Is antiretroviral therapy modifying the HIV epidemic?/Authors' reply

[...] their surrogate for transmission- new diagnoses-is not new infections. [...] Montaner and colleagues do not report true community viral loads, but from among those who reach testing and continue on treatment. The latter two periods were characterised on a prospective basis and were entirely co...

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Veröffentlicht in:The Lancet (British edition) 2010-11, Vol.376 (9755), p.1824
Hauptverfasser: Grulich, Andrew E, Wilson, David P, Shelton, James D, Cohen, Myron, Barnhart, Matthew, Hallett, Timothy, Montaner, Julio S G, Harrigan, P Richard, Kerr, Thomas, Wood, Evan, Daly, Patricia
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container_issue 9755
container_start_page 1824
container_title The Lancet (British edition)
container_volume 376
creator Grulich, Andrew E
Wilson, David P
Shelton, James D
Cohen, Myron
Barnhart, Matthew
Hallett, Timothy
Montaner, Julio S G
Harrigan, P Richard
Kerr, Thomas
Wood, Evan
Daly, Patricia
description [...] their surrogate for transmission- new diagnoses-is not new infections. [...] Montaner and colleagues do not report true community viral loads, but from among those who reach testing and continue on treatment. The latter two periods were characterised on a prospective basis and were entirely consistent with the predictions of our previously published mathematical models.1 Finally, we were able to relate the reductions in community plasma viral load during HAART expansion with the decrease in new HIV diagnoses, providing a plausible biological mechanism to account for the association, as proposed by others.2 We also acknowledged that the use of yearly new HIV diagnoses represented a limitation of the study; however, it is also clear that there is no widely accepted gold standard to estimate HIV incidence, particularly in population-wide studies.
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source ScienceDirect Journals (5 years ago - present); ProQuest Central UK/Ireland
subjects Acquired immune deficiency syndrome
AIDS
Antiretroviral agents
Antiretroviral drugs
Epidemiology
HIV
Human immunodeficiency virus
Mathematical models
Mens health
Studies
title Is antiretroviral therapy modifying the HIV epidemic?/Authors' reply
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