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This discussion, moderated by Dr. Victoria A. Cargill, explores the challenges and scope of the HIV epidemic in terms of prevention. It addresses the global estimate of people living with HIV in 2012, the importance of HIV awareness and status disclosure, and the need to engage those living with HIV in care. The "Gardner Cascade" is presented as an illustrative model for understanding the gaps in HIV prevention and treatment. The question of whether treatment as prevention or behavior change interventions are more effective in interrupting the cycle of disease transmission is explored.
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Prevention of HIV TransmissionTreatment as Prevention or Behavior Change Interventions? Moderator Victoria A Cargill, M.D., M.S.C.E. Office of AIDS Research, NIH
The “Gardner Cascade” 79% 75% 50% 80% 75% 80% o Gardner E, et al. CID 2011:52 (Mar 15)
Summary • Global pandemic • Mature epidemic • Those unaware of their HIV status account for over half of the new transmissions • Those in care reflect only a small portion of those living with infection • How to interrupt the ongoing cycle of disease transmission?