Statistics from the Australian state of NSW has now had the biggest drop in rates of new HIV Transmission

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    Dec 17, 2015 2:26 PM GMT
    http://endinghiv.org.au/nsw/nsw-sees-the-lowest-hiv-diagnoses-in-5-years/?utm_source=Blog&utm_medium=Blog&utm_campaign=Blog_NSW_lowest_HIV_cases_5_years

    1. The highly successful campaign of ACON (Aid Counsel of NSW) in implementing multiple prevention and treatment strategies.
    The key underpinning mechanism is providing free access to rapid HIV testing through facilities known as A-Test located in various HUBS across Sydney and Urban Centre's. The test takes 20 mins and is backed up by a blood test which goes to the laboratory and a full range of other STI's are also conducted for testing at the same time. The results are communicated in a manor of your choosing and the whole process is confidential. In addition, any positive result (not just HIV) is eligible for a free service which offers the option of anonymous contact of persons who may have been exposed to what ever it is you have contracted.

    1a. A service is available to anyone in Australia through Medicare and in some cases persons visiting from overseas and is completely free. No health insurance required to access this service. Follow up medical treatment and support is offered and is free and privacy protected from anyone getting access to what has been provided to you as a patient. Follow up reminders are available to encourage ongoing repeat visits and some are walk in off the street basis

    1b. Encouraging HIV poz persons to start treatment as early as possible and to become undetectable. An emphasis on continuing monitoring of undetectable status

    2. The second is the well resourced Sexual Health information and public space advertising campaign in public spaces and billboards of train and subway stations and in highly visable areas where Gay Men and party goers frequent

    3. Providing Peer education programs and workshops for free. These workshops involve all members attending the group and provide an open and honest learning environment about sex, dating and HIV prevention and treatments. The programs are run by people who have previously attend the workshops, who volunteer their time and following training, those former participants run the groups (I attended and they were very helpful even for someone like me who's a 17 year out and proud

    4. An ongoing presence at major community events and in partnership with community groups, community based information session and were possible community based testing booths

    5. A state government initiative now provides persons living with HIV free access to new medication prescribed by HIV specialist some repeat doses by non-specialist as well (I found this out when I was asked by one of close friends to collect them for him)

    6. A strong commitment in partnership with medical support facilities and the inner city hospitals to provide adequate free access to treatment support and counseling and other ancillary support services to all HIV poz people

    7. Information campaign provided to the general community to remind sexually active males of the potential risk of BB sex. This included the Public unvailing late last year of an inner city monument which is located on the edge of large recreational park (Hyde Park) and covering the monument with the worlds largest condom. This included a large television news and current affairs campaign to provide more blanket coverage of the general reminder to use condoms as the most effective method of reducing risk of exposure to HIV and many other Sexually Transmitted Infections

    8. Ongoing free provision of Condom and Lubrication packs in sex on premises venues and bars and clubs and at A-Test facilities as well as at community facilities attended by ACON
    https://www.facebook.com/endinghiv/photos/a.10150890636950688.452638.137180840687/10153729192650688/?type=3&theater

    9. Full time Peer support workers to provide direct targeted engagement with specific segments of the Gay and broader community such as Youth, Sex Workers and Injecting drug users

    http://endinghiv.org.au/nsw/treat-early/
    10. A big push to provide information to people who are HIV negative about the reduced risk of HIV transmission with sexual partners of who have known Undetectable Viral Loads. Condom use and consultation with medical specialist prior to deciding to engage in BB sex.

    11. The prescribing of Prep medication as a treatment to high risk HIV negative persons through the Prep trial and through HIV specialists ordering medications directly imported from overseas.

    12. Providing free needle exchanges to people receiving treatment and cheap access via vending machines located in areas of known high intravenous recreational drug use

    13. Active anonymous and voluntary support for persons citing problematic levels of drug use as a risk factor and providing referrals education and support to assist these people to address their substance abuse issues

    The fact that all of these strategies have been in place with only a very small percentage of people on Prep, points to a factual real life example of how a comprehensive community engaged approach is much more effective than a focus on convincing HIV negative persons who are already employing effective prevention strategies. That results in community members having a greater range of options based on factual information, instead of selective promotion of some treatments over others. To do this requires acceptance that all individuals have a right to be provided a comprehensive range of options and the right to choose their engagement with services without pressure, nor fear of privacy breaches of which would undermine the campaign and reduce engagement in sexual health monitoring services
    http://www.health.nsw.gov.au/endinghiv/Documents/q1-2015-hiv-data-report.pdf
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    Dec 18, 2015 3:38 AM GMT
    11. The prescribing of Prep medication as a treatment to high risk HIV negative persons through the Prep trial and through HIV specialists ordering medications directly imported from overseas.



