Can injectable PrEP live up to the hype?

Following years of oral PrEP’s slow uptake, a new innovation is generating excitement around the highly effective drug

The HIV prevention medication PrEP was called a game-changer, superpower and major breakthrough in the global effort toward zero new HIV transmissions when it first hit Canadian markets six years ago. Big praise, and steep expectations, for the little blue pill.

Today, PrEP’s foretold impact has yet to pass. In fact, HIV diagnoses in Canada have remained relatively stable over the past decade. This is also mirrored globally, as new HIV transmissions shrunk only 3.6 percent between 2020 and 2021—the smallest international decline since 2016.

In other words, PrEP—though revolutionary in its effectiveness, reducing the risk of getting HIV from sex by about 99 percent when taken as prescribed—just isn’t getting to the people who need it most. This includes queer people, since men who have sex with men continue to make up the majority of new HIV cases in North America.

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During the Canada Post strike announced September 25, 2025, the following measures will be undertaken to minimize service disruption to BC-CfE clients and providers.

  • The BC-CfE Laboratory has transitioned to private courier for delivery of outgoing reports and documents. Results required urgently can be faxed upon request. (Lab Contact Information: Phone 604-806-8775; FAX 604-806-9463)
  • The BC-CfE Drug Treatment Program (DTP) will fax outgoing forms and documents to the provider’s office. (DTP Contact Information: Phone 604-806-8515; FAX 604-806-9044)
  • St. Paul’s Hospital Ambulatory Pharmacy has transitioned to private courier for delivery of medications. We recommend requesting medication at least 2 weeks in advance in case of delivery delays, particularly to rural/remote parts of BC. (Contact Information: Phone 1-800-547-3622; FAX 604-806-8675)

During the Canada Post strike, we recommend that documents be faxed or couriered to our sites, versus utilization of regular mail service

The BC-CfE Laboratory is streamlining reporting processes for certain tests in order to simplify distribution and record-keeping, and to ensure completeness of results. Beginning September 2, 2025, results for the ‘Resistance Analysis of HIV-1 Protease and Reverse Transcriptase’ (Protease-RT) and ‘HIV-1 Integrase Resistance Genotype’ tests will be combined into a single ‘HIV-1 Resistance Genotype Report’.
For more details and example reports, please click on the button below