Joel Alcatraz, Californjan of & # 39; 26 years, is charged with paranoia that infected with HIV by agreeing to was gay. "After all sexual contact I inspecting condom," he says. He refused any attempt & # 39; seduction by someone who had retrovirus. "I was afraid of them, I do not want to become one." He investigated until found Truvada, known as prophylaxis & # 39; pre-exposure (Prep), reducing the risk of & # 39; infection & # 39; over 90%. The film made in leaving prophylactic & # 39; many occasions. Of course, contracted other sexually transmitted diseases. However, nothing compares to the peace that is free from HIV. 80% & # 39; those affected by AIDS are homosexual, but the disease can & # 39; affects both men and women, regardless of their sexual orientation.
In the United States, the marketing of & # 39; Prep was approved in 2012. The drug use & # 39; day cost $ 1,300 a month without health insurance, which we increase laboratory tests and appointment & # 39; doctor every three months. The financial barrier to avoid stakeholders – in most cases tempered by health plans – not uncommon consumption to grow by & # 39; cruise. From 2016 to 2017 the increase was & # 39; 30%, exceeded 172,500 consumers, according to Gilead Sciences, the manufacturer & # 39; Truvada. The figure is still small, given that the only LGBT community is made up of more than eight million people. Since the introduction of the drug, not yet approved in Spain, there is a correlation between the increase in use and the reduction of HIV diagnosis, as discussed at the International Conference on AIDS in & # 39; last July.
The last week, became a prep drug category "A" in the ranking of the Force of the United States Preventive Services Task Force (USPSTF). The news was very popular because of the Affordable Care Act requires most private health plans cover the total cost of the preventive services recommended by the group. "The recommendations made by the USPTF should be protected because they are not based on opinions, but on realities. Prep is the biggest breakthrough in the prevention of & # 39; HIV since the start of the epidemic," says Dr. Carlos del Rio, co-director & # 39; HIV Clinical Trials Unit & # 39; Emory CDC.
The main public recommendations are men who have sex with & # 39; men, couples in which one of the two is infected with & # 39; rotavirus, people who inject drugs and share syringes and sex workers. Del Rio recognizes that consumers & # 39; prep rilassaw on the use of & # 39; condoms, which led to an increase in & # 39; other sexually transmitted diseases (STD). "It is difficult to calculate the increase because now we are doing more tests. It is a combination of both, but we see it in perspective: STDs can be cured and HIV can not," says the doctor.
It's Thursday night at & # 39; Washington and Cristián Valenzuela, a Chilean & # 39; 27 years, review the profiles & # 39; Scruff, application for gays. In inspection & # 39; & # 39 can rapidly; estimates that three out of four & # 39; users to share their personal information in are consuming prep. Valenzuela, who started three months ago to buy the drugs to have "peace of mind" and recognizes that the use of condoms decreased. "Many people embraced the application they wish to do without a condom, something which was previously totally stigmatized. Now with the tablet is much more common," he says. As many, the introduction of & # 39; prep market has changed the perception of & # 39; people with HIV. Today is more open to sex with & # 39; a person infected with the retrovirus. "I began to see people with HIV more as human beings and less as ghosts," said Alcatraz.
F & # 39; environment & # 39; bar, Jhonny Hadlock, 34, teaches list & # 39; 17 man who had sex with him since he left with his boyfriend in & # 39; June. He acknowledges that it was not regular use of condoms and month began protect oneself drug "I wanted to do it because I had complicated health episodes and I wanted to have control. There are people who tell you that m & # 39, have HIV, but they can be filled to you, "she says. His friend Kevin Holender, 26, supports the use of the pill, but jikkunsmawh because it is active (he penetrates) considers that it is less prone to be infected and his sex life is calm [aunque el riesgo persiste].
When Alcatraz started four user & # 39; years ago and put on profile & # 39; Its Grindr, the largest application & # 39; for gay dating, many attakkawha. "Many times, people who were HIV positive". However, that stopped in time and now says it is integrated with & # 39; fullest in gay culture. "In fact, if you do not take prep, is kind & # 39; weird", he concludes.
The US government argues that people in & # 39; high risk of contracting the retrovirus can benefit from a program at & # 39; & # 39 places in; some areas to give Prep free. "The problem is that those who really are in & # 39; risk of contracting HIV do not get tested", says Deborah Birx, special ambassador and the US coordinator for AIDS. About 40,000 people were diagnosed with HIV in the United States last year, and have added & # 39; a little more than a million people suffering from the disease.
The AIDS Foundation & # 39; San Francisco is one of its health centers to offer with pills & # 39; no persons b & # 39; limited resources. Felipe Flores, spokesman for the foundation, argues that despite the financial efforts & # 39; many organizations, there are areas where m & # 39; no alternative options for those m & # 39; have insurance. They subsidize generic sold in Thailand for 50 dollars. "F & # 39; San Francisco do not see much, but in other cities, where m & # 39; free clinics there, yes", explains. The beneficiaries of the AIDS Foundation range from 15 to 81 years, concentrated mainly between 25 and 35 years.
Those under 25 years are not so frequent with & # 39; Prep. Flores explains that is due to three reasons: rely heavily on medical insurance of their parents, who were not informed of their sexual orientation; the istigmata who are sexually active; and education about bad sex in the United States that has repercussions because many do not know of the existence of the drug.