SlideShare una empresa de Scribd logo
1 de 37
Drug Therapy For Prevention? J. Jeff McConnell, Sociologist GLADSTONE INSTITUTE OF VIROLOGY AND IMMUNOLOGY UNIVERSITY OF CALIFORNIA, SAN FRANCISCO September 30, 2008
An excellent resource available at http://www.avac.org/prep08.pdf
Overview ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Adults and Children Estimated to be Living with HIV, 2007
HSV-2 Suppressive therapy Management of genital infections (STIs) Cervical Barriers Male circumcision Chemoprophylaxis MTCTP PEP PrEP Vaccines Condoms HIV PREVENTION Microbicides Behavioral Counseling and Testing
Research Victories/ Prevention Disappointments ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Male circumcision (Not known to be helpful for men who have sex with men) Chemoprophylaxis MTCTP (PEP PrEP have unknown  efficacy) Condoms HIV PREVENTION Behavioral Counseling and Testing (Intensive not better than standard)
[object Object],[object Object],[object Object]
Overview ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Why Chemoprophylaxis? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ART as Prophylaxis—A Promising Self-Initiated Prevention Alternative ,[object Object],[object Object],[object Object],[object Object],[object Object]
ART as Prophylaxis—A Promising Self-Initiated Prevention Alternative ,[object Object],[object Object],[object Object],[object Object],[object Object],Post-exposure Prophylaxis (PEP ) ,[object Object],[object Object],[object Object],[object Object]
ART as Prophylaxis—A Promising Self-Initiated Prevention Alternative ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Post-exposure Prophylaxis (PEP ) ,[object Object],[object Object],[object Object],[object Object]
ART as Prophylaxis—A Promising Self-Initiated Prevention Alternative ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Post-exposure Prophylaxis (PEP ) ,[object Object],[object Object],[object Object],[object Object],Pre-exposure ART microbicides ,[object Object],[object Object],[object Object],[object Object]
ART as Prophylaxis—A Self-Initiated Prevention Alternative ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Post-exposure Prophylaxis (PEP ) Pre-exposure ART microbicides
Overview ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ART as Prophylaxis—A Promising Self-Initiated Prevention Alternative ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Post-exposure Prophylaxis (PEP ) ,[object Object],[object Object],[object Object],[object Object],Pre-exposure ART microbicides ,[object Object],[object Object],[object Object],[object Object]
Pre vs. Post-exposure prophylaxis 0h 36h 72h HIV 28 d 3 m 6 m
Pre vs. Post-exposure prophylaxis 0h 36h 72h HIV 28 d 3 m 6 m HIV  infection
Pre vs. Post-exposure prophylaxis 0h 36h 72h HIV Post-exposure  prophylaxis 28 d 3 m 6 m HIV  infection
Pre vs. Post-exposure prophylaxis 0h 36h 72h HIV Pre -exposure  prophylaxis 28 d 3 m 6 m HIV  infection
Why Pre-exposure? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pre vs. Post-exposure prophylaxis 0h 36h 72h HIV 28 d 3 m 6 m HIV HIV Pre -exposure  prophylaxis
Which ART? Preclinical Evaluation of  Tenofovir (TDF) + Emtricitabine (FTC) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Tsai ‘95; Van Rompay ‘99 ‘00 ‘01 ‘04; Subbarao ’05; Heneine’06 ‘07 ‘08
PEP & PrEP Similarities and Differences ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Overview ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],2007
Overview ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The iPrEx Study:  Safety, Efficacy, Behavior, and Biology Sponsored by NIH/NIAID/DAIDS with co-funding by the Bill and Melinda Gates Foundation and drug donated by Gilead Sciences                  
 
The iPrEx Study:  Safety, Efficacy, Behavior, and Biology Gladstone Institute  of Virology and Immunology
[object Object],[object Object],[object Object],[object Object],PrEP & iPrEx ,[object Object],[object Object],[object Object],[object Object]
“ Let’s Communicate” From February 2004, the iPrEx study communicated with participants, activists, government, sponsors, physicians…
Overview ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The PrEP Research Portfolio http://www.avac.org/prep08.pdf
Current PrEP Portfolio
Acknowledgements ,[object Object],[object Object],[object Object],[object Object],[object Object]

Más contenido relacionado

La actualidad más candente

Nigeria's National Programme on Immunisation
Nigeria's National Programme on ImmunisationNigeria's National Programme on Immunisation
Nigeria's National Programme on ImmunisationEsther Ajari
 
Prof David Goldblatt @ Meningitis & Septicaemia in Children & Adults 2017
Prof David Goldblatt @ Meningitis & Septicaemia in Children & Adults 2017Prof David Goldblatt @ Meningitis & Septicaemia in Children & Adults 2017
Prof David Goldblatt @ Meningitis & Septicaemia in Children & Adults 2017Meningitis Research Foundation
 