    The fact that all of these strategies have been in place with only a very small percentage of people on Prep, points to a factual real life example of how a comprehensive community engaged approach is much more effective than a focus on convincing HIV negative persons who are already employing effective prevention strategies. ( What are they are being convinced of? Why is that worse than a community approach?) That results in community members having a greater range of options based on factual information, instead of selective promotion of some treatments over others. To do this requires acceptance that all individuals have a right to be provided a comprehensive range of options and the right to choose their engagement with services without pressure, nor fear of privacy breaches of which would undermine the campaign and reduce engagement in sexual health monitoring services."

    You've been arguing against PrEP. I don't see how that can be justifiable when even you say " that all individuals have a right to be provided a comprehensive range of options and the right to choose their engagement with services without pressure,


    And just to make it perfectly clear, ACON is in favor of PrEP: ACON will be a key partner in the EPIC study which is being supported by NSW Health in association with Positive Life NSW and the Australian Society of HIV Medicine. 3700 people at high risk of HIV transmission will be recruited to participate in the study and will be given access to PrEP for up to two years.

    ACON CEO Nicolas Parkhill says ACON is thrilled to be involved in the historic project, which is projected to bring about a dramatic reduction in new HIV transmissions. “PrEP is going to be a game changer in terms of HIV prevention in NSW. In conjunction with high HIV testing rates among gay men and strong treatment uptake among people with HIV, it’s helping revolutionise HIV prevention in our sister city San Francisco.

    http://www.acon.org.au/tag/prep/#expanded-nsw-prep-trial-announced
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    Dec 18, 2015 1:00 PM GMT
    Tim; Yes it will be a 'game changed' to you as those who take the medication will now BB with you and you will be able to wrestle with your conscience about that.

    Back on earth, the drop in transmissions happened in NSW despite very low access to Prep. You can't see past your share stock prices Timm. Have you bothered to see what an actually effective campaign which doesn't have medication in its armoury yet that matter
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    Dec 18, 2015 4:36 PM GMT
    Sydneyrugbyjock73 saidTim; Yes it will be a 'game changed' to you as those who take the medication will now BB with you and you will be able to wrestle with your conscience about that.

    Back on earth, the drop in transmissions happened in NSW despite very low access to Prep. You can't see past your share stock prices Timm. Have you bothered to see what an actually effective campaign which doesn't have medication in its armoury yet that matter


    NO ONE of any consequence shares your anti-PrEP sentiment.

    Not even Michael Weinstein of the AHF, who is NOT a PrEP proponent, is up to your level of insanity. You should check out his argument, it's a bit more intelligent than your crap. What 'wrestling of conscience'? I'm undetectable, I am not infectious. Although you say you don't shame (!) that is it.

    The big DROP you proclaim includes a 20 year high in 2013. ACON is looking to SF in their programs to bring HIV down to zero. Yep, that includes PrEP among other things.

    You say Oz doesn't have 'medication in it's armoury' that's not true of course. ART is medication, and it is Treatment as Prevention.


    Also note your STD rates have increased WITHOUT PrEP.

    Australia is in an enviable position. They were hit with HIV/AIDS late, relatively light and acted quickly. They have about 1000 new HIV infections a year, compared to the US of 50,000.
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    Dec 18, 2015 7:11 PM GMT
    Five reasons why HIV infections in Australia aren’t falling



    "What this means for an effective HIV response in Australia is that we need to listen to the voices of peer-based community organisations to understand what makes adherence to HIV prevention strategies difficult for those at highest risk of infection. Simplified access to testing is critical, so that early infections are picked up early and newly infected people can commence treatment both for their own health and to reduce ongoing transmission. Wider access to PrEP is also critical, so that those who are aware that their condom use is less than perfect have another option to rely upon."


    http://theconversation.com/five-reasons-why-hiv-infections-in-australia-arent-falling-47416
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    Dec 18, 2015 8:12 PM GMT
    I get a 404 on your link (not found). So I googled your title, nothing there either except your post here on RJ.

