We need to meet people where they are at. If you do not want to have a medical provider, but you are interested in being on [pre-exposure prophylaxis], then we should create an environment where it is possible for you to get that.

-- Matthew Golden, M.D.

In an interview on behalf of IFARA at CROI 2017, Fred Schaich spoke with Deborah Donnell and Matthew Golden about how getting people onto HIV treatment also prevents the spread of the virus. One of the first urban areas in the U.S. to achieve the World Health Organization's 90-90-90 goals was King County, Washington, which includes Seattle. 90-90-90 refers to 90% of those living with HIV being diagnosed, 90% of those diagnosed being on antitretroviral treatment and 90% of those on treatment having undetectable viral loads. Studies have shown that people who are virally suppressed do not pass HIV on to their sex partners.

Meanwhile, the first "90 goal" is within reach in some South African communities where door-to-door visits from health workers have tested almost 85% of the population. Sub-Saharan Africa is seeing an unprecedented number of young people infected. To reach this population, clinic spaces and prevention messages must be made youth-friendly. In general, the delivery of medical care must be structured to accommodate the people for whom it is intended.

Watch the video to learn more:

About the panelist:

  • Deborah Donnell, Ph.D., Global Health, University of Washington, Seattle, and Fred Hutchinson Cancer Research Center.
  • Matthew Golden, M.D., Division of Allergy and Infectious Diseases, University of Washington, Seattle, and Public Health -- Seattle & King County.

The video above has been posted on TheBodyPRO.com with permission from our partners at the International Foundation for Alternative Research in AIDS (IFARA). Visit IFARA's website or YouTube channel to watch more video interviews from the conference, as well as earlier meetings.