Dr Jethro Herberg @ MRF's Meningitis & Septicaemia in Children and Adults 2017
Dr Jethro Herberg @ MRF's Meningitis & Septicaemia in Children and Adults 2017Dr Jethro Herberg @ MRF's Meningitis & Septicaemia in Children and Adults 2017
Dr Jethro Herberg @ MRF's Meningitis & Septicaemia in Children and Adults 2017Meningitis Research Foundation
 
publication_MlOA9_Situation Analysis
publication_MlOA9_Situation Analysispublication_MlOA9_Situation Analysis
publication_MlOA9_Situation AnalysisSaba Danawala
 
Rotavirus vaccines in India - Whats new in 2021
Rotavirus vaccines in India - Whats new in 2021 Rotavirus vaccines in India - Whats new in 2021
Rotavirus vaccines in India - Whats new in 2021 Gaurav Gupta
 
India AEFI guidelines final draft document
India AEFI guidelines final draft documentIndia AEFI guidelines final draft document
India AEFI guidelines final draft documentPrabir Chatterjee
 
Aefi investigating & causality assessment
Aefi investigating & causality assessmentAefi investigating & causality assessment
Aefi investigating & causality assessmentPrabir Chatterjee
 
04.16.21 | Entering a New Era of HIV Care: Long-Acting Injectables for HIV
04.16.21 | Entering a New Era of HIV Care: Long-Acting Injectables for HIV04.16.21 | Entering a New Era of HIV Care: Long-Acting Injectables for HIV
04.16.21 | Entering a New Era of HIV Care: Long-Acting Injectables for HIVUC San Diego AntiViral Research Center
 
Dr Ado Bwaka @ MRF's Meningitis & Septicaemia in Children & Adults 2017
Dr Ado Bwaka @ MRF's Meningitis & Septicaemia in Children & Adults 2017Dr Ado Bwaka @ MRF's Meningitis & Septicaemia in Children & Adults 2017
Dr Ado Bwaka @ MRF's Meningitis & Septicaemia in Children & Adults 2017Meningitis Research Foundation
 
Adverse Events Following Immunization: Reporting standardization, Automatic C...
Adverse Events Following Immunization: Reporting standardization, Automatic C...Adverse Events Following Immunization: Reporting standardization, Automatic C...
Adverse Events Following Immunization: Reporting standardization, Automatic C...Melanie Courtot
 
IATT-Framework-May-2015
IATT-Framework-May-2015IATT-Framework-May-2015
IATT-Framework-May-2015Jack Menke
 
National Vaccine Policy 2011
National Vaccine Policy 2011National Vaccine Policy 2011
National Vaccine Policy 2011Prabir Chatterjee
 
Prof Rick Malley @ Meningitis & Septicaemia in Children & Adults 2017
Prof Rick Malley @ Meningitis & Septicaemia in Children & Adults 2017Prof Rick Malley @ Meningitis & Septicaemia in Children & Adults 2017
Prof Rick Malley @ Meningitis & Septicaemia in Children & Adults 2017Meningitis Research Foundation
 
Pep prophylaxis guidelines_june10
Pep prophylaxis guidelines_june10Pep prophylaxis guidelines_june10
Pep prophylaxis guidelines_june10Asha Reddy
 

La actualidad más candente (20)

RSV Prev CE Analysis
RSV Prev CE AnalysisRSV Prev CE Analysis
RSV Prev CE Analysis
 
Nigeria's National Programme on Immunisation
Nigeria's National Programme on ImmunisationNigeria's National Programme on Immunisation
Nigeria's National Programme on Immunisation
 
Dr Suzanne Anderson
Dr Suzanne AndersonDr Suzanne Anderson
Dr Suzanne Anderson
 
Immunization in India
Immunization in IndiaImmunization in India
Immunization in India
 
Prof David Goldblatt @ Meningitis & Septicaemia in Children & Adults 2017
Prof David Goldblatt @ Meningitis & Septicaemia in Children & Adults 2017Prof David Goldblatt @ Meningitis & Septicaemia in Children & Adults 2017
Prof David Goldblatt @ Meningitis & Septicaemia in Children & Adults 2017
 
Dr Jethro Herberg @ MRF's Meningitis & Septicaemia in Children and Adults 2017
Dr Jethro Herberg @ MRF's Meningitis & Septicaemia in Children and Adults 2017Dr Jethro Herberg @ MRF's Meningitis & Septicaemia in Children and Adults 2017
Dr Jethro Herberg @ MRF's Meningitis & Septicaemia in Children and Adults 2017
 
publication_MlOA9_Situation Analysis
publication_MlOA9_Situation Analysispublication_MlOA9_Situation Analysis
publication_MlOA9_Situation Analysis
 
Rotavirus vaccines in India - Whats new in 2021
Rotavirus vaccines in India - Whats new in 2021 Rotavirus vaccines in India - Whats new in 2021
Rotavirus vaccines in India - Whats new in 2021
 
Promoting responsible use of antibiotics from local evidence to policy and pr...
Promoting responsible use of antibiotics from local evidence to policy and pr...Promoting responsible use of antibiotics from local evidence to policy and pr...
Promoting responsible use of antibiotics from local evidence to policy and pr...
 
