HIV This Month - May 2013

Welcome to the 5th issue of HIV this month!  In this issue, we cover the following topics:

Reduce sexual transmission

• Distinct HIV and syphilis epidemics among MSM in China
• Systematic review of supervised and unsupervised self-testing for HIV
• Review of research and policy priorities for self-testing for HIV
• Low rates of repeat HIV testing despite increased availability of ART in Tanzania
• Surgical back-up needed if adult circumcision is conducted with disposable devices
• High risk of minor complications with disposable circumcision device in certain settings
• In a community with high ART coverage, a substantial proportion of people on ART remain at risk of transmitting HIV
• Lack of prevention benefit associated with ART scale up amongst men who have sex with men in UK
• Avahan HIV prevention intervention amongst men who have sex with men in India reaches high coverage but evidence for HIV impact is lacking

Eliminate new HIV infections among children

• The scale up of PMTCT in China

15 million accessing treatment

• ARROW: monitoring strategies for management of ART in children
• Declining trends in early warning indicators for HIV drug resistance in Cameroon
• Declining prevalence of HIV-1 drug resistance in ART-exposed individuals in Western Europe
• Chronic kidney disease rare among people with HIV in Europe
• High blood pressure common among people starting ART in Uganda: opportunities for integrated care?
• Adherence amongst perinatally-infected HIV positive adolescents in Rwanda challenged by a number of barriers that are heightened by stigma

Avoid TB deaths

• Efavirenz dose adjustments are probably not required in patients taking concurrent rifampicin
• Combination antifungal therapy reduces mortality in HIV-associated cryptococcal meningitis

Close the resource gap

• Improvements in ART initiation and virological suppression in North America.

Eliminate gender inequalities

• Exposure to intimate partner violence associated with an increased risk of new HIV infection in Uganda

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