`Test and Treat' HIV Prevention Strategy to Get Five-Year Trial in Africa

Researchers plan to test about 40,000 South Africans for HIV in the biggest trial yet of a theory for halting transmission of the AIDS-causing virus.

In a five-year study set to start this year, scientists from France and South Africa will screen everyone in 30 South African regions, said Bernard Hirschel, head of the HIV-AIDS unit of Geneva University Hospital in Switzerland. In half the regions, they’ll start treatment immediately for those who test positive. In the other half, they’ll wait until the patients’ immune systems deteriorate to a certain level, Hirschel said.

The experiment is designed to see whether starting treatment straight away can reduce or eliminate transmission of HIV, which infects 2.7 million people and kills 2 million every year. The World Health Organization recommends that patients not receive HIV drugs, which can have serious side effects, until their infection-fighting cells fall below a certain level. The drugs lower HIV to undetectable levels in the blood, reducing patients’ chances of transmitting the virus, studies have shown.

“If you apply this on a large scale, you could theoretically eradicate HIV by diminishing transmission,” Hirschel told reporters at the International AIDS Conference in Vienna today.

A 2008 study led by researchers at the Geneva-based WHO suggested the spread of HIV in hard-hit African nations could be cut by 95 percent in a decade if all those infected started taking medicines immediately. That so-called test-and-treat theory has been disputed in other mathematical models that say those projections are based on flawed on assumptions.

The researchers have been planning the trial for two years, Hirschel said.

To contact the reporter on this story: Simeon Bennett in Singapore at sbennett9@bloomberg.net

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