離題一下,U=U 的部份,The Lancet HIV 今年六月的CORRESPONDENCE非常有趣。
首先Bob Leahy針對Jens Lundgren 與 Andrew Phillips 評論提出質疑,對於文章中,
病毒量測不到的感染者經由性行為傳染他人的風險非常低「Very low」描述感到困惑,
而這種說法可能讓感染者陷入法律困境。
It perpetuates myths that exist even within the ranks of medical practitioners.
Thus, the article cries out for further commentary, given the potential to
mislead, to confuse, and even to create legal problems for those living with
HIV.
然後Jens Lundgren 與 Andrew Phillips後續則回應:
We thank Bob Leahy for bringing the wording we used on the risks of
transmission in people with suppressed plasma viral load to the attention
of the readership. We agree with Anthony Fauci's interpretation that people
“who take ART daily as prescribed and achieve and maintain an undetectable
viral load have effectively no risk of sexually transmitting the virus to an
HIV-negative partner”, and we agree that this better conveys the risk to a
broad audience than the wording we used in the article.
以上是科學期刊的討論,不是同運的網羅喔
1. Prevention of HIV transmission by antiretroviral therapy
http://bit.ly/andrewlancet
2. Language used to convey HIV infection risk is important
http://bit.ly/boblancet
3. Language used to convey HIV infection risk is important – Authors' reply
http://bit.ly/jenslancet
PS.
1. 去年國際愛滋病學會的IAS2017會議就已經談U=U,還做了附Logo的圖。
U=U taking off in 2017
http://bit.ly/UUtakeoff
2. 今年的話,U=U 幾乎就是AIDS 2018 熱門場,如果不早點搶位子是進不去的喔。
3. U=U 只有針對性行為傳染,不過目前也有討論U=U 下女性感染者是否可以餵母乳。