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UNAIDS 2016 Report: How a ‘life-cycle’ approach can help the world ‘get on...

‘Get on the Fast Track: a Life-cycle Approach to HIV’ is the latest UNAIDS report, following on from the UN Assembly’s 2016 declaration of commitment to ‘Fast Track’ goals for ending the HIV/AIDS...

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Revised UK NICE Guidelines for HIV testing: why local prevalence based...

November 2016 saw the publication of revised UK NICE Guidelines for HIV testing (last updated 2011) – only a few weeks before the appearance of the annual Public Health England Report: HIV in the...

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The PrEP ‘care continuum/cascade’: how would it look?

We take for granted the value of the care continuum (or ‘cascade’), now increasingly seen as the key measure of health system response to HIV (Cassell (STIs editorial)).   The application of this model...

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HPTN 071 attempts universal home-based HIV testing in sub-Saharan Africa:...

Estimates of 96% for the preventative efficacy of ART against HIV transmission, reported in 2011 by Myron & Cohen (M&C), appeared at last to place long-term containment of the epidemic in our...

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Achieving UNAIDS 90-90-90: More haste less speed?

UNAIDS (2014) has set targets for HIV management that seem ambitious, if not unrealistically so  (UNAIDS: 90-90-90): 90% of those living with HIV to know their status; 90% of known HIV+ individuals to...

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Modelling the scale-down of HIV services in sub-Saharan Africa

Search BMJ STI archive, and you will find frequent references to ‘scaling up’, and few – if any – to ‘scaling back’ or ‘scaling down’ (other than Parker/STI).  Who knows if all this may not be about to...

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Overcoming the obstacles to routine HIV testing in hospital settings

In both the UK (2008) and the US (2006) routine opt-out HIV screening is recommended in areas where the prevalence of HIV exceeds a certain threshold. Hospital emergency departments (ED) and acute...

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The risk network approach to HIV detection: something like contact tracing?

There has been considerable debate on the most effective and cost-effective means of accessing untested HIV- or STI-infected individuals. One frequently canvassed strategy is that of respondent driven...

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COVID-19 and HIV: Calling attention to the importance of ensuring HIV status...

As health care services worldwide undergo major reconfiguration to respond to the coronavirus crisis, there are simple and affordable ways to improve outcomes that relate to both HIV and COVID-19 care....

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COVID-19 and People living with HIV – Revisited

Impact of HIV infection on COVID-19 clinical outcome   In June 2020, STI shared a podcast describing the first available data about the outcomes of COVID-19 related hospitalisation for people living...

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