The State of HIV: 5 Stories Currently Shaping the Poz World

We take a look at treatment and prevention breakthroughs, an increased quality of life and the stigma that continues to make up the HIV landscape

The state of HIV in America is changing rapidly. We are finally at a point when, even with no solid cure in sight, the tide of the epidemic could finally reverse. Last year, San Francisco launched its “Getting to Zero” movement. Based on UN initiatives, the program believes the idea of zero new infections-or deaths-is no longer a fantasy but a real possibility. Medical breakthroughs and changes in society have meant those living with the disease are experiencing fuller, longer lives. Here are some of the biggest stories shaping the poz world.

1. PrEP and TAP are stemming the spread of HIV.
Since its approval by the FDA in 2012 as a means of preventing HIV infection, Truvada-generally referred to as PrEP-has become the biggest news in stemming the spread of HIV. “For the first time since the disease’s beginning, we have a new way to stop infections,” says Terry Smith, Associate Director of Prevention at APLA Health and Wellness. PrEP is 99% effective according to Smith, who is excited about the dramatic reduction in infections Truvada has offered the gay community. Furthermore, Smith believes “Treatment as Prevention”-the idea that someone who is virally suppressed has a lesser chance of spreading the virus to those who are HIV-negative-may be a key tool in stemming the spread of HIV. “Those on treatment are 96% less likely to spread the virus,” he says.

2. Treatment of HIV is simpler and comes with fewer side effects.
Treatment has changed dramatically. Long dramatized and experienced as an unusual and complicated cocktail of drugs, HIV treatment has been reconfigured as a ‘one pill a day’ regimen, with a minimal amount of side effects. “The biggest change in treatment is the combo drug,” says Jeff Bailey, Director of Client Services at AIDS Project Los Angeles. “It means more people are able to adhere to treatment, because it’s simpler,” he says.

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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