Category: Articles

Listening to communities: Lessons from the HIV/AIDS and monkeypox epidemics

Just over 40 years ago, clinicians recognized a rare form of pneumonia in a handful of otherwise healthy young men in Los Angeles. This cluster would soon become known as the “start” of the HIV/AIDS epidemic. In 2022, clinicians in sexual health clinics in Montreal reported the first cases of monkeypox in Canada. In both instances, however, affected communities were the first to know that something was up. In the years before HIV was identified, people who inject drugs talked of “junkie pneumonia” or “the dwindles”. Later, these were identified as AIDS-related complications. Early in our current global monkeypox outbreak, members...

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Cross-boundary PrEP collaboration: A model to emulate

Since January 1, 2018, eligible British Columbians have been able to receive HIV pre-exposure prophylaxis (PrEP) at no cost, but despite this coverage many still have restricted access to PrEP, especially people living in remote areas of the province. The barriers are many-fold and include persistent stigma, lack of access to healthcare providers and sexual health clinics, lack of awareness, individual discomfort accessing sexual healthcare and lack of transportation to pick up medication or to visit labs for ongoing testing.

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