India AEFI guidelines final draft document
India AEFI guidelines final draft documentIndia AEFI guidelines final draft document
India AEFI guidelines final draft document
 
Aefi investigating & causality assessment
Aefi investigating & causality assessmentAefi investigating & causality assessment
Aefi investigating & causality assessment
 
Dr Matt Coldiron @ MRF's Meningitis and Septicaemia
Dr Matt Coldiron @ MRF's Meningitis and SepticaemiaDr Matt Coldiron @ MRF's Meningitis and Septicaemia
Dr Matt Coldiron @ MRF's Meningitis and Septicaemia
 
04.16.21 | Entering a New Era of HIV Care: Long-Acting Injectables for HIV
04.16.21 | Entering a New Era of HIV Care: Long-Acting Injectables for HIV04.16.21 | Entering a New Era of HIV Care: Long-Acting Injectables for HIV
04.16.21 | Entering a New Era of HIV Care: Long-Acting Injectables for HIV
 
Dr Ado Bwaka @ MRF's Meningitis & Septicaemia in Children & Adults 2017
Dr Ado Bwaka @ MRF's Meningitis & Septicaemia in Children & Adults 2017Dr Ado Bwaka @ MRF's Meningitis & Septicaemia in Children & Adults 2017
Dr Ado Bwaka @ MRF's Meningitis & Septicaemia in Children & Adults 2017
 
Formulating Institutional Antibiotic Policy
Formulating Institutional Antibiotic PolicyFormulating Institutional Antibiotic Policy
Formulating Institutional Antibiotic Policy
 
Adverse Events Following Immunization: Reporting standardization, Automatic C...
Adverse Events Following Immunization: Reporting standardization, Automatic C...Adverse Events Following Immunization: Reporting standardization, Automatic C...
Adverse Events Following Immunization: Reporting standardization, Automatic C...
 
IATT-Framework-May-2015
IATT-Framework-May-2015IATT-Framework-May-2015
IATT-Framework-May-2015
 
National Vaccine Policy 2011
National Vaccine Policy 2011National Vaccine Policy 2011
National Vaccine Policy 2011
 
Prof Rick Malley @ Meningitis & Septicaemia in Children & Adults 2017
Prof Rick Malley @ Meningitis & Septicaemia in Children & Adults 2017Prof Rick Malley @ Meningitis & Septicaemia in Children & Adults 2017
Prof Rick Malley @ Meningitis & Septicaemia in Children & Adults 2017
 
Pep prophylaxis guidelines_june10
Pep prophylaxis guidelines_june10Pep prophylaxis guidelines_june10
Pep prophylaxis guidelines_june10
 

Destacado

Vulnerability and Resilience Across the Gender Spectrum
Vulnerability and Resilience Across the Gender SpectrumVulnerability and Resilience Across the Gender Spectrum
Vulnerability and Resilience Across the Gender SpectrumCHAMP Network
 
Reportatge Chartreuse
Reportatge ChartreuseReportatge Chartreuse
Reportatge Chartreuseguestedc7a8
 
PrEP Implementation Planning for the US
PrEP Implementation Planning for the USPrEP Implementation Planning for the US
PrEP Implementation Planning for the USCHAMP Network
 
Latin@ Lives and the Next Generation of HIV Prevention: Policies, Politics a...
Latin@ Lives and the Next Generation of HIV Prevention:  Policies, Politics a...Latin@ Lives and the Next Generation of HIV Prevention:  Policies, Politics a...
Latin@ Lives and the Next Generation of HIV Prevention: Policies, Politics a...CHAMP Network
 
Fighting Homophobia to Fight HIV
Fighting Homophobia to Fight HIVFighting Homophobia to Fight HIV
Fighting Homophobia to Fight HIVCHAMP Network
 
13 Grafik Salad
13 Grafik Salad13 Grafik Salad
13 Grafik Saladpknmanila
 
Fighting Homophobia to Fight HIV
Fighting Homophobia to Fight HIVFighting Homophobia to Fight HIV
Fighting Homophobia to Fight HIVCHAMP Network
 
In Oblivion: Rural Injectors in Puerto Rico... A Whole lot of NADA
In Oblivion: Rural Injectors in Puerto Rico... A Whole lot of NADA In Oblivion: Rural Injectors in Puerto Rico... A Whole lot of NADA
In Oblivion: Rural Injectors in Puerto Rico... A Whole lot of NADA CHAMP Network
 
Latino/Hispanic HIV/AIDS Federal Policy Recommendations: Addressing the Latin...
Latino/Hispanic HIV/AIDS Federal Policy Recommendations: Addressing the Latin...Latino/Hispanic HIV/AIDS Federal Policy Recommendations: Addressing the Latin...
Latino/Hispanic HIV/AIDS Federal Policy Recommendations: Addressing the Latin...CHAMP Network
 
