Tag: HIV testing

More options for HIV testing in Canada

Testing is an essential part of the HIV cascade of care. People living with HIV can only be linked to treatment, care and support services if they have been diagnosed. Once a person is diagnosed, effective treatment will enable them to live a long and healthy life, to have HIV-negative children, and not have to worry about passing on HIV to their sex partners. People who test negative and are at ongoing risk for HIV can be linked to prevention, harm reduction and other services as necessary.

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HIV self-testing: An unnecessary disruption or a democratizing equalizer?

I feel like a historian sometimes, when I reflect on each meeting or conference session’s proceedings that I have attended internationally, nationally and locally on the topic of HIV self-testing in the past decade or so. I can see patterns in behaviour, consonance and dissonance of thought, speech and action, and I am left in awe and wonder why we humans don’t end up doing the right thing for other fellow humans in need. For key populations, who need our voice to get the products and services they so rightly deserve.

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Reaching the first 90: how HIV self-testing can help us end the HIV epidemic

Canada has signed on to the global 90-90-90 targets to end the HIV epidemic by 2030. The aim of these targets is to diagnose at least 90% of all people living with HIV, provide treatment for 90% of those diagnosed, and for 90% of people on treatment to have an undetectable viral load by 2020. However, Canada is falling short on the first 90, lagging behind other similar countries, such as the United Kingdom and Australia.

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An “HIV status neutral” paradigm shift

HIV is not what it used to be. Many people with HIV describe it as a chronic condition and a manageable part of their life. HIV prevention is not what it used to be, either. The simultaneous rise of “undetectable equals untransmittable” (U=U) and pre-exposure prophylaxis (PrEP) caused a radical change in the way we talk about HIV transmission and prevention.

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Bring testing to the people

Editor’s note, January 2022: Some of the approaches and technologies highlighted here are still only available in some regions of Canada. Additionally, HIV self-testing/home-based testing has now been approved for use in Canada. Canada has signed on to global targets to eliminate HIV and hepatitis C as public health threats by 2030. While ambitious, these targets are now a realistic possibility thanks to the effectiveness of modern medications. HIV treatment can suppress the virus so successfully that HIV-positive Canadians who start treatment early can have life expectancies similar to their HIV-negative peers. This also prevents the transmission of HIV to...

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