge before its too late.


    Blaming PrEP and TasP for the increase in STDs doesn't make sense. Condom use is down across the board.

    From the CDC
    "The rate of P&S syphilis was highest among men 20–29 years, increasing 11.7% (from 24.8 to 27.7 cases) among men 20–24 years and 14.8% (from 24.4 to 28.0 cases) among men 25–29 years during 2012–2013 (Figures 36 and 38, Table 35). This marks the sixth consecutive year (2008–2013) that the rate of P&S syphilis among men has been highest among men aged 20–29 years (Table 35). During 2008–2013, the rate has increased among men aged 20–24 years by 60.1% (from 17.3 to 27.7 cases) and among men aged 25–29 years by 65.7% (from 16.9 to 28.0 cases). These data indicate a shift since 2006, when the rate was highest in men aged 35–39 years."
    http://www.cdc.gov/std/stats13/syphilis.htm


    "Laudato doubts that PrEP is the main culprit behind declining condom use since the New York neighborhoods where syphilis seems to be rising the most are low-income areas, where the drug is not commonplace.


    That said, scientists are exploring the possibility that the use of PrEP drugs could actually be helping reduce the transmission of STIs like syphilis. Research published in the journal PLOS ONE found "no evidence of risk compensation that would offset the benefits of PrEP" among patients in a PrEP study. It also found lower rates of syphilis."

    http://www.citylab.com/politics/2015/04/syphilis-is-surging-and-us-public-health-officials-arent-sure-why/390579/

    So I'll go out on a limb and make my assessment.
    1) Syphilis is highest among young MSM
    2) HIV is highest among young MSM
    3) Young gay men are less likely to be on ART or PrEP
    4) Young MSM are less likely to be tested
    5) Serosorting among HIV POZ may increase STDs.