Prevention in Focus

Spring 2017 

Three reasons why CATIE supports U=U for sexual transmission

CATIE recently endorsed the Consensus Statement of the Prevention Access Campaign, celebrating the fact that “undetectable equals untransmittable.” This revolutionary statement, pushed forward by a dedicated group of people living with HIV, has prompted CATIE to reflect on our sexual HIV prevention messaging.

By Camille Arkell

PrEP in Canada: What do we know about awareness, acceptability and use?

To help Canadian service providers who have a role to play in facilitating awareness, access and use of PrEP, this article reviews PrEP research in the Canadian context, what we know about awareness, acceptability and uptake of PrEP in Canada, and initiatives to improve access and delivery.

By Camille Arkell

Views from the front lines: PrEP in Canada

We spoke to three service providers to find their views and insights on how they talk to their clients about PrEP.

Hepatitis C in Canadian immigrants and newcomers: Why are hepatitis C rates higher in these populations?

This article explores why hepatitis C rates are higher among Canadian immigrants and newcomers, including common modes of transmission, and barriers related to testing, and provides recommendations to help service providers increase access to testing and diagnosis.

By Fozia Tanveer

HIV prevention for people who inject drugs: New biomedical approaches and time-honoured strategies

This article looks at the risk of HIV transmission through injection drug use. It reviews the evidence on a range of effective interventions to reduce the risk of HIV transmission among people who inject drugs (PWID); and provides recommendations for service providers who provide HIV prevention services to PWID.

By Camille Arkell

Hepatitis C point of care testing: What is its impact on testing and linkage to care?

Innovations and advances in testing and linkage to care are essential in addressing the hepatitis C epidemic in Canada. This article outlines how one such innovation, rapid point-of-care testing, can improve testing and linkage to care, and details how such tests could impact the hepatitis C epidemic in Canada.

By Suzanne Fish

How frequently should people be tested for HIV?

One factor for service providers to consider when delivering or discussing testing is how often a client should be tested for HIV. A systematic review examined testing frequency recommendations in Canadian and international HIV testing guidelines.

By Erica Lee

So much new HIV prevention evidence! Our HIV prevention messaging needs to evolve!

To help service providers in Canada adapt their programs and incorporate new evidence into their messaging, CATIE has developed a series of statements on three highly effective strategies to reduce the risk of the sexual transmission of HIV.

Research Update: A new HIV primary and secondary prevention continuum

A proposed new HIV prevention continuum identifies the steps necessary to ensure that HIV-negative people receive the health and support services they need to remain negative.

By Logan Broeckaert

Research Update: Meta-analysis shows PrEP is effective in women with high adherence

A meta-analysis of five randomized controlled trials that included women shows that, with good adherence, oral PrEP is effective at reducing the risk for HIV transmission in women.

By Camille Arkell

Research Update: Youth who use drugs who cannot access addiction treatment are twice as likely to start injecting

A Vancouver study found that youth who used drugs—cocaine, crack, heroin or methamphetamines—but who had never injected were twice as likely to start injecting after being unable to access addiction treatment.

By Logan Broeckaert

Research Update: HIV health and healthcare findings from the 2015 U.S. Transgender Survey

The 2015 U.S. Transgender Survey gathered information from 27,715 transgender people around the United States. The survey’s findings were released in December 2016 and provide information on HIV testing and care among transpeople.

By Logan Broeckaert

Canadian HIV testing and prevention guidelines

If you’re looking for resources to inform an evidence-based decision, guidelines are a key tool to turn to. This article highlights HIV testing and prevention guidelines developed in Canada.

By Erica Lee

A newly revamped Programming Connection gets Bright Ideas

CATIE is pleased to announce changes to Programming Connection, its online toolkit that highlights promising approaches to frontline programs in HIV and hepatitis C prevention, testing, treatment, care and support.

In case you missed it…

Valuable prevention resources from the past six months.

Prevention resources

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

Fast facts: Canada’s HIV treatment cascade and HIV risk estimates

Where is Canada in attaining the UNAIDS 90-90-90 targets? What is the risk for getting HIV?

Acknowledgements

CATIE would like to thank the following people for their contribution to this issue of Prevention in Focus: Camille Arkell, Brook Biggin, Alain Boutilier, Logan Broeckaert, Laurel Challacombe, Dieynaba Deme, Jocelyne Demers-Owoka, Melisa Dickie, Jean Dussault, Laurie Edmiston, Suzanne Fish, Christina Greenaway, Zak Knowles, Erica Lee, Christine Johnston, Samantha MacNeill, Jessica Quijano, Alexandra Martin-Roche, Tim Rogers, Matthew Smith, Carol Strike, Fozia Tanveer, Holly Taylor, Karen Timmerman, Matthew Watson.

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

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