Applying a Social Justice Framework to Prevention Programming for Black Women
Applying a Social Justice Framework to Prevention Programming for Black WomenApplying a Social Justice Framework to Prevention Programming for Black Women
Applying a Social Justice Framework to Prevention Programming for Black WomenCHAMP Network
 
Women with HIV/AIDS in New York City - A Geographic Review
Women with HIV/AIDS in New York City - A Geographic ReviewWomen with HIV/AIDS in New York City - A Geographic Review
Women with HIV/AIDS in New York City - A Geographic ReviewCHAMP Network
 
12 Leeroy New
12 Leeroy New12 Leeroy New
12 Leeroy Newpknmanila
 
Gender Construction: Violence Against Women and Vulnerability to HIV/AIDS
Gender Construction: Violence Against Women and Vulnerability to HIV/AIDSGender Construction: Violence Against Women and Vulnerability to HIV/AIDS
Gender Construction: Violence Against Women and Vulnerability to HIV/AIDSCHAMP Network
 

Destacado (17)

Vulnerability and Resilience Across the Gender Spectrum
Vulnerability and Resilience Across the Gender SpectrumVulnerability and Resilience Across the Gender Spectrum
Vulnerability and Resilience Across the Gender Spectrum
 
7 Apol
7 Apol7 Apol
7 Apol
 
nature
naturenature
nature
 
Reportatge Chartreuse
Reportatge ChartreuseReportatge Chartreuse
Reportatge Chartreuse
 
PrEP Implementation Planning for the US
PrEP Implementation Planning for the USPrEP Implementation Planning for the US
PrEP Implementation Planning for the US
 
Latin@ Lives and the Next Generation of HIV Prevention: Policies, Politics a...
Latin@ Lives and the Next Generation of HIV Prevention:  Policies, Politics a...Latin@ Lives and the Next Generation of HIV Prevention:  Policies, Politics a...
Latin@ Lives and the Next Generation of HIV Prevention: Policies, Politics a...
 
Fighting Homophobia to Fight HIV
Fighting Homophobia to Fight HIVFighting Homophobia to Fight HIV
Fighting Homophobia to Fight HIV
 
13 Grafik Salad
13 Grafik Salad13 Grafik Salad
13 Grafik Salad
 
Fighting Homophobia to Fight HIV
Fighting Homophobia to Fight HIVFighting Homophobia to Fight HIV
Fighting Homophobia to Fight HIV
 
In Oblivion: Rural Injectors in Puerto Rico... A Whole lot of NADA
In Oblivion: Rural Injectors in Puerto Rico... A Whole lot of NADA In Oblivion: Rural Injectors in Puerto Rico... A Whole lot of NADA
In Oblivion: Rural Injectors in Puerto Rico... A Whole lot of NADA
 
4 Denise
4 Denise4 Denise
4 Denise
 
Latino/Hispanic HIV/AIDS Federal Policy Recommendations: Addressing the Latin...
Latino/Hispanic HIV/AIDS Federal Policy Recommendations: Addressing the Latin...Latino/Hispanic HIV/AIDS Federal Policy Recommendations: Addressing the Latin...
Latino/Hispanic HIV/AIDS Federal Policy Recommendations: Addressing the Latin...
 
Applying a Social Justice Framework to Prevention Programming for Black Women
Applying a Social Justice Framework to Prevention Programming for Black WomenApplying a Social Justice Framework to Prevention Programming for Black Women
Applying a Social Justice Framework to Prevention Programming for Black Women
 
nature
naturenature
nature
 
Women with HIV/AIDS in New York City - A Geographic Review
Women with HIV/AIDS in New York City - A Geographic ReviewWomen with HIV/AIDS in New York City - A Geographic Review
Women with HIV/AIDS in New York City - A Geographic Review
 
12 Leeroy New
12 Leeroy New12 Leeroy New
12 Leeroy New
 
Gender Construction: Violence Against Women and Vulnerability to HIV/AIDS
Gender Construction: Violence Against Women and Vulnerability to HIV/AIDSGender Construction: Violence Against Women and Vulnerability to HIV/AIDS
Gender Construction: Violence Against Women and Vulnerability to HIV/AIDS
 

Similar a Drug Therapy For Prevention?

