Category: Opinions

Connected patients, connected providers: Delivering comprehensive, coordinated, team-based care to people living with HIV in Canada

Thanks to effective anti-HIV treatment, HIV has evolved into a chronic illness. However, people living with HIV often today also live with other physical and mental health conditions, which can be difficult to cope with, especially for those also coping with difficult socio-economic circumstances. To provide quality care to people living with HIV and other long-term medical and social conditions, health-care providers not only need to ensure  that people living with HIV are engaged in quality health care, but we also need to enhance the capacity of Canadian HIV clinics to integrate and coordinate additional resources. By integrating and coordinating...

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Arrivons-nous à la fin du développement de médicaments contre le VHC?

Au cours des sept dernières années, nous avons assisté à une mise au point étourdissante de médicaments contre le virus de l’hépatite C (VHC). Chaque nouveau traitement s’est généralement révélé plus efficace que le précédent. Les plus récents traitements approuvés pour le VHC au Canada cette semaine incluent Maviret (fabriquée par AbbVie) et Vosevi (fabriqué par Gilead). Lors des essais cliniques, ces traitements offerts sous forme de comprimé ont donné lieu à des taux élevés de guérison (habituellement supérieurs à 95 pour cent) et ont causé peu d’effets secondaires graves. Même s’il s’écoulera encore six mois ou plus avant que ces...

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World Hepatitis Day: Finally something to celebrate?

Every year on July 28, we mark World Hepatitis Day with an event to educate, gather together, and also remember those we have lost from the hepatitis C community. This year, we should have much to celebrate: in early 2017, medications that had previously been unavailable were finally added to some formularies, including Ontario’s. This  means that people with certain types of hepatitis C who have been waiting years to access safe, effective medication will finally be able to start treatment and be cured. For many, being cured means avoiding potentially fatal outcomes like liver failure and liver cancer. It...

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U=U and the overly-broad criminalization of HIV nondisclosure

People living with HIV in Canada have been charged with some of the most serious offences in the Criminal Code, even in cases of consensual sex where there was negligible or no risk of HIV transmission, no actual transmission and no intent to transmit. The Undetectable=Untransmittable (“U=U”) campaign is based on scientific research, including the ground-breaking PARTNER study, establishing that when a person living with HIV on treatment maintains an undetectable viral load for at least six months, the risk of transmitting the virus through sex is effectively non-existent. As advocates for persons living with HIV await action from federal,...

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6 things you can do to show solidarity with people who use drugs and help end the opioid crisis

By Zoë Dodd & Alexander McClelland At the opening of the recent 25th Harm Reduction International Conference in Montreal, the Minister of Health Jane Philpott announced that more people have died in the overdose epidemic in the past few years than died during the height of the AIDS crisis in the late 80s and early 90s. In 2016, it is estimated that 2,300 people died of overdose—preventable deaths caused by the prohibition of drugs. In response to that sobering and sad announcement, we wrote an article asking for people engaged in the response to HIV to show support and solidarity...

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Honte au Canada : Le Groupe d’étude canadien fait fi des conseils d’experts dans ses nouvelles lignes directrices sur le dépistage de l’hépatite C

Le Groupe d’étude canadien sur les soins de santé préventifs (GECSSP) a publié lundi ses Lignes directrices sur le dépistage du VHC dans le Journal de l’Association médicale canadienne (résumé disponible en français). À la consternation des experts partout au Canada, y compris des spécialistes de l’hépatite C, des groupes de défense des droits et d’autres intervenants, les nouvelles recommandations sur le dépistage ignorent les conseils d’experts en ce qui concerne le choix des candidats au dépistage de l’hépatite C, ce qui établit un précédent dangereux pour les politiques de santé publique, où les dollars ont préséance sur la santé...

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