Apparu aux Etats-Unis il y a 20 ans, le barebacking a fait beaucoup parler de lui. Au départ, le terme a été utilisé par des hommes gais séropositifs pour évoquer leur choix d’avoir des pratiques sexuelles sans condom. Mais très vite, le barebacking devient l’enjeu de débats virulents sur la responsabilité et les prises de risque dans la communauté gaie. Mais parler de barebacking a-t-il encore un sens à l’heure du traitement comme prévention?
Hepatitis C is curable, reads the script; time and time again I hear this said, have read it, and say it myself. This is great news and a reality for more people than ever before.
Does this mean that the job is done? I suppose it depends on one’s perspective. As I listened to members of the science research community speak recently, it is “done and dusted.” “Problem solved,” the headlines will read. Okay, maybe no headlines but a mention on page 4 with a minor piece in the late evening news, even though this may be the biggest news in medical science in decades.
By Logan Kennedy
There is a quiet tension that exists surrounding HIV and infant feeding. Although practices and recommendations vary around the world, breastfeeding is not recommended for infants born to an HIV-positive woman or trans man in Canada. Instead, HIV-positive parents are counselled to feed their infants with formula.
But I don’t think it is by any means a closed case, even in Canada. The truth is, the debate about HIV and infant feeding (particularly in Canada) has never been more complex. Like so many discussions related to HIV today, scientific advances are changing the way we talk about and consider possibilities. New questions about treatment as prevention, pre-exposure prophylaxis (PrEP), and even levels of ‘risk’ seem to emerge every day.
Le 1er décembre, la Journée mondiale du sida, l’Honorable Jane Philpott, ministre de la Santé du Canada, a déclaré que notre pays appuyait les objectifs de traitement de l’ONUSIDA qui visent à mettre fin à l’épidémie mondiale de sida dès 2030. La même journée, le premier ministre Justin Trudeau a fait une déclaration qui, en partie, disait « nous sommes maintenant à un moment où nous pouvons envisager un avenir exempt de cette terrible maladie ».
A test is a test, right? I’ve struggled with the issues of why HIV testing matters over the last 25 years, and over that time I’ve seen the ebb and flow of debates and discussions on why testing is still an important issue for Canada. I’ve also seen the frustration among those who do not have access to testing and why that matters. Yes, knowing your HIV status is still an important health issue for Canadians. However, with the complex array of debates on the pros and cons of testing, including the very real concerns about confidentiality; the need for pre- and post-test counselling; limited access to testing innovations such as point-of-care testing (POCT); the gendered nature of testing along with some popular misconceptions about it, there is definitely room for improvement moving forward. Simply put: We can and must do better in our national leadership around HIV testing issues in this country.