Presentation ipre xwebsite
Presentation ipre xwebsitePresentation ipre xwebsite
Presentation ipre xwebsiteJames Wilton
 
Why, when, and how to use pre exposure prophylaxis for hiv acquisition. 2014
Why, when, and how to use pre exposure prophylaxis for hiv acquisition. 2014Why, when, and how to use pre exposure prophylaxis for hiv acquisition. 2014
Why, when, and how to use pre exposure prophylaxis for hiv acquisition. 2014Hivlife Info
 
Prophylaxis and HIV Prevention by Dr. Ken Mayer
Prophylaxis and HIV Prevention by Dr. Ken MayerProphylaxis and HIV Prevention by Dr. Ken Mayer
Prophylaxis and HIV Prevention by Dr. Ken MayerSearch For A Cure
 
Post Exposure Prophylaxis by Dr Dele
Post Exposure Prophylaxis by Dr DelePost Exposure Prophylaxis by Dr Dele
Post Exposure Prophylaxis by Dr DeleKemi Dele-Ijagbulu
 
Management of HIV - Post-Exposure Prophylaxis Management of HIV - Post-Expo...
Management of HIV - Post-Exposure Prophylaxis 	 Management of HIV - Post-Expo...Management of HIV - Post-Exposure Prophylaxis 	 Management of HIV - Post-Expo...
Management of HIV - Post-Exposure Prophylaxis Management of HIV - Post-Expo...MedicineAndHealthUSA
 
Conception and Antiretroviral Therapy
Conception and Antiretroviral TherapyConception and Antiretroviral Therapy
Conception and Antiretroviral TherapyPravin Prasad
 
Project PrEPare - presented by Dr. Sarah Wood and Kimberley Desir
Project PrEPare - presented by Dr. Sarah Wood and Kimberley DesirProject PrEPare - presented by Dr. Sarah Wood and Kimberley Desir
Project PrEPare - presented by Dr. Sarah Wood and Kimberley DesirOffice of HIV Planning
 
Project PrEPare - presented by Dr. Sarah Wood and Kimberley Desir
Project PrEPare - presented by Dr. Sarah Wood and Kimberley DesirProject PrEPare - presented by Dr. Sarah Wood and Kimberley Desir
Project PrEPare - presented by Dr. Sarah Wood and Kimberley DesirOffice of HIV Planning
 
Современное лечение ВИЧ : АРТ как профилактика.Contemporary Management of HIV...
Современное лечение ВИЧ : АРТ как профилактика.Contemporary Management of HIV...Современное лечение ВИЧ : АРТ как профилактика.Contemporary Management of HIV...
Современное лечение ВИЧ : АРТ как профилактика.Contemporary Management of HIV...hivlifeinfo
 
State of the science halkitis
State of the science halkitisState of the science halkitis
State of the science halkitishealthhiv
 
The state of hiv vaccine research
The state of hiv vaccine researchThe state of hiv vaccine research
The state of hiv vaccine researchgnpplus
 
Quest testimony
Quest testimonyQuest testimony
Quest testimonyAkash Mody
 
Family Planning for Persons Living with HIVAIDS_2015 AR and MS
Family Planning for Persons Living with HIVAIDS_2015 AR and MSFamily Planning for Persons Living with HIVAIDS_2015 AR and MS
Family Planning for Persons Living with HIVAIDS_2015 AR and MSNikole Gettings
 
When, and How to Use Pre Exposure Prophylaxis for HIV Acquisition. 2014
When, and How to Use Pre Exposure Prophylaxis for HIV Acquisition. 2014When, and How to Use Pre Exposure Prophylaxis for HIV Acquisition. 2014
When, and How to Use Pre Exposure Prophylaxis for HIV Acquisition. 2014hivlifeinfo
 
Pep and prep cahill
Pep and prep cahillPep and prep cahill
Pep and prep cahillhealthhiv
 

Similar a Drug Therapy For Prevention? (20)

Biomedical HIV prevention
Biomedical HIV preventionBiomedical HIV prevention
Biomedical HIV prevention
 
Presentation ipre xwebsite
Presentation ipre xwebsitePresentation ipre xwebsite
Presentation ipre xwebsite
 
Why, when, and how to use pre exposure prophylaxis for hiv acquisition. 2014
Why, when, and how to use pre exposure prophylaxis for hiv acquisition. 2014Why, when, and how to use pre exposure prophylaxis for hiv acquisition. 2014
Why, when, and how to use pre exposure prophylaxis for hiv acquisition. 2014
 
Prophylaxis and HIV Prevention by Dr. Ken Mayer
Prophylaxis and HIV Prevention by Dr. Ken MayerProphylaxis and HIV Prevention by Dr. Ken Mayer
Prophylaxis and HIV Prevention by Dr. Ken Mayer
 
2016 Sessions: Prevention strategies in STI care
2016 Sessions: Prevention strategies in STI care2016 Sessions: Prevention strategies in STI care
2016 Sessions: Prevention strategies in STI care
 
Post Exposure Prophylaxis by Dr Dele
Post Exposure Prophylaxis by Dr DelePost Exposure Prophylaxis by Dr Dele
Post Exposure Prophylaxis by Dr Dele
 
Management of HIV - Post-Exposure Prophylaxis Management of HIV - Post-Expo...
Management of HIV - Post-Exposure Prophylaxis 	 Management of HIV - Post-Expo...Management of HIV - Post-Exposure Prophylaxis 	 Management of HIV - Post-Expo...
Management of HIV - Post-Exposure Prophylaxis Management of HIV - Post-Expo...
 