    So I googled part of your quote. Nothing there either except RJ.

    Last I read Australia was at a 20 year high of 1200 to most recently 1050 +-. What's going on here? Either the link was removed for some reason, or you've made it up. But I certainly do like the site. I encourage everyone to read it.

    If there has been a significant change (1200+ to 1050 is significant) it can mostly be attributed to ART.


    http://endinghiv.org.au/nsw/ending-hiv/

    EARLY TREATMENT


    The dual benefits of early treatment are evident. Firstly and most importantly there is a significant health benefit, but the big news is that effective treatment dramatically reduces HIV transmission risk.

    Effective treatment reduces the amount of virus in the blood to a level below which transmission is unlikely. So getting more newly diagnosed guys on treatment earlier will dramatically reduce the number of new HIV infections.....I couldn't agree more.
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    Dec 20, 2015 3:27 PM GMT
    [quote][cite]timmm55 said[/cite]I get a 404 on your link (not found). So I googled your title, nothing there either except your post here on RJ.

    So I googled part of your quote. Nothing there either except RJ.

    Last I read Australia was at a 20 year high of 1200 to most recently 1050 +-. What's going on here? Either the link was removed for some reason, or you've made it up. But I certainly do like the site. I encourage everyone to read it.

    http://gaynewsnetwork.com.au/checkup/hiv/partner-notification-difficult-but-critical-to-end-hiv-19798.html

    the link is fine I just checked if and these are NSW stats, not Australis wide Each state has there own HIV AIDS agency.
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    Dec 20, 2015 7:46 PM GMT
    Sydneyrugbyjock73 said[quote][cite]timmm55 said[/cite]I get a 404 on your link (not found). So I googled your title, nothing there either except your post here on RJ.

    So I googled part of your quote. Nothing there either except RJ.

    Last I read Australia was at a 20 year high of 1200 to most recently 1050 +-. What's going on here? Either the link was removed for some reason, or you've made it up. But I certainly do like the site. I encourage everyone to read it.

    http://gaynewsnetwork.com.au/checkup/hiv/partner-notification-difficult-but-critical-to-end-hiv-19798.html

    the link is fine I just checked if and these are NSW stats, not Australis wide Each state has there own HIV AIDS agency.


    Now it is working. And just as I said "The report also tells us that around 91% of people living with HIV are on treatment, and that’s a fantastic figure. We know that treatment allows those who are HIV positive to live near-normal lives but it’s also crucial to preventing onward transmission."

    I've been insulted by people like you, David666, Art Deco and others being called a "gift giver", "dangerous" I "must be stopped", where by mob rule I must be wrong. I've been wrong about some things in life, but not TasP, or PrEP.

    Some people want desperately to believe that all HIV+ people are inherently dangerous and inferior. Art Deco recently said (paraphrasing) Who would you believe a negative person or someone who failed and became HIV+? Which is ludicrous. A black man can't understand social science? A woman who has an unwanted pregnancy can't talk about the pill? A person with polio couldn't find a cure?


    You said recently : "On numerous occasions you have stated that Condom-less sex is the only real option and you use statistics incorrectly to manipulate people into accepting your point of view." A complete fabrication and a lie. Your accusations of a "BB Agenda" are in virtually every post. Equally inept.


    to which I replied:



    Oh Sydney ferchrissake!


    read ACON!

    There are now at least five strategies that reasonably constitute‘safe sex’, provided that certain parameters are met.
    They are:
    1.The use of Condoms during casual encounters between men of unknown or discordant serostatus.

    2.HIV negative men taking effective pre-exposure prophylaxis (PrEP).
    3.Men living with HIV who only have sex without condoms when they have a sustained undetectable viral load (UVL)
    4.Effective use of serosorting between HIV positive men.
    5.Effective negotiated safety agreements.


    It's amusing, I've been quoting ACON as a source for a long time. I agree with it 100%. All of the sudden you are quoting it. But you leave OUT the statement about TasP/undetectable and claim the recent drop is solely from condoms.

    Odd, you are doing what you accusing me of, what I don't do!