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ArtikelPreventing HIV in Women — Still Trying to Find Their VOICE  
Oleh: Saag, Michael S.
Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The New England Journal of Medicine (keterangan: ada di Proquest) vol. 372 no. 06 (Feb. 2015), page 564-566.
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Isi artikelThe development and widespread use of potent antiretroviral therapy has transformed HIV infection from a near-certain death sentence to a chronic manageable condition, whereby patients who adhere fully to their medication regimen can have an almost normal life span.1 Moreover, those who take their medications as prescribed generally do not transmit the virus to others.2 If we could identify all persons infected with HIV, get them into care, successfully initiate antiretroviral therapy, and achieve and sustain suppression of the virus to undetectable levels, all patients would in theory have a near-normal life span and not transmit the virus to others — and the epidemic would end.3 Despite the success of antiretroviral therapy in dramatically prolonging life expectancy, we have not seen much progress in preventing new infections. In most areas around the world, including the United States, the number of new persons infected last year was roughly the same as in years before.4 Most experts indicate that “treatment as prevention” is an important approach, but we cannot treat our way out of the epidemic. Rather, multiple approaches to prevention are required.
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