HIV Treatment and PrEP in 2015
HIV Treatment and PrEP in 2015HIV Treatment and PrEP in 2015
HIV Treatment and PrEP in 2015
 
Conception and Antiretroviral Therapy
Conception and Antiretroviral TherapyConception and Antiretroviral Therapy
Conception and Antiretroviral Therapy
 
Project PrEPare - presented by Dr. Sarah Wood and Kimberley Desir
Project PrEPare - presented by Dr. Sarah Wood and Kimberley DesirProject PrEPare - presented by Dr. Sarah Wood and Kimberley Desir
Project PrEPare - presented by Dr. Sarah Wood and Kimberley Desir
 
Project PrEPare - presented by Dr. Sarah Wood and Kimberley Desir
Project PrEPare - presented by Dr. Sarah Wood and Kimberley DesirProject PrEPare - presented by Dr. Sarah Wood and Kimberley Desir
Project PrEPare - presented by Dr. Sarah Wood and Kimberley Desir
 
Современное лечение ВИЧ : АРТ как профилактика.Contemporary Management of HIV...
Современное лечение ВИЧ : АРТ как профилактика.Contemporary Management of HIV...Современное лечение ВИЧ : АРТ как профилактика.Contemporary Management of HIV...
Современное лечение ВИЧ : АРТ как профилактика.Contemporary Management of HIV...
 
Emerging issues on hiv & aids
Emerging issues on hiv & aidsEmerging issues on hiv & aids
Emerging issues on hiv & aids
 
State of the science halkitis
State of the science halkitisState of the science halkitis
State of the science halkitis
 
The state of hiv vaccine research
The state of hiv vaccine researchThe state of hiv vaccine research
The state of hiv vaccine research
 
Quest testimony
Quest testimonyQuest testimony
Quest testimony
 
Family Planning for Persons Living with HIVAIDS_2015 AR and MS
Family Planning for Persons Living with HIVAIDS_2015 AR and MSFamily Planning for Persons Living with HIVAIDS_2015 AR and MS
Family Planning for Persons Living with HIVAIDS_2015 AR and MS
 
When, and How to Use Pre Exposure Prophylaxis for HIV Acquisition. 2014
When, and How to Use Pre Exposure Prophylaxis for HIV Acquisition. 2014When, and How to Use Pre Exposure Prophylaxis for HIV Acquisition. 2014
When, and How to Use Pre Exposure Prophylaxis for HIV Acquisition. 2014
 
Pep and prep cahill
Pep and prep cahillPep and prep cahill
Pep and prep cahill
 
Arv guideline2014 (1)
Arv guideline2014 (1)Arv guideline2014 (1)
Arv guideline2014 (1)
 

Último

Unit-V; Pricing (Pharma Marketing Management).pptx
Unit-V; Pricing (Pharma Marketing Management).pptxUnit-V; Pricing (Pharma Marketing Management).pptx
Unit-V; Pricing (Pharma Marketing Management).pptxVishalSingh1417
 
Sociology 101 Demonstration of Learning Exhibit
Sociology 101 Demonstration of Learning ExhibitSociology 101 Demonstration of Learning Exhibit
Sociology 101 Demonstration of Learning Exhibitjbellavia9
 
Understanding Accommodations and Modifications
Understanding  Accommodations and ModificationsUnderstanding  Accommodations and Modifications
Understanding Accommodations and ModificationsMJDuyan
 
Key note speaker Neum_Admir Softic_ENG.pdf
Key note speaker Neum_Admir Softic_ENG.pdfKey note speaker Neum_Admir Softic_ENG.pdf
Key note speaker Neum_Admir Softic_ENG.pdfAdmir Softic
 
Micro-Scholarship, What it is, How can it help me.pdf
Micro-Scholarship, What it is, How can it help me.pdfMicro-Scholarship, What it is, How can it help me.pdf
Micro-Scholarship, What it is, How can it help me.pdfPoh-Sun Goh
 
Grant Readiness 101 TechSoup and Remy Consulting
Grant Readiness 101 TechSoup and Remy ConsultingGrant Readiness 101 TechSoup and Remy Consulting
Grant Readiness 101 TechSoup and Remy ConsultingTechSoup
 
Unit-IV; Professional Sales Representative (PSR).pptx
Unit-IV; Professional Sales Representative (PSR).pptxUnit-IV; Professional Sales Representative (PSR).pptx
Unit-IV; Professional Sales Representative (PSR).pptxVishalSingh1417
 
Activity 01 - Artificial Culture (1).pdf
Activity 01 - Artificial Culture (1).pdfActivity 01 - Artificial Culture (1).pdf
Activity 01 - Artificial Culture (1).pdfciinovamais
 
