Prevention in Focus

Fall 2016 

Bleach: Should it be recommended to disinfect needles and syringes?

What is the evidence on rinsing needles and syringes with bleach to prevent HIV and hepatitis C transmission among people who inject drugs? We discuss the implications for harm reduction programing and policies and provide key messages for service providers working with clients who inject drugs.

By Camille Arkell and Scott Anderson

Views from the front lines: Bleach as a harm reduction strategy for people who inject drugs

Three service providers give us their views and insights on how they approach the use of bleach to rinse needles and syringes with their clients who inject drugs.

HIV prevention, criminalization, and sex work: Where are we at?

Sex workers experience a disproportionately high burden of HIV in Canada and globally, partly due to continued criminalization. This article looks at some of the approaches in Canada and globally that help improve sex workers‘ access to HIV prevention and care services in a criminalized environment.

By Dr. Kate Shannon

HIV and the female genital tract – what does it mean for HIV prevention?

Although unprotected vaginal sex is a high risk activity for HIV transmission, the majority of exposures to HIV do not actually lead to infection, probably due to the innate protective defences of the female genital tract. This article discusses the female genital tract’s unique biological vulnerabilities to HIV and its protective defences against HIV, and reviews HIV prevention approaches available to women.

By Camille Arkell

The Resonance Project: What gay men are saying about biomedical information on HIV prevention

There has been rapid advancement in the science of HIV prevention over the last 10 years, particularly around the role that antiretroviral drugs can play. This article explores the knowledge that gay men have about these new prevention approaches.

By San Patten

What is the prevalence of hepatitis C among HIV-positive gay, bi, two-spirit and other men who have sex with men?

There has been an increase in the sexual transmission of hepatitis C among gay, bi and other men who have sex with men (MSM) in high-income countries, particularly among HIV-positive men. A systematic review and meta-analysis estimated how high the prevalence of chronic hepatitis C is among MSM.

By Logan Broeckaert

CHAMP: Mobilizing people living with HIV and allies to champion HIV prevention and care in ethno-racial communities

CHAMP (Community Champions HIV/AIDS Advocates Mobilization Project) evaluated two innovative and culturally relevant training programs to reduce HIV stigma and promote the championing of HIV-related issues amongst Asian, Black and Latino communities in the Greater Toronto Area.

By Alan Li and Josephine Wong

Research Update: Canadian intervention reduces HIV sexual risk behaviours and improves mental health outcomes among HIV-positive gay, bi and other men who have sex with men

Gay Poz Sex (GPS) is a sexual health counselling program designed for HIV-positive gay, bi and other men who have sex (MSM). This positive prevention intervention was found to significantly reduce sexual HIV risk behaviours and improve mental health outcomes among HIV-positive MSM.

By Logan Broeckaert

Research Update: Ontario study shows online outreach services beneficial for gay, bi, two-spirit and other MSM

A survey of men who use the internet to seek sex with other men in Ontario assessed if gay and other MSM use online outreach services. The study found that a minority of men have used online outreach but most report a positive change to their HIV and other STI prevention and testing behaviour after engaging with these services.

By Logan Broeckaert

Prepping for PrEP: Resources and tools on pre-exposure prophylaxis

This article presents resources and tools from Canada and other countries that can help service providers inform themselves and their clients about PrEP.

By Erica Lee

The Programming Connection: Programs and resources

Read about selected Canadian programs that use novel approaches to improve access to HIV prevention, testing, treatment, care and support.

Essential resources

What are some of the key recent Canadian and international HIV and hepatitis C resources?

Prevention resources

A selection of prevention resources available from CATIE’s Ordering Centre.

Fast facts: Sexually transmitted infections in Canada

How many Canadians have gonorrhea, chlamydia or syphilis?

Acknowledgements

CATIE would like to thank the following people for their contribution to this issue of Prevention in Focus: Scott Anderson, Camille Arkell, David Brennan, Logan Broeckaert, Laurel Challacombe, Dieynaba Deme, Melisa Dickie, Laurie Edmiston, Suzanne Fish, Glen (HARS), Trevor Hart, Rupert Kaul, Zak Knowles, Nathan Lachowsky, Erica Lee, Alan Li, Alexandra Martin-Roche, Stephanie Massey, David McLay, Liam Michaud, Barb Panter, San Patten, Tim Rogers, Kate Shannon, Laura Shaver, Matthew Smith, Carol Strike, Emily van der Meulen, Matthew Watson, Josephine Wong.

Editorial team: Laurel Challacombe, Logan Broeckaert, Zak Knowles.

The production of Prevention in Focus has been made possible through financial contributions from the Public Health Agency of Canada.