The next biennial ISHEID Conference will attract the world leading HIV AIDS experts in Marseille, France, May 23-25, 2012. The Steering Committee has just announced the conference theme: 'From HIV Testing to HIV Cure'.
May 3, 2011 - Neuilly-sur-Seine, France - HIV currently infects 33 million individuals
worldwide and kills 2 million people annually. In the absence of a preventive vaccine, new prevention strategies have to be
One current hot topic is 'pre-exposure prophylaxis', which is the preventive use of antiretroviral drugs in HIV-negative
individuals at risk of acquiring the virus. This approach has recently been tested in a clinical trial and, after an
average 14 months on the regimen there were 44% fewer infections in men taking the drugs than in men taking
placebo. This pill (a combination of 2 antiretrovirals) was not intended to replace classical measures
of prevention, such as condom use, and trial participants were regularly assessed for this.
These results raise thorny questions, going from medical to ethical issues. First, at a time when not
all already HIV-infected patients in the world can have access to antiretroviral therapy, is it reasonable to give treatment
access to uninfected people for prevention? And will this therapy be reimbursed by the social security system, or be only
available to those who can afford it? Secondly, outside the frame of a clinical trial, what is the risk that people use
simply the 'magic protecting bullet' and give up on condoms? The average efficacy was 44% in the trial, but ranged
from 16 only to 63% according to cases. Then, what will be the long-term toxicities of such drug exposure?
Finally, the last question is about cost: how to justify a 'chemical condom' at $38 a day when condoms
themselves cost a few cents each?
This is one of the important topics in terms of public health to be discussed live at the conference. In the meantime, the debate
is open between experts, caregivers and community leaders on the conference website.
About the conference:
The Steering Committee contains Professor Jean-François Delfraissy (Director of the French Agency of AIDS Research, Paris, France),
Jose Gatell (Barcelona, Spain), Guido Poli (Milano, Italy), Jean-Pierre Routy (Montreal, Canada),
Christine Rouzioux (Paris, France), Vicente Soriano (Madrid, Spain), Hans-Jürgen Stellbrink (Hambourg, Germany)
and Stefano Vella (Rome, Italy). Website: http://www.isheid.com/en/committees/interview.html
Alain Lafeuillade, Overcome, Blvd Paul Emile Victor, 92523, Neuilly-sur-Seine, France; Ph: +33 (0) 1 40 88 97 97; Email: firstname.lastname@example.org