A step by step process on how we can support mothers living with HIV

 March 11, 2019 •  By Dr. Mona Loutfy and Dr. Sean (Ari) Bitnun

As doctors specializing in the clinical care of women living with HIV, we often get questions about breastfeeding and the transmission of HIV. Here’s just one e-mail we received from an infectious disease specialist outside Ontario: “I am seeing a young African woman as a patient who is HIV positive, had advanced disease, but now is suppressed. She is pregnant and had two deliveries in Africa, where she was encouraged to breastfeed. She is still quite adamant about breastfeeding despite my counselling otherwise. How do you manage these situations and what is your approach to this?”

Read more
 

Gay men, substance use and harm reduction: it’s time to act

 February 4, 2019 •  By Dane Griffiths

Harm reduction and gay men’s HIV prevention could be considered two historic elements in our HIV response that have long stood separate from one another. Traditionally, HIV prevention with gay men focused on sexual risk, while harm reduction focused on risks associated with injection drug use. Both approaches have evolved over the decades and some might argue that safer sex is a form of harm reduction, but in the context of drug use, there has been little focus given to harm reduction in the context of gay men’s sexual health.

Read more
 

Comment la PrEP et la charge virale indétectable redéfinissent-elles les relations sociales des hommes gais et bisexuels?

 January 14, 2019 •  By Gabriel Girard

Indétectable = Intransmissible, PrEP, Traitement comme prévention… Si ces approches font aujourd’hui consensus parmi les experts communautaires et scientifiques du VIH, leur appropriation par un plus large public reste encore incertaine. Dans la communauté gaie, ce nouveau contexte de la prévention suscite encore des résistances ou des questionnements : il suffit d’engager la conversation sur le sujet, en ligne ou dans un bar, pour s’en apercevoir!

Read more
 

Ending the epidemic for whom?

 January 8, 2019 •  By Winston Husbands

Ending the HIV epidemic in Canada in five years seems like an ambitious goal, but it is now in fact a target being advocated by a group of public health and HIV advocates in a new document published by the Canadian Foundation for AIDS Research (CANFAR). I am one of the authors of that document, which acknowledges the necessity of addressing racism and structural violence. But, except for support from a couple co-authors, I am dispirited by the co-authors’ failure to be clear about the difference those systemic and structural issues make, to inspire determination in addressing them, and to...

Read more