Explore beautiful and ugly buildings. Mathematics helps us create beautiful d...
Explore beautiful and ugly buildings. Mathematics helps us create beautiful d...Explore beautiful and ugly buildings. Mathematics helps us create beautiful d...
Explore beautiful and ugly buildings. Mathematics helps us create beautiful d...christianmathematics
 
SOC 101 Demonstration of Learning Presentation
SOC 101 Demonstration of Learning PresentationSOC 101 Demonstration of Learning Presentation
SOC 101 Demonstration of Learning Presentationcamerronhm
 
Spellings Wk 3 English CAPS CARES Please Practise
Spellings Wk 3 English CAPS CARES Please PractiseSpellings Wk 3 English CAPS CARES Please Practise
Spellings Wk 3 English CAPS CARES Please PractiseAnaAcapella
 
Russian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in Delhi
Russian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in DelhiRussian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in Delhi
Russian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in Delhikauryashika82
 
2024-NATIONAL-LEARNING-CAMP-AND-OTHER.pptx
2024-NATIONAL-LEARNING-CAMP-AND-OTHER.pptx2024-NATIONAL-LEARNING-CAMP-AND-OTHER.pptx
2024-NATIONAL-LEARNING-CAMP-AND-OTHER.pptxMaritesTamaniVerdade
 
PROCESS RECORDING FORMAT.docx
PROCESS      RECORDING        FORMAT.docxPROCESS      RECORDING        FORMAT.docx
PROCESS RECORDING FORMAT.docxPoojaSen20
 
Introduction to Nonprofit Accounting: The Basics
Introduction to Nonprofit Accounting: The BasicsIntroduction to Nonprofit Accounting: The Basics
Introduction to Nonprofit Accounting: The BasicsTechSoup
 
How to Give a Domain for a Field in Odoo 17
How to Give a Domain for a Field in Odoo 17How to Give a Domain for a Field in Odoo 17
How to Give a Domain for a Field in Odoo 17Celine George
 
On National Teacher Day, meet the 2024-25 Kenan Fellows
On National Teacher Day, meet the 2024-25 Kenan FellowsOn National Teacher Day, meet the 2024-25 Kenan Fellows
On National Teacher Day, meet the 2024-25 Kenan FellowsMebane Rash
 
How to Manage Global Discount in Odoo 17 POS
How to Manage Global Discount in Odoo 17 POSHow to Manage Global Discount in Odoo 17 POS
How to Manage Global Discount in Odoo 17 POSCeline George
 
Unit-IV- Pharma. Marketing Channels.pptx
Unit-IV- Pharma. Marketing Channels.pptxUnit-IV- Pharma. Marketing Channels.pptx
Unit-IV- Pharma. Marketing Channels.pptxVishalSingh1417
 

Último (20)

Unit-V; Pricing (Pharma Marketing Management).pptx
Unit-V; Pricing (Pharma Marketing Management).pptxUnit-V; Pricing (Pharma Marketing Management).pptx
Unit-V; Pricing (Pharma Marketing Management).pptx
 
Sociology 101 Demonstration of Learning Exhibit
Sociology 101 Demonstration of Learning ExhibitSociology 101 Demonstration of Learning Exhibit
Sociology 101 Demonstration of Learning Exhibit
 
Understanding Accommodations and Modifications
Understanding  Accommodations and ModificationsUnderstanding  Accommodations and Modifications
Understanding Accommodations and Modifications
 
Key note speaker Neum_Admir Softic_ENG.pdf
Key note speaker Neum_Admir Softic_ENG.pdfKey note speaker Neum_Admir Softic_ENG.pdf
Key note speaker Neum_Admir Softic_ENG.pdf
 
Micro-Scholarship, What it is, How can it help me.pdf
Micro-Scholarship, What it is, How can it help me.pdfMicro-Scholarship, What it is, How can it help me.pdf
Micro-Scholarship, What it is, How can it help me.pdf
 
Grant Readiness 101 TechSoup and Remy Consulting
Grant Readiness 101 TechSoup and Remy ConsultingGrant Readiness 101 TechSoup and Remy Consulting
Grant Readiness 101 TechSoup and Remy Consulting
 
Unit-IV; Professional Sales Representative (PSR).pptx
Unit-IV; Professional Sales Representative (PSR).pptxUnit-IV; Professional Sales Representative (PSR).pptx
Unit-IV; Professional Sales Representative (PSR).pptx
 
Activity 01 - Artificial Culture (1).pdf
Activity 01 - Artificial Culture (1).pdfActivity 01 - Artificial Culture (1).pdf
Activity 01 - Artificial Culture (1).pdf
 
Explore beautiful and ugly buildings. Mathematics helps us create beautiful d...
Explore beautiful and ugly buildings. Mathematics helps us create beautiful d...Explore beautiful and ugly buildings. Mathematics helps us create beautiful d...
Explore beautiful and ugly buildings. Mathematics helps us create beautiful d...
 
SOC 101 Demonstration of Learning Presentation
SOC 101 Demonstration of Learning PresentationSOC 101 Demonstration of Learning Presentation
SOC 101 Demonstration of Learning Presentation
 
Spellings Wk 3 English CAPS CARES Please Practise
Spellings Wk 3 English CAPS CARES Please PractiseSpellings Wk 3 English CAPS CARES Please Practise
Spellings Wk 3 English CAPS CARES Please Practise
 
Russian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in Delhi
Russian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in DelhiRussian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in Delhi
Russian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in Delhi
 
2024-NATIONAL-LEARNING-CAMP-AND-OTHER.pptx
2024-NATIONAL-LEARNING-CAMP-AND-OTHER.pptx2024-NATIONAL-LEARNING-CAMP-AND-OTHER.pptx
2024-NATIONAL-LEARNING-CAMP-AND-OTHER.pptx
 
Asian American Pacific Islander Month DDSD 2024.pptx
Asian American Pacific Islander Month DDSD 2024.pptxAsian American Pacific Islander Month DDSD 2024.pptx
Asian American Pacific Islander Month DDSD 2024.pptx
 
PROCESS RECORDING FORMAT.docx
PROCESS      RECORDING        FORMAT.docxPROCESS      RECORDING        FORMAT.docx
PROCESS RECORDING FORMAT.docx
 
Introduction to Nonprofit Accounting: The Basics
Introduction to Nonprofit Accounting: The BasicsIntroduction to Nonprofit Accounting: The Basics
Introduction to Nonprofit Accounting: The Basics
 
How to Give a Domain for a Field in Odoo 17
How to Give a Domain for a Field in Odoo 17How to Give a Domain for a Field in Odoo 17
How to Give a Domain for a Field in Odoo 17
 
On National Teacher Day, meet the 2024-25 Kenan Fellows
On National Teacher Day, meet the 2024-25 Kenan FellowsOn National Teacher Day, meet the 2024-25 Kenan Fellows
On National Teacher Day, meet the 2024-25 Kenan Fellows
 
How to Manage Global Discount in Odoo 17 POS
How to Manage Global Discount in Odoo 17 POSHow to Manage Global Discount in Odoo 17 POS
How to Manage Global Discount in Odoo 17 POS
 
Unit-IV- Pharma. Marketing Channels.pptx
Unit-IV- Pharma. Marketing Channels.pptxUnit-IV- Pharma. Marketing Channels.pptx
Unit-IV- Pharma. Marketing Channels.pptx
 

Drug Therapy For Prevention?

  • 1. Drug Therapy For Prevention? J. Jeff McConnell, Sociologist GLADSTONE INSTITUTE OF VIROLOGY AND IMMUNOLOGY UNIVERSITY OF CALIFORNIA, SAN FRANCISCO September 30, 2008
  • 2. An excellent resource available at http://www.avac.org/prep08.pdf
  • 3.
  • 4. Adults and Children Estimated to be Living with HIV, 2007
  • 5. HSV-2 Suppressive therapy Management of genital infections (STIs) Cervical Barriers Male circumcision Chemoprophylaxis MTCTP PEP PrEP Vaccines Condoms HIV PREVENTION Microbicides Behavioral Counseling and Testing
  • 6.
  • 7. Male circumcision (Not known to be helpful for men who have sex with men) Chemoprophylaxis MTCTP (PEP PrEP have unknown efficacy) Condoms HIV PREVENTION Behavioral Counseling and Testing (Intensive not better than standard)
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18. Pre vs. Post-exposure prophylaxis 0h 36h 72h HIV 28 d 3 m 6 m
  • 19. Pre vs. Post-exposure prophylaxis 0h 36h 72h HIV 28 d 3 m 6 m HIV infection
  • 20. Pre vs. Post-exposure prophylaxis 0h 36h 72h HIV Post-exposure prophylaxis 28 d 3 m 6 m HIV infection
  • 21. Pre vs. Post-exposure prophylaxis 0h 36h 72h HIV Pre -exposure prophylaxis 28 d 3 m 6 m HIV infection
  • 22.
  • 23. Pre vs. Post-exposure prophylaxis 0h 36h 72h HIV 28 d 3 m 6 m HIV HIV Pre -exposure prophylaxis
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29. The iPrEx Study: Safety, Efficacy, Behavior, and Biology Sponsored by NIH/NIAID/DAIDS with co-funding by the Bill and Melinda Gates Foundation and drug donated by Gilead Sciences                  
  • 30.  
  • 31. The iPrEx Study: Safety, Efficacy, Behavior, and Biology Gladstone Institute of Virology and Immunology
  • 32.
  • 33. “ Let’s Communicate” From February 2004, the iPrEx study communicated with participants, activists, government, sponsors, physicians…
  • 34.
  • 35. The PrEP Research Portfolio http://www.avac.org/prep08.pdf
  • 37.