“What is the risk of HIV transmission through condomless anal sex if I am the receptive partner?” “How low is the risk if my viral load is undetectable?” “What’s the risk if my partner was in the acute phase of HIV infection when we had sex?” Questions about HIV risk aren’t easy to answer and—with all the recent advancements in our understanding of HIV transmission and prevention—things aren’t getting any easier!
We’re in the midst of an HIV prevention revolution. Over the past few years, we have gained new tools and knowledge to prevent HIV, from pre-exposure prophylaxis (PrEP) to the knowledge that an undetectable viral load dramatically reduces the risk of transmission. So where is the excitement, especially in communities hardest hit by HIV? In Canada, gay and bisexual men are 71 times more likely to become infected with HIV than other men. Why aren’t these new prevention strategies being shouted from the rooftops of more organizations that serve gay men? Well, part of the reason is that service providers...
I recently had the fortune of attending the annual event of the Canadian Aboriginal AIDS Network (CAAN), combining their annual meeting, caucus of Aboriginal people living with HIV/AIDS (APHA Caucus), skills-building conference and “Wise Practices,” the research conference of CAAN’s Aboriginal HIV & AIDS Community-Based Research Collaborative Centre. The event brought together Indigenous people from across Canada involved in the response to HIV and hepatitis C. Although I attend most years, these gatherings never cease to enthrall and move me.
Since 2004 many patient groups and advocacy organizations have observed a day of awareness for viral hepatitis, but it was not until the 63rd annual World Health Assembly in 2010 that the World Health Organization officially declared July 28 as the international day to raise awareness, World Hepatitis Day (WHD). WHD is observed by agencies across the world seeking to address the global epidemic of viral hepatitis that impacts 400 million people worldwide.
What do you call sex without a condom? Unprotected? Only a few years ago, you might have been correct. But a growing consensus of HIV prevention experts is shifting away from this terminology to something more accurate and more simple: sex without a condom, or condomless sex. Why? Our understanding of HIV transmission and prevention has changed dramatically in the past decade, and with it have come new words and terms. Post- and pre-exposure prophylaxis (PEP and PrEP). Undetectable viral load. Treatment as prevention.
Sex education is rarely without controversy. As a sexual health educator, working with South Asian communities all over Toronto, I see firsthand how sexual misinformation, stigma, cultural and gender norms can all make sex a hard topic to discuss. Lately, however, it seems to be all everyone wants